The development and validation of a tool to assess nurse performance in dual protection counseling

被引:6
作者
Adams-Skinner, Jessica [1 ]
Exner, Theresa [1 ]
Pili, Christina [1 ]
Wallace, Barbara [2 ]
Hoffman, Susie [1 ]
Leu, Chen Shiun [1 ]
机构
[1] New York State Psychiat Inst & Hosp, HIV Ctr Clin & Behav Studies, New York, NY 10032 USA
[2] Columbia Univ, Teachers Coll, New York, NY 10027 USA
关键词
Nurse-delivered counseling; Reproductive health; Dual protection; Pregnancy; STI; Women's health; Family planning; HIV; COMMUNICATION; PERSPECTIVES; BEHAVIOR;
D O I
10.1016/j.pec.2008.12.024
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To present preliminary evidence for the reliability and validity of the Dual Protection Counseling Checklist (DPCC), all instrument designed to evaluate nurses' fidelity to high quality dual protection counseling in a family planning setting. Methods: During a trial comparing a dual protection (DP) nurse counseling intervention to standard of care (SOC), client-counselor sessions were audiotaped. Following good inter-rater reliability, 78 audiotaped interviews were coded from the two conditions using the DPCC. We constructed indices from a subset of codes to capture three domains: Promotion of DP (PDP), Relapse prevention counseling (RPC), and Quality of Nurse-Client Interaction (QNCI). The association between scores on these indices and client outcomes was evaluated using logistic regression. Results: The DPCC and indices were reliable. Construct validity of indices was supported by greater frequency of target behaviors by the DP nurse. Validity of the QNCI was further supported by its association with clients' sexual risk reduction 6 months post-counseling. Conclusion: The DPCC and indices hold practical utility for evaluation, monitoring, and supervision of nurse-client counseling sessions. Practice implications: The Dual Protection Counseling Checklist provides a user-friendly tool for assessing nurses' and other providers' counseling behaviors ill dual protection. Published by Elsevier Ireland Ltd.
引用
收藏
页码:265 / 271
页数:7
相关论文
共 19 条
[1]   Promoting dual protection in family planning clinics in Ibadan, Nigeria [J].
Adeokun, L ;
Mantell, JE ;
Weiss, E ;
Delano, GE ;
Jagha, T ;
Olatoregun, J ;
Udo, D ;
Akinso, S ;
Weiss, E .
INTERNATIONAL FAMILY PLANNING PERSPECTIVES, 2002, 28 (02) :87-95
[2]   FUNDAMENTAL ELEMENTS OF THE QUALITY OF CARE - A SIMPLE FRAMEWORK [J].
BRUCE, J .
STUDIES IN FAMILY PLANNING, 1990, 21 (02) :61-91
[3]   HIV counseling and testing: Women's experiences and the perceived role of testing as a prevention strategy [J].
Exner, TM ;
Hoffman, S ;
Parikh, K ;
Leu, CS ;
Ehrhardt, AA .
PERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH, 2002, 34 (02) :76-83
[4]   GIVING ADVICE - DECISION-THEORY PERSPECTIVES ON SEXUAL ASSAULT [J].
FISCHHOFF, B .
AMERICAN PSYCHOLOGIST, 1992, 47 (04) :577-588
[5]  
Fleiss JL., 1981, STAT METHODS RATES P, V2
[6]   Informed choice and decision-making in family planning counseling in Kenya [J].
Kim, YM ;
Kols, A ;
Mucheke, S .
INTERNATIONAL FAMILY PLANNING PERSPECTIVES, 1998, 24 (01) :4-+
[7]   The four habits coding scheme: Validation of an instrument to assess clinicians' communication behavior [J].
Krupat, Edward ;
Frankel, Richard ;
Stein, Terry ;
Irish, Julie .
PATIENT EDUCATION AND COUNSELING, 2006, 62 (01) :38-45
[8]  
Mantell JE, 2003, PERSPECT SEX REPRO H, V35, P71, DOI 10.1111/j.1931-2393.2003.tb00108.x
[9]  
Marlatt A., 1985, RELAPSE PREVENTION M
[10]  
MCKINNON K, 1993, AM J PSYCHIAT, V150, P272