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Development and Psychometric Exploration of the Anesthesia Surrendering Instrument (ASI)

Liebenhagen, Andreas LU (2019) In Journal of Perianesthesia Nursing 34(1). p.169-179
Abstract
Purpose
The aim of this study was to develop and test an instrument to measure surrendering at the time of anesthesia induction and to explore the construct validity.
Design
An instrumental cross-sectional design was used and construct validity was evaluated via psychometric testing.
Methods
The anesthesia surrendering instrument (ASI) comprised 36 items. A total of 202 adults (older than 18 years) answered the questionnaire. Principal component analysis was used for item reduction and identification of defining constructs.
Findings
Surrendering to anesthesia was defined by four constructs: preparation by avoidance, control, preparation by understanding, and acceptance, explaining 43.2% of the variance in the... (More)
Purpose
The aim of this study was to develop and test an instrument to measure surrendering at the time of anesthesia induction and to explore the construct validity.
Design
An instrumental cross-sectional design was used and construct validity was evaluated via psychometric testing.
Methods
The anesthesia surrendering instrument (ASI) comprised 36 items. A total of 202 adults (older than 18 years) answered the questionnaire. Principal component analysis was used for item reduction and identification of defining constructs.
Findings
Surrendering to anesthesia was defined by four constructs: preparation by avoidance, control, preparation by understanding, and acceptance, explaining 43.2% of the variance in the matrix.
Conclusions
The findings show that it is possible to measure the concept of surrendering by means of four dimensions as preparation by avoidance, control, preparation by understanding, and acceptance, although the dimensional variance of 43% could be considered weak. The ASI will constitute context-specific patient-reported experience measures for anesthesia, whereas further item refinement and testing of the ASI are necessary to achieve a better variance. (Less)
Please use this url to cite or link to this publication:
author
contributor
LU and LU
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Perianesthesia Nursing
volume
34
issue
1
pages
11 pages
publisher
Elsevier
external identifiers
  • pmid:29678318
  • scopus:85045552620
ISSN
1532-8473
DOI
10.1016/j.jopan.2017.12.008
language
English
LU publication?
yes
id
bf7f0fd1-6497-4c50-b841-5caa66f98366
date added to LUP
2018-10-29 15:03:44
date last changed
2022-04-25 18:30:56
@article{bf7f0fd1-6497-4c50-b841-5caa66f98366,
  abstract     = {{Purpose<br/>The aim of this study was to develop and test an instrument to measure surrendering at the time of anesthesia induction and to explore the construct validity.<br/>Design<br/>An instrumental cross-sectional design was used and construct validity was evaluated via psychometric testing.<br/>Methods<br/>The anesthesia surrendering instrument (ASI) comprised 36 items. A total of 202 adults (older than 18 years) answered the questionnaire. Principal component analysis was used for item reduction and identification of defining constructs.<br/>Findings<br/>Surrendering to anesthesia was defined by four constructs: preparation by avoidance, control, preparation by understanding, and acceptance, explaining 43.2% of the variance in the matrix.<br/>Conclusions<br/>The findings show that it is possible to measure the concept of surrendering by means of four dimensions as preparation by avoidance, control, preparation by understanding, and acceptance, although the dimensional variance of 43% could be considered weak. The ASI will constitute context-specific patient-reported experience measures for anesthesia, whereas further item refinement and testing of the ASI are necessary to achieve a better variance.}},
  author       = {{Liebenhagen, Andreas}},
  issn         = {{1532-8473}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{169--179}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Perianesthesia Nursing}},
  title        = {{Development and Psychometric Exploration of the Anesthesia Surrendering Instrument (ASI)}},
  url          = {{https://lup.lub.lu.se/search/files/53527207/DS2_Artikel_Liebenhagen2018.pdf}},
  doi          = {{10.1016/j.jopan.2017.12.008}},
  volume       = {{34}},
  year         = {{2019}},
}