Background
Methods
Scale construction
Step 1 | Selecting the theoretical basis |
Step 2 | Performing interviews with professional caregivers |
Step 3 | Analysis of interviews and constructing an item pool of 40 item suggestions |
Step 4 | Experts select appropriate items (19 items research version) |
Step 5 | Stepwise item reduction |
Step 6 | 10 item scale |
No.
|
Item
+
|
---|---|
1 | In caring for residents I am able to adequately respect the needs of the person |
2 | In my daily routine I find time to recover |
3 | My work performance is respected by my colleagues |
4 | Because of my education and my professional routine I am able to solve my work challenges |
5 | In my daily routine I am sometimes insecure about the areas of my competency* |
6 | I can discuss work related issues with my colleagues |
7 | I feel that the contact with my superiors is good |
8 | I can participate in organizing the daily routine in my organization |
9 | I can handle the physical aspects of care (carrying, lifting, hot bathing areas) |
10 | The loss of ability to communicate in persons with dementia bothers me* |
11 | I can manage behaviours resulting from disorientation in persons with dementia |
12 | Difficult behaviours (aggression, wandering) of persons with dementia are difficult to bear* |
13 | I can accept and bear illness and death of older people in the circle of life |
14 | To observe how persons with dementia are getting worse makes me sad* |
15 | I am able to contribute to a positive working climate |
16 | In my daily work I sometimes feel worn out and depressed* |
17 | I can handle constructive critique |
18 | I can keep personal problems out of my daily work routine |
19 | My personal life/family environment is supportive and is able to unburden me |
20 | Are there any other areas that you find burdening that have not beet qualitative mentioned? If yes, which areas?** |
Statistical analysis
Ethical considerations
Results
Study population
Reliability and validity of the PCTB research version
Factor analysis of the PCTB research version
n
(%)
|
Corrected r(it)
|
Cronbach’s alpha, if item is deleted
| |||||||
---|---|---|---|---|---|---|---|---|---|
Subscales and items
|
Strongly disagree
|
Disagree
|
Neutral
|
Agree
|
Strongly agree
|
Missing
| |||
Structural Burden (Cronbach’s Alpha = .784) | |||||||||
1. My work performance is respected by my colleagues. | 0 (0%) | 6 (3.5%) | 42 (24.4%) | 81 (47.1%) | 39 (22.7%) | 4 (2.3%) | .541 | .756 | |
2. I can discuss work related issues with my colleagues. | 1 (0.6%) | 6 (3.5%) | 17 (9.9%) | 76 (44.2%) | 70 (40.7%) | 2 (1.2%) | .582 | .737 | |
3. I feel that the contact with my superiors is good. | 3 (1.7%) | 5 (2.9%) | 21 (12.2%) | 72 (41.9%) | 71 (41.3%) | 0 (0%) | .592 | .731 | |
4. I can participate in organizing the daily routine in my organization. | 4 (2.3%) | 15 (8.7%) | 28 (16.3%) | 70 (40.7%) | 51 (29.7%) | 4 (2.3%) | .664 | .694 | |
Objective Burden (Cronbach’s Alpha = .711) | |||||||||
5. The loss of ability to communicate in persons with dementia bothers me.* | 26 (15.1%) | 70 (40.7%) | 47 (27.3%) | 22 (12.8%) | 6 (3.5%) | 1 (0.6%) | .571 | .568 | |
6. I can manage behaviours resulting from disorientation in persons with dementia. | 0 (0%) | 5 (2.9%) | 31 (18%) | 98 (57%) | 35 (20.3%) | 3 (1.7%) | .513 | .666 | |
7. Difficult behaviours (Aggression, Wandering) of persons with dementia are difficult to bear.* | 30 (17.4%) | 71 (41.3%) | 43 (25%) | 23 (13.4%) | 5 (2.9%) | 0 (0%) | .544 | .609 | |
Subjective Burden (Cronbach’s Alpha = .550) | |||||||||
8. I can handle constructive critique. | 0 (0%) | 2 (1.2%) | 25 (14.5%) | 101 (58.7%) | 43 (25%) | 1 (0.6%) | .364 | .456 | |
9. I can keep personal problems out of my daily work routine. | 2 (1.2%) | 3 (1.7%) | 11 (6.4%) | 90 (52.3%) | 66 (38.4%) | 0 (0%) | .357 | .455 | |
10. My personal life/family environment is supportive and is able to unburden me. | 2 (1.2%) | 7 (4.1%) | 22 (12.8%) | 59 (34.3%) | 82 (47.7%) | 0 (0%) | .381 | .431 |
Reliability and validity of the 10 item PCTB
Factor analysis of the 10 item PCTB
Item
|
Factor
| ||
---|---|---|---|
1
|
2
|
3
| |
“Structural”
|
“Objective”
|
“Subjective”
| |
(3) My work performance is respected by my colleagues. |
0.70
| 0.16 | 0.20 |
(6) I can discuss work related issues with my colleagues. |
0.80
| 0.07 | 0.00 |
(7) The feel that the contact with my superiors is good. |
0.73
| 0.10 | 0.22 |
(8) I can participate in organizing the daily routine in my organization. |
0.81
| 0.18 | 0.07 |
(10) The loss of ability to communicate in persons with dementia bothers me.* | 0.10 |
0.78
| 0.17 |
(11) I can manage behaviours resulting from disorientation in persons with dementia. | 0.20 |
0.71
| 0.22 |
(12) Difficult behaviours (Aggression, Wandering) of persons with dementia are difficult to bear.* | 0.14 |
0.82
| −0.04 |
(17) I can handle constructive critique. | 0.16 | 0.07 |
0.69
|
(18) I can keep personal problems out of my daily work routine. | 0.05 | 0.39 |
0.60
|
(19) My personal life/family environment is supportive and is able to unburden me. | 0.12 | 0.02 |
0.79
|
Description
|
Strongly disagree
|
Disagree
|
Neutral
|
Agree
|
Strongly agree
| |
---|---|---|---|---|---|---|
Item 1: | My work performance is respected by my colleagues. | □ | □ | □ | □ | □ |
Item 2: | I can discuss work related issues with my colleagues. | □ | □ | □ | □ | □ |
Item 3: | The contact with my superiors is good. | □ | □ | □ | □ | □ |
Item 4: | I can participate in organizing the daily routine in my organization. | □ | □ | □ | □ | □ |
Item 5: | The loss of ability to communicate in persons with dementia bothers me *. | □ | □ | □ | □ | □ |
Item 6: | I can manage behaviours resulting from disorientation in persons with dementia. | □ | □ | □ | □ | □ |
Item 7: | Difficult behaviours (Aggression, Wandering) of persons with dementia are difficult to bear.* | □ | □ | □ | □ | □ |
Item 8: | I can handle constructive critique. | □ | □ | □ | □ | □ |
Item 9: | I can keep personal problems out of my daily work routine. | □ | □ | □ | □ | □ |
Item 10: | My personal life/family environment is supportive and is able to unburden me. | □ | □ | □ | □ | □ |