Jokwiro Yangama, Urbanavicius Tracy, Robinson Ainsley M, Scott Cathy, Islam Md Rafiqul
Department of Nursing, Rural Health School, La Trobe University, Shepparton, Victoria, 3630, Australia.
Goulburn Valley Health, Shepparton, Victoria, Australia.
BMC Health Serv Res. 2022 Mar 22;22(1):381. doi: 10.1186/s12913-022-07768-y.
The COVID-19 pandemic has inundated the capacity of hospitals across the globe, exhausting resources, and placing extreme burden on health care workers (HCWs). Hospital preparedness during infectious disease outbreak involves development and implementation of appropriate strategies, procedures, and adequate training for HCWs. Reliable and valid tools to evaluate the perception of HCWs on the effectiveness of hospital preparedness strategies are imperative and literature is yet to fill that gap.
Items for 'The Staff Questionnaire for Infectious Disease Outbreak Readiness and Preparedness (SQIDORP)' were selected from literature that addressed hospital preparedness during novel pandemic outbreaks. The SQIDORP was distributed within a regional hospital in Victoria, Australia. Psychometric evaluation included estimates of reliability and factor analysis while factors associated with the questionnaire were explored using regression analysis.
Omega coefficient of 0.89, Cronbach's alpha coefficient of 0.88 and item-total correlations (> 0.3) indicated adequate reliability of the SQIDORP. Factor Analysis yielded three meaningful latent factors that are effectiveness of training (Factor 1), self-confidence (Factor 2) and risk to self and stress (Factor 3). Demographic factors did not influence the correlation with SQIDORP. However, rating 'the current plan for management of COVID-19 in your ward' and 'personal knowledge/skills in caring for patients with COVID-19' had significant positive correlation and accounted for 33% of the variance in readiness and preparedness using SQIDORP (R2 = 0.33, F = 10.227, P < 0.001).
Most of the items of SQIDORP questionnaire achieved adequate internal consistence reliability. This is a valuable tool that can be utilized by hospitals to explore aspects of preparedness and give insights to the knowledge, skills, and mental health of HCWs, as perceived by the HCW themselves.
新型冠状病毒肺炎(COVID-19)大流行使全球医院不堪重负,资源耗尽,医护人员负担极重。传染病暴发期间的医院准备工作包括制定和实施适当的策略、程序以及对医护人员进行充分培训。评估医护人员对医院准备策略有效性看法的可靠且有效的工具至关重要,而目前尚无文献填补这一空白。
“传染病暴发应急准备工作人员调查问卷(SQIDORP)”的条目选自关于新型大流行疾病暴发期间医院准备工作的文献。该问卷在澳大利亚维多利亚州的一家地区医院内发放。心理测量学评估包括可靠性估计和因子分析,同时使用回归分析探索与问卷相关的因素。
Omega系数为0.89,克朗巴哈系数为0.88,项目与总分的相关性(>0.3)表明SQIDORP具有足够的可靠性。因子分析产生了三个有意义的潜在因子,即培训效果(因子1)、自信心(因子2)以及自身风险和压力(因子3)。人口统计学因素不影响与SQIDORP的相关性。然而,对“您病房目前的COVID-19管理计划”的评分与“护理COVID-19患者的个人知识/技能”具有显著正相关,并且使用SQIDORP时占应急准备差异的33%(R2 = 0.33,F = 10.227,P < 0.001)。
SQIDORP问卷的大多数条目具有足够的内部一致性可靠性。这是一个有价值的工具,医院可利用它来探索准备工作的各个方面,并了解医护人员自身所感知的知识、技能和心理健康情况。