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• W2172912669 abstract "To the Editor: Dikken and colleagues1 have interesting comments on our study on our Geriatric In-Hospital Nursing Care Questionnaire (GerINCQ).2 They mention five problems but focus on two elements: the development and structure of GerINCQ and the quality of psychometric analyses. We would like to respond to both and address their concerns. We needed a questionnaire as part of a comprehensive hospital geriatric program, focusing on the concepts of how nurses care for older adults and their attitudes toward and perceptions about caring for older people. Although we preferred to use a well-validated instrument, the two instruments found had severe limitations for our purposes; the Geriatric Institutional Assessment Profile was too broad in scope, and the Australian Older Patient in Acute Care Survey's operationalization of the concept of perception was not clearly distinguished from knowledge items. Therefore, we decided to develop a new tool using the well-accepted Delphi method; as an initial step, we used items and subscales from both instruments. Experts developed the GerINCQ in three Delphi rounds, leading to a content validity index of 0.9 per item. The unidimensionality of GerINCQ's five subscales is based on the content validity judgment of the experts. Factor analysis is another way of validating the structure of a questionnaire but is not essential. The fact that the COSMIN(2) checklist, which Dikken and colleagues mentioned, was developed using Delphi rounds as well, with no factor analysis conducted demonstrates this. The GerINCQ is now ready to be piloted internationally, after adequate translation and validation in the new languages. Dikken and colleagues rightly mention that we had not reported the missing data; the number of missing items was low, so the means of the items were calculated. Moreover, the lack of power was not a problem because statistically significant positive results were found. Test–retest was conducted in a group of surgical nurses who filled out the questionnaire twice. Analysis of variance (ANOVA) was used to test the differences between the results of three groups, although the groups differed in size and distribution. ANOVA tests are generally robust to minor changes in the distribution and thus did not negatively influence on the results. In sum, the value of GerINCQ remains that it allows nursing practices, attitudes, and perceptions to be evaluated and monitored and therefore contributes to improvement of geriatric hospital care. GerINCQ should be evaluated further in other populations and as a tool to facilitate quality improvement implementation processes. Conflict of Interest: The editor in chief has reviewed the conflict of interest checklist provided by the authors and has determined that the authors have no financial or any other kind of personal conflicts with this paper. Author Contributions: All authors contributed to this paper. Sponsor's Role: None." @default.
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• W2172912669 date "2015-11-01" @default.
• W2172912669 modified "2023-10-16" @default.
• W2172912669 title "Response to Dikken and Colleagues" @default.
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• W2172912669 doi "https://doi.org/10.1111/jgs.13777" @default.
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