护理人员对患者参与患者安全态度问卷的编制及信效度检验
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摘要
目的编制适用于护理人员的患者参与患者安全态度的问卷,并对其进行信效度检验。为护理管理者提供一个有效的测评工具。方法回顾相关文献,采用德尔菲专家函询法形成初始问卷。对温州市某三级甲等医院219名护士进行预调查,进行项目分析;对温州市4所三级甲等医院383名护士进行正式调查,对问卷进行信效度评价。结果问卷包含护理人员对患者询问信息的态度、对患者搜集信息的态度、对患者自我照护的态度、对患者参与监督的态度4个维度,共17个条目,探索性因子分析共提取4个公因子,累计方差贡献率为63.90%,总问卷的内容效度为0.92,且具有较好的区分效度。问卷总Cronbach'sα为0.854,重测信度为0.709。结论护理人员对患者参与患者安全态度问卷具有良好的信效度,可以作为护理人员对患者参与患者安全态度的评估工具。
Objective To develop a questionnaire to measure nurses' attitude to patient engagement on patient safety and test its relia-bility and validity.To provide on effective assessment tool for nursing managers.Methods Based on literature review,through two rounds ofexpert consultation using Delphi andpreliminary test,the items were tested in 219 nurses from one 3 A-level hospital in Wenzhou.The reliabilityand validity were tested in 383 nurses from four top three hospitals in Wenzhou.Results The questionnaire consisted 4 subscales included theattitude of the nursing staff to the patient's inquing,attitude to patients collecting information,attitude towards patients self-care and attitude to-wards patient involvement in supervision,and 17 items and the cumulative variance contribution rate was 63.90%.The S-CVI was 0.92 and thequestionnaire had a good separating capability.The Cronbach's α was 0.854 and the re-test reliability was 0.709.Conclusion The questionnairehas high levels of reliability and validity,which can be a good assessment tool of nurses' attitude to patient engagement on patient safety.
Objective To develop a questionnaire to measure nurses' attitude to patient engagement on patient safety and test its relia-bility and validity.To provide on effective assessment tool for nursing managers.Methods Based on literature review,through two rounds ofexpert consultation using Delphi andpreliminary test,the items were tested in 219 nurses from one 3 A-level hospital in Wenzhou.The reliabilityand validity were tested in 383 nurses from four top three hospitals in Wenzhou.Results The questionnaire consisted 4 subscales included theattitude of the nursing staff to the patient's inquing,attitude to patients collecting information,attitude towards patients self-care and attitude to-wards patient involvement in supervision,and 17 items and the cumulative variance contribution rate was 63.90%.The S-CVI was 0.92 and thequestionnaire had a good separating capability.The Cronbach's α was 0.854 and the re-test reliability was 0.709.Conclusion The questionnairehas high levels of reliability and validity,which can be a good assessment tool of nurses' attitude to patient engagement on patient safety.
引文
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[19]郝元涛,孙希凤,方积乾,等.量表条目筛选的统计学方法研究[J].中国卫生统计,2004,21(4):18-20.DOI:10.3969/j.issn.1002-3674.2004.04.006.
[20]吴明隆.问卷统计分析实务SPSS操作与应用[M].重庆:重庆大学出版社,2010:194-198.
[21]曾五一,黄炳艺.调查问卷的可信度和有效度分析[J].统计与信息论坛,2005,20(6):13-17.DOI:10.3969/j.issn.1007-3116.2005.06.002.
[22]伍琳,孙艳杰.德尔菲法简介及在护理学中的应用现状[J].护理研究,2015,29(10):3599-3601.DOI:10.3969/j.issn.1009-6493.2015.29.006.
[23]徐蔼婷.德尔菲法的应用及其难点[J].中国统计,2006,36(9):57-59.DOI:10.3969/j.issn.1002-4557.2006.09.032.
[24]郝元涛,孙希凤,方积乾.量表条目筛选的统计学方法研究[J].中国卫生统计,2004,21(4):209-211.DOI:10.3969/j.issn.1002-3674.2004.04.006.
[25]史静琤,莫显昆,孙振球.量表编制中内容效度指数的应用[J].中南大学学报(医学版),2012,37(2):49-52.DOI:10.3969/j.issn.1672-7347.2012.02.007.
[26]陈燕雅,齐蒙蒙,李泽楷.护理本科生职业相关社会支持量表的编制及信效度检验[J].护理管理杂志,2017,17(10):723-726.
[27]TOBIANO G,MARSHALL A,BUCKNALL T,et al.Activities patients and nurses undertake to promote patient participation[J].Journal of Nursing Scholarship,2016,48(4):362-370.DOI:10.1111/jnu.12219.
[2]WAKEFIELD,MARY.To err is human:an institute of medicine report[J].Professional Psychology Research and Practice,2000,31(3):243-244.DOI:10.1037/h0092814.
[3]BONSAKSEN T,FAGERMOEN M S,LERDAL A.Trajectories of self-efficacy in persons with chronic illness:an explorative longitudinal study[J].Psychology and Health,2014,29(3):350-364.DOI:10.1080/08870446.2013.856432.
[4]ATHERTON P J,SMITH T,SINGH J A,et al.The relation between cancer patient treatment decision-making roles and quality of life[J].Cancer,2013,119(12):2342-2349.DOI:10.1002/cncr.28046.
[5]叶旭春,刘朝杰,刘晓虹.基于扎根理论的互动式患者参与患者安全理论框架构建的研究[J].中华护理杂志,2014,49(6):645-649.DOI:10.3761/j.issn.0254-1769.2014.06.001.
[6]AMETZ J E,ZHDANOVA L.Patient involvement climate:views and behaviours among registered nurses in myocardial infarction care[J].Journal of Clinical Nursing,2015,24(3-4):475-485.DOI:10.1111/jocn.12629.
[7]LATIMER S,CHABOYER W G B.Patient participation in pressure injury prevention:giving patient's a voice[J].Scandinavian Journal of Caring Sciences,2014,28(4):648-656.DOI:10.1111/scs.12088.
[8]DENTZER S.Rx for the'blockbuster drug'of patient engagement[J].Health affairs(Project Hope),2013,32(2):202-210.DOI:10.1377/hlthaff.2013.0037.
[9]HAJIZADEH N,UHLER L M,FIGUEROA R E P.Understanding patients'and doctors'attitudes about shared decision making for advance care planning[J].Health Expectations,2015,18(6):2054-2065.DOI:10.1111/hex.12285.
[10]李家伟,张瑞华,杨莉.患者就医参与行为研究:维度、动机及其对策[J].医学与哲学,2014,35(8A):46-49.
[11]李雨璘,聂燕丽,黄燕,等.患者参与患者安全的系统评价[J].中国循证医学杂志,2011,11(8):903-909.
[12]TOBIANO G,BUCKNALL T,MARSHALL A,et al.Patients'perceptions of participation in nursing care on medical wards[J].Scandinavian Journal of Caring Sciences,2016,30(2):260-270.DOI:10.1111/scs.12237.
[13]TOBIANO G,MARSHALL A,BUCKNALL,et al.Patient participation in nursing care on medical wards:an integrative review[J].International Journal Of Nursing Studies,2015,52(6):1107-1120.DOI:10.1016/j.ijnurstu.2015.02.010.
[14]KVANGARSNES M,TORHEIM H,HOLE T,et al.Intensive care unit nurses'perceptions of patient participation in the acute phase of chronic obstructive pulmonary disease exacerbation:an interview study[J].Journal of Advanced Nursing,2013,69(2):425-434.DOI:10.1111/j.1365-2648.2012.06021.
[15]KOLOVO P,KAITELIDOU D,LEMONIDOU C,et al.Patient participation in hospital care:nursing staffs'point of view[J].International Journal of Nursing Practice,2015,21(3):258-268.DOI:10.1111/ijn.12242.
[16]中华人民共和国卫生部.三级甲等综合医院评审标准(最新版)实施细则[M].北京:人民卫生出版社,2011;21-24.
[17]李晓芳.上海市医护人员对患者参与患者安全认知现状的调查研究[D].上海:第二军医大学,2012.
[18]蒋艳,沈宁,邹树芳.护理研究中量表研制及测量学特征的评定方法[J].中华护理教育,2005,2(4):174-176.
[19]郝元涛,孙希凤,方积乾,等.量表条目筛选的统计学方法研究[J].中国卫生统计,2004,21(4):18-20.DOI:10.3969/j.issn.1002-3674.2004.04.006.
[20]吴明隆.问卷统计分析实务SPSS操作与应用[M].重庆:重庆大学出版社,2010:194-198.
[21]曾五一,黄炳艺.调查问卷的可信度和有效度分析[J].统计与信息论坛,2005,20(6):13-17.DOI:10.3969/j.issn.1007-3116.2005.06.002.
[22]伍琳,孙艳杰.德尔菲法简介及在护理学中的应用现状[J].护理研究,2015,29(10):3599-3601.DOI:10.3969/j.issn.1009-6493.2015.29.006.
[23]徐蔼婷.德尔菲法的应用及其难点[J].中国统计,2006,36(9):57-59.DOI:10.3969/j.issn.1002-4557.2006.09.032.
[24]郝元涛,孙希凤,方积乾.量表条目筛选的统计学方法研究[J].中国卫生统计,2004,21(4):209-211.DOI:10.3969/j.issn.1002-3674.2004.04.006.
[25]史静琤,莫显昆,孙振球.量表编制中内容效度指数的应用[J].中南大学学报(医学版),2012,37(2):49-52.DOI:10.3969/j.issn.1672-7347.2012.02.007.
[26]陈燕雅,齐蒙蒙,李泽楷.护理本科生职业相关社会支持量表的编制及信效度检验[J].护理管理杂志,2017,17(10):723-726.
[27]TOBIANO G,MARSHALL A,BUCKNALL T,et al.Activities patients and nurses undertake to promote patient participation[J].Journal of Nursing Scholarship,2016,48(4):362-370.DOI:10.1111/jnu.12219.