Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Development of the Scale of Perceiving the Attitudes of Healthcare Professionals by Elderly, Psychometric Characteristics, Confirmatory Factor Analysis and Cut-Off Value: Methodological, Descriptive, Cross-Sectional and Correlational Study
Yaşlı Bireylerin Sağlık Çalışanlarının Tutumlarını Algılama Ölçeği'nin Geliştirilmesi, Psikometrik Özellikleri, Doğrulayıcı Faktör Analizi ve Cut-Off Değeri: Metodolojik, Tanımlayıcı, Kesitsel ve İlişkisel Çalışma
İrem ÖZELa,b, F. Yasemin KUTLUc
aİstanbul University Institute of Health Sciences, Department of Mental Health and Psychiatric Nursing, İstanbul, Türkiye
bİstanbul Galata University Faculty of Health Science, Department of Nursing, İstanbul, Türkiye
cİstanbul University-Cerrahpaşa Faculty of Florence Nightingale Nursing, Department of Mental Health and Psychiatric Nursing, İstanbul, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(1):257-66
doi: 10.5336/nurses.2023-99576
Article Language: EN
Full Text
ABSTRACT
 Objective: In order to determine whether the attitudes of healthcare professionals're perceived as discrimination by elderly individuals, ''The Scale of Perceiving the Attitudes of Healthcare Professionals by Elderly'' scale was developed, psychometric properties're evaluated and the cut-off value was determined. Material and Methods: The sample of this study, which was carried out in the descriptive and relationship-seeking type of research with the methodological method, consisted of 301 elderly individuals aged 65 and over, living in Eskişehir, who received at least 24 points from the mini mental test, received health care at least once, and were willing to participate in the research. The data were collected with a questionnaire form, mini mental state test and the ''The Scale of Perceiving the Attitudes of Healthcare Professionals by Elderly'' developed by the researcher. Results: The Cronbach alpha value of the scale of ''Perceiving the Attitudes of Health Care Professionals of Elderly Individuals'' was 0.83, and the Guttman Split-Half coefficient was 0.83. As a result of the exploratory and confirmatory factor analyses, it was determined that the Scale of Perception of Attitudes of Healthcare Professionals by Elderly Individuals consisted of 29 items and two sub-dimensions; these two factors explained approximately 42.25% of the total variance; the cutoff point was found to be 1,610. Conclusion: With the present study, it's determined that the scale is an appropriate tool to measure how healthcare workers' attitudes're perceived by elderly individuals.

Keywords: Ageism; elderly; psychometrics
ÖZET
 Amaç: Sağlık çalışanlarının tutumlarının yaşlı bireyler tarafından ayrımcılık olarak algılanıp algılanmadığını belirlemek amacıyla ''Yaşlı Bireylerin Sağlık Çalışanlarının Tutumlarını Algılama Ölçeği'' geliştirilmiş, psikometrik özellikleri değerlendirilmiş ve kesme değeri belirlenmiştir. Gereç ve Yöntemler: Metodolojik yöntemle tanımlayıcı ve ilişki arayıcı araştırma tipinde gerçekleştirilen bu çalışmanın örneklemini Eskişehir ilinde yaşayan, 65 yaş ve üstü, mini mental testten en az 24 puan almış, en az bir kez sağlık hizmeti almış ve araştırmaya katılmaya istekli 301 yaşlı birey oluşturdu. Veriler anket formu, mini mental durum testi ve araştırmacı tarafından geliştirilen "Yaşlı Bireylerin Sağlık Çalışanlarının Tutumlarını Algılama Ölçeği'' ile toplandı. Bulgular: ''Yaşlı Bireylerin Sağlık Çalışanlarının Tutumlarını Algılama Ölçeği''nin Cronbach alfa değeri 0,83, Guttman Split-Half katsayısı 0,83 olarak belirlendi. Açımlayıcı ve doğrulayıcı faktör analizleri sonucunda Yaşlı Bireylerin Sağlık Çalışanlarının Tutumlarını Algılama Ölçeği'nin 29 maddeden ve 2 alt boyuttan oluştuğu; bu 2 faktörün toplam varyansın yaklaşık %42,25'ini açıkladığı; kesme noktasının ise 1.610 olduğu bulundu. Sonuç: Bu çalışma ile ölçeğin sağlık çalışanlarının tutumlarının yaşlı bireyler tarafından nasıl algılandığını ölçmek için uygun bir araç olduğu belirlenmiştir.

Anahtar Kelimeler: Yaşlı ayrımcılığı; yaşlı; psikometri
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