Assessing the Attitudes of Greek Nurses Toward Computerized Dementia Screening

J Alzheimers Dis. 2020;78(4):1575-1583. doi: 10.3233/JAD-200666.

Abstract

Background: Despite the abundance of research on computerized dementia screening tests, the attitudes of hospital personnel toward this screening method have not been investigated.

Objective: 1) To conduct a confirmatory factor analysis of the first part of a two-part questionnaire about computerized dementia screening. 2) To assess the attitudes of Greek nurses toward computerized dementia screening. 3) To assess barriers to future implementation of computerized dementia screening in the Greek healthcare system, as reported by nurses.

Methods: 161 Greek nurses from two urban public general hospitals who participated in a dementia training program were recruited. They were asked to complete a two-part questionnaire about computerized dementia screening. The first part of the questionnaire assesses attitudes toward dementia screening while the second part of the questionnaire assesses barriers to its implementation.

Results: Confirmatory factor analysis on the first part of the questionnaire suggested a two-factor structure (feasibility/acceptability). The total score of all items loading on each factor was calculated. For feasibility, scores ranged between 10 and 25 (M = 19.38, SD = 3.80). For acceptability, scores ranged between 6 and 20 (M = 15.27, SD = 2.76). The main barriers to implementation were cost of equipment, insufficient training, lack of a plan for the integration of computerized screening tests in the daily routine of the hospital and time needed for staff training.

Conclusion: The positive attitude of nurses supports the implementation of computerized dementia screening in public hospitals as long as identified barriers are addressed.

Keywords: Attitude of health personnel; cognitive assessment screening instrument; dementia; geriatric nursing; hospitals; neurocognitive tests; questionnaire design; questionnaires; screening.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Attitude of Health Personnel*
  • Dementia / diagnosis*
  • Diagnosis, Computer-Assisted*
  • Factor Analysis, Statistical
  • Female
  • Greece
  • Hospitalization
  • Humans
  • Male
  • Mass Screening
  • Middle Aged
  • Neuropsychological Tests*
  • Nurses*
  • Young Adult