Abstract
Purpose
To develop a scale that measures barriers to perioperative hypothermia prevention
(BPHP) as perceived by anesthesiologists and nurses.
Design
A methodological and prospective psychometric study.
Methods
Based on the theoretical domains framework, the item pool was created through a literature
review, qualitative interviews, and expert consultation. The scale was pretested with
a sample of 154 key stakeholders in perioperative temperature management and then
field tested with 416 anesthesiologists and nurses working at three hospitals in Southeast
China. Item analysis, and reliability and validity analysis were performed.
Findings
The average content validity index was 0.94. According to exploratory factor analysis,
seven factors were obtained that could explain 70.283% of the total variance. Confirmatory
factor analysis showed excellent or acceptable goodness-of-fit indices. The reliability
analysis demonstrated that the scale had high internal consistency and temporal stability,
with Cronbach's α, split-half coefficient and test-retest values of 0.926, 0.878 and
0.835, respectively.
Conclusions
The BPHP scale meets the psychometric criteria for reliability and validity and promises
to be a useful quality measure for IPH management during the perioperative period.
Further investigations on educational or resource needs and the development of an
optimal perioperative hypothermia prevention protocol to narrow the gap between research
evidence and clinical practice should be performed.
Keywords
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Article info
Publication history
Published online: May 24, 2023
Publication stage
In Press Corrected ProofFootnotes
Conflict of Interest: None to report
Funding: This article was funded by Zhejiang Health Science and Technology Project (No. 2022KY182) and Nursing Research Fund of Sir Run Run Shaw Hospital, Zhejiang University School of Medicine (No.202117HL).
Identification
Copyright
© 2022 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
