{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T03:16:38Z","timestamp":1760238998873,"version":"build-2065373602"},"reference-count":43,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T00:00:00Z","timestamp":1657843200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Mathematics"],"abstract":"<jats:p>Background: Existing surveys on telenursing refer to specific areas of nursing after the implementation of a programme, but telenursing in general has not been fully evaluated from a prospective approach. Aim: Design and statistical validation of a telenursing questionnaire. Methods: A new questionnaire was designed with 18 paired (to avoid leading) questions (Likert-5) plus three dichotomous questions (randomly ordered, inspired by existing validated tests) to analyse the dimensions of: acceptance, usefulness and appropriateness of telenursing from the nursing point of view (7 min test). The questionnaire was validated by classical tests and item response tests (Rasch) using six computer-generated databases with different response profiles (tendency to be positioned against, neutral and positioned in favour) with two degrees of agreement between each pair of responses for each option. Results: Classical testing: Cronbach\u2019s alphas (from 0.8 to 0.95), Kaiser\u2013Meyer\u2013Olkin (KMO) (0.93 to 0.95) and a significant p &lt; 0.0001 for Bartlett\u2019s test of sphericity were obtained. Rasch analysis: Reliability coefficients (0.94). Warm\u2019s mean weighted likelihood estimates (0.94). Extreme infit-t and outfit-t values (+1.61 to \u22121.98). Conclusions: Both the classical test and the Rasch approaches confirm the usefulness of the new test for assessing nurses\u2019 positioning in relation to telenursing.<\/jats:p>","DOI":"10.3390\/math10142463","type":"journal-article","created":{"date-parts":[[2022,7,17]],"date-time":"2022-07-17T22:57:06Z","timestamp":1658098626000},"page":"2463","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Validation of a New Telenursing Questionnaire: Testing the Test"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1350-2539","authenticated-orcid":false,"given":"Julio Emilio","family":"Marco-Franco","sequence":"first","affiliation":[{"name":"Faculty of Nursing and Podiatry, Valencia University, 46010 Valencia, Spain"},{"name":"Research Centre for Economics Engineering, Universitat Polit\u00e8cnica de Val\u00e8ncia, 46022 Valencia, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7948-9317","authenticated-orcid":false,"given":"Margarida","family":"Reis-Santos","sequence":"additional","affiliation":[{"name":"Center for Health Technology and Services Research, Nursing School of Porto, Abel Salazar Biomedical Sciences Institute, University of Porto, 4200-072 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3710-1190","authenticated-orcid":false,"given":"Isabel","family":"Barrachina-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Research Centre for Economics Engineering, Universitat Polit\u00e8cnica de Val\u00e8ncia, 46022 Valencia, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0274-6060","authenticated-orcid":false,"given":"Silvia","family":"Gonz\u00e1lez-de-Juli\u00e1n","sequence":"additional","affiliation":[{"name":"Research Centre for Economics Engineering, Universitat Polit\u00e8cnica de Val\u00e8ncia, 46022 Valencia, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8018-2232","authenticated-orcid":false,"given":"Ram\u00f3n","family":"Cama\u00f1o-Puig","sequence":"additional","affiliation":[{"name":"Faculty of Nursing and Podiatry, Valencia University, 46010 Valencia, Spain"}]}],"member":"1968","published-online":{"date-parts":[[2022,7,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"107174","DOI":"10.1016\/j.cie.2021.107174","article-title":"The Evolution of the Internet of Things (IoT) over the Past 20 Years","volume":"155","author":"Wang","year":"2021","journal-title":"Comput. Ind. Eng."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.ijnurstu.2017.01.009","article-title":"The Internet of Things for Basic Nursing Care\u2014A Scoping Review","volume":"69","author":"Mieronkoski","year":"2017","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_3","first-page":"1","article-title":"Sustain and Retain in 2022 and Beyond","volume":"71","author":"Buchan","year":"2022","journal-title":"Int. Counc. Nurses"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1097\/NNR.0000000000000157","article-title":"A Grounded Theory Study of How Nurses Integrate Pregnancy and Full-Time Employment: Becoming Someone Different","volume":"65","author":"Quinn","year":"2016","journal-title":"Nurs. Res."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1097\/01.NAJ.0000393056.01687.40","article-title":"Occupational Hazards for Pregnant Nurses","volume":"111","author":"Alex","year":"2011","journal-title":"Am. J. Nurs."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1473","DOI":"10.1111\/jonm.13132","article-title":"A Scoping Review of the Nursing Workforce\u2019s Changing Demography: Supporting Baby-Boomer Nurses","volume":"28","author":"Gan","year":"2020","journal-title":"J. Nurs. Manag."},{"key":"ref_7","first-page":"1169","article-title":"The Need for Standardised Documents in Continuity of Care: Results of Standardising the ENursing Summary","volume":"160","author":"Flemming","year":"2010","journal-title":"Stud. Health Technol. Inform."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Kumar, S., and Snooks, H. (2011). Telenursing, Springer.","DOI":"10.1007\/978-0-85729-529-3"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1111\/j.1442-2018.2007.00299.x","article-title":"Decision Aid Software Programs in Telenursing: Not Used as Intended? Experiences of Swedish Telenurses","volume":"9","year":"2007","journal-title":"Nurs. Health Sci."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"103164","DOI":"10.1016\/j.jnca.2021.103164","article-title":"A Systematic Review of IoT in Healthcare: Applications, Techniques, and Trends","volume":"192","author":"Madanipour","year":"2021","journal-title":"J. Netw. Comput. Appl."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"2100264","DOI":"10.1002\/minf.202100264","article-title":"An AI-Based Prediction Model for Frug-Drug Interactions in Osteoporosis and Paget\u2019s Diseases from SMILES","volume":"41","author":"Hung","year":"2022","journal-title":"Mol. Inform."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1016\/j.ccc.2019.02.005","article-title":"Intensive Care Unit Telemedicine in the Era of Big Data, Artificial Intelligence, and Computer Clinical Decision Support Systems","volume":"25","author":"Kindle","year":"2019","journal-title":"Crit. Care Clin."},{"key":"ref_13","first-page":"540","article-title":"Telecommuting for Nurses: Developing a Model for the Outpatient Oncology Nurse","volume":"34","author":"Paolilli","year":"2007","journal-title":"Oncol. Nurs. Forum"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1097\/NNA.0000000000000855","article-title":"Artificial Intelligence and Nursing: The Future Is Now","volume":"50","author":"Clancy","year":"2020","journal-title":"J. Nurs. Administation"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1108\/JHOM-02-2017-0027","article-title":"Driving for Successful Change Processes in Healthcare by Putting Staff at the Wheel","volume":"32","author":"Erlingsdottir","year":"2018","journal-title":"J. Health Organ. Manag."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1111\/j.1365-2648.2007.04546.x","article-title":"Real Nursing? The Development of Telenursing","volume":"61","author":"Snooks","year":"2008","journal-title":"J. Adv. Nurs."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"3","DOI":"10.5195\/ijt.2016.6196","article-title":"Development of the Telehealth Usability Questionnaire (TUQ)","volume":"8","author":"Parmanto","year":"2016","journal-title":"Int. J. Telerehabilitation"},{"key":"ref_18","first-page":"20","article-title":"Principles of Survey Research Part 3: Constructing a Survey Instrument","volume":"27","author":"Kitchenham","year":"2002","journal-title":"ACM SIGSOFT Softw. Eng. Notes"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1080\/10447318.2018.1455307","article-title":"The System Usability Scale: Past, Present, and Future","volume":"34","author":"Lewis","year":"2018","journal-title":"Int. J. Hum. Comput. Interact."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1006\/imms.1993.1022","article-title":"User Acceptance of Information Technology: System Characteristics, User Perceptions and Behavioral Impacts","volume":"38","author":"Davis","year":"1993","journal-title":"Int. J. Man. Mach. Stud."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1111\/j.1540-5915.2008.00192.x","article-title":"Technology Acceptance Model 3 and a Research Agenda on Interventions","volume":"39","author":"Venkatesh","year":"2008","journal-title":"Decis. Sci."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1111\/hex.12945","article-title":"Development and Content Validation of the Telenursing Interaction and Satisfaction Questionnaire (TISQ)","volume":"22","author":"Mattisson","year":"2019","journal-title":"Health Expect."},{"key":"ref_23","first-page":"238","article-title":"Evaluating Text Complexity and Flesch-Kincaid Grade Level","volume":"8","author":"Solnyshkina","year":"2017","journal-title":"J. Soc. Stud. Educ. Res."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1197\/jamia.M2146","article-title":"Development, Validation, and Use of English and Spanish Versions of the Telemedicine Satisfaction and Usefulness Questionnaire","volume":"13","author":"Bakken","year":"2006","journal-title":"J. Am. Med. Inform. Assoc."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1177\/0013164403063003001","article-title":"Examinee Characteristics and Score Reliability: An Empirical Investigation","volume":"63","author":"Fan","year":"2003","journal-title":"Educ. Psychol. Meas."},{"key":"ref_26","unstructured":"Marsden, P.V., and Wright, J.D. (2010). Question and Questionnaire Design. Handbook of Survey Research, Emerald Group Publishing Limited."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1177\/2515245920952393","article-title":"Measurement Schmeasurement: Questionable Measurement Practices and How to Avoid Them","volume":"3","author":"Flake","year":"2020","journal-title":"Adv. Methods Pract. Psychol. Sci."},{"key":"ref_28","unstructured":"Hopper, J. (2022, May 23). How Many Questions in a 10-Minute Survey? Versta Research Methodology 2017. Available online: https:\/\/verstaresearch.com\/blog\/how-many-questions-in-a-10-minute-survey\/."},{"key":"ref_29","unstructured":"Amaresan, S. (2022, May 23). How Long Should a Survey Be?. Available online: https:\/\/blog.hubspot.com\/service\/ideal-survey-length."},{"key":"ref_30","unstructured":"Taylor, E. (2022, May 23). How Many Questions Should I Ask in My Survey?. Available online: https:\/\/www.driveresearch.com\/market-research-company-blog\/how-many-questions-should-i-ask-in-my-survey\/."},{"key":"ref_31","unstructured":"Hair, J.F., Black, W.C., Babin, B.J., and Anderson, R.E. (2013). Multivariate Data Analysis: Pearson New International Edition, Pearson Education Limited."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1023\/A:1004785723554","article-title":"The Ordinal Controversy Revisited","volume":"34","author":"Kampen","year":"2000","journal-title":"Qual. Quant."},{"key":"ref_33","unstructured":"Rasch, G. (1960). Probabilistic Models for Some Intelligence and Attainment Tests, Danish Institute for Educational Research."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1007\/BF02293814","article-title":"A Rating Formulation for Ordered Response Categories","volume":"43","author":"Andrich","year":"1978","journal-title":"Psychometrika"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v084.c02","article-title":"Pcirt: An r Package for Polytomous and Continuous Rasch Models","volume":"84","author":"Hohensinn","year":"2018","journal-title":"J. Stat. Softw."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Nicklin, C., and Vitta, J.P. (2022). Assessing Rasch Measurement Estimation Methods across R Packages with Yes\/No Vocabulary Test Data. Lang. Test., 02655322211066822.","DOI":"10.1177\/02655322211066822"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1007\/s11136-011-9976-6","article-title":"Latent Variable Mixture Models: A Promising Approach for the Validation of Patient Reported Outcomes","volume":"21","author":"Sawatzky","year":"2012","journal-title":"Qual. Life Res."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1207\/S15327752JPA8001_18","article-title":"Starting at the Beginning: An Introduction to Coefficient Alpha and Internal Consistency","volume":"80","author":"Streiner","year":"2003","journal-title":"J. Pers. Assess."},{"key":"ref_39","unstructured":"Embretson, S.E., and Hershberger, S.L. (1999). The New Rules of Measurement: What Every Psychologist and Educator Should Know, Lawrence Erlbaum Associates Publishers."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Baker, F.B., and Kim, S.-H. (2004). Item Response Theory. Parameter Estimation Techniques, Marcel Dekker Inc.. [2nd ed.].","DOI":"10.1201\/9781482276725"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"350","DOI":"10.3758\/BF03204525","article-title":"Testing the Assumptions and Interpreting the Results of the Rasch Model Using Log-Linear Procedures in SPSS","volume":"25","author":"TenVergert","year":"1993","journal-title":"Behav. Res. Methods Instrum. Comput."},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Bond, T.G., Yan, Z., and Heene, M. (2020). Applying the Rasch Model: Fundamental Measurement in the Human Sciences, Routledge. [4th ed.].","DOI":"10.4324\/9780429030499"},{"key":"ref_43","first-page":"878","article-title":"What Do Infit and Outfit, Mean-Square and Standardized Mean?","volume":"16","author":"Linacre","year":"2002","journal-title":"Rasch Meas. Trans."}],"container-title":["Mathematics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-7390\/10\/14\/2463\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:51:01Z","timestamp":1760140261000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-7390\/10\/14\/2463"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,15]]},"references-count":43,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2022,7]]}},"alternative-id":["math10142463"],"URL":"https:\/\/doi.org\/10.3390\/math10142463","relation":{},"ISSN":["2227-7390"],"issn-type":[{"type":"electronic","value":"2227-7390"}],"subject":[],"published":{"date-parts":[[2022,7,15]]}}}