{"id":114788,"date":"2018-03-11T10:42:56","date_gmt":"2018-03-11T10:42:56","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/diseno-y-validacion-de-un-instrumento-para-medir-las-actitudes-en-enfermeras-y-medicos-de-atencion-primaria-ante-las-actividades-preventivas-y-de-promocion\/"},"modified":"2018-03-11T10:42:56","modified_gmt":"2018-03-11T10:42:56","slug":"diseno-y-validacion-de-un-instrumento-para-medir-las-actitudes-en-enfermeras-y-medicos-de-atencion-primaria-ante-las-actividades-preventivas-y-de-promocion","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/salud-publica\/diseno-y-validacion-de-un-instrumento-para-medir-las-actitudes-en-enfermeras-y-medicos-de-atencion-primaria-ante-las-actividades-preventivas-y-de-promocion\/","title":{"rendered":"Dise\u00f1o y validacion de un instrumento para medir las actitudes en enfermeras y medicos de atencion primaria ante las actividades preventivas y de promocion"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Antonio  Jes\u00fas Ramos Morcillo <\/strong><\/h2>\n<p>Objetivos: 1.\tDise\u00f1ar y validar un instrumento que sea capaz de medir las actitudes ante la prevenci\u00f3n y la promoci\u00f3n de la salud en enfermeras y m\u00e9dicos de atenci\u00f3n primaria. 2.\tAnalizar si existen diferencias en la actitud de los profesionales de atenci\u00f3n primaria ante las actividades de prevenci\u00f3n y promoci\u00f3n de la salud seg\u00fan las siguientes variables: edad, sexo, categor\u00eda profesional, ubicaci\u00f3n del centro de salud, experiencia profesional, tipo de contrato, formaci\u00f3n previa, nivel de conocimientos y realizaci\u00f3n de actividades preventivas y de promoci\u00f3n. metodolog\u00eda: dise\u00f1o: estudio descriptivo transversal. Emplazamiento: atenci\u00f3n primaria (comunidad aut\u00f3noma de andaluc\u00eda, espa\u00f1a). Participantes: se incluyeron 282 profesionales (enfermeras y m\u00e9dicos) pertenecientes al sistema sanitario p\u00fablico. Muestreo: no probabil\u00edstico. dise\u00f1o y validaci\u00f3n del cuestionario. Construcci\u00f3n y evaluaci\u00f3n cualitativa de los \u00edtems (\u00edndice de validez de contenido, pretest cognitivo). An\u00e1lisis estad\u00edstico de los \u00edtems (falta de respuesta, efecto techo y suelo). Estudio de la dimensionalidad del instrumento (an\u00e1lisis factorial exploratorio). Estimaci\u00f3n de la fiabilidad (alfa de cronbach y test-retest). Obtenci\u00f3n de evidencias externas de validez (validez discriminante y validez convergente). an\u00e1lisis estad\u00edstico de las relaciones entre la actitud de los profesionales y las variables del estudio: se realiza un an\u00e1lisis exploratorio de los datos (outliers, no respuesta, supuesto de normalidad y de homocedasticidad) y un an\u00e1lisis general con la descripci\u00f3n de los sujetos estudiados, existencia de asociaci\u00f3n, ajuste de factores de confusi\u00f3n y an\u00e1lisis de subgrupos.  resultados: se obtiene un cuestionario (cappap) que agrupa en 5 dimensiones los 44 \u00edtems recogidos a partir de la revisi\u00f3n de otras herramientas y de las aportaciones de los expertos. La consistencia interna del cappap, medida a trav\u00e9s de alfa de cronbach, fue de 0,888. El test-retest nos indica concordancias entre sustanciales y casi perfectas. El an\u00e1lisis factorial exploratorio identifica 5 dimensiones que explican un 48,92% de la varianza. los profesionales encuestados (n=282), en general, tienen una actitud favorable ante estas actividades. Presentan las siguientes puntuaciones, en una escala de 1 a 5, para cada una de las dimensiones del cappap: mejora 3,06 (desviaci\u00f3n t\u00edpica (dt)= 0,762), percepci\u00f3n 3,75 (dt= 0,560), importancia 4,39 (dt= 0,490), oportunidades 4,19 (dt= 0,468) y barreras 3,55 (dt= 0,662).  entre las siguientes variables y las dimensiones del cappap se obtienen relaciones estad\u00edsticamente significativas (p&lt;0.05): edad y oportunidades (coeficiente de correlaci\u00f3n= -0,121); sexo y percepci\u00f3n: mujer 3,81 (dt= 0,566), hombre 3,65 (dt= 0,548); categor\u00eda profesional con oportunidades: enfermera 4,23 (dt= 0,467), m\u00e9dico 4,12 (dt= 0,465); ubicaci\u00f3n del centro con percepci\u00f3n: rural 3,86 (dt= 0,603), urbano 3,68 (dt= 0,523); tipo de contrato con mejora: estatutario 3,18 (dt= 0,785), interino distinto a dispositivo de apoyo 2,76 (dt= 0,721), eventual 3,19 (dt= 0,650); experiencia profesional con percepci\u00f3n (coeficiente de correlaci\u00f3n= -0,154) y oportunidades (coeficiente de correlaci\u00f3n= -0,140); formaci\u00f3n previa no se asocia; nivel de conocimientos con mejora 3,62 (dt= 0,695) y oportunidades 4,41 (dt= 0,440); realizaci\u00f3n actividades planificadas \u00faltimo a\u00f1o no se asocia.  conclusiones: el cappap es un instrumento de f\u00e1cil y r\u00e1pida administraci\u00f3n, que es bien aceptado por los profesionales y que presenta unos resultados psicom\u00e9tricos aceptables, tanto a nivel global como a nivel de cada dimensi\u00f3n. a mayor edad, la actitud en la dimensi\u00f3n oportunidades de mejora es m\u00e1s desfavorable. Las mujeres tienen una actitud m\u00e1s favorable en la percepci\u00f3n de la actitud de sus compa\u00f1eros de centro. Las enfermeras perciben m\u00e1s oportunidades de mejora. Profesionales de ubicaciones rurales tienen una actitud m\u00e1s favorable en la percepci\u00f3n de la actitud de sus compa\u00f1eros. Interinos distintos a dispositivos de apoyo perciben menor necesidad de mejora que los estatutarios y los contratados eventuales. A mayor experiencia profesional, la actitud en las dimensiones percepci\u00f3n y oportunidades es m\u00e1s desfavorable. Los profesionales que no tienen otras titulaciones presentan una actitud m\u00e1s desfavorable en la dimensi\u00f3n barreras. No se han encontrado diferencias en la actitud con la formaci\u00f3n de los profesionales en estas \u00e1reas en los \u00faltimos 5 a\u00f1os. Los profesionales que autodeclaran que no tienen conocimientos perciben una mayor necesidad de mejora que el resto y tienen una actitud m\u00e1s favorable en la dimensi\u00f3n oportunidades. No se han encontrado diferencias entre la actitud de los profesionales y la realizaci\u00f3n de actividades planificadas en el \u00faltimo a\u00f1o.   objectives: 1.\tDesign and validate an instrument that is capable of measuring attitudes toward prevention and health promotion in nurses and primary care physicians. 2.\tAnalyze differences in the attitudes of primary care professionals to the prevention and health promotion according to the following variables: age, sex, occupational status, health center location, experience, type of contract, previous level of knowledge and implementation of preventive and promotional activities. methodology: design: cross sectional study. Location: primary care (autonomous community of andalusia, spain). Participant: a total of 282 professionals (nurses and doctors) belonging to the public health system. Sampling: non-probabilistic. design and validation of the questionnaire. Construction and qualitative assessment of the items (content validity index, cognitive pretest). Statistical analysis of the items (lack of response, ceiling and floor effects). Study instrument dimensionality (exploratory factor analysis). Estimation of reliability (cronbach&apos;s alpha and test-retest). Obtaining external evidence of validity (convergent validity and discriminant validity). statistical analysis of the relationship between the attitude of the professionals and the study variables: performed an exploratory analysis of the data (outliers, non-response, assumption of normality and homoscedasticity) and a general analysis with a description of the subjects, existence of association, confounding adjustment and subgroup analysis. results: you get a questionnaire (cappap) in 5-dimensional grouping the 44 items collected from the review of other tools and expert input. Cappap internal consistency, measured by cronbach&apos;s alpha was 0.888. The test-retest indicates concordance between substantial and almost perfect. Exploratory factor analysis identified five dimensions that account for 48.92 % of the variance. the professionals surveyed (n = 282), generally have a favorable attitude to these activities. Presented the following scores, on a scale of 1 to 5, for each of the dimensions of cappap: improving 3.06 (standard deviation (sd)= 0.762), perception 3.75 (sd= 0.560), 4.39 importance (sd= 0.490), opportunities 4.19 (sd= 0.468) and barriers 3.55 (sd = 0.662) . among the following variables and dimensions of cappap obtained statistically significant relationships (p &lt; 0.05): age and opportunities (correlation coefficient= -0.121) , gender and perception: women 3.81 (sd = 0.566 ), 3.65 man (sd = 0.548) with professional opportunities: nurse 4.23 (sd = 0.467) , medical 4.12 (sd = 0.465) with perception center location: rural 3.86 (sd = 0.603), urban 3, 68 (sd = 0.523), type of contract with improvement: statutory 3.18 (sd= 0.785), interim support device different from 2.76 (sd = 0.721) , eventually 3.19 (sd = 0.650); experience with perception (correlation coefficient = -0.154) and times (correlation coefficient= -0.140) not associated prior training, improved level of knowledge 3.62 (sd= 0.695) and opportunities 4.41 (sd = 0.440), conducting planned activities not associated past year. conclusions: the cappap is a quick and easy tool administration, which is well accepted by professionals and having acceptable psychometric results, both globally and at the level of each dimension. the older, the attitude improvement opportunities dimension is more unfavorable. Women have a more favorable perception of the attitude of his fellow center. Nurses perceive more opportunities for improvement. Professionals rural locations have a more favorable perception of the attitude of his teammates. Interim support different devices perceive less need for improving the statutory and potential recruits. The more experience, the attitude and perception dimensions is less favorable opportunities. Professionals who do not have other degrees have a more unfavorable attitude barriers dimension. No differences were found in attitude to the training of professionals in these areas in the last five years. Professionals who have no knowledge declare themselves perceive a greater need of improvement than the rest and have a more favorable opportunities dimension. No differences were found between the attitude of professionals and planned activities in the last year.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Dise\u00f1o y validacion de un instrumento para medir las actitudes en enfermeras y medicos de atencion primaria ante las actividades preventivas y de promocion<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Dise\u00f1o y validacion de un instrumento para medir las actitudes en enfermeras y medicos de atencion primaria ante las actividades preventivas y de promocion <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Antonio  Jes\u00fas Ramos Morcillo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 25\/10\/2013<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>David Armero Barranco<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Mar\u00eda jos\u00e9 L\u00f3pez montesinos <\/li>\n<li>teresa Moreno casbas (vocal)<\/li>\n<li>Mar\u00eda isabel Orts cort\u00e9s (vocal)<\/li>\n<li>c\u00e9sar Hueso montoro (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Antonio Jes\u00fas Ramos Morcillo Objetivos: 1. Dise\u00f1ar y validar un instrumento que sea capaz de medir las [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1686,8235,967,4128],"tags":[227391,200381,214882,223799,200331,135239],"class_list":["post-114788","post","type-post","status-publish","format-standard","hentry","category-medicina-preventiva","category-murcia","category-salud-publica","category-validacion-del-test","tag-antonio-jesus-ramos-morcillo","tag-cesar-hueso-montoro","tag-david-armero-barranco","tag-maria-isabel-orts-cortes","tag-maria-jose-lopez-montesinos","tag-teresa-moreno-casbas"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/114788","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=114788"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/114788\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=114788"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=114788"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=114788"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}