Factor Structure of the Geriatric Institutional Assessment Profile's Professional Issues Scales

Abstract

Instrument Development Marie Boltz, PhD, RN; Elizabeth Capezuti, PhD, RN, FAAN; Hongsoo Kim, PhD, MPH, RN; Susan Fairchild, PhD, MPH; Michelle Secic, MS The Geriatric Institutional Assessment Profile (GIAP) is a self-administered survey of hospital nurses, designed to assess a hospital’s readiness to implement geriatric programs. A sample of 2,211 direct care RNs in 24 hospitals was randomly split in half to analyze the Geriatric Professional Issues scales of the GIAP, using one sample for exploratory factor analysis and one for confirmatory factor analysis. An exploratory factor analysis of the six Geriatric Professional Issue scales (staff disagreement, staff/family/patient disagreement, use of geriatric services, perceived legal vulnerability, perceived upsetting behaviors, and burden of upsetting behaviors) demonstrated very good internal consistency both as a whole (Cronbach’s alpha coefficient = 0.90) and as individual factors (0.94, 0.91, 0.92, 0.89, 0.85, and 0.81, respectively). The six factors were validated in a half randomly selected sample, with a root-mean-square error of approximation fit index of 0.07 and the normed and non-normed fit indices both 0.8, all indicating adequate fit of the six-factor model. Dr. Boltz is Assistant Professor and Practice Director, Dr. Capezuti is Professor and Co-Director, NICHE (Nurses Improving Care for Healthsystem Elders), Hartford Institute for Geriatric Nursing, New York University College of Nursing, New York, New York; Dr. Kim is Assistant Professor, Graduate School of Public Health and Institute of Health and Environment, Seoul National University, Seoul, South Korea; Dr. Fairchild is Director, Data Analysis and Applied Research for Policy and Research, New Visions for Public Schools, New York, New York; and Ms. Secic is President and Independent Consultant, Secic Statistical Consulting, Inc., Chardon, Ohio. The authors disclose that they have no significant financial interests in any product or class of products discussed directly or indirectly in this activity, including research support. Address correspondence to Marie Boltz, PhD, RN, Assistant Professor, New York University College of Nursing, 726 Broadway, 10th floor, New York, NY 10003; e-mail: marie.boltz@nyu.edu. 10.3928/19404921-20091207-98 Healio is intended for health care provider use and all comments will be posted at the discretion of the editors. We reserve the right not to post any comments with unsolicited information about medical devices or other products. At no time will Healio be used for medical advice to patients.