Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

DEFINITION, ATTITUDES AND MANAGEMENT PRACTICES IN RELATION TO DIARRHOEA DURING ENTERAL NUTRITION: PSYCHOMETRIC PROPERTIES

Author

Hazreen Abdul Majid 1 , Muhamad Adam Sidek 2 , Karuthan Chinna 3

Institution

1 Centre for Population Health, University of Malaya, Kuala Lumpur, Malaysia
2 Faculty Of Medicine, University of Malaya, Kuala Lumpur, Malaysia
3 Julius Center University Malaya, University of Malaya, Kuala Lumpur, Malaysia

Abstract

Objectives: Diarrhoea is a common complication in patients receiving enteral nutrition (EN) and understanding this problem among patients and healthcare professionals is required. The objective of this study is to investigate the underlying structures among the items in the questionnaire, in nurses working in a Malaysian teaching hospital.

Methods: Face and content validity of the questionnaire were first evaluated by few expert panels and patients. Adult nurses were recruited from the adult wards. The only inclusion criterion was any qualified nurse who had managed inpatients receiving EN within the past month. Hundred and two nurses agreed to take part in this study. The questionnaire was divided into 3 different sections: definitions, attitudes, and practices. Face to face interviewed were conducted. The exploratory factor analysis in SPSS version 18 was used to determine the underlying structures in this questionnaire.

Results: In the final model, for Definition, KMO value was 0.77. Two factors were extracted, AVE=47%. The two factors are ‘Key items in defining diarrhoea (3) and ‘non-key items in defining diarrhoea (3). For the attitudes during EN diarrhoea, KMO= 0.782, single factor was extracted, AVE=55%. For practices in relation to diarrhoea, KMO=0.601, 3 factors were extracted, AVE= 46%, The three factors were named ‘EN related’ (3), ‘awareness related’ (2) and ‘other EN related’ (3).

Conclusion: The items in each of the underlying dimensions seem to measure the respective concepts for definition, attitude and practices adequately. The 20-items questionnaire can be a suitable tool to be used in relation to diarrhoea during EN.