Development and validation of a Knowledge, Attitudes and Practices (KAP) questionnaire for healthcare professionals on environmental sustainability in healthcare in Southern Africa.

Q2 Pharmacology, Toxicology and Pharmaceutics
F1000Research Pub Date : 2025-03-26 eCollection Date: 2024-01-01 DOI:10.12688/f1000research.157487.1
Helga Elke Lister, Karien Mostert, Tanita Botha, Emma Field, Danté Knock, Natasha Mubi, Stefani Odendaal, Megan Rohde, Filip Maric
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引用次数: 0

Abstract

Background: The triple planetary crisis of climate change, environmental pollution, and biodiversity loss is increasingly driving poor health outcomes worldwide. Healthcare systems and services are often not environmentally sustainable and compound the problem, while healthcare professionals are also recognised as key leaders in advancing sustainable healthcare. To adopt this leadership position, healthcare professionals' knowledge, attitudes, and practices regarding environmental sustainability in healthcare must be established. This article reports the development and validation of a new instrument for this purpose that corresponds to the specificities of the Southern African context.

Methods: Questionnaire development followed a seven-stage process. Information was obtained from a 2021 study titled 'South African Healthcare Professionals' Knowledge, Attitudes, and Practices Regarding Environmental Sustainability in Healthcare: A Mixed-Methods Study' to develop the instrument. Information was also sourced from the literature regarding environmental sustainability and healthcare to generate the first questionnaire with 29 items. The following stages included two rounds of expert input, separated by a pilot study with the target population to receive feedback regarding the instrument's structure, relevance, and length. Content validity was determined through statistical analysis.

Results: Feedback was received from nine experts in stage two and 13 pilot-study participants in stage four and incorporated to improve the questionnaire. In stage six, the questionnaire was rated by seven experts. The content validity index of the questionnaire was calculated at two different stages, after which the indices were compared. Following a final edit, the questionnaire has 24 questionnaire items. The closing analysis calculated the scale content validity index average (S-CVI/Ave) of 0,922; this indicates that the final questionnaire has excellent content validity.

Conclusion: A questionnaire that assesses the knowledge, attitudes and practices of healthcare professionals regarding environmental sustainability in Southern Africa has been developed and validated. This questionnaire can now be used for further studies in Southern Africa.

开发和验证的知识,态度和做法(KAP)调查问卷的卫生保健专业人员在南部非洲的卫生保健环境可持续性。
背景:全球环境退化正日益导致全球健康状况不佳。医疗保健系统和服务往往不具有环境可持续性,并使问题更加复杂,而医疗保健专业人员也被认为是推进可持续医疗保健的关键领导者。要采取这一领导地位,必须建立医疗保健专业人员的知识、态度和关于医疗保健环境可持续性的实践。本文报告了为此目的制定和验证一项符合南部非洲具体情况的新文书的情况。方法:问卷编制分为七个阶段。信息来自2021年一项名为“南非医疗保健专业人员关于医疗保健中环境可持续性的知识、态度和实践:一项混合方法研究”的研究,以开发该工具。还从有关环境可持续性和医疗保健的文献中获取信息,以生成包含29个项目的第一份问卷。接下来的阶段包括两轮专家输入,中间是一项针对目标人群的试点研究,以获得有关仪器结构、相关性和长度的反馈。通过统计分析确定内容效度。结果:从第二阶段的9位专家和第四阶段的13位试点研究参与者那里获得反馈,并纳入问卷的改进。第六阶段,问卷由7位专家打分。在两个不同的阶段计算问卷的内容效度指标,然后对指标进行比较。经过最后的编辑,问卷共有24个问卷项目。结束分析计算出量表内容效度指数平均值(S-CVI/Ave)为0.922;这表明最终的问卷具有很好的内容效度。结论:一份评估南非卫生保健专业人员关于环境可持续性的知识、态度和做法的问卷已被开发和验证。这份调查表现在可用于南部非洲的进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
F1000Research
F1000Research Pharmacology, Toxicology and Pharmaceutics-Pharmacology, Toxicology and Pharmaceutics (all)
CiteScore
5.00
自引率
0.00%
发文量
1646
审稿时长
1 weeks
期刊介绍: F1000Research publishes articles and other research outputs reporting basic scientific, scholarly, translational and clinical research across the physical and life sciences, engineering, medicine, social sciences and humanities. F1000Research is a scholarly publication platform set up for the scientific, scholarly and medical research community; each article has at least one author who is a qualified researcher, scholar or clinician actively working in their speciality and who has made a key contribution to the article. Articles must be original (not duplications). All research is suitable irrespective of the perceived level of interest or novelty; we welcome confirmatory and negative results, as well as null studies. F1000Research publishes different type of research, including clinical trials, systematic reviews, software tools, method articles, and many others. Reviews and Opinion articles providing a balanced and comprehensive overview of the latest discoveries in a particular field, or presenting a personal perspective on recent developments, are also welcome. See the full list of article types we accept for more information.
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