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Psychometric properties of a tool to measure nurses' attitudes to single checking medications: SCAMS-II

Cross, Rachel, Bennett, Paul N., Ockerby, Cherene, Busija, Lucy and Currey, Judy 2015, Psychometric properties of a tool to measure nurses' attitudes to single checking medications: SCAMS-II, Worldviews on evidence-based nursing, vol. 12, no. 6, pp. 337-347, doi: 10.1111/wvn.12115.

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Title Psychometric properties of a tool to measure nurses' attitudes to single checking medications: SCAMS-II
Author(s) Cross, Rachel
Bennett, Paul N.ORCID iD for Bennett, Paul N.
Ockerby, Cherene
Busija, Lucy
Currey, JudyORCID iD for Currey, Judy
Journal name Worldviews on evidence-based nursing
Volume number 12
Issue number 6
Start page 337
End page 347
Total pages 11
Publisher Wiley
Place of publication London England
Publication date 2015-12
ISSN 1741-6787
Keyword(s) attitude
double checking
medication administration
single checking
Summary BACKGROUND AND AIMS: Single checking medications has been increasingly adopted over the past decade by nurses in Australian healthcare services. However, attitudes toward the practice of only one nurse checking medications remain unclear. The aim of this article is to report on the development, reliability, and validity of a tool to measure nurses' attitudes to single checking medications in a health service in which single checking has been in place for over a decade. METHODS: In a cross-sectional survey design, the Single Checking and Administration of Medications Scale (SCAMS-II) was used to measure the attitudes of 299 registered nurses (RNs) who were single checking medications in one metropolitan teaching hospital in Australia. Exploratory factor analysis was used to explore the dimensions that best represented the SCAMS-II. Cronbach's α was used to assess internal consistency of the identified subscales. To test the construct validity of the emergent questionnaire, Confirmatory Factor Analysis and Rasch analyses were performed. RESULTS: The psychometric properties of the SCAMS-II revealed 12 items with three reliable subscales: a five-item accountability model; a four-item efficiency model; and a three-item knowledge model. LINKING EVIDENCE TO ACTION: In settings where single checking is current practice, the SCAMS-II is recommended as a reliable tool to measure nurses' attitudes toward the single checking of medications. The findings from this study may assist healthcare organizations in the development of policy and procedure guidelines for the safe administration of medications.
Language eng
DOI 10.1111/wvn.12115
Field of Research 111099 Nursing not elsewhere classified
1110 Nursing
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Wiley
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Document type: Journal Article
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