O'Brien Anthony P, O'Brien Anthony J, Hardy Derrylea J, Morrison-Ngatai Erina, Gaskin Cadeyrn J, Boddy Julie M, McNulty Neil, Ryan Tom, Skews Georgina
School of Health Sciences, College of Humanities and Social Sciences, Massey University, Private Bag 11222, Palmerston North, New Zealand.
Int J Nurs Stud. 2003 Nov;40(8):853-61. doi: 10.1016/s0020-7489(03)00074-9.
This paper describes the development and validation of bicultural clinical indicators that measure achievement of mental health nursing practice standards in New Zealand (ANZMCHN, 1995, Standards of practice for mental health nursing in New Zealand. ANZCMHN, Greenacres). A four-stage research design was utilised including focus groups, Delphi surveys, a pilot, and a national field study, with mental health nurses and consumers as participants. During the national field study, consumer files (n=327) from 11 District Health Boards, and registered nurses (n=422) completed an attitude questionnaire regarding the regularity of specific nursing and service activities. Results revealed a variation in the mean occurrence of the clinical indicators in consumer case notes of 18.5-89.9%. Five factors with good internal consistency, encompassing domains of mental health nursing required for best practice, were derived from analysis of the questionnaire. This study presents a research framework for developing culturally and clinically valid, reliable measures of clinical practice.
本文描述了双文化临床指标的开发与验证，这些指标用于衡量新西兰心理健康护理实践标准的达成情况（ANZMCHN，1995，《新西兰心理健康护理实践标准》。ANZCMHN，格林艾克）。采用了四阶段研究设计，包括焦点小组、德尔菲调查、试点研究和全国性实地研究，参与者为心理健康护士和消费者。在全国性实地研究期间，来自11个地区卫生委员会的消费者档案（n = 327）以及注册护士（n = 422）完成了一份关于特定护理和服务活动规律性的态度问卷。结果显示，临床指标在消费者病例记录中的平均出现率在18.5%至89.9%之间存在差异。通过对问卷的分析，得出了五个具有良好内部一致性的因素，涵盖了最佳实践所需的心理健康护理领域。本研究提出了一个研究框架，用于开发具有文化和临床有效性、可靠性的临床实践测量方法。
