TY - JOUR
T1 - Developing Evidence-Based Practice questionnaire for community health nurses: Reliability and validity of a Spanish adaptation
AU - Zabaleta-del-Olmo, Edurne
AU - Subirana-Casacuberta, Mireia
AU - Ara-Pérez, Ana
AU - Escuredo-Rodríguez, Bibiana
AU - Ríos-Rodríguez, María Ángeles
AU - Carrés-Esteve, Lourdes
AU - Jodar-Solà, Glòria
AU - Lejardi-Estevez, Yolanda
AU - Nuix-Baqué, Núria
AU - Aguas-Lluch, Asunción
AU - Ondiviela-Cariteu, Àngels
AU - Blanco-Sánchez, Rafaela
AU - Rosa García-Cerdán, María
AU - Contel-Segura, Juan Carlos
AU - Jurado-Campos, Jeroni
AU - Juvinyà-Canal, Dolors
PY - 2016/2/1
Y1 - 2016/2/1
N2 - © 2016 John Wiley & Sons Ltd. Aims and objectives: This study aimed to translate the community nursing version of the Developing Evidence-Based Practice questionnaire, adapt the Spanish translation to the primary care context in Spain, and evaluate its reliability and validity. Background: Instruments available in Spanish to date are not designed to rigorously evaluate barriers and incentives associated with evidence-based practice implementation in community health nursing. Design: Classical Test Theory approach. Methods: The 49-item Developing Evidence-Based Practice questionnaire was translated, back-translated and pilot-tested. Two items were added to assess respondents' ability to read and understand the English language. During the first six months of 2010, 513 nurses from 255 primary health care centres in Catalunya (Spain) voluntarily participated in the study. Internal consistency and test-retest reliability were evaluated. Internal structure was analysed by principal component analysis. A randomized, controlled, parallel-design study was carried out to test scores' sensitivity to change with two groups, intervention and control. The intervention consisted of eight hours of in-person training, provided by experts in evidence-based practice. Results: Of 513 nurses, 445 (86·7%) nurses responded to all 51 items. Factor analysis showed six components that explained 51% of the total variance. Internal consistency and test-retest reliability were satisfactory (Cronbach α and intraclass correlation coefficients >0·70). A total of 93 nurses participated in the sensitivity-to-change tests (42 in the intervention group, 51 controls). After the training session, overall score and the 'skills for evidence-based practice' component score showed a medium (Cohen d = 0·69) and large effect (Cohen d = 0·86), respectively. Conclusions: The Developing Evidence-Based Practice questionnaire adapted to community health nursing in the primary care setting in Spain has satisfactory psychometric properties. Relevance to clinical practice: The Developing Evidence-Based Practice questionnaire is a useful tool for planning and evaluating the implementation of evidence-based practice in community health nursing.
AB - © 2016 John Wiley & Sons Ltd. Aims and objectives: This study aimed to translate the community nursing version of the Developing Evidence-Based Practice questionnaire, adapt the Spanish translation to the primary care context in Spain, and evaluate its reliability and validity. Background: Instruments available in Spanish to date are not designed to rigorously evaluate barriers and incentives associated with evidence-based practice implementation in community health nursing. Design: Classical Test Theory approach. Methods: The 49-item Developing Evidence-Based Practice questionnaire was translated, back-translated and pilot-tested. Two items were added to assess respondents' ability to read and understand the English language. During the first six months of 2010, 513 nurses from 255 primary health care centres in Catalunya (Spain) voluntarily participated in the study. Internal consistency and test-retest reliability were evaluated. Internal structure was analysed by principal component analysis. A randomized, controlled, parallel-design study was carried out to test scores' sensitivity to change with two groups, intervention and control. The intervention consisted of eight hours of in-person training, provided by experts in evidence-based practice. Results: Of 513 nurses, 445 (86·7%) nurses responded to all 51 items. Factor analysis showed six components that explained 51% of the total variance. Internal consistency and test-retest reliability were satisfactory (Cronbach α and intraclass correlation coefficients >0·70). A total of 93 nurses participated in the sensitivity-to-change tests (42 in the intervention group, 51 controls). After the training session, overall score and the 'skills for evidence-based practice' component score showed a medium (Cohen d = 0·69) and large effect (Cohen d = 0·86), respectively. Conclusions: The Developing Evidence-Based Practice questionnaire adapted to community health nursing in the primary care setting in Spain has satisfactory psychometric properties. Relevance to clinical practice: The Developing Evidence-Based Practice questionnaire is a useful tool for planning and evaluating the implementation of evidence-based practice in community health nursing.
KW - Community health nursing
KW - Evidence-based nursing
KW - Primary health care
KW - Psychometrics
KW - Questionnaires
KW - Reproducibility of results
KW - Validation studies as topic
U2 - 10.1111/jocn.13078
DO - 10.1111/jocn.13078
M3 - Article
VL - 25
SP - 505
EP - 517
JO - Journal of Clinical Nursing
JF - Journal of Clinical Nursing
SN - 0962-1067
IS - 3-4
ER -