患者版护理缺失量表的汉化及信度效度评价
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摘要
目的 :对患者版护理缺失量表(MISSCARE Survey-Patient)进行翻译、文化调适及信度、效度检测,分析其在我国患者中的适用性。方法 :采用Brislin翻译模型进行直译、回译和检译;通过专家委员会讨论和预实验进行文化调适;方便抽样宣城市某三级甲等医院225名患者进行正式调查,评价量表的信度、效度。结果:中文患者版护理缺失量表水平的内容效度指数(S-CVI/Ave)为0.936,条目水平的内容效度指数(I-CVI)为0.833～1.000;采用探索性因子分析共提取3个因子(沟通性护理、基础护理和及时性护理),累积方差贡献率为65.0%,量表的Cronbach’sα系数为0.888,各维度的Cronbach’sα系数为0.734～0.887,量表的重测信度为0.843,各维度的重测信度为0.769～0.821。结论 :患者版护理缺失量表汉化后信度、效度良好。
Objective: To translate MISSCARE Survey-Patient from English to Chinese, and evaluate the reliability and validity of the Chinese version of MISSCARE Survey-Patient. Methods: Brislin translation model was applied for literal translation, back translation and translation. Cultural adjustment was performed through expert committee discussions and pre-tests. Convenient sampling method was used. Totally 225 patients in a tertiary hospital in Xuancheng City was investigated to test the reliability and validity of the Chinese version of MISSCARE Survey-Patient. Results: The average content validity index of the scale level(S-CVI/Ave) was 0.936, and the content validity index of the item level(I-CVI) was between 0.833 to 1.000. Three factors(communicative care, basic care and timely care) were extracted by factor analysis,which could explain 65.0% of the total variance of the Chinese version of MISSCARE Survey-Patient. The total Cronbach's αcoefficient was 0.888, the Cronbach's α coefficient of each dimension was between 0.734～0.887. The total test-retest reliability was 0.843, and the test-retest reliability of each dimension was between 0.769～0.821. Conclusion: The Chinese version of MISSCARE Survey-Patient can be used to investigate the quality of nursing care and patient safety in the hospitals in China.
Objective: To translate MISSCARE Survey-Patient from English to Chinese, and evaluate the reliability and validity of the Chinese version of MISSCARE Survey-Patient. Methods: Brislin translation model was applied for literal translation, back translation and translation. Cultural adjustment was performed through expert committee discussions and pre-tests. Convenient sampling method was used. Totally 225 patients in a tertiary hospital in Xuancheng City was investigated to test the reliability and validity of the Chinese version of MISSCARE Survey-Patient. Results: The average content validity index of the scale level(S-CVI/Ave) was 0.936, and the content validity index of the item level(I-CVI) was between 0.833 to 1.000. Three factors(communicative care, basic care and timely care) were extracted by factor analysis,which could explain 65.0% of the total variance of the Chinese version of MISSCARE Survey-Patient. The total Cronbach's αcoefficient was 0.888, the Cronbach's α coefficient of each dimension was between 0.734～0.887. The total test-retest reliability was 0.843, and the test-retest reliability of each dimension was between 0.769～0.821. Conclusion: The Chinese version of MISSCARE Survey-Patient can be used to investigate the quality of nursing care and patient safety in the hospitals in China.
引文
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[2] Kalisch BJ, Landstrom GL, Hinshaw AS.Missed nursing care:a concept analysis. J Adv Nurs, 2009, 65(7):1509-1517.
[3] Kalisch BJ, Xie B. Errors of omission:missed nursing care. West J Nurs Res, 2014,36(7):875-890.
[4]贾二歌,周嫣.患者参与患者安全的国内研究现状.解放军护理杂志,2017,34(5):54-58.Jia EG, Zhou Y. Research on patients for patient safety in China. Nurs J Chin PLA, 2017,34(5):54-58.
[5] Clancy CM. Patient engagement in health care.Health Serv Res, 2011,46(2):389-393.
[6] Kalisch BJ, Xie B, Dabney BW. Patientreported missed nursing care correlated with adverse events. Am J Med Qual, 2014,29(5):415-422.
[7] Dabney BW, Kalisch BJ. Nurse staffing levels and patient-reported missed nursing care. J Nurs Care Qual, 2015,30(4):306-312.
[8]ChoSH,MarkBA,Knaf lG,etal.Relationships between nurse staffing and patients'experiences, and the mediating effects of missed nursing care. J Nurs Scholarsh, 2017,49(3):347-355.
[9]高文慧.肿瘤科护理缺失信息反馈量表的研制及初步应用.太原:山西医科大学,2018.Gao WH. The development of Oncology Missed Nursing Care Feedback Scale and preliminary study. Taiyuan:Shanxi Medical University, 2018.
[10]翁慧雯,张国龙,李映红.肿瘤专科护理工作缺失情况调查.广东医学,2017,38(1):130-133.Weng HW, Zhang GL, Li YH. Investigation on missed nursing care in oncology department.Guangdong Medical Journal, 2017,38(1):130-133.
[11]司菲,钱志刚.护理缺失量表的汉化及信度、效度检测.齐鲁护理杂志,2017,23(24):32-35.Si F, Qian ZG. Reliability and validity of the Chinese version of the MISSCARE Survey. Qilu Nursing Journal, 2017,23(24):32-35.
[12] Brislin RW. Back-translation for crosscultural research. J Cross Cult Psychol, 1970,1(3):185-216.
[13]郭金玉,李峥.量表引进的过程及评价标准.中华护理杂志,2012,47(3):283-285.Guo JY, Li Z. The process and evaluation criteria for the introduction of the scale. Chinese Journal ofNursing, 2012,47(3):283-285.
[14] Watson R, Thompson DR. Use of factor analysis in Journal of Advanced Nursing:literature review. J Adv Nurs, 2006,55(3):330-341.
[15] Comrey AL. Factor-analytic methods of scale development in personality and clinical psychology. J Consult Clin Psychol, 1988,56(5):754-761.
[16]吴明隆.问卷统计分析实务——SPSS操作与应用.重庆:重庆大学出版社,2010.Wu ML. Practice of statistical analysis of questionnaire. Chongqing:Chongqing University Publishing House, 2010.
[17]史静琤,莫显昆,孙振球.量表编制中内容效度指数的应用.中南大学学报(医学版),2012,37(2):152-155.Shi JZ, Mo XK, Sun ZQ. Content validity index in scale development. Journal of Central South University(Medical Science), 2012,37(2):152-155.
[18]易开桂,丁四清,钟竹青,等.患者版个性化护理量表的汉化及信度、效度评价.中华护理杂志,2017,52(3):373-376.Yi KG, Ding SQ, Zhong ZQ, et al. Translation,revision and assessment of reliability and validity of the Individualized Care Scale-Patient Version.The Chinese Journal of Nursing, 2017,52(3):373-376.
[19] Bragadottir H, Kalisch BJ, Tryggvadottir GB.Correlates and predictors of missed nursing care in hospitals. J Clin Nurs, 2017,26(11-12):1524-1534.
[20] Jones C, Chesak S, Forsyth D, et al. Missed nursingcareasaqualityindicatorduring transition to a dedicated education unit model.Nurs Educ Perspect.(2018-07-09)[2018-11-01].http://www.ncbi.nlm.nih.gov/pubmed/29994890.
[2] Kalisch BJ, Landstrom GL, Hinshaw AS.Missed nursing care:a concept analysis. J Adv Nurs, 2009, 65(7):1509-1517.
[3] Kalisch BJ, Xie B. Errors of omission:missed nursing care. West J Nurs Res, 2014,36(7):875-890.
[4]贾二歌,周嫣.患者参与患者安全的国内研究现状.解放军护理杂志,2017,34(5):54-58.Jia EG, Zhou Y. Research on patients for patient safety in China. Nurs J Chin PLA, 2017,34(5):54-58.
[5] Clancy CM. Patient engagement in health care.Health Serv Res, 2011,46(2):389-393.
[6] Kalisch BJ, Xie B, Dabney BW. Patientreported missed nursing care correlated with adverse events. Am J Med Qual, 2014,29(5):415-422.
[7] Dabney BW, Kalisch BJ. Nurse staffing levels and patient-reported missed nursing care. J Nurs Care Qual, 2015,30(4):306-312.
[8]ChoSH,MarkBA,Knaf lG,etal.Relationships between nurse staffing and patients'experiences, and the mediating effects of missed nursing care. J Nurs Scholarsh, 2017,49(3):347-355.
[9]高文慧.肿瘤科护理缺失信息反馈量表的研制及初步应用.太原:山西医科大学,2018.Gao WH. The development of Oncology Missed Nursing Care Feedback Scale and preliminary study. Taiyuan:Shanxi Medical University, 2018.
[10]翁慧雯,张国龙,李映红.肿瘤专科护理工作缺失情况调查.广东医学,2017,38(1):130-133.Weng HW, Zhang GL, Li YH. Investigation on missed nursing care in oncology department.Guangdong Medical Journal, 2017,38(1):130-133.
[11]司菲,钱志刚.护理缺失量表的汉化及信度、效度检测.齐鲁护理杂志,2017,23(24):32-35.Si F, Qian ZG. Reliability and validity of the Chinese version of the MISSCARE Survey. Qilu Nursing Journal, 2017,23(24):32-35.
[12] Brislin RW. Back-translation for crosscultural research. J Cross Cult Psychol, 1970,1(3):185-216.
[13]郭金玉,李峥.量表引进的过程及评价标准.中华护理杂志,2012,47(3):283-285.Guo JY, Li Z. The process and evaluation criteria for the introduction of the scale. Chinese Journal ofNursing, 2012,47(3):283-285.
[14] Watson R, Thompson DR. Use of factor analysis in Journal of Advanced Nursing:literature review. J Adv Nurs, 2006,55(3):330-341.
[15] Comrey AL. Factor-analytic methods of scale development in personality and clinical psychology. J Consult Clin Psychol, 1988,56(5):754-761.
[16]吴明隆.问卷统计分析实务——SPSS操作与应用.重庆:重庆大学出版社,2010.Wu ML. Practice of statistical analysis of questionnaire. Chongqing:Chongqing University Publishing House, 2010.
[17]史静琤,莫显昆,孙振球.量表编制中内容效度指数的应用.中南大学学报(医学版),2012,37(2):152-155.Shi JZ, Mo XK, Sun ZQ. Content validity index in scale development. Journal of Central South University(Medical Science), 2012,37(2):152-155.
[18]易开桂,丁四清,钟竹青,等.患者版个性化护理量表的汉化及信度、效度评价.中华护理杂志,2017,52(3):373-376.Yi KG, Ding SQ, Zhong ZQ, et al. Translation,revision and assessment of reliability and validity of the Individualized Care Scale-Patient Version.The Chinese Journal of Nursing, 2017,52(3):373-376.
[19] Bragadottir H, Kalisch BJ, Tryggvadottir GB.Correlates and predictors of missed nursing care in hospitals. J Clin Nurs, 2017,26(11-12):1524-1534.
[20] Jones C, Chesak S, Forsyth D, et al. Missed nursingcareasaqualityindicatorduring transition to a dedicated education unit model.Nurs Educ Perspect.(2018-07-09)[2018-11-01].http://www.ncbi.nlm.nih.gov/pubmed/29994890.