Brewer Barbara B, Wojner-Alexandrov Anne W, Triola Nora, Pacini Christine, Cline Melanie, Rust Jo Ellen, Kerfoot Karlene
Clarian Health Partners, Indianapolis, IN, USA.
Am J Crit Care. 2007 Mar;16(2):158-67.
Models for delivery of patient care that recognize the relationship between the characteristics of the patient and the competencies of the nurse are essential for high-quality outcomes.
(1) To test application of a case report form used to assess patients' characteristics as defined by the American Association of Critical-Care Nurses (AACN) Synergy Model for Patient Care in a general population of pediatric and adult patients and (2) to evaluate the internal consistency reliability and construct validity of the patient characteristics measure found on the American Association of Critical-Care Nurses Web site.
A cross-sectional correlational study was conducted in 2 phases. The first phase consisted of secondary data analysis of 481 ratings of patients provided by 11 expert nurses. The second phase consisted of primary data collection of 279 ratings of patients provided by 116 general and critical care nurses. The case report form was used to rate characteristics of patients in both phases; a self-rated nursing proficiency scale was used in the second phase. Descriptive statistics were used to describe the sample. Correlational techniques were used to evaluate internal consistency reliability and evidence of construct validity.
The case report form based on the AACN Synergy Model's characteristics of patients showed satisfactory internal consistency reliability and evidence of discriminant construct validity. Exploratory factor analysis resulted in a 2-factor solution representing an intrapersonal interaction factor and an interpersonal interaction factor.
The case report form for assessing characteristics of patients showed utility in a general population of adult and pediatric patients, some critically ill and some not. Nurses without previous knowledge of the AACN Synergy Model were able to apply the model during routine patient care.
认识到患者特征与护士能力之间关系的患者护理模式对于实现高质量护理结果至关重要。
（1）测试一种病例报告表在儿科和成年患者总体人群中用于评估美国重症护理护士协会（AACN）患者护理协同模式所定义的患者特征的应用情况，以及（2）评估美国重症护理护士协会网站上患者特征测量方法的内部一致性信度和结构效度。
分两个阶段进行横断面相关性研究。第一阶段包括对11名专家护士提供的481份患者评分进行二次数据分析。第二阶段包括对116名普通和重症护理护士提供的279份患者评分进行原始数据收集。在两个阶段均使用病例报告表对患者特征进行评分；在第二阶段使用自评护理熟练程度量表。描述性统计用于描述样本。相关技术用于评估内部一致性信度和结构效度证据。
基于AACN协同模式患者特征的病例报告表显示出令人满意的内部一致性信度和区分性结构效度证据。探索性因素分析得出一个双因素解决方案，代表人际内互动因素和人际互动因素。
用于评估患者特征的病例报告表在成年和儿科患者总体人群中显示出实用性，包括一些重症患者和一些非重症患者。以前不了解AACN协同模式的护士能够在常规患者护理期间应用该模式。
