{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T14:42:12Z","timestamp":1786286532167,"version":"build-2736575974"},"reference-count":27,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Medicine"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background &amp; Objectives<\/jats:title>\n                    <jats:p>Carbapenem-resistant Enterobacterales (CRE) pose a critical threat in Intensive Care Units (ICUs) within low- and middle-income countries (LMICs), with prevalence exceeding 20% and mortality reaching 50%. Despite high clinical demand, routine screening remains unstandardized in Vietnam due to resource constraints and a lack of validated tools. This study aimed to develop and validate a psychometric instrument to evaluate healthcare workers\u2019 (HCWs) perspectives across three domains: barriers, feasibility and readiness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional validation study was conducted using total population census sampling (n=97, total front-line staff) across three hospitals in Vietnam (Viet Tiep, Kien Thuy, and Thuy Nguyen). Following expert panel review (S-CVI\/Avg = 0.89) and a 10.3% pilot test (n=10), construct validity and reliability were evaluated via Exploratory and Confirmatory Factor Analysis (EFA\/CFA). Group differences were analyzed using Fisher\u2019s Exact and Chi-square tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The barriers subscale was excluded due to low internal consistency (alpha &lt; 0.60), yielding a refined 16-item, two-factor instrument (6.1:1 observation-to-item ratio). The final tool demonstrated excellent reliability (alpha: 0.84\u20130.89). CFA confirmed a robust model fit for the Feasibility and Readiness structure [GFI\/CFI = 0.95; RMSEA = 0.062]. HCWs reported high Readiness but moderate Feasibility. Significant occupational divergences emerged: 88.9% of nurses viewed sampling as simple (Item R4) compared to only 45.8% of laboratory technicians (p = 0.003). Furthermore, an experience-perception paradox was identified (p &lt; 0.05); mid-career staff (5\u201310 years) reported the lowest feasibility scores (50.0% high score) compared to junior and senior cohorts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The psychometric validation resulted in a methodologically sound 16-item tool tailored for LMICs. The divergence between clinical readiness and laboratory feasibility highlights critical implementation bottlenecks. Sustainable transition to routine CRE surveillance requires resource-optimized targeted workflows to reduce frontline workloads, alongside peer-led governance that leverages senior expertise to mitigate mid-career burnout.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20503121261476931","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T06:28:13Z","timestamp":1785997693000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Development and validation of a psychometric tool for assessing the readiness and feasibility of CRE screening in LMICs: A cross-sectional instrument validation study"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8010-4031","authenticated-orcid":false,"given":"Ngo Anh","family":"The","sequence":"first","affiliation":[{"name":"Viet Tiep Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3726-6772","authenticated-orcid":false,"given":"Nguyen Thi Thu","family":"Huyen","sequence":"additional","affiliation":[{"name":"Viet Tiep Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9872-9611","authenticated-orcid":false,"given":"Nguyen Duc","family":"Thanh","sequence":"additional","affiliation":[{"name":"Hanoi University of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6582-4471","authenticated-orcid":false,"given":"Tran Chi","family":"Thanh","sequence":"additional","affiliation":[{"name":"University of Medicine and Pharmacy at Ho Chi Minh City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3152-2848","authenticated-orcid":false,"given":"Tran Thi","family":"Lien","sequence":"additional","affiliation":[{"name":"Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2011.03570.x"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiw282"},{"issue":"3","key":"e_1_3_5_4_2","first-page":"278","article-title":"High prevalence of colorectal carriage of carbapenem-resistant Enterobacteriaceae among patients admitted to Vietnamese hospitals","volume":"99","author":"Thuy DB","year":"2018","unstructured":"Thuy DB, Campbell J, Nhat LTH, et al. 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