Development and Psychometric Properties of the Caring Behaviors of Operating Room Nurses Questionnaire during the COVID 19 Pandemic: A Mixed Method Study
Abstract
Background: Considering the threats in the operating room during the COVID‑19 pandemic, the optimal care and safety of the operating room nurses should be maintained when performing surgery on an acute respiratory patient. It seems necessary to design a tool to measure the caring behaviors of operating room nurses. Therefore, the present study was conducted with the aim to design a valid and reliable tool for measuring the caring behavior of operating room nurses during the COVID‑19 pandemic.
Materials and Methods: In this sequential, exploratory, mixed‑method study, the designing and psychometric evaluation of the caring behaviors of operating room nurses questionnaire during the COVID‑19 pandemic were performed in qualitative and quantitative phases from August 2021 to July 2022 in Aja University of Medical Sciences, Iran. In the qualitative phase, the concept of caring behaviors of operating room nurses was explored through interviews and a literature review based on online searches. In the quantitative phase, validity (face, content, and construct), and reliability of the questionnaire were evaluated.
Results: The findings supported 21 items in the 5 factors of caring behaviors related to attitude toward patients, knowledge of surgical care, virus prevention principles, self‑care knowledge, and self‑care performance, which explained 35.92 of the total variance. Scale‑Content Validity Index/Average and Cronbach’s alpha were calculated to be 0.93 and 0.89, respectively. Conclusions: Given its desirable reliability and validity, simple scoring, and ease of use by operating room nurses, the Caring Behaviors of Operating Room Nurses Questionnaire is applicable and its use is recommended.
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Karampelias V, Spanidis Y, Kehagias I. Surgical practice and operative surgical strategies during the COVID 19 pandemic: A commentary. Ann Med Surg 2020;55:47 8.
Ti LK, Ang LS, Foong TW, Ng BSW. What we do when a COVID 19 patient needs an operation: Operating room preparation and guidance. Can J Anesth 2020;67:756 8.
Leyva Moraga FA, Leyva Moraga E, Leyva Moraga F, Juanz González A, Ibarra Celaya JM, Ocejo Gallegos JA, et al. Aerosol box, an operating room security measure in COVID 19 pandemic. World J Surg 2020;44:2049 50.
Tran K, Cimon K, Severn M, Pessoa Silva CL, Conly J. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: A systematic review. PloS One 2012;7:e35797.
Al Jabir A, Kerwan A, Nicola M, Alsafi Z, Khan M, Sohrabi C, et al. Impact of the Coronavirus (COVID 19) pandemic on surgical practice part 2 (surgical prioritisation). Int J Surg 2020;79:233 48.
Givi B, Schiff BA, Chinn SB, Clayburgh D, Iyer NG, Jalisi S, et al. Safety recommendations for evaluation and surgery of the head and neck during the COVID 19 pandemic. JAMA Otolaryngol Head Neck Surg 2020;146:579 84.
Zhu H, Wei L, Niu P. The novel coronavirus outbreak in Wuhan, China. Global Health Res Policy 2020;5:1 3. doi: 10.1186/ s41256 020 00135 6.
Howard BE. High risk aerosol generating procedures in COVID 19: Respiratory protective equipment considerations. Otolaryngol Head Neck Surg 2020;163:98 103.
Forrester JD, Nassar AK, Maggio PM, Hawn MT. Precautions for operating room team members during the COVID 19 pandemic. J Am Coll Surg 2020;230:1098 101.
Wong J, Goh QY, Tan Z, Lie SA, Tay YC, Ng SY, et al. Preparing for a COVID 19 pandemic: A review of operating room outbreak response measures in a large tertiary hospital in Singapore. Can J Anesth 2020;67:732 45.
Woodward VM. Professional caring: A contradiction in terms? J Adv Nur. 1997;26:999 1004.
Wolf ZR, Colahan M, Costello A, Warwick F. Relationship between nurse caring and patient satisfaction. Medsurg Nurs 1998;7:99 105.
Lee C, Thampi S, Lewin B, Lim T, Rippin B, Wong W, et al. Battling COVID-19: Critical care and peri-operative healthcare resource management strategies in a tertiary academic medical centre in Singapore. Anaesthesia 2020;75:861 71.
Gümüs K, Basgün A. Evaluation of the knowledge of operating room nurses of preventive practices for protection against COVID 19. J Perianesth Nurs 2021;36:300 4.
Creswell JW, Clark VLP. Designing and Conducting Mixed Methods Research. Sage Publications California; 2017.
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004;24:105 12.
Cypress BS. Rigor or reliability and validity in qualitative research: Perspectives, strategies, reconceptualization, and recommendations. Dimen Crit Care Nurs 2017;36:253 63.
Guba EG. Criteria for assessing the trustworthiness of naturalistic inquiries. ECTJ 1981;29:75 91.
Lincoln YS, Guba EG. Naturalistic Inquiry. Sage Publications; 1985.
Brindle ME, Gawande A. Managing COVID 19 in surgical systems. Ann Surg 2020;272:e1 2. doi: 10.1097/ SLA.0000000000003923.
Ghai S. Will the guidelines and recommendations for surgery during COVID 19 pandemic still be valid if it becomes endemic? Int J Surg 2020;79:250 1.
Lacasse Y, Godbout C, Series F. Health related quality of life in obstructive sleep apnoea. Eur Respir J 2002;19:499 503.
Ayre C, Scally AJ. Critical values for Lawshe’s content validity ratio. Measurement and Evaluation in Counseling and Development 2014;47:79 86.
Lawshe C. A quantitative approach to content validity. Pers Psychol 1975;28:563 75.
Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. Lippincott Williams & Wilkins Philadelphia; 2008.
Shrestha N. Factor analysis as a tool for survey analysis. Am J Appl Math Stat 2021;9:4 11.
Hair JF, Anderson RE, Babin BJ, Black WC. Multivariate Data Analysis: A Global Perspective. Vol 7. Upper Saddle River, NJ: Pearson; 2010.
Munro BH. Statistical Methods for Health Care Research. Lippincott Williams & Wilkins Philadelphia; 2005.
Tabachnick BG, Fidell LS, Ullman JB. Using Multivariate Statistics. Boston, MA: Pearson; 2007.
Murphy KR, Davidshofer CO. Psychological Testing. Principles, and Applications. Vol. 18. Englewood Cliffs Prentice Hall; 1988.
Ghafouri R, Nasiri M, Atashzadeh Shoorideh F, Tayyar Iravanlou F, Rahmaty Z. Translation and validation of caring behaviors inventory among nurses in Iran. Plos One 2021;16:e0254317. doi: 10.1371/journal.pone. 0254317.
Almanasreh E, Moles R, Chen TF. Evaluation of methods used for estimating content validity. Res Soc Adm Pharm 2019;15:214 21.
Sürücü L, Maslakçi A. Validity and reliability in quantitative research. Bus Manag Studs Int J 2020;8:2694 726.
Polit DF, Beck CT. The content validity index: Are you sure you know what’s being reported? Critique and recommendations. Res Nurs Health 2006;29:489 97.
Clark LA, Watson D. Constructing validity: New developments in creating objective measuring instruments. Psychol Assess 2019;31:1412 27.
Beavers AS, Lounsbury JW, Richards JK, Huck SW, Skolits GJ, Esquivel SL. Practical considerations for using exploratory factor analysis in educational research. Pract Assess Res Evaluation 2013;18:6.
Cudeck R. Exploratory factor analysis. Handbook of Applied Multivariate Statistics and Mathematical Modeling. Elsevier Amsterdam; 2000. p. 265 96.
Brown E, Gray R, Monaco SL, O’Donoghue B, Nelson B, Thompson A, et al. The potential impact of COVID 19 on psychosis: A rapid review of contemporary epidemic and pandemic research. Schizophr Res 2020;222:79 87.
Vindegaard N, Benros ME. COVID 19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun 2020;89:531 42.
Lim WS, Anderson SR, Read RC. Hospital management of adults with severe acute respiratory syndrome (SARS) if SARS re emerges—updated 10 February 2004. J Infect 2004;49:1 7.
Mohammadimehr M. Investigating the status of entrepreneurial university indicators in the University of Military Medical Sciences in corona crisis. J Mil Med 2021;23:349 57.
Uğurlu Z, Karahan A, Ünlü H, Abbasoğlu A, Özhan Elbaş N, Avcı Işık S, et al. The effects of workload and working conditions on operating room nurses and technicians. Workplace Health Safety 2015;63:399 407.
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