Jeroen Dikken1, Jita G Hoogerduijn2, Sharon Klaassen3, Mary D Lagerwey4, Lillie Shortridge-Baggett5, Marieke J Schuurmans6. 1. Research Group Care for the Chronically Ill, Faculty of Health Care, University of Applied Sciences Utrecht, Utrecht, The Netherlands. Electronic address: jeroen.dikken@hu.nl. 2. Research Group Care for the Chronically Ill, Faculty of Health Care, University of Applied Sciences Utrecht, Utrecht, The Netherlands. 3. Independent Statistician, The Netherlands. 4. WMU Bronson School of Nursing, Western Michigan University, Kalamazoo, United States. 5. Department of Graduate Studies, Lienhard School of Nursing, College of Health Professions, Pace University, New York, United States. 6. Research Group Care for the Chronically Ill, Faculty of Health Care, University of Applied Sciences Utrecht, Utrecht, The Netherlands; Department of Rehabilitation, Nursing Sciences and Sports, Utrecht University, Utrecht, The Netherlands.
Abstract
BACKGROUND: The Knowledge about Older Patients-Quiz (KOP-Q) is designed as a unidimensional scale measuring knowledge of hospital nurses about older patients. Furthermore, the KOP-Q measures a second unidimensional construct, certainty of hospital nurses about their knowledge. The KOP-Q is developed and validated in the Netherlands. Whether the KOP-Q can be used in other countries is unknown given the cultural and language differences. OBJECTIVES: Investigate the level of measurement invariance of the KOP-Q between the Netherlands and United States of America (USA). DESIGN: A multicenter international cross-sectional design. SETTINGS: Four general hospitals in the Netherlands and four general hospitals in the USA. PARTICIPANTS: Nurses from the Netherlands (n=201) and the USA (n=130) were invited to participate by email from the ward manager, distributing flyers and present messages on the online hospital communication boards. Questions of the KOP-Q were completed online. METHOD: The level of measurement invariance (configural, metric or scalar invariance) across countries was tested by running increasingly constrained structural equation models, and testing whether these models fitted the data. RESULTS: Both the knowledge and certainty construct of the KOP-Q proved unidimensional in the Netherlands and USA sample. Test results of the measurement invariance across the Netherlands and USA indicated a stable, partial scalar invariance (15 items full scalar invariance) for the knowledge items and full scalar invariance for the certainty items. CONCLUSIONS: The KOP-Q shows to function uniformly across both language groups and can therefore be used to assess nurses' knowledge and their certainty about this knowledge which can be important for educational and/or quality improvement programs in the USA. Furthermore, the KOP-Q is suitable to make comparisons between the Netherlands and the USA using latent variable models. Before the KOP-Q can be used in other countries, cross-cultural tests should again be performed.
BACKGROUND: The Knowledge about Older Patients-Quiz (KOP-Q) is designed as a unidimensional scale measuring knowledge of hospital nurses about older patients. Furthermore, the KOP-Q measures a second unidimensional construct, certainty of hospital nurses about their knowledge. The KOP-Q is developed and validated in the Netherlands. Whether the KOP-Q can be used in other countries is unknown given the cultural and language differences. OBJECTIVES: Investigate the level of measurement invariance of the KOP-Q between the Netherlands and United States of America (USA). DESIGN: A multicenter international cross-sectional design. SETTINGS: Four general hospitals in the Netherlands and four general hospitals in the USA. PARTICIPANTS: Nurses from the Netherlands (n=201) and the USA (n=130) were invited to participate by email from the ward manager, distributing flyers and present messages on the online hospital communication boards. Questions of the KOP-Q were completed online. METHOD: The level of measurement invariance (configural, metric or scalar invariance) across countries was tested by running increasingly constrained structural equation models, and testing whether these models fitted the data. RESULTS: Both the knowledge and certainty construct of the KOP-Q proved unidimensional in the Netherlands and USA sample. Test results of the measurement invariance across the Netherlands and USA indicated a stable, partial scalar invariance (15 items full scalar invariance) for the knowledge items and full scalar invariance for the certainty items. CONCLUSIONS: The KOP-Q shows to function uniformly across both language groups and can therefore be used to assess nurses' knowledge and their certainty about this knowledge which can be important for educational and/or quality improvement programs in the USA. Furthermore, the KOP-Q is suitable to make comparisons between the Netherlands and the USA using latent variable models. Before the KOP-Q can be used in other countries, cross-cultural tests should again be performed.
Authors: Jeroen Dikken; Rudy F M van den Hoven; Willeke H van Staalduinen; Loes M T Hulsebosch-Janssen; Joost van Hoof Journal: Int J Environ Res Public Health Date: 2020-09-20 Impact factor: 3.390
Authors: Christel T A J Derks; Marjo M G M Hutten-van den Elsen; Lysette J Hakvoort; Mariëlle P J van Mersbergen; Marieke J Schuurmans; Jeroen Dikken Journal: BMC Nurs Date: 2021-08-04