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BMC Health Services Research
Published in: BMC Health Services Research 1/2013

Open Access 01-12-2013 | Research article

Translating and testing the Alberta context tool for use among nurses in Swedish elder care

Authors: Ann Catrine Eldh, Anna Ehrenberg, Janet E Squires, Carole A Estabrooks, Lars Wallin

Published in: BMC Health Services Research | Issue 1/2013

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Abstract

Background

There is emerging evidence that context is important for successful transfer of research knowledge into health care practice. The Alberta Context Tool (ACT) is a Canadian developed research-based instrument that assesses 10 modifiable concepts of organizational context considered important for health care professionals’ use of evidence. Swedish and Canadian health care have similarities in terms of organisational and professional aspects, suggesting that the ACT could be used for measuring context in Sweden. This paper reports on the translation of the ACT to Swedish and a testing of preliminary aspects of its validity, acceptability and reliability in Swedish elder care.

Methods

The ACT was translated into Swedish and back-translated into English before being pilot tested in ten elder care facilities for response processes validity, acceptability and reliability (Cronbach’s alpha). Subsequently, further modification was performed.

Results

In the pilot test, the nurses found the questions easy to respond to (52%) and relevant (65%), yet the questions’ clarity were mainly considered ‘neither clear nor unclear’ (52%). Missing data varied between 0 (0%) and 19 (12%) per item, the most common being 1 missing case per item (15 items). Internal consistency (Cronbach’s Alpha > .70) was reached for 5 out of 8 contextual concepts. Translation and back translation identified 21 linguistic- and semantic related issues and 3 context related deviations, resolved by developers and translators.

Conclusion

Modifying an instrument is a detailed process, requiring time and consideration of the linguistic and semantic aspects of the instrument, and understanding of the context where the instrument was developed and where it is to be applied. A team, including the instrument’s developers, translators, and researchers is necessary to ensure a valid translation. This study suggests preliminary validity, reliability and acceptability evidence for the ACT when used with nurses in Swedish elder care.
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Literature
1.
Rycroft-Malone J, Harvey G, Seers K, Kitson A, McCormack B, Titchen A: An exploration of the factors that influence the implementation of evidence into practice. J Clin Nurs. 2004, 13 (8): 913-924. 10.1111/j.1365-2702.2004.01007.x.CrossRefPubMed
2.
Cummings GG, Estabrooks CA, Midodzi WK, Wallin L, Hayduk L: Influence of organizational characteristics and context on research utilization. Nurs Res. 2007, 56 (4): S24-S39.CrossRefPubMed
3.
Isaksen SG: The situational outlook questionnaire: assessing the context for change. Psychol Rep. 2007, 100 (2): 455-466. 10.2466/pr0.100.2.455-466.CrossRefPubMed
4.
Arnetz J, Arnetz B: The development and application of a patient satisfaction measurement system for hospital-wide quality improvement. Int J Qual Health Care. 1996, 8 (6): 555-566. 10.1093/intqhc/8.6.555.CrossRefPubMed
5.
DeSantis L, Ugarriza DN: The concept of theme as used in qualitative nursing research. West J Nurs Res. 2000, 22: 351-372.CrossRefPubMed
6.
McCormack B, McCarthy G, Wright J, Slater P, Coffey A: Development and testing of the Context Assessment Index (CAI). Worldviews Evid Based Nurs. 2009, 6 (1): 27-35. 10.1111/j.1741-6787.2008.00130.x.CrossRefPubMed
7.
Helfrich CD, Li YF, Sharp ND, Sales AE: Organizational readiness to change assessment (ORCA): development of an instrument based on the Promoting Action on Research in Health Services (PARIHS) framework. Implement Sci. 2009, 4: 38-10.1186/1748-5908-4-38.CrossRefPubMedPubMedCentral
8.
Estabrooks CA, Squires JE, Cummings GG, Birdsell JM, Norton PG: Development and assessment of the Alberta Context Tool. BMC Health Serv Res. 2009, 9: 234-10.1186/1472-6963-9-234.CrossRefPubMedPubMedCentral
9.
Nilsson Kajermo K, Böe H, Johansson E, Henriksen E, McCormack B, Gustavsson J, Wallin L: Swedish translation, adaptation and psychometric evaluation of the context assessment index (CAI). Worldviews Evid Based Nurs. 2013, 10 (1): 41-50. 10.1111/j.1741-6787.2012.00252.x.CrossRefPubMed
10.
Seers K, Cox K, Crichton NJ, Edwards RT, Eldh AC, Estabrooks CA, Harvey G, Hawkes C, Kitson AL, Linck P: Facilitating implementation of research evidence (FIRE): a study protocol. Implement Sci. 2011, 7: 25.CrossRef
11.
Fleuren M, Wiefferink K, Paulussen T: Determinants of innovation within health care organizations: literature review and Delphi study. Int J Qual Health Care. 2004, 16 (2): 107-123. 10.1093/intqhc/mzh030.CrossRefPubMed
12.
Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O: Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q. 2004, 82 (4): 581-629. 10.1111/j.0887-378X.2004.00325.x.CrossRefPubMedPubMedCentral
13.
14.
Estabrooks CA, Squires JE, Hayduk LA, Cummings GG, Norton PG: Advancing the argument for validity of the Alberta Context Tool with healthcare aides in residential long-term care. BMC Med Res Methodol. 2011, 11: 107-10.1186/1471-2288-11-107.CrossRefPubMedPubMedCentral
15.
Estabrooks CA, Squires JE, Hutchinson AM, Scott S, Cummings GG, Kang SH, Midodzi WK, Stevens B: Assessment of variation in the alberta context tool: the contribution of unit level contextual factors and practice specialty in Canadian pediatric acute care settings. BMC Health Serv Res. 2011, 11: 251-10.1186/1472-6963-11-251.CrossRefPubMedPubMedCentral
16.
Estabrooks CA, Squires JE, Cummings GG, Teare GF, Norton PG: Study protocol for the translating research in elder care (TREC): building context - an organizational monitoring program in long-term care project (project one). Implement Sci. 2009, 4: 52-10.1186/1748-5908-4-52.CrossRefPubMedPubMedCentral
17.
Estabrooks CA, Morgan DG, Squires JE, Boström AM, Slaughter SE, Cummings GG, Norton PG: The care unit in nursing home research: evidence in support of a definition. BMC Med Res Methodol. 2011, 11: 46-10.1186/1471-2288-11-46.CrossRefPubMedPubMedCentral
18.
Schultz TJ, Kitson AL: Measuring the context of care in an Australian acute care hospital: a nurse survey. Implement Sci. 2010, 5: 60-10.1186/1748-5908-5-60.CrossRefPubMedPubMedCentral
19.
Cummings G, Hutchinson A, Scott S, Norton P, Estabrooks C: The relationship between characteristics of context and research utilization in a pediatric setting. BMC Health Serv Res. 2010, 10: 168-10.1186/1472-6963-10-168.CrossRefPubMedPubMedCentral
20.
Olsen GM: The politics of the welfare state: Canada, Sweden, and the United States. 2002, Toronto: Oxford University Press
21.
Estabrooks CA, Squires JE, Strandberg E, Nilsson-Kajermo K, Scott SD, Profetto-McGrath J, Harley D, Wallin L: Towards better measures of research utilization: a collaborative study in Canada and Sweden. J Adv Nurs. 2011, 67 (8): 1705-1718. 10.1111/j.1365-2648.2011.05610.x.CrossRefPubMed
22.
Yu DS, Lee DT, Woo J: Issues and challenges of instrument translation. West J Nurs Res. 2004, 26 (3): 307-320. 10.1177/0193945903260554.CrossRefPubMed
23.
Ogden CK, Richards IA: The meaning of meaning: A study of the influence of language upon thought and of the science of symbolism. 1989, New York: Harcourt
24.
Harkness J, Schoua-Glusberg A: Questionnaires in translation. ZUMA-Nachrichten Spezial. 1998, Jan: 87-126.
25.
The American Educational Research Association, The American Psychological Association, and the National Council on Measurement in Education: The Standards for Educational and Psychological Testing. 1999, Washington, D.C: Americanucational Research Association
26.
Streiner DL, Norman GR: Health Measurement Scales: A Practical Guide to Their Development and Use. 2008, Oxford: Oxford University Press, 4CrossRef
27.
Tourangeau R, Rips L, Rasinski K: The Psychology of the Survey Response. 2000, New York: Cambridge University PressCrossRef
28.
Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, Erikson P: Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value Health. 2005, 8 (2): 94-104. 10.1111/j.1524-4733.2005.04054.x.CrossRefPubMed
29.
Graneheim UH, Lundman B: Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004, 24 (2): 105-112. 10.1016/j.nedt.2003.10.001.CrossRefPubMed
30.
Nunnally J, Bernstein I: Psychometric Theory. 1994, New York: McGraw-Hill
31.
Polit DF, Beck CT: Nursing research. 2008, Philadelphia: Lippincott Williams & Wilkins, 8
32.
Watkins C: The American Heritage Dictionary of Indo-European Roots. 2011, Boston: Houghton Mifflin Harcourt, 3
33.
Editors of the American Heritage Dictionaries: The American Heritage Dictionary of the English Language. 2006, Boston: Houghton Mifflin Harcourt, 4
34.
35.
Maneesriwongul W, Dixon JK: Instrument translation process: a methods review. J Adv Nurs. 2004, 48 (2): 175-186. 10.1111/j.1365-2648.2004.03185.x.CrossRefPubMed
36.
Redline CD, Dillman DA, Carley-Baxter L, Creecy RH: Factors that influence reading and comprehension of branching instructions in self–administered questionnaires. Allg Stat Arch. 2005, 89 (1): 21-38.
37.
McFarland SG: Effects of question order on survey responses. Public Opin Q. 1981, 45 (2): 208-215. 10.1086/268651.CrossRef
38.
Dillman DA, Smyth JD, Christian LM: Internet, mail, and mixed-mode surveys: the tailored design method. 2008, Westford, MA: Wiley & Sons
39.
McGibbon G: How to make a questionnaire work. Nurs Times. 1997, 93 (23): 46-48.PubMed
Metadata
Title
Translating and testing the Alberta context tool for use among nurses in Swedish elder care
Authors
Ann Catrine Eldh
Anna Ehrenberg
Janet E Squires
Carole A Estabrooks
Lars Wallin
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2013
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-13-68

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