Evaluating the Validity and Measurement Invariance of the Patient Health Questionnaire-9 Among Canadian Nurses.

Background and Purpose: The patient health questionnaire 9 item (PHQ-9) is a widely used self-reported measure for screening depressive symptoms. This study aims to examine measurement invariance and psychometric properties of the PHQ-9 for screening depressive symptoms in nurses across different nursing roles, gender, and workplace sector. Methods: The study is a secondary analysis of pre-COVID and COVID-19 survey data from 4,176 nurses and 3,238 nurses in British Columbia. Data from the PHQ-9 tested the assumption of unidimensionality, reliability, and presence of differential item functioning (DIF). Results: The PHQ-9 showed excellent internal consistency (r = .9) and a unidimensional factor structure. PHQ-9 items were free of DIF across nursing roles, gender, and workplace sector. Conclusions: This study supported the valid use of the PHQ-9 as a screening tool for depressive symptoms among nurses.

Concussion Education in Children and Youth: A Scoping Review.

INTRODUCTION: Sports-related concussions in children and youth are a significant health concern. There is increasing literature pertaining to levels of knowledge about concussion and the effects of educational interventions, but the literature has not yet been synthesized for the subpopulation of children and youth. Therefore, the purpose of this review was to identify and summarize the current state of the literature on concussion knowledge, and the effect of concussion education on the knowledge, attitudes, and behaviors of children and youth who engage in sports. METHODS: A scoping review was conducted, guided by Joanna Briggs Institute methodology. Two databases, MEDLINE and CINAHL (Cumulative Index to Nursing and Allied Health Literature), and reference lists were searched to identify relevant studies that focused on children and youth less than 19 years of age who engage in sports. We also searched Google Scholar for gray literature. RESULTS: Of the 21 articles that met inclusion criteria, 15 focused on levels of concussion knowledge, and 6 examined the effects of educational interventions. Children and youths' level of knowledge and exposure to prior concussion education varied, although more of the studies found a lack of concussion knowledge. Educational interventions of various types have been associated with short-term increases in knowledge and intention to report, but few of the studies found sustained effects. CONCLUSIONS: Findings highlight the need for improved concussion education for children and youth engaged in sports. Findings also indicate a need for further research using more rigorous methods, and studies that examine subgroup differences in knowledge and factors that may moderate the effects of educational interventions.

The MOBile-Health and Implementation Leadership Evaluation (MOBILE) Nurse Study: Developing a Testable Conceptual Model.

Leadership is consistently identified as an important factor that influences nurses' adoption of health information technologies, yet, the concept of leadership remains underdeveloped. Our study examines the influence of leadership on nurses' mHealth usage outcomes. Informed by diverse fields, we developed the MOBILE Nurse conceptual model as a way to empirically explore relationships between leadership and other factors commonly thought to influence mHealth usage in nursing.

Psychometric evaluation of the McCloskey/Mueller Satisfaction Scale.

AIM: The aim of the study was to evaluate and refine the eight-factor structure of the 31 item McCloskey/Mueller Satisfaction Scale, which is one of the most widely used scales for measuring job satisfaction among nurses. However, this scale was developed in 1990 for the American nursing context and its psychometric validity and utility for use with non-American nurse populations have been questioned by various researchers. BACKGROUND: The eight-factor, 31-item McCloskey/Mueller Satisfaction Scale is one of the most widely used scales for measuring job satisfaction among nurses. However, this scale was developed in 1990 for the American nursing context, and its psychometric validity and utility for use with non-American nurse populations have been questioned by various researchers. METHODS: Data from a sample of 1007 Canadian nurses who were working in hospital and community settings were analyzed by using an exploratory factor analysis with varimax rotation. RESULTS: The original factor structure of the McCloskey/Mueller Satisfaction Scale was unable to be replicated. The best-fitting model that was obtained was a five-factor model with 25 items. The Cronbach's alphas for the new McCloskey/Mueller Satisfaction Scale subscales ranged from 0.71 to 0.87, which indicated stronger internal consistency than the original subscales (α = 0.52-0.84). CONCLUSION: The reliability and structural validity of the revised 25 item instrument suggest that it is a potentially sound tool for measuring nurses' job satisfaction. As a result of its sound dimensionality, it could be particularly useful when investigating individual and work factors that impact nurse job satisfaction or when evaluating the outcomes of organizational interventions that are aimed at increasing job satisfaction.

Population-level associations between preschool vulnerability and grade-four basic skills.

BACKGROUND: This is a predictive validity study examining the extent to which developmental vulnerability at kindergarten entry (as measured by the Early Development Instrument, EDI) is associated with children's basic skills in 4th grade (as measured by the Foundation Skills Assessment, FSA). METHODOLOGY/PRINCIPAL FINDINGS: Relative risk analysis was performed on a large database linking individual-level EDI ratings to the scores the same children obtained on a provincial assessment of academic skills (FSA--Foundation Skills Assessment) four years later. We found that early vulnerability in kindergarten is associated with the basic skills that underlie populations of children's academic achievement in reading, writing and math, indicating that the Early Development Instrument permits to predict achievement-related skills four years in advance. CONCLUSIONS/SIGNIFICANCE: The EDI can be used to predict children's educational trends at the population level and can help select early prevention and intervention programs targeting pre-school populations at minimum cost.

Factors related to adolescents' self-perceived health.

OBJECTIVES: This analysis examines self-perceived health among Canadian adolescents aged 12 to 17, and factors associated with ratings of very good/excellent health. DATA SOURCE: The data are from cycle 1.1 of the 2000/01 Canadian Community Health Survey (CCHS), conducted by Statistics Canada. The sample consisted of 12,715 adolescents aged 12 to 17. ANALYTICAL TECHNIQUES: Cross-tabulations were used to estimate the prevalence of various characteristics and health behaviours for the 12-to-14 and 15-to-17 age groups. Multiple logistic regression was used to model associations between very good/excellent self-reported health and selected characteristics. MAIN RESULTS: In 2000/01, nearly 30% of 12- to 17-year-olds rated their health as poor, fair or good. At ages 15 to 17, girls were less likely than boys to report very good/excellent health and were more likely to have a chronic condition and to have experienced depression in the past year. When other factors were taken into account, the odds of reporting very good/excellent health were significantly lower for teens who were daily smokers, episodic heavy drinkers, physically inactive during leisure time, infrequent consumers of fruit and vegetables, or obese, compared with teens who did not have these characteristics.