老年人髋部骨折围手术期营养管理骨科护士知识、态度和实践（KAP）问卷的编制和可靠性检验

IF 2.1 Q3 NURSING

International Journal of Orthopaedic and Trauma Nursing Pub Date : 2025-08-01 DOI:10.1016/j.ijotn.2025.101217

Ying Zhang , Yang Hong , Jie Wang , Huan Liu , Peifang Xia

{"title":"老年人髋部骨折围手术期营养管理骨科护士知识、态度和实践（KAP）问卷的编制和可靠性检验","authors":"Ying Zhang , Yang Hong , Jie Wang , Huan Liu , Peifang Xia","doi":"10.1016/j.ijotn.2025.101217","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>In China, orthopaedic nurses serve as the primary providers of perioperative nutritional management for older adults with hip fractures. Their knowledge, attitudes, and practices regarding nutritional management directly impact protocol implementation, therapeutic efficacy, and patient rehabilitation outcomes. Although enhancing these competencies is crucial, no validated assessment tool currently exists for this specific context.</div></div><div><h3>Objective</h3><div>To develop and validate a questionnaire assessing orthopaedic nurses' knowledge, attitudes, and beliefs regarding perioperative nutritional management for older adults with hip fractures.</div></div><div><h3>Methods</h3><div>The preliminary questionnaire was developed based on the Knowledge-Attitude-Practice (KAP) theory framework, incorporating literature analysis, a two-round Delphi expert consultation, and a pilot survey. Using convenience sampling, we recruited 387 orthopaedic nurses from 11 tertiary-level public hospitals (Grade B or above) in Jiangsu Province between October and December 2024. The questionnaire underwent rigorous item analysis, reliability assessment and validity testing.</div></div><div><h3>Results</h3><div>The final questionnaire comprised 39 items across three dimensions, demonstrating excellent reliability (Cronbach's α = 0.977) and validity (item-level CVI = .800–1.000; scale-level CVI = .923). Exploratory factor analysis supported the theoretical Knowledge-Attitude-Practice framework, extracting three factors with loadings of .591–.855 that collectively explained 72.396 % of variance. Confirmatory factor analysis further validated the structure, showing acceptable model fit indices and questionnaire stability.</div></div><div><h3>Conclusion</h3><div>The Orthopaedic Nurses' Knowledge, Attitudes and Practices (KAP) on Perioperative Nutritional Management for Older Adults with Hip Fractures Questionnaire demonstrates robust psychometric properties, establishing its validity and reliability as an assessment tool for evaluating nursing competencies in this clinical domain.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"58 ","pages":"Article 101217"},"PeriodicalIF":2.1000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Development and reliability testing of an orthopaedic nurses' knowledge, attitudes, and practices (KAP) questionnaire on perioperative nutrition management for older adults with hip fractures\",\"authors\":\"Ying Zhang , Yang Hong , Jie Wang , Huan Liu , Peifang Xia\",\"doi\":\"10.1016/j.ijotn.2025.101217\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>In China, orthopaedic nurses serve as the primary providers of perioperative nutritional management for older adults with hip fractures. Their knowledge, attitudes, and practices regarding nutritional management directly impact protocol implementation, therapeutic efficacy, and patient rehabilitation outcomes. Although enhancing these competencies is crucial, no validated assessment tool currently exists for this specific context.</div></div><div><h3>Objective</h3><div>To develop and validate a questionnaire assessing orthopaedic nurses' knowledge, attitudes, and beliefs regarding perioperative nutritional management for older adults with hip fractures.</div></div><div><h3>Methods</h3><div>The preliminary questionnaire was developed based on the Knowledge-Attitude-Practice (KAP) theory framework, incorporating literature analysis, a two-round Delphi expert consultation, and a pilot survey. Using convenience sampling, we recruited 387 orthopaedic nurses from 11 tertiary-level public hospitals (Grade B or above) in Jiangsu Province between October and December 2024. The questionnaire underwent rigorous item analysis, reliability assessment and validity testing.</div></div><div><h3>Results</h3><div>The final questionnaire comprised 39 items across three dimensions, demonstrating excellent reliability (Cronbach's α = 0.977) and validity (item-level CVI = .800–1.000; scale-level CVI = .923). Exploratory factor analysis supported the theoretical Knowledge-Attitude-Practice framework, extracting three factors with loadings of .591–.855 that collectively explained 72.396 % of variance. Confirmatory factor analysis further validated the structure, showing acceptable model fit indices and questionnaire stability.</div></div><div><h3>Conclusion</h3><div>The Orthopaedic Nurses' Knowledge, Attitudes and Practices (KAP) on Perioperative Nutritional Management for Older Adults with Hip Fractures Questionnaire demonstrates robust psychometric properties, establishing its validity and reliability as an assessment tool for evaluating nursing competencies in this clinical domain.</div></div>\",\"PeriodicalId\":45099,\"journal\":{\"name\":\"International Journal of Orthopaedic and Trauma Nursing\",\"volume\":\"58 \",\"pages\":\"Article 101217\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Orthopaedic and Trauma Nursing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1878124125000620\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Orthopaedic and Trauma Nursing","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1878124125000620","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

摘要

在中国，骨科护士是老年人髋部骨折围手术期营养管理的主要提供者。他们在营养管理方面的知识、态度和实践直接影响方案的实施、治疗效果和患者康复结果。虽然增强这些能力是至关重要的，但目前还没有针对这一特定环境的有效评估工具。目的编制并验证一份问卷，评估骨科护士对老年髋部骨折围手术期营养管理的知识、态度和信念。方法基于知识-态度-实践（Knowledge-Attitude-Practice， KAP）理论框架，采用文献分析、两轮德尔菲专家咨询和试点调查相结合的方法编制初步问卷。采用方便抽样的方法，于2024年10月至12月在江苏省11家三级公立医院（乙级以上）招募骨科护士387名。问卷经过严格的项目分析、信度评估和效度检验。结果最终问卷在三个维度上共包含39个条目，具有良好的信度（Cronbach’s α = 0.977）和效度（条目水平CVI = 0.800 - 1.000，量表水平CVI = 0.923）。探索性因子分析支持理论的知识-态度-实践框架，提取出三个负荷为。591 -的因子。总共解释了72.396%的方差。验证性因子分析进一步验证了结构，模型拟合指标可接受，问卷稳定性良好。结论骨科护士对老年髋部骨折围手术期营养管理的知识、态度和实践（KAP）问卷显示了强大的心理测量特性，建立了其作为评估该临床领域护理能力的评估工具的有效性和可靠性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Development and reliability testing of an orthopaedic nurses' knowledge, attitudes, and practices (KAP) questionnaire on perioperative nutrition management for older adults with hip fractures

Background

In China, orthopaedic nurses serve as the primary providers of perioperative nutritional management for older adults with hip fractures. Their knowledge, attitudes, and practices regarding nutritional management directly impact protocol implementation, therapeutic efficacy, and patient rehabilitation outcomes. Although enhancing these competencies is crucial, no validated assessment tool currently exists for this specific context.

Objective

To develop and validate a questionnaire assessing orthopaedic nurses' knowledge, attitudes, and beliefs regarding perioperative nutritional management for older adults with hip fractures.

Methods

The preliminary questionnaire was developed based on the Knowledge-Attitude-Practice (KAP) theory framework, incorporating literature analysis, a two-round Delphi expert consultation, and a pilot survey. Using convenience sampling, we recruited 387 orthopaedic nurses from 11 tertiary-level public hospitals (Grade B or above) in Jiangsu Province between October and December 2024. The questionnaire underwent rigorous item analysis, reliability assessment and validity testing.

Results

The final questionnaire comprised 39 items across three dimensions, demonstrating excellent reliability (Cronbach's α = 0.977) and validity (item-level CVI = .800–1.000; scale-level CVI = .923). Exploratory factor analysis supported the theoretical Knowledge-Attitude-Practice framework, extracting three factors with loadings of .591–.855 that collectively explained 72.396 % of variance. Confirmatory factor analysis further validated the structure, showing acceptable model fit indices and questionnaire stability.

Conclusion

The Orthopaedic Nurses' Knowledge, Attitudes and Practices (KAP) on Perioperative Nutritional Management for Older Adults with Hip Fractures Questionnaire demonstrates robust psychometric properties, establishing its validity and reliability as an assessment tool for evaluating nursing competencies in this clinical domain.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

International Journal of Orthopaedic and Trauma Nursing NURSING-

CiteScore

2.60

自引率

14.30%

发文量