Development and Validation of a Nurse‐Specific Scale to Assess Influencing Factors in Clinical Practice Guideline Implementation: An i‐PARIHS‐Based Study.
Background: Clinical practice guideline (CPG) is essential for improving the quality and consistency of care. However, gaps between guideline recommendations and nursing practice remain, contributing to adverse patient outcomes. A theory‐based tool is needed to systematically assess factors that inf...
| Publicado en: | Journal of Nursing Management Vol. 2026; pp. 1 - 14 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
2/1/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191298118&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191298118 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660429 81U jtl: Journal of Nursing Management issn: 09660429 maglogo: Y pubinfo: dt: 2/1/2026 vid: 2026 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 191298118 191298118 191298118 10.1155/jonm/4584848 191298118 ppf: 1 ppct: 13 formats: tig: atl: Development and Validation of a Nurse‐Specific Scale to Assess Influencing Factors in Clinical Practice Guideline Implementation: An i‐PARIHS‐Based Study. aug: au: Liu, Lu Dallakoti, Namuna Cui, Wei Li, Xiangyu Ding, Shu Zhang, Shan Xu, Haibo affil: School of Nursing,, Capital Medical University,, Beijing, CN 100069,, China, ccmu.edu.cn sug: subj: Nurses Psychosocial Factors Scales Instrument Construction Instrument Validation Practice Guidelines Human Male Female Adult Middle Age Age Factors Delphi Technique Surveys Cross Sectional Studies Tertiary Health Care Funding Source Reproducibility of Results Psychometrics Factor Analysis Health Facility Administration Work Environment Implementation Science China Pilot Studies Exploratory Research Content Validity Criterion-Related Validity Coefficient alpha Internal Consistency Pearson's Correlation Coefficient Construct Validity Validation Studies Data Analysis Software Descriptive Statistics Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: Clinical practice guideline (CPG) is essential for improving the quality and consistency of care. However, gaps between guideline recommendations and nursing practice remain, contributing to adverse patient outcomes. A theory‐based tool is needed to systematically assess factors that influence nurses' implementation of CPG. Objective: To develop and validate the Clinical Practice Guideline Implementation Influencing Factors for Nurses (CPGIF-N) scale for identifying factors affecting CPG implementation among nurses. Methods: Items were generated through a scoping review and refined via two‐round Delphi reviews. A pilot survey with 40 nurses and a cross‐sectional survey with 1005 nurses from eight tertiary hospitals were conducted. Both classical test theory (CTT) and item response theory (IRT) analyses were performed. Results: A total of 637 valid responses were analyzed. Content validity indices were high (I‐CVI: 0.93–1.00; S‐CVI/Ave: 0.99). The IRT analysis indicated that the final items demonstrated good discrimination (a = 1.278–4.579), ordered threshold parameters (b1 to b4), and acceptable to excellent average information (range: 0.700–2.161). Confirmatory factor analysis revealed acceptable‐fit indices (χ2/df = 1.956, RMSEA = 0.055, CFI = 0.935, TLI = 0.929). Average variance extracted values (0.818, 0.632, and 0.815) and composite reliability values (0.973, 0.941, and 0.982) confirmed convergent validity. The scale demonstrated excellent internal consistency (Cronbach's α = 0.972; McDonald's Omega = 0.982). Conclusions: The CPGIF-N scale is a reliable and valid instrument, with strong psychometric properties, offering a practical tool to evaluate factors influencing CPG implementation among nurses in China. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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