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Design and Validation of the INCUE Questionnaire: Assessment of Primary Healthcare Nurses’ Basic Training Needs in Palliative Care

Author

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  • Isidro García-Salvador

    (Nurse Oncology Service, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
    Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
    Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain)

  • Encarna Chisbert-Alapont

    (Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
    Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
    Nurse Oncology Service, Valencia Health Department La Fe, 46026 Valencia, Spain)

  • Amparo Antonaya Campos

    (Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
    Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
    Primary Care Nursing Director, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain)

  • Jorge Casaña Mohedo

    (Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
    Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
    Nursing Department, Faculty of Medicine and Health Sciences, Universidad Católica San Vicente Mártir, 46001 Valencia, Spain)

  • Clara Hurtado Navarro

    (Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
    Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
    Nurse Training Service, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain)

  • Silvia Fernández Peris

    (Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
    Carena Association of Psycho-Oncology, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain)

  • José Bonías López

    (Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
    Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
    Nurse Primary Care Center of San Marcelino, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain)

  • Maria Luisa De la Rica Escuín

    (Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain
    Nurse Research Group on Care in End-of-Life Processes, Institute for Health Research Aragón, 50009 Zaragoza, Spain)

Abstract

Many instruments have been created to measure knowledge and attitudes in palliative care. However, not only is it important to acquire knowledge, but also that this knowledge should reach patients and their relatives through application in clinical practice. This study aimed to develop and psychometrically test the INCUE questionnaire (Investigación Cuidados Enfermeros/Investigation into Nurses’ Care Understanding of End-of-Life) to assess the basic training needs of primary or home healthcare nurses in palliative care. A questionnaire was developed based on the classical theory of tests and factor analysis models. Initially, 18 experts developed 67 items in two blocks and determined content validity by two rounds of expert panels. Exploratory factor analysis and reliability testing were conducted with a non-probabilistic sample of 370 nurses. Some items were observed to have very low homogeneity indices or presented convergence problems and were eliminated. Questionnaire reliability was 0.700 in the theoretical block (KR20 Index) and 0.941 in the practical block (Cronbach’s alpha). The model converges and shows an adequate fit, specifically CFI = 0.977, TLI = 0.977 and RMSEA = 0.05. The correlation between the two factors in the model is ρ = 0.63. The questionnaire objectively evaluates primary or home healthcare nurses’ knowledge of palliative care and its practical application, thereby facilitating more efficient training plans.

Suggested Citation

  • Isidro García-Salvador & Encarna Chisbert-Alapont & Amparo Antonaya Campos & Jorge Casaña Mohedo & Clara Hurtado Navarro & Silvia Fernández Peris & José Bonías López & Maria Luisa De la Rica Escuín, 2021. "Design and Validation of the INCUE Questionnaire: Assessment of Primary Healthcare Nurses’ Basic Training Needs in Palliative Care," IJERPH, MDPI, vol. 18(20), pages 1-13, October.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:20:p:10995-:d:659990
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    References listed on IDEAS

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    3. Rosseel, Yves, 2012. "lavaan: An R Package for Structural Equation Modeling," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 48(i02).
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