Development and validation of a questionnaire to measure nurses' perceived knowledge, attitudes and practices related to motor function rehabilitation in stroke patients with hemiplegia

Yajie Shi; Shufang Shi; Jiangyan Ren; Bo Zeng; Li Yao; Zhiwei Tang; Wanling Li

doi:10.1016/j.anr.2024.11.002

Development and validation of a questionnaire to measure nurses' perceived knowledge, attitudes and practices related to motor function rehabilitation in stroke patients with hemiplegia

Asian Nurs Res (Korean Soc Nurs Sci). 2024 Dec 27:S1976-1317(24)00165-8. doi: 10.1016/j.anr.2024.11.002. Online ahead of print.

Authors

Yajie Shi¹, Shufang Shi¹, Jiangyan Ren¹, Bo Zeng², Li Yao³, Zhiwei Tang⁴, Wanling Li⁵

Affiliations

¹ Department of nursing, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, 030032, China.
² Department of rehabilitation medicine, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, 030032, China.
³ Department of neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
⁴ Department of rehabilitation medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
⁵ Department of comprehensive medical, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China; Department of nursing, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, 030032, China. Electronic address: 875071029@qq.com.

PMID: 39733856
DOI: 10.1016/j.anr.2024.11.002

Abstract

Purpose: To develop a questionnaire to measure nurses' perceived knowledge, attitudes, and practices related to motor function rehabilitation in stroke patients with hemiplegia (MFRSPH-PKAP-Q), and to evaluate its reliability and validity.

Methods: This study was conducted in four phases: (1) creating a pool of potential items; (2) developing the preliminary scale using a Delphi survey; (3) conducting item reduction to refine the scale; and (4) testing the validity and reliability of the final scale.

Results: The questionnaire comprises 45 items. Exploratory factor analysis (EFA) revealed a three-factor model, explaining 55.79% of the variance, which encompassed perceived knowledge, attitudes, and practice. Confirmatory factor analysis (CFA) affirmed the suitability of this three-factor model for the data. Additionally, assessments of content validity, convergent validity, and discriminant validity all yielded favorable results. The Cronbach's α coefficient, split-half reliability, and test-retest reliability of the entire questionnaire were .944, .911, and .921, respectively.

Conclusions: The MFRSPH-PKAP-Q has been demonstrated to be both valid and reliable, and is therefore recommended for use in clinical practice.

Keywords: Hemiplegia; Nurses; Psychometrics; Rehabilitation; Surveys and Questionnaires.