Psychometric Evaluation of a New Instrument inSpanish to Measure Self‐Care Requisites in Patients With Schizophrenia

Abstract

PURPOSE:The purpose of this study was to develop and validate a new instrument in Spanish designed to measure self-care requisites in patients with schizophrenia treated in the community. DESIGN AND METHODS:The first phase was conducted to develop the questionnaire through a panel of experts and evaluate for content validity. Psychometric evaluation was then conducted with a consecutive sample of 341 patients. FINDINGS: The scale demonstrated good internal consistency and stability over time. The discriminant and convergent validity was satisfactory. The confirmatory factor analysis showed that the theoretical model fits the self-care requisites proposed by Orem's nursing theory from which it originated. PRACTICE IMPLICATIONS: This scale is a valid and reliable instrument for use in clinical practice, guiding the nurse in developing the most appropriate care plan for each patient.

The İmportance of Employment in People with Schizophrenia

“…Şizofreni, düşünce, algı, duygulanım ve davranışlar-da önemli bozukluklarla seyreden, kişinin alışılagel-miş algılama ve yorumlama biçimlerine yabancılaşa-rak, kendine özgü bir içe kapanım dünyasına çekildi-ği bir ruhsal bozukluktur (1)(2)(3). Hastalıkla birlikte, bireyin düşünce, duygu ve davranışlarında, kişiler arası ilişkilerinde, iş yaşamı ve topluma uyumunda, kendine bakım gibi önemli işlevsellik alanlarında belirgin bir bozulma yaşanmaktadır (4,5).…”

Psychometric Properties of Self-Care Requisites Scale (SCRS-h) in Hospitalized Patients Diagnosed With Schizophrenia

“…Combining recognition of the importance of working with a referenced conceptual model of nursing with the need for evaluative instruments having demonstrated psychometric properties (Roldán‐Merino, Lluch‐Canut, Menarguez‐Alcaina, Foix‐Sanjuan, & Haro Abad, ). The Working Group Quest ERA in Spain began a line of research focused on building and validating such an instrument for the assessment stage in the NP, in the framework of the Self‐care Deficit Theory of Dorothea Orem.…”

“…In the domain of nursing care, Orem is the author of reference, recognized worldwide regarding the concept of self‐care. She defines it as follows: “Self‐care is defined as personal actions each individual undertakes to maintain life, health, and welfare, and consistently meet personal health needs” (Roldán‐Merino et al., ; Taylor, ; Taylor, Renpenning, Geden, Neuman, & Hart, ). Taking Orem as a reference point, there are three types of self‐care: universal, developmental, and divergence of health (Orem, ).…”

“…Drawing from a broad bibliographic review, we found that there were instruments based on Orem's theory, but there was no scale to evaluate the self‐care deficit requisites of patients with schizophrenia (Roldán‐Merino et al., ). In light of this, Roldán‐Merino et al.…”

“…In light of this, Roldán‐Merino et al. () put together the Self‐Care Requisites Scale (SCRS) and then validated it with a sample of patients diagnosed with schizophrenia living in the community, and who were therefore able, at least in part, to manage their own self‐care during the stable phase of the disorder. The SCRS was shown to yield results that were both reliable and valid (convergent, discriminant, and in terms of construct).…”