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The development and psychometric evaluation of the Mental Health Nurse-Sensitive Patient Outcome-Scale (MH-NURSE-POS) for inpatient psychiatric hospital settings

Karel Desmet (UGent) , Veerle Duprez (UGent) , Eddy Deproost (UGent) , Dimitri Beeckman (UGent) , Peter Goossens (UGent) , Ann Van Hecke (UGent) and Sofie Verhaeghe (UGent)
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Abstract
Mental health nurses are struggling to describe their nursing identity as professional discipline in a changing mental health care. Measuring nurse-sensitive patient outcomes and demonstrating nursing's effect(s) experienced by patients contribute to (re)discover the specific nursing identity. However, a valid and reliable scale is currently lacking. The aim of this study was the development and psychometric evaluation of the Mental Health Nurse-Sensitive Patient Outcome Scale (MH-NURSE-POS) for inpatient psychiatric hospital settings. This three-staged study resulted in a scale capturing how inpatients experience the contribution of nurses in their treatment in psychiatric hospitals. First, a draft questionnaire was developed based on a literature review, an independent expert's advice, and an experts panel. Second, the content validity was tested in a two-round Delphi-procedure and focus groups with patients. A pilot test, based on cognitive interviews, confirmed the feasibility of the questionnaire. Third, the psychometric properties of the mental health nurse-sensitive patient outcomes were determined in a sample of 353 patients. The cross-sectional study included a convenience sample of five psychiatric hospitals (Belgium). The factor structure (Kaiser-Meyer-Olkin measure of sampling adequacy 0.924; Bartlett's test of sphericity chi2 =4162.537; df=231; P<0.001), convergent validity by the Individualized Care Scale (Pearson correlation 0.660; P<0.001), and reliability (Cronbach's Alpha 0.854) were evaluated. The factor analysis resulted in a four-factor solution representing growth, expression, control, and motivation. The Mental Health Nurse-Sensitive Patient Outcome Scale is a valid and reliable tool to measure the effectiveness of mental health nurses from the patient perspective.
Keywords
professional-patient relations, patient reported outcome measures, professional, psychiatric nursing, psychometrics, questionnaires, surveys

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MLA
Desmet, Karel, et al. “The Development and Psychometric Evaluation of the Mental Health Nurse-Sensitive Patient Outcome-Scale (MH-NURSE-POS) for Inpatient Psychiatric Hospital Settings.” INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, vol. 30, no. 4, 2021, pp. 988–1000, doi:10.1111/inm.12853.
APA
Desmet, K., Duprez, V., Deproost, E., Beeckman, D., Goossens, P., Van Hecke, A., & Verhaeghe, S. (2021). The development and psychometric evaluation of the Mental Health Nurse-Sensitive Patient Outcome-Scale (MH-NURSE-POS) for inpatient psychiatric hospital settings. INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, 30(4), 988–1000. https://doi.org/10.1111/inm.12853
Chicago author-date
Desmet, Karel, Veerle Duprez, Eddy Deproost, Dimitri Beeckman, Peter Goossens, Ann Van Hecke, and Sofie Verhaeghe. 2021. “The Development and Psychometric Evaluation of the Mental Health Nurse-Sensitive Patient Outcome-Scale (MH-NURSE-POS) for Inpatient Psychiatric Hospital Settings.” INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING 30 (4): 988–1000. https://doi.org/10.1111/inm.12853.
Chicago author-date (all authors)
Desmet, Karel, Veerle Duprez, Eddy Deproost, Dimitri Beeckman, Peter Goossens, Ann Van Hecke, and Sofie Verhaeghe. 2021. “The Development and Psychometric Evaluation of the Mental Health Nurse-Sensitive Patient Outcome-Scale (MH-NURSE-POS) for Inpatient Psychiatric Hospital Settings.” INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING 30 (4): 988–1000. doi:10.1111/inm.12853.
Vancouver
1.
Desmet K, Duprez V, Deproost E, Beeckman D, Goossens P, Van Hecke A, et al. The development and psychometric evaluation of the Mental Health Nurse-Sensitive Patient Outcome-Scale (MH-NURSE-POS) for inpatient psychiatric hospital settings. INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING. 2021;30(4):988–1000.
IEEE
[1]
K. Desmet et al., “The development and psychometric evaluation of the Mental Health Nurse-Sensitive Patient Outcome-Scale (MH-NURSE-POS) for inpatient psychiatric hospital settings,” INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, vol. 30, no. 4, pp. 988–1000, 2021.
@article{8702571,
  abstract     = {{Mental health nurses are struggling to describe their nursing identity as professional discipline in a changing mental health care. Measuring nurse-sensitive patient outcomes and demonstrating nursing's effect(s) experienced by patients contribute to (re)discover the specific nursing identity. However, a valid and reliable scale is currently lacking. The aim of this study was the development and psychometric evaluation of the Mental Health Nurse-Sensitive Patient Outcome Scale (MH-NURSE-POS) for inpatient psychiatric hospital settings. This three-staged study resulted in a scale capturing how inpatients experience the contribution of nurses in their treatment in psychiatric hospitals. First, a draft questionnaire was developed based on a literature review, an independent expert's advice, and an experts panel. Second, the content validity was tested in a two-round Delphi-procedure and focus groups with patients. A pilot test, based on cognitive interviews, confirmed the feasibility of the questionnaire. Third, the psychometric properties of the mental health nurse-sensitive patient outcomes were determined in a sample of 353 patients. The cross-sectional study included a convenience sample of five psychiatric hospitals (Belgium). The factor structure (Kaiser-Meyer-Olkin measure of sampling adequacy 0.924; Bartlett's test of sphericity chi2 =4162.537; df=231; P<0.001), convergent validity by the Individualized Care Scale (Pearson correlation 0.660; P<0.001), and reliability (Cronbach's Alpha 0.854) were evaluated. The factor analysis resulted in a four-factor solution representing growth, expression, control, and motivation. The Mental Health Nurse-Sensitive Patient Outcome Scale is a valid and reliable tool to measure the effectiveness of mental health nurses from the patient perspective.}},
  author       = {{Desmet, Karel and Duprez, Veerle and Deproost, Eddy and Beeckman, Dimitri and Goossens, Peter and Van Hecke, Ann and Verhaeghe, Sofie}},
  issn         = {{1445-8330}},
  journal      = {{INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING}},
  keywords     = {{professional-patient relations,patient reported outcome measures,professional,psychiatric nursing,psychometrics,questionnaires,surveys}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{988--1000}},
  title        = {{The development and psychometric evaluation of the Mental Health Nurse-Sensitive Patient Outcome-Scale (MH-NURSE-POS) for inpatient psychiatric hospital settings}},
  url          = {{http://dx.doi.org/10.1111/inm.12853}},
  volume       = {{30}},
  year         = {{2021}},
}

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