Background
Methods
Design
Study sample
The attitudes towards guidelines -scale
Content validity
Data analysis
Ethical considerations
Results
The sample
Construct validity
CFA with the whole sample
Model a | χ2 b | DF b | CFI b | TLI b | SRMR b | RMSEA b | 95%CI |
---|---|---|---|---|---|---|---|
Model 1 | 422.618 | 56 | 0.930 | 0.887 | 0.094 | 0.092 | 0.084–0.101 |
EFA with group a and the second CFA with group b
models | χ2 | DF | CFI | TLI | RMSEA (90% CI) |
---|---|---|---|---|---|
1-factor | 968.222 | 77 | 0.641 | 0.576 | 0.175 (0.165–0.184) |
2-factor | 349.652 | 64 | 0.885 | 0.836 | 0.108 (0.097–0.120) |
3-factor | 199.597 | 52 | 0.941 | 0.896 | 0.086 (0.074–0.099) |
4-factor | 117.201 | 41 | 0.969 | 0.932 | 0.070 (0.055–0.085) |
5-factor | 47.748 | 31 | 0.993 | 0.980 | 0.038 (0.013–0.058) |
6-factor | 18.073 | 22 | 1.000 | 1.007 | 0.000 (0.000–0.034) |
7-factor | 4.690 | 14 | 1.000 | 1.024 | 0.000 |
Items | Factor1 | Factor2 | Factor3 | Factor4 |
---|---|---|---|---|
1. Guidelines are useful as educational tools. | 0.910* | − 0.056 | − 0.037 | 0.014 |
2. Guidelines are a convenient source of advice. | 0.940* | 0.003 | 0.007 | −0.022 |
3. Guidelines can facilitate communication with patients and families. | 0.734* | 0.176* | 0.040 | −0.060 |
4. Guidelines can improve the quality of health care. | 0.585* | 0.368* | −0.011 | 0.026 |
5. Guidelines are based on scientific evidence. | 0.161 | 0.766* | 0.010 | 0.000 |
6. Guidelines are made by experts. | −0.049 | 0.744* | −0.004 | − 0.015 |
7. My occupational competence is insufficient for adopting the latest guidelines. | 0.026 | 0.038 | 0.767* | −0.028 |
8. Most of our team members have disapproving attitudes about guidelines. | −0.106 | −0.058 | 0.697* | 0.074 |
9. Guidelines are not valued in our organization. | 0.272* | 0.217* | −0.114 | 0.206* |
10. Implementing guidelines is too expensive for us. | 0.018 | 0.016 | 0.348* | 0.489* |
11. Guidelines challenge the autonomy of nursing personnel. | 0.088 | 0.004 | 0.245* | 0.071 |
12. Guidelines oversimplify nursing practice. | 0.047 | 0.131 | 0.124 | 0.291* |
13. Guidelines are difficult to find if needed. | −0.011 | −0.092 | −0.011 | 0.850* |
14. I have not seen any guidelines in our health care unit. | −0.075 | 0.041 | 0.098 | 0.599* |
Model a | χ2 b | DF b | CFI b | TLI b | SRMR b | RMSEA b | 95%CI |
---|---|---|---|---|---|---|---|
Model 2 | 79.061 | 36 | 0.987 | 0.972 | 0.035 | 0.056 | 0.039–0.072 |