Nilesh Kumar, Yanghua Jin
Impact of nurses' emotional labour on job stress and emotional exhaustion amid COVID-19: The role of instrumental support and coaching leadership as moderators
Journal of nursing management
practical tools needed reliably measure complex physical activity pa nutrition environments elementary schools influence childrens health learning behaviors obesity prevention school physical activity nutritionenvironment tool spanet developed beta tested 6 rural oregon elementary schools extension educators trained assess elementary school pa nutrition environments using spanet two auditors per school worked school health stakeholders collected data via document review interviews direct observations reliability analysis using percent agreement kappa statistics performed determine consistency independent auditors content analyses qualitative data used triangulate intercoder ratings verify evidence improve reliability across 6 schools 182 measured criteria pa 103 nutrition 79 percent agreement ranged 808 968 kappa 061 094 spanet reliable instrument assessing quality elementary school pa nutrition environments sensitive measure objectively identifying specific attributes spanet areas interest target school environmental policy improvements aimed supporting students obesity preventing behaviors