Modified Fresno Test - Acute care nursing
Margo A. Halm, PhD, RN, NEA-BC, Associate Chief Nurse Executive, Nursing Research & Evidence-Based Practice - VA Portland Health Care System
- Sigma Affiliation
- Beta Psi
- Contributor Affiliation(s)
- VA Portland Health Care System, Portland, Oregon, USA
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Halm, Margo A. by View
Popular Works for Halm, Margo A. by Download
Background: Few objective measures of evidence-based practice (EBP) knowledge/skill exist. The Fresno Test, one objective method, has only been validated with medicine, physical/ occupational/speech therapy, pediatric nursing and students.
Aim: The Fresno Test was adapted and tested with cohorts of acute care nurses. Six of 14 items required revision to achieve acceptable psychometrics. The aim of this second validation study was to revise and validate a new version of the test to determine if it could distinguish EBP knowledge/skills among acute care nurses.
Methods: An expert panel engaged in multiple Delphi rounds to revise items. Individual-content validity indices (CVI) ranged from 0.83-1.0, with scale-CVI 0.92. Using a cohort design, a cross-sectional sample of 90 novice, master and expert nurses were recruited via national listservs or snowball sampling to complete the revised test. Potential participants were emailed an informational flyer about the purpose of the study and a link to the test created in web-survey software. Two doctorally prepared EBP experts independently scored tests using the standardized rubric.
Results: The Modified Fresno Test-Acute Care Nursing yielded strong psychometric properties (intra-class correlation coefficients>0.80; item discrimination indices>0.20; item-total correlations>0.30). One poorly performing item was dropped. The final test includes 13 items, with a Cronbach 0.76. Item difficulty was moderate to high. Most items discriminated well between cohorts. Mean total scores were positively correlated with age, years since graduation, years acute care experience, and formal EBP or research workshops/conferences, courses or immersions. Perceived level of EBP expertise was not associated with mean scores.
Conclusion: The validated 13-item Modified Fresno Exam-Acute Care Nursing can be used to evaluate EBP competencies of acute care nurses in academic and practice settings. It can also be used by nurse scientists to build a stronger evidence base on types of educational programs that excel in advancing the critical competency of EBP among our nursing work force.
The test is best administered through web-based software. Instructions for scoring the tests are included in its accompanying rubric. The tests is in the public domain and thus, individuals may use the tool without permission. The author does request an email communication to firstname.lastname@example.org describing how the tool will be utilized to assist in understanding how individuals and organizations are finding value in the tool within various settings. No modifications to the test items or scoring rubric are advised as changes would alter the psychometric properties of the test. The manuscript describing the test's psychometrics is currently under review for publication.
|Type||Tool, Instrument, Measurement|
|Research Approach||Quantitative Research|
Surveys & Questionnaires
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
English version of the Evidence-Based Practice Competence Questionnaire: Validity assessment among nursing students Buxton, Theresa G.; Chappell, Lisa; Wang, Shu-YiThe purpose of this study was to evaluate the psychometric properties (validities) and the ease of use of instruments among nursing students. In this study, the EBP-COQ tool was translated and validated into North American ...
A Randomized Control Trial to Test the Differences in Educational Methods Used to Enhance Nurses' Knowledge, Attitudes, and Practice of Evidence-Based Practice Ecoff, Laurie; Toole, Belinda M.; Stichler, Jaynelle F. (2012-9-12)Purpose: The purpose of this study was to test the effectiveness of a computer-based, self-administered education module as compared to the in-class presentation of the same education module on nurses' knowledge, attitudes, ...
Personal digital assistants: Their influence on clinical decision-making and the utilization of evidence-based practice in a baccalaureate nursing students Gorelick, Carol S.During the last decade, the advent of the personal digital assistant (PDA) and the development of clinical software specific to nursing practice have changed the way that many nurses manage information and workload. More ...
A survey of nurses' knowledge, attitude, and skills with evidence-based practice in the practice setting Williamson, Kathleen M. (2016-03-21)Session presented on Sunday, November 8, 2015: This research project was a collaborative descriptive comparative self-report survey with a sample of nurses from a large health system. The purpose of the study was to ...
Evidence-Based Guidelines and Scripting to Support Acute Care Nurses in Recognition, Reporting, and Treating Sepsis Drahnak, Dawn M. (2016-03-17)Session presented on Sunday, July 26, 2015: INTRODUCTION Severe sepsis is a significant problem; with an incidence ranging from 300 to greater than 1000 cases per 100,000 US population annually with associated mortality ...