Evidence map›Paper›PMID 39070067›Full record

ArticlePsychology research and behavior management2024

Psychometric Properties of Scales Assessing Psychosocial Determinants of Staff Compliance with Surgical Site Infection Prevention: The WACH-Study.

Karolin M E Nettelrodt, Ivonne Tomsic, Maike Stolz, Christian Krauth, Iris F Chaberny, Thomas von Lengerke

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Article in Psychology research and behavior management, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Karolin M E NettelrodtDepartment of Medical Psychology, Center of Public Health, Hannover Medical School, Hannover, Germany.ORCID 0000-0003-1524-1387
Ivonne TomsicDepartment of Medical Psychology, Center of Public Health, Hannover Medical School, Hannover, Germany.ORCID 0000-0002-3066-8824
Maike StolzInstitute of Epidemiology, Social Medicine and Health Systems Research, Center of Public Health, Hannover Medical School, Hannover, Germany.ORCID 0009-0000-9766-0491
Christian KrauthInstitute of Epidemiology, Social Medicine and Health Systems Research, Center of Public Health, Hannover Medical School, Hannover, Germany.ORCID 0000-0003-0836-9737
Iris F ChabernyInstitute of Hygiene, Hospital Epidemiology and Environmental Medicine, Leipzig University Hospital, Leipzig, Germany.ORCID 0000-0001-5859-3660
Thomas von LengerkeDepartment of Medical Psychology, Center of Public Health, Hannover Medical School, Hannover, Germany.ORCID 0000-0002-1269-3479

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Psychosocial determinants influence healthcare workers' compliance with surgical site infection (SSI) preventive interventions. In order to design needs-based interventions promoting compliance, such determinants must first be assessed using valid and reliable questionnaire scales. To compare professional groups without bias, the scales must also be measurement-equivalent. We examine the validity/reliability and measurement equivalence of four scales using data from physicians and nurses from outside the university sector. Additionally, we explore associations with self-reported SSI preventive compliance. Participants and Methods: N = 90 physicians and N = 193 nurses (response rate: 31.5%) from nine general/visceral or orthopedic/trauma surgery departments in six non-university hospitals in Germany participated. A written questionnaire was used to assess the compliance with SSI preventive interventions and the determinants of compliance based on the Capability-Opportunity-Motivation-Behavior-Model. Psychometric testing involved single- and multiple-group confirmatory factor analyses, and explorative analyses used Results: The scales assessing individual determinants of compliance (capability, motivation, and planning) were found to be reliable (each Cronbach's α ≥ 0.85) and valid (each Root-Mean-Square-Error of Approximation ≤ 0.065, each Comparative-Fit-Index = 0.95) and revealed measurement equivalence for physicians and nurses. The scale assessing external determinants (opportunity) did not demonstrate validity, reliability, or measurement equivalence. Group differences were found neither in compliance (p = 0.627) nor determinants (p = 0.192; p = 0.866; p = 0.964). Capability (β = 0.301) and planning (β = 0.201) showed associations with compliance for nurses only. Conclusion: The scales assessing motivation, capability, and planning regarding SSI preventive compliance provided reliable and valid scores for physicians and nurses in surgery. Measurement equivalence allows group comparisons of scale means to be interpreted without bias.

Indexed as

capability-opportunity-motivation-behavior (COM-B) modelcomplianceinfection prevention and controlmeasurement equivalencenursesphysicianssurgical site infections

Identifiers

PMID39070067
PMCPMC11283262

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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.