Evidence map›Paper›PMID 34521656›Full record

ArticleBMJ open2021

Development and testing of the shared decision-making attitudes scale among nurses in Taiwan: a cross-sectional scale development study.

Hsiu-Chin Hsu, Shu-Chuan Lin, Yu-Hsia Lee, Hon-Yen Wu, Pao-Yu Wang, Jiun-Yi Li, Mei-Hsiang Lin

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Hsiu-Chin HsuGraduate Institute of Gerontology and Health Care Management, Chang Gung University of Science and Technology, Taoyuan, Taiwan, R.O.C.
Shu-Chuan LinMackay Memorial Hospital, Taipei, Taiwan, R.O.C.
Yu-Hsia LeeMackay Memorial Hospital, Taipei, Taiwan, R.O.C.
Hon-Yen WuDepartment of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan, R.O.C.ORCID 0000-0003-3121-3351
Pao-Yu WangDepartment of Nursing, MacKay Junior College of Medicine Nursing and Management, Taipei, Taiwan, R.O.C.
Jiun-Yi LiMackay Memorial Hospital, Taipei, Taiwan, R.O.C.
Mei-Hsiang LinSchool of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan, R.O.C mhlin5452@gmail.com.ORCID 0000-0002-4188-6413
Mackay Memorial Hospital · TWChang Gung University of Science and Technology · TWMackay Junior College of Medicine, Nursing and Management · TWNational Taipei University of Nursing and Health Science · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveShared decision-making (SDM) enhances medical care, but an appropriate tool for evaluating nursing staff's attitudes towards SDM in clinical practice is lacking. The objective of this study is to develop the Nursing Shared Decision-Making Attitude (NSDMA) scale and verify its psychometric properties.

designInstrument design study.

participantsA sample of 451 nursing staff.

interventionThis study comprised two phases. In phase 1, qualitative research and expert content validity were adopted to develop the first draft of the scale. In phase 2, Taiwanese nursing staff were recruited through convenience sampling, and the sample was divided into a calibration sample and a validation sample. An objective structured clinical examination of SDM attitudes was administered to 100 nursing staff to determine the scale's cut-off score. MAIN OUTCOME MEASUREMENTS: Exploratory factor analysis and confirmatory factor analysis were used to obtain the underlying factors of the NSDMA scale; McDonald's omega value was used to determine the reliability; known-group validity was used to test the construct validity; and the receiver operating characteristic curve was adopted to determine the scale's cut-off score.

resultsIn total, two factors were identified from the instrument results, which were termed 'empathic communication' and 'mastery learning'. The McDonald's omega value of the overall scale was 0.92. Known-group validity testing was performed based on the staff's participation in SDM courses and experience of SDM, and the results exhibited significant differences (t=5.49, p<0.001; t=2.43, p<0.05). Based on the receiver operating characteristic curve, the optimal cut-off for SDM attitudes was determined as 48.5 points.

conclusionsThe NSDMA scale enables the evaluation of SDM attitudes among clinical nursing staff and nursing managers; the results may serve as a reference for incorporation of SDM into nursing policy formulation.

Indexed as

AttitudeNursesCross-Sectional StudiesHumansPsychometricsReproducibility of ResultsSurveys and QuestionnairesTaiwaneducation & training (see medical education & training)health & safetyquality in health care

Identifiers

PMID34521656
PMCPMC8442060
OpenAlexW3199394406

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.