University of Oulu

Jansson, M. M., Ala-Kokko, T. I., Syrjälä, H. P., & Kyngäs, H. A. (2014). Development and psychometric testing of ventilator bundle questionnaire and observation schedule. American Journal of Infection Control, 42(4), 381–384.

Development and psychometric testing of ventilator bundle questionnaire and observation schedule

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Author: Jansson, Miia M.1,2; Ala-Kokko, Tero I.1,3; Syrjälä, Hannu P.4;
Organizations: 1Division of Intensive Care, Department of Anesthesiology, Oulu University Hospital, Oulu, Finland
2Institute of Health Science, University of Oulu, Oulu, Finland
3Medical Research Center Oulu, Oulu, Finland
4Department of Infection Control, Oulu University Hospital, Oulu, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.2 MB)
Persistent link:
Language: English
Published: Elsevier, 2014
Publish Date: 2021-02-12


Background: There is a current lack of valid and reliable instruments that can be used to examine critical care nurses’ knowledge and skills in adhering to ventilator bundles. The aim of this study was to develop and psychometrically test a ventilator bundle questionnaire (VBQ) and ventilator bundle observation schedule (VBOS).

Methods: The VBQ and VBOS consisted of a list of pharmacologic and nonpharmacologic nurse-led interventions taken from the literature and supported by various levels of evidence. After content validation, stability and equivalence reliabilities of the VBOS were determined in a randomly selected sample of critical care nurses from a single academic center in Finland.

Results: The final VBQ contained 49 multiple-choice questions, and the VBOS had 86 dichotomous items, whose overall content validity ranged from 0.99 to 1.0. The overall intraclass correlation coefficient of the VBOS ranged from 0.93 to 1.0.

Conclusions: The VBQ and VBOS have acceptable psychometric properties and could be used to objectively assess whether evidence-based guidelines regarding ventilator bundles are being used in clinical practice. Further testing with diverse samples is needed to strengthen the validity and reliability of these instruments.

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Series: American journal of infection control
ISSN: 0196-6553
ISSN-E: 1527-3296
ISSN-L: 0196-6553
Volume: 42
Issue: 4
Pages: 381 - 384
DOI: 10.1016/j.ajic.2013.11.007
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
Copyright information: © 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier. This manuscript version is made available under the CC-BY-NC-ND 4.0 license