ORIGINAL RESEARCH article
Front. Neurol.
Sec. Stroke
Volume 16 - 2025 | doi: 10.3389/fneur.2025.1583169
This article is part of the Research TopicQuality of Stroke Care: What Could Be Improved, and How? - Volume IIView all 13 articles
Design and validation of nurses' knowledge, attitude and practice questionnaire for discharge planning of stroke patients
Provisionally accepted
- 1West China Hospital, Sichuan University, Chengdu, China
- 2School of Nursing, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China
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Objective The aim of this study was to design a national and culturally appropriate questionnaire to assess the nurses' knowledge, attitude and practice (KAP) for discharge planning of stroke patients and to test the reliability and validity of this questionnaire.Methods This questionnaire was developed using domestic and international literature and combining the KAP theory. It covered eight aspects of basic knowledge, relevant knowledge, psychological cognition, emotional tendency, intentional behaviour, assessment, implementation and evaluation of discharge planning for stroke patients. The item pool was established through Delphi expert inquiry to form a pre-survey questionnaire. The pre-survey was first administered to 60 clinical nurses, then tested on 626 clinical nurses. Finally the questionnaire's reliability was assessed through retest reliability, split-half reliability, and Cronbach's α coefficient, while the validity of the scale was evaluated through content validity, structural validity, and factor analysis.The final formal questionnaire was used to assess nurses' KAP for discharge planning of stroke patients. The questionnaire consisted of 37 items in three dimensions: knowledge (12 items), attitude (10 items) and practice (15 items). The questionnaire had an average expert authority coefficient of 0.88, a consistency coefficient of 0.454, a total internal consistency reliability (Cronbach's alpha coefficient) of 0.909, a retest reliability of 0.924, and a content validity index of 0.972. The results of this study were calculated on a dimensional basis, resulting in the following standard scores: 84.01 (<85) for the knowledge dimension, 90.61 (>85) for the attitude dimension, and 81.83 (<85) for the practice dimension. The correlation coefficients between the three dimensions and the total questionnaire were 0.635, 0.659, and 0.566, respectively. The Kaiser-Meyer-Olkin (KMO) value was 0.966, and the sphere test value was p <0.0001.The questionnaire on nurses' KAP for discharge planning of stroke patients showed good reliability and validity. It is suitable for use by clinical nurses. Nurses in Level-3 hospitals across the country need to improve their knowledge, attitude and practice regarding discharge planning for stroke patients.
Keywords: Knowledge-attitude-practice, Discharge planning, stroke patients, Nurses, Validation
Received: 25 Feb 2025; Accepted: 21 Jul 2025.
Copyright: © 2025 Fu, Liu, Duan, Fan and Jiang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Yan Jiang, School of Nursing, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan Province, China
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