Karacsony, S and Good, A and Chang, E and Johnson, A and Edenborough, M, An instrument to assess the education needs of nursing assistants within a palliative approach in residential aged care facilities, BMC Palliative Care, 18, (1) Article 61. ISSN 1472-684X (2019) [Refereed Article]
Method: The overall study purpose was to develop and test an instrument capable of evaluating the knowledge, skills and attitudes of nursing assistants within a palliative approach in RACFs. Development consisted of a four-phase mixed-methods sequential design. In this paper, the results and key findings following psychometric testing of the instrument in Phase 4 is reported using data collected from a random sample of 17 RACFs and 348 nursing assistants in the Greater Sydney region. Study hypotheses were tested to confirm discriminative validity and establish the utility of the instrument in both research and training assessment.
Results: Individual item properties were analysed for difficulty, discrimination and item-total correlations. Discriminative and structural validity, and internal consistency and test-retest reliability were demonstrated. Three separate questionnaires comprising 40 items were finalised: The Palliative Approach for Nursing Assistants (PANA)_Knowledge Questionnaire (17 items), the PANA_Skills Questionnaire (13 items) and the PANA_Attitudes Questionnaire (10 items).
Conclusions: This study provides preliminary evidence for the validity and reliability of three new questionnaires that demonstrate sensitivity for nursing assistants' level of education and required knowledge, skills and attitudes for providing a palliative approach. Implications for practice include the development of palliative care competencies through structured education and training across this workforce, and ongoing professional development opportunities for nursing assistants, especially for those with the longest tenure.
|Item Type:||Refereed Article|
|Keywords:||attitudes, instrument, knowledge, nursing assistants, palliative approach, psychometry, residential aged care, skills|
|Research Division:||Medical and Health Sciences|
|Research Field:||Aged Care Nursing|
|Objective Division:||Law, Politics and Community Services|
|Objective Group:||Community Service (excl. Work)|
|Objective Field:||Ageing and Older People|
|UTAS Author:||Karacsony, S (Ms Sara Karacsony)|
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