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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
281

Predictive validity of a selection battery for technikon students

Van der Merwe, Doret 30 November 2003 (has links)
Student selection is particularly challenging in South Africa. Heterogeneous educational backgrounds require that it is necessary to assess prospective students' potential rather than their current abilities that crystallised from inadequate school education. Dynamic assessment assesses learning potential versus traditional psychometric measures, which are static measures of cognitive ability, measuring what a person has already learned. The aim was to determine the predictive validity of a selection battery. The following predictors were included in the study; matric results, Potential Index Battery, LPCAT, bridging course status and gender. The results confirmed that static measures of intelligence and matric results showed lower predictive validity than learning potential tests. The learning potential measure appeared to be a more valid predictor of academic performance and is suitable to include in a selection battery. Gender and bridging course factors did not reflect significant differences in academic performance. There were indications that students perform better in successive years of study, once they have adjusted to tertiary education. / Industrial and Organisational Psychology / M. Comm. (Industrial and Organisational Psychology)
282

The validation of a revised version of the job Insecurity scale in South Africa / Neil Bertrand Barnard

Barnard, Neil Bertrand January 2014 (has links)
The De Witte (2000) Job Insecurity Scale (JIS) claims to measure the cognitive and affective dimensionalities of job insecurity. However, there is a concern as to whether this is in fact a true reflection of the individual, owing to the possibility that the JIS may rather measure the negative and positive dimensionalities of job insecurity instead. This research article aims to investigate whether a revised version of the JIS measures the cognitive and affective dimensionalities of job insecurity, or alternatively, other dimensionalities of the revised JIS after additional items have been added to the scale. Furthermore, it is aimed at determining whether the constructs of the revised JIS prove to be invariant across gender, age and educational level, and to determine whether the psychometric properties of a revised version of the JIS is a valid and reliable instrument. Furthermore, this research article aims at determining if the revised version of the JIS is a more accurate indicator of job insecurity and its relation with organisational outcomes (job satisfaction and organisational commitment), as well as its equivalence across various demographic variables (i.e. gender, age and educational level). A quantitative research approach was used. This approach was utilised to statistically reflect the psychometric properties of the revised version of the JIS, using large amounts of data relating to job insecurity. A cross-sectional design was used for the purpose of this study. The sample consisted of employees working in the mining sector (n = 262) and manufacturing industries (n = 208), constituting a total sample of 470 (n = 470). Non-probability quota sampling was used to adequately divide the population according to its sector in the economy, and further according to the industry. The results showed that the revised JIS consists of a two-factor model, namely job security and job insecurity. Furthermore, it was found that the revised JIS is valid in providing relationships with organisational outcomes (job satisfaction and organisational commitment). The study indicated that job insecurity has a negative relationship with job satisfaction, as well as a predictive positive relationship with organisational commitment. The revised JIS proved to have discriminant validity in that it does not relate to an unrelated construct (physical tiredness during work). Lastly, the revised JIS can be deemed valid across different demographic groups (gender, age and educational level). Recommendations are made to be applied in practice, as well as for future research. / MA (Industrial Psychology), North-West University, Potchefstroom Campus, 2015
283

The validation of a revised version of the job Insecurity scale in South Africa / Neil Bertrand Barnard

Barnard, Neil Bertrand January 2014 (has links)
The De Witte (2000) Job Insecurity Scale (JIS) claims to measure the cognitive and affective dimensionalities of job insecurity. However, there is a concern as to whether this is in fact a true reflection of the individual, owing to the possibility that the JIS may rather measure the negative and positive dimensionalities of job insecurity instead. This research article aims to investigate whether a revised version of the JIS measures the cognitive and affective dimensionalities of job insecurity, or alternatively, other dimensionalities of the revised JIS after additional items have been added to the scale. Furthermore, it is aimed at determining whether the constructs of the revised JIS prove to be invariant across gender, age and educational level, and to determine whether the psychometric properties of a revised version of the JIS is a valid and reliable instrument. Furthermore, this research article aims at determining if the revised version of the JIS is a more accurate indicator of job insecurity and its relation with organisational outcomes (job satisfaction and organisational commitment), as well as its equivalence across various demographic variables (i.e. gender, age and educational level). A quantitative research approach was used. This approach was utilised to statistically reflect the psychometric properties of the revised version of the JIS, using large amounts of data relating to job insecurity. A cross-sectional design was used for the purpose of this study. The sample consisted of employees working in the mining sector (n = 262) and manufacturing industries (n = 208), constituting a total sample of 470 (n = 470). Non-probability quota sampling was used to adequately divide the population according to its sector in the economy, and further according to the industry. The results showed that the revised JIS consists of a two-factor model, namely job security and job insecurity. Furthermore, it was found that the revised JIS is valid in providing relationships with organisational outcomes (job satisfaction and organisational commitment). The study indicated that job insecurity has a negative relationship with job satisfaction, as well as a predictive positive relationship with organisational commitment. The revised JIS proved to have discriminant validity in that it does not relate to an unrelated construct (physical tiredness during work). Lastly, the revised JIS can be deemed valid across different demographic groups (gender, age and educational level). Recommendations are made to be applied in practice, as well as for future research. / MA (Industrial Psychology), North-West University, Potchefstroom Campus, 2015
284

Holistic clinical assessment for undergraduate nursing students

Wu, Xi Vivien January 2016 (has links)
A major focus in nursing education is on the judgement of clinical performance, and it is a complex process due to the diverse nature of nursing practice. Difficulties in the development of valid and reliable assessment measures in nursing competency continue to pose a challenge in nursing education. A holistic approach in the assessment of competency comprises knowledge, skills and professional attitudes, wherein the notion of competency incorporates professional judgement and management skills in the clinical situation. Therefore, the thesis aims to develop a holistic clinical assessment tool with a reasonable level of validity and reliability to meet the needs of clinical education. The conceptual framework underlying this research is formed by establishing a theoretical connection between the practice of learning, and of pedagogy and assessment. This research consists of five studies. In Study I, a systematic review was conducted to explore the current assessment practices and tools for nursing undergraduates. In Studies II, III and IV, a qualitative approach with focus group discussions was adopted to explore the views of final-year undergraduate nursing students, preceptors, clinical nurse leaders and academics on the clinical assessment. Based on the multiple perspectives, it therefore addresses concerns in clinical assessment. In Study V, a holistic clinical assessment tool was developed, for which a psychometric testing was conducted. The systematic review indicated that limited studies adequately evaluate the psychometric properties of the assessment instrument. The qualitative studies have raised an awareness of professional and educational issues in relation to clinical assessment. Workload, time, availability of resources, adequate preparation of preceptors, and availability of valid and reliable clinical assessment tools were deemed to influence the quality of students’ clinical learning and assessment. In addition, the presence of support systems and formal educational programs for preceptors influenced their preparation and self-confidence. Nursing leaderships in hospitals and educational institutions have a joint responsibility in shaping the holistic clinical learning environment and making holistic clinical assessment for students. The involvement of all stakeholders in the development of a valid and reliable assessment tool for clinical competency is also essential to the process. The Holistic Clinical Assessment Tool (HCAT) was developed by the author based on the systematic review, qualitative findings and the core competencies of registered nurse from the professional nursing boards. The HCAT consists of 4 domains and 36 assessment items. Furthermore, testing of the psychometric properties indicated that the HCAT has satisfactory content validity, construct validity, internal consistency and test-retest reliability. In conclusion, the HCAT is meritorious in that it carries the potential to be used as a valid measure to evaluate clinical competency in nursing students, and provide specific and ongoing feedback to enhance the students’ holistic clinical learning experience. The HCAT not only functions as a tool for self-reflection for the students, but also guides the preceptors in clinical teaching and assessment. In addition, the HCAT can be used for peer-assessment and feedback. It is imperative that the clinical and academic institutions establish various levels of ongoing support for both students and preceptors in the process of clinical assessment.
285

Psychological well-being in cultural context : measurement, patterns and relevance for practice / J.A.B. Wissing

Wissing, Jan Andries Benjamin January 2006 (has links)
This study, presented in article format, contributed to the development of the science and practice of positive psychology / psychofortology, specifically in the South African multi-cultural context, through (i) a first phase exploration of the validity of several scales, mainly developed in a 'western' context, for applicability of measurement of facets of psychological well-being in the South African (multicultural) context (manuscript I), (ii) an exploration of patterns of psychological wellbeing and satisfaction with life in cultural context (manuscript 2), and (iii) a review of the state of the art of the applicability of knowledge (theory and experimental findings) from the domain of positive psychology, for use in practice to enhance the quality of life for people (manuscript 3). For purposes of this study "cultural context" referred to relatively individualist and relatively collectivist cultural orientations as manifested in shared patterns of behavioural readiness, assumptions, attitudes, beliefs, self-definitions, norms, values, historical background and language groupings. The aim of the first study I article was to do a first phase screening of psychometric properties of several scales measuring facets of psychological wellbeing in a South African context. Most of these scales were developed in a western context, and measure facets of cognitive, affective, conative, social, and spiritual psychological well-being. Data were gathered in two projects including 731 participants from different cultural contexts in the North West Province. The FORTproject (FORT = Clarifying the nature of psychological strengths; -=strength) included a convenience sample of 384 mainly white students and adults from the Potchefstroom area, and a convenience sample of 130 mainly black students from the Mafikeng area. The POWIRS-project (POWIRS = Profiles of Obese Women with the Insulin Resistance Syndrome) included 102 black and 1 15 white adult women. Reliability and validity of scales for use in a South African context were reported. Results indicated that the reliability and validity of scales varied from acceptable to totally unacceptable for use in specific subgroups. It was concluded that the most promising scales for use in all groups were the Affectometer 2 (AFM), the Fortitude Questionnaire (FORQ) (except the FORQ-S), the Cognitive Appraisal Questionnaire (CAQ), the Satisfaction with Life Scale (SWLS) the General Health Questionnaire (GHQ) (the latter measuring pathology), and to some extent the Sense of Coherence Scale (SOC). This second study I article explored the patterns of psychological well-being and satisfaction with life in relatively more individualist and relatively more collectivist cultural contexts in South Africa. Secondary factor analyses were conducted on data obtained in four cross-sectional studies, comprising 1,909 participants. Questionnaires varied in studies, and measured facets of affective, cognitive, physical, spiritual, interpersonal and social well-being. Similarities and differences in patterns of psychological well-being and satisfaction with life were found. Satisfaction with life clusters with intra-psychological well-being in relatively more individualist cultural groups, and with inter-personal factors in relatively more collectivist African groups. Implications for models of psychological well-being and interventions to enhance psychological well-being were indicated. The aim of the third study I article was to review and evaluate the practical applicability of scientific knowledge from the domain of positive psychology / psychofortology, with specific reference to assessment, interventions, lifespan development and application in various contexts. It was shown that knowledge in the scientific domain of positive psychology has great relevance for, and application possibilities on individual, community and public policy levels. Applications were found as far as evaluation (assessment) and interventions are concerned in various life contexts (such as education, psychotherapy, health promotion, work), and in various phases of life (from childhood through adolescence and adulthood to old age). Several specific, empirically validated, strategies for enhancement of facets of psychological well-being were highlighted. It was pointed out that an advantage of positive psychology is that it has the theory, research evidence, and techniques to bring benefit to many people on the total mental health continuum, and not only, but also, to the minority who have a problem or are at risk of developing problems. A main conclusion across the different studies reported in this thesis (articles 1-3), was that cultural contexts and variables certainly need to be taken into account in research and practice of positive psychology. Despite the major developments in the scientific domain of positive psychology / psychofortology, its theories and applications have mainly been developed and explored in a western context, and further research is necessary, specifically in the African context. Several recommendations for future research were made. / Thesis (Ph.D. (Psychology))--North-West University, Potchefstroom Campus, 2007.
286

Testing the Psychometric Properties of the Online Student Connectedness Survey

Zimmerman, Tekeisha 08 1900 (has links)
The Online Student Connectedness Survey (OSCS) was introduced to the academic community in 2012 as an instrument designed to measure feelings of connectedness between students participating in online degree and certification programs. The purpose of this study was to examine data from the instrument for initial evidence of validity and reliability and to establish a nomological network between the OSCS and similar instruments utilized in the field. The study utilized sequential exploratory factor analysis- confirmatory factor analysis (EFA-CFA) and correlational analysis to assess results of the data. Students enrolled in online courses at higher education institutions located in the United States served as the sample for this study. Three instruments were used during the study. The OSCS was administered first so that the factor structure could be examined for factor validity. Once confirmed, the Classroom Community Scale (CCS) and the Community of Inquiry Scale (COI) served as the instruments to examine nomological validity through correlational analysis of data.This study provided evidence of factor validity and reliability for data from the OSCS. After the initial EFA-CFA, the four-factor structure held, and 16 of the 25 original items remained for nomological testing. Statistically significant correlations were demonstrated between factors contained in the OSCS, CCS, and COI, providing further evidence of construct validity. These results indicate that for the sample used in this study, the OSCS provides data that are valid and reliable for assessing feelings of connection between participants in online courses at institutions of higher learning.
287

Validity and Reliability of a New Measure of Nursing Experience With Unintended Consequences of Electronic Health Records.

Gephart, Sheila M, Bristol, Alycia A, Dye, Judy L, Finley, Brooke A, Carrington, Jane M 10 1900 (has links)
Unintended consequences of electronic health records represent undesired effects on individuals or systems, which may contradict initial goals and impact patient care. The purpose of this study was to determine the extent to which a new quantitative measure called the Carrington-Gephart Unintended Consequences of Electronic Health Record Questionnaire (CG-UCE-Q) was valid and reliable. Then, it was used to describe acute care nurses' experience with unintended consequences of electronic health records and relate them to the professional practice environment. Acceptable content validity was achieved for two rounds of surveys with nursing informatics experts (n = 5). Then, acute care nurses (n = 144) were recruited locally and nationally to complete the survey and describe the frequency with which they encounter unintended consequences in daily work. Principal component analysis with oblique rotation was applied to evaluate construct validity. Correlational analysis with measures of the professional practice environment and workarounds was used to evaluate convergent validity. Test-retest reliability was measured in the local sample (N = 68). Explanation for 63% of the variance across six subscales (patient safety, system design, workload issues, workarounds, technology barriers, and sociotechnical impact) supported construct validity. Relationships were significant between subscales for electronic health record-related threats to patient safety and low autonomy/leadership (P < .01), poor communication about patients (P < .01), and low control over practice (P < .01). The most frequent sources of unintended consequences were increased workload, interruptions that shifted tasks from the computer, altered workflow, and the need to duplicate data entry. Convergent validity of the CG-UCE-Q was moderately supported with both the context and processes of workarounds with strong relationships identified for when nurses perceived a block and altered process to work around it to subscales in the CG-UCE-Q for electronic health record system design (P < .01) and technological barriers (P < .01).
288

Uso da Escala WHODAS 2.0 na Atenção Primária à Saúde: perspectivas para a prevenção de incapacidades e promoção da funcionalidade humana pela Estratégia de Saúde da Família / Use of the WHODAS 2.0 Scale in Primary Health Care: perspectives for disability prevention nd promotion of human functionality by the Family Health Strategy

Balco, Estenifer Marques 26 March 2018 (has links)
A \"World Health Organization Disability Assessment Schedule 2.0\" (WHODAS 2.0) foi desenvolvida pela Organização Mundial da Saúde (OMS) para a avaliação da funcionalidade e incapacidade, conforme a Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF). O objetivo deste estudo foi avaliar o uso da versão de 12 itens na Estratégia de Saúde da Família (ESF) brasileira. Trata-se de um estudo exploratório, descritivo e baseado em um estudo de caso, que utilizou uma metodologia mista (técnicas quantitativas e qualitativas). Os participantes do estudo foram 9 profissionais de uma equipe de ESF e 120 pessoas acompanhadas por eles. Os profissionais participaram de um treinamento sobre a CIF e a WHODAS 2.0 e aplicaram essa escala nas 120 pessoas. Sete profissionais e todos os pacientes responderam questionários sobre aplicabilidade da escala. 115 (95,8%) dos pacientes apresentaram alguma incapacidade e foram encontrados de 22,5% a 68,5% das pessoas com dificuldade leve até extrema em qualquer item da escala. A avaliação da confiabilidade e da validade concorrente da escala mostrou: 1) alfa de cronbach de 0,83, com diminuição desse valor quando qualquer um dos doze itens foi deletado; 2) coeficientes de correlação intraclasse das confiabilidades interavaliadores dos doze itens e do escore total variando de 0,73 a 0,97; 3) coeficiente de spearman para validade concorrente com a \"World Health Organization Quality of Life Instrument - Bref\" (WHOQOL-Bref) de 0,54. A maioria dos 120 entrevistados considerou como satisfatórias a compreensibilidade das orientações, das perguntas e das respostas da escala (72,5%, 79,2% e 80% respectivamente), assim como a brevidade (97,5%) e a relevância em relação às suas necessidades cotidianas e em relação ao uso por profissionais de saúde (71,7% e 94,2%). Foi encontrada relação estatisticamente significativa entre menor nível de escolaridade dos entrevistados e maior dificuldade na10 compreensibilidade das orientações e da maneira de fornecer as respostas. Todos profissionais consideraram como satisfatórias a compreensibilidade das orientações, das perguntas e das respostas, assim como a facilidade de preenchimento, a brevidade e a relevância quanto às necessidades das pessoas acompanhadas no serviço; 4 consideraram que as informações não poderiam ser obtidas de outras maneiras no seu trabalho cotidiano e 2 consideraram viável a inserção da escala na sua rotina díária de trabalho. A análise qualitativa mostrou \"barreiras\" para o uso da WHODAS 2.0 como: 1) dificuldades pelos profissionais para usar a escala no seu trabalho rotineiro; 2) demandas de adequações em algumas palavras/frases da escala para melhor compreensibilidade; 3) dificuldade da escala realmente refletir o conceito de aplicação universal da CIF pelo fato de avaliar a funcionalidade a partir de condições de saúde, dificultando a expressão de fatores contextuais; 4) necessidade de adequação da tradução do termo \"disability\" para incapacidade (e não deficiência). \"Facilitadores\" do seu uso também foram encontrados: 1) demandas de cuidado incluindo a funcionalidade por parte das pessoas acompanhadas no serviço; 2) a estrutura da WHODAS 2.0 com orientações claras e definidas, destacadas em cores diferentes; 3) o curso e treinamento oferecido sobre CIF e WHODAS 2.0 para os profissionais. A WHODAS 2.0 é um bom instrumento para a avaliação da funcionalidade e incapacidade em relação às condições de saúde, mas apresenta limitações por não abranger a avaliação dos fatores contextuais, que são importantes componentes da CIF. Existe uma demanda significativa de prevenção de incapacidades e promoção da funcionalidade humana na ESF. São necessários mais estudos sobre a aplicação dos conceitos da CIF, incluindo o uso da WHODAS 2.0 nesse nível de atenção. / The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) was created by the World Health Organization (WHO) for assessment of functionality and disability, according to the International Classification of Functioning, Disability and Health (ICF). The objective of this study was to evaluate the use of the 12-item version in the Brazilian Family Health Strategy (ESF). It is an exploratory, descriptive study based on a case study, using a mixed methodology (quantitative and qualitative techniques). Participants in the study were 9 professionals from one ESF team and 120 people accompanied by them. The professionals participated in a training on ICF and of the WHODAS 2.0 and applied this scale to 120 people. Seven professionals and all patients answered questionnaires about the applicability of the scale. 115 (95.8%) of the patients presented some disability and 22.5% to 68.5% of people showed slight to extreme difficulty degree in any item on the scale. The evaluation of reliability and concurrent validity of the scale was: 1) Cronbach alpha of 0.83, with the diminishing of this value for all items was erased; 2) Intraclass correlation coefficient of the inter-rater reliability and total score of 0.73 to 0.97; 3) spearman\'s coefficient for concurrent validity with \"World Health Organization\'s Quality of Life Instrument - Bref\" (WHOQOL-Bref) of 0.54. The majority of the 120 interviewees considered full satisfaction with the guidelines, questions and answers of the scale (72.5%, 79.2% and 80% respectively), as well as the briefness (97.5%) and it relevance regarding their daily needs and it use by health professionals (71.7% and 94.2%). It was found a statistically significant relation between lower levels of schooling and higher difficulty in understating the orientations and answering them was found. All professionals considered as satisfactory the understanding of the guidelines, questions and answers, as well as the ease of completion, the briefness and the relevance regarding the needs12 of the people accompanied in the service. Four considered that the information could not be obtained in other ways in their work, and two considered it feasible to insert the scale into their work routine. The qualitative analysis showed \"barriers\" in the use of WHODAS 2.0 such as: 1) difficulties for professionals to use the scale in their routine work; 2) adaptation demands on some scale words/sentences for better understanding; 3) difficulty of the scale to really reflect the concept of universal application of the ICF due to the fact of evaluate functionality based on health conditions, making it difficult to express contextual factors; 4) need to adapt the translation of the term \"disability\" to incapacidade (not deficiência). \"Facilitators\" of its use have also been found: 1) demands for care including the functionality by the people accompanied in the service; 2) the structure of WHODAS 2.0 with clear and defined orientations, highlighted in different colors; 3) The course and training offered on ICF and WHODAS 2.0 to the professionals. The WHODAS 2.0 is a good tool for assessing functionality and disability based on health conditions, but it has limitations because it does not cover the evaluation of the contextual factors, that are important components of the ICF. There is a significant demand for disability prevention and promotion of human functionality in the ESF. Further studies on the application of the ICF concepts are necessary, including the use of WHODAS 2.0 at this level of attention.
289

Modelo com qualidades psicométricas para avaliação da cultura de segurança em instalações nucleares / Model with psychometric quality for safety culture assessment in nuclear facilities

Nascimento, Claudio Souza do 07 August 2015 (has links)
A operação segura e confiável de usinas nucleares não depende só da excelência técnica do projeto e construção, mas também das pessoas e da organização. Por essa razão, a importância dos fatores organizacionais nos mecanismos causais de acidentes tem sido reconhecida por uma série de organizações de pesquisas na Europa, EUA e Japão. Deficiências nesses fatores revelam fragilidades na cultura de segurança da organização. Uma preocupação básica na avaliação de uma cultura de segurança é garantir que os instrumentos de pesquisa sejam válidos e confiáveis. Nas áreas de saúde e de segurança do trabalho há uma série de instrumentos para avaliar a cultura de segurança, para os quais são apresentados estudos de suas proporiedades psicométricas (confiabilidade e validade), mas muito pouco com essas qualidades na área nuclear. No caso específico do Brasil, nenhum. Portanto, o principal objetivo deste trabalho foi desenvolver um modelo capaz de avaliar com medidas válidas e confiáveis a cultura de segurança de instalações nucleares. O instrumento de pesquisa foi desenvolvido com base em princípios psicométricos estabelecidos para pesquisas quantitativas e, portanto, foram realizadas a análise da confiabilidade e as validações de conteúdo, de face e de construto. O instrumento foi aplicado nos institutos de pesquisa da Comissão Nacional de Energia Nuclear (CNEN), obtendo-se um total de 226 questionários respondidos. Os resultados da pesquisa possibilitaram caracterizar demograficamente os respondentes e identificar muitos aspectos fortalecidos, mas também algumas fragilidades na cultura de segurança dos institutos avaliados. O instrumento apresentou boas evidências de confiabilidade com o coeficiente alpha de Cronbach de 0,95 para o instrumento como um todo. A validação de construto foi realizada por meio de uma análise fatorial utilizando-se a Análise de Componentes Principais (ACP) e rotação fatorial ortogonal Varimax. Os resultados da análise fatorial permitiram concluir que o instrumento possui boas evidências de validade de construto, mas também sugeriram alguns ajustes no caso de uma nova aplicação do instrumento. / The safe and reliable operation of nuclear power plants does not depend only on technical excellence, but also it depends on people and on the organization. For this reason, the importance of organizational factors in causal mechanisms of accidents has been recognized by a number of research organizations in Europe, USA and Japan. Deficiencies in these factors reveal weaknesses in the organization\'s safety culture. A primary concern in evaluating a safety culture is to ensure that research instruments are valid and reliable. In the areas of occupational health and safety there are series of tools to evaluate the safety culture that present studies of its psychometric properties (reliability and validity), but very few of these qualities in the nuclear area. In the specific case of Brazil, none of these tools exist. Therefore, the main objective of this study is to develop a model to assess the safety culture in nuclear facilities with valid and reliable measures. The survey instrument was developed in accordance with the psychometric principles established for quantitative research and thus were held to analyze the reliability and validation of content, face and construct. The instrument was applied in the research institutes of the Brazilian Nuclear Energy National Commission (CNEN), yielding a total of 226 completed questionnaires answered. The survey results made it possible to characterize demographically the respondents and identify many strengthened aspects, but also some weaknesses in the safety culture of the evaluated institutions. The instrument showed good evidence of reliability with Cronbach\'s alpha coefficient 0,95 for the total instrument. The construct validation was performed by means of a factor analysis with Principal Component Analysis (PCA) extraction method and Varimax orthogonal factor rotation. Although factor analysis results have shown that the instrument has good evidence of construct validity, some adjustments in case of a new application of the instrument have also been suggested.
290

Uso da Escala WHODAS 2.0 na Atenção Primária à Saúde: perspectivas para a prevenção de incapacidades e promoção da funcionalidade humana pela Estratégia de Saúde da Família / Use of the WHODAS 2.0 Scale in Primary Health Care: perspectives for disability prevention nd promotion of human functionality by the Family Health Strategy

Estenifer Marques Balco 26 March 2018 (has links)
A \"World Health Organization Disability Assessment Schedule 2.0\" (WHODAS 2.0) foi desenvolvida pela Organização Mundial da Saúde (OMS) para a avaliação da funcionalidade e incapacidade, conforme a Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF). O objetivo deste estudo foi avaliar o uso da versão de 12 itens na Estratégia de Saúde da Família (ESF) brasileira. Trata-se de um estudo exploratório, descritivo e baseado em um estudo de caso, que utilizou uma metodologia mista (técnicas quantitativas e qualitativas). Os participantes do estudo foram 9 profissionais de uma equipe de ESF e 120 pessoas acompanhadas por eles. Os profissionais participaram de um treinamento sobre a CIF e a WHODAS 2.0 e aplicaram essa escala nas 120 pessoas. Sete profissionais e todos os pacientes responderam questionários sobre aplicabilidade da escala. 115 (95,8%) dos pacientes apresentaram alguma incapacidade e foram encontrados de 22,5% a 68,5% das pessoas com dificuldade leve até extrema em qualquer item da escala. A avaliação da confiabilidade e da validade concorrente da escala mostrou: 1) alfa de cronbach de 0,83, com diminuição desse valor quando qualquer um dos doze itens foi deletado; 2) coeficientes de correlação intraclasse das confiabilidades interavaliadores dos doze itens e do escore total variando de 0,73 a 0,97; 3) coeficiente de spearman para validade concorrente com a \"World Health Organization Quality of Life Instrument - Bref\" (WHOQOL-Bref) de 0,54. A maioria dos 120 entrevistados considerou como satisfatórias a compreensibilidade das orientações, das perguntas e das respostas da escala (72,5%, 79,2% e 80% respectivamente), assim como a brevidade (97,5%) e a relevância em relação às suas necessidades cotidianas e em relação ao uso por profissionais de saúde (71,7% e 94,2%). Foi encontrada relação estatisticamente significativa entre menor nível de escolaridade dos entrevistados e maior dificuldade na10 compreensibilidade das orientações e da maneira de fornecer as respostas. Todos profissionais consideraram como satisfatórias a compreensibilidade das orientações, das perguntas e das respostas, assim como a facilidade de preenchimento, a brevidade e a relevância quanto às necessidades das pessoas acompanhadas no serviço; 4 consideraram que as informações não poderiam ser obtidas de outras maneiras no seu trabalho cotidiano e 2 consideraram viável a inserção da escala na sua rotina díária de trabalho. A análise qualitativa mostrou \"barreiras\" para o uso da WHODAS 2.0 como: 1) dificuldades pelos profissionais para usar a escala no seu trabalho rotineiro; 2) demandas de adequações em algumas palavras/frases da escala para melhor compreensibilidade; 3) dificuldade da escala realmente refletir o conceito de aplicação universal da CIF pelo fato de avaliar a funcionalidade a partir de condições de saúde, dificultando a expressão de fatores contextuais; 4) necessidade de adequação da tradução do termo \"disability\" para incapacidade (e não deficiência). \"Facilitadores\" do seu uso também foram encontrados: 1) demandas de cuidado incluindo a funcionalidade por parte das pessoas acompanhadas no serviço; 2) a estrutura da WHODAS 2.0 com orientações claras e definidas, destacadas em cores diferentes; 3) o curso e treinamento oferecido sobre CIF e WHODAS 2.0 para os profissionais. A WHODAS 2.0 é um bom instrumento para a avaliação da funcionalidade e incapacidade em relação às condições de saúde, mas apresenta limitações por não abranger a avaliação dos fatores contextuais, que são importantes componentes da CIF. Existe uma demanda significativa de prevenção de incapacidades e promoção da funcionalidade humana na ESF. São necessários mais estudos sobre a aplicação dos conceitos da CIF, incluindo o uso da WHODAS 2.0 nesse nível de atenção. / The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) was created by the World Health Organization (WHO) for assessment of functionality and disability, according to the International Classification of Functioning, Disability and Health (ICF). The objective of this study was to evaluate the use of the 12-item version in the Brazilian Family Health Strategy (ESF). It is an exploratory, descriptive study based on a case study, using a mixed methodology (quantitative and qualitative techniques). Participants in the study were 9 professionals from one ESF team and 120 people accompanied by them. The professionals participated in a training on ICF and of the WHODAS 2.0 and applied this scale to 120 people. Seven professionals and all patients answered questionnaires about the applicability of the scale. 115 (95.8%) of the patients presented some disability and 22.5% to 68.5% of people showed slight to extreme difficulty degree in any item on the scale. The evaluation of reliability and concurrent validity of the scale was: 1) Cronbach alpha of 0.83, with the diminishing of this value for all items was erased; 2) Intraclass correlation coefficient of the inter-rater reliability and total score of 0.73 to 0.97; 3) spearman\'s coefficient for concurrent validity with \"World Health Organization\'s Quality of Life Instrument - Bref\" (WHOQOL-Bref) of 0.54. The majority of the 120 interviewees considered full satisfaction with the guidelines, questions and answers of the scale (72.5%, 79.2% and 80% respectively), as well as the briefness (97.5%) and it relevance regarding their daily needs and it use by health professionals (71.7% and 94.2%). It was found a statistically significant relation between lower levels of schooling and higher difficulty in understating the orientations and answering them was found. All professionals considered as satisfactory the understanding of the guidelines, questions and answers, as well as the ease of completion, the briefness and the relevance regarding the needs12 of the people accompanied in the service. Four considered that the information could not be obtained in other ways in their work, and two considered it feasible to insert the scale into their work routine. The qualitative analysis showed \"barriers\" in the use of WHODAS 2.0 such as: 1) difficulties for professionals to use the scale in their routine work; 2) adaptation demands on some scale words/sentences for better understanding; 3) difficulty of the scale to really reflect the concept of universal application of the ICF due to the fact of evaluate functionality based on health conditions, making it difficult to express contextual factors; 4) need to adapt the translation of the term \"disability\" to incapacidade (not deficiência). \"Facilitators\" of its use have also been found: 1) demands for care including the functionality by the people accompanied in the service; 2) the structure of WHODAS 2.0 with clear and defined orientations, highlighted in different colors; 3) The course and training offered on ICF and WHODAS 2.0 to the professionals. The WHODAS 2.0 is a good tool for assessing functionality and disability based on health conditions, but it has limitations because it does not cover the evaluation of the contextual factors, that are important components of the ICF. There is a significant demand for disability prevention and promotion of human functionality in the ESF. Further studies on the application of the ICF concepts are necessary, including the use of WHODAS 2.0 at this level of attention.

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