Kelly John J, Njuki Fred, Lane Peter L, McKinley Robert K
DO, Department of Emergency Medicine, Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141, USA.
Acad Emerg Med. 2005 Feb;12(2):147-51. doi: 10.1197/j.aem.2003.01.002.
To develop a valid and reliable questionnaire for measuring patient trust in an emergency department (ED) that can be administered by phone, direct interview, or mail.
This was a survey conducted at a Level 1 urban trauma center with an annual census of 52,000 visits. Literature review, focus group discussions, and direct patient interviews identified potential items for pilot surveys. Fifteen ED nurses, residents, and faculty scored the items on a 1-10 scale, rephrasing or removing ambiguous items to ensure face and content validity. A telephone survey with responses recorded on a five-point Likert scale was conducted. Reliability and internal consistency of items were tested using SPSS software. Factor analyses were performed using principal components analysis and Varimax rotation with Eigen values set at 1.0.
A total of 383 patients seen in the ED were surveyed. Using two pilot surveys, 18 of 42 potential items were extracted among five factors identified as important to the development of trust. Internal consistency for the final 18 items was calculated, and a Cronbach's alpha of 0.88 was obtained for all items. Test-retest reliability was calculated by telephoning 38 patients twice, two weeks apart, and correlation coefficients of >0.748 were obtained for all items.
This questionnaire can be used for telephone or direct interview to survey patients' trust in EDs.
开发一种有效且可靠的问卷，用于测量急诊科患者的信任度，该问卷可通过电话、直接访谈或邮寄方式进行发放。
这是一项在一家一级城市创伤中心进行的调查，该中心年就诊量为52000人次。通过文献综述、焦点小组讨论和直接患者访谈确定了初步调查的潜在项目。15名急诊科护士、住院医师和教员对这些项目进行1至10分的评分，对表述模糊的项目进行重新措辞或删除，以确保表面效度和内容效度。进行了一项电话调查，调查结果采用五点李克特量表记录。使用SPSS软件测试项目的信度和内部一致性。采用主成分分析和方差最大化旋转进行因子分析，特征值设定为1.0。
共对383名在急诊科就诊的患者进行了调查。通过两次初步调查，在确定对信任发展重要的五个因素中提取了42个潜在项目中的18个。计算了最终18个项目的内部一致性，所有项目的克朗巴哈系数为0.88。通过对38名患者进行为期两周的两次电话随访计算重测信度，所有项目的相关系数均>0.748。
该问卷可用于电话或直接访谈，以调查患者对急诊科的信任度。
