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Validering av Alberta Context Tool (ACT) för bruk inom svensk kommunal äldrevård: Ett verktyg för implementering av evidensbaserad vård
Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
2009 (Swedish)Independent thesis Advanced level (degree of Master (Two Years))Student thesis
Abstract [sv]

The aim of this study was to conduct an instrument test of the Canadian questionnaire Alberta Context Tool (ACT) version Long-Term care for Swedish conditions. ACT is designed in order to measure the context in the care environment and different behaviours related to the changes in clinical practice. In total, 159 Licensed Practical Nurses (LPNs) and Registered Nurses (RNs) within municipality care of the elderly were included in the survey. The test included the instrument's reliability and face validity. The reliability test was implemented through calculation of Cronbach´s Alpha, and showed internal consistency for five of the scales of the ACT-instrument with Cronbach´s Alpha values ranging between 0,728 and 0,873. However, three dimensions got lower values (0,558 - 0,683). The analysis was carried out with content analysis and carried out for LPNs and RNs in separate groups. The majority of LPNs expressed that it was easy to respond to the questions (56%), while nine percent considered it as difficult. Eleven comments were given about questions that were perceived to be unclear, complicated or contained difficult words. In the RN group only 30 percent considered that the questions were easy to respond to. One third of the RNs considered that part of the questions were unclear, and six RNs expressed also which questions they experienced as unclear. In general, the questions in the ACT were perceived as relevant. The instrument's relevance as a tool to measure contextual factors that influence the implementation of evidence based nursing can also be considered to be determined. By modifying the content in the questionnaire in accordance with what appeared in this survey and to implement yet another test, the instrument should be considered to be relevant for use within Swedish municipality care of the elderly. ACT can be used both as a tool in the work on improvement of clinical practice and as a tool for further research about implementation of evidence based nursing.

Place, publisher, year, edition, pages
Falun, 2009. , 26 p.
Keyword [sv]
instrument test, evidence-based nursing, long-term care, context, research implementation, Cronbach´s Alpha
Identifiers
URN: urn:nbn:se:du-4432OAI: oai:dalea.du.se:4432DiVA: diva2:518767
Uppsok
Medicine
Supervisors
Available from: 2010-01-14 Created: 2010-01-14 Last updated: 2012-04-24Bibliographically approved

Open Access in DiVA

fulltext(158 kB)605 downloads
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File name FULLTEXT01.pdfFile size 158 kBChecksum SHA-512
57fe0da2ad33f6fd3ff8bf340a1f8a67ff4289ee37acf0525ae340da14767d94f47c4cb7619eb27ca08eb74c766d013de5ac4c77ffc361b3930e7169831c3623
Type fulltextMimetype application/pdf

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf