Development and preliminary validation of a questionnaire to measure satisfaction with home care in Greece: an exploratory factor analysis of polychoric correlations

<p>Abstract</p> <p>Background</p> <p>The primary aim of this study was to develop and psychometrically test a Greek-language instrument for measuring satisfaction with home care. The first empirical evidence about the level of satisfaction with these services in Greece is also provided.</p> <p>Methods</p> <p>The questionnaire resulted from literature search, on-site observation and cognitive interviews. It was applied in 2006 to a sample of 201 enrollees of five home care programs in the city of Thessaloniki and contains 31 items that measure satisfaction with individual service attributes and are expressed on a 5-point Likert scale. The latter has been usually considered in practice as an interval scale, although it is in principle ordinal. We thus treated the variable as an ordinal one, but also employed the traditional approach in order to compare the findings. Our analysis was therefore based on ordinal measures such as the polychoric correlation, Kendall's Tau b coefficient and ordinal Cronbach's alpha. Exploratory factor analysis was followed by an assessment of internal consistency reliability, test-retest reliability, construct validity and sensitivity.</p> <p>Results</p> <p>Analyses with ordinal and interval scale measures produced in essence very similar results and identified four multi-item scales. Three of these were found to be reliable and valid: socioeconomic change, staff skills and attitudes and service appropriateness. A fourth dimension -service planning- had lower internal consistency reliability and yet very satisfactory test-retest reliability, construct validity and floor and ceiling effects. The global satisfaction scale created was also quite reliable. Overall, participants were satisfied -yet not very satisfied- with home care services. More room for improvement seems to exist for the socio-economic and planning aspects of care and less for staff skills and attitudes and appropriateness of provided services.</p> <p>Conclusions</p> <p>The methods developed seem to be a promising tool for the measurement of home care satisfaction in Greece.</p

The relationship between individualism and entrepreneurial intention : a Finnish perspective

Purpose This study aims to analyze the relationship between individualist values and entrepreneurial intentions. Previous surveys have shown that major national differences in entrepreneurial intentions can be observed within Europe and that part of this variation can be explained by cultural values, especially the individualism–collectivism dimension. However, previous findings about the relationship between individualism and entrepreneurship remain contradictory. Design/methodology/approach This study is a micro-level analysis of the influence of individualistic values. The theoretical framework of the study is based on the theory of planned behavior (Ajzen, 1991, 2001) and theories of individualism advanced by Hofstede (1980) and Triandis and Gelfand (1998). The research data were gathered from a survey of Finnish students (N = 725). Findings The results show that the relationship between cultural values and entrepreneurial intention is very complex. In contrast to Hofstede (1980), the study assumes individualism and collectivism to be two separate and independent dimensions of cultural values, both of which have a positive, indirect effect on entrepreneurial intention by way of subjective norms and perceived control. Practical implications Both individualist and collectivist values promote entrepreneurial intentions. From this point of view, general citizenship education, which supports the development of young people’s cultural values, can be seen as a significant element in entrepreneurship education. This suggests an instance of holistic education, the aim of which is for individuals’ autonomy and contestability to be combined with community and collective responsibility. Originality/value The analysis of Triandis and Gelfand (1998) has not been systematically utilized in the previous studies on entrepreneurial intentions. The findings of this study address not only the influence of psychological factors over entrepreneurial intentions but also the impact of individualist and collectivist values. The results complement the results of previous studies