Lynn Mary R, McMillen Bradley J, Sidani Souraya
School of Nursing, University of North Carolina at Chapel Hill, NC 27599-7460, USA.
Nurs Res. 2007 May-Jun;56(3):159-66. doi: 10.1097/01.NNR.0000270025.52242.70.
Traditionally, patients have been considered incapable of evaluating the quality of care they receive, leading to their minimal involvement.
To develop the Patient's Assessment of Quality Scale--Acute Care Version (PAQS-ACV) to provide a mechanism through which patients can evaluate meaningfully the nursing care they receive.
Developed from qualitative interviews with patients, the original 90-item PAQS-ACV was tested with 1,470 medical surgical patients in 43 units across seven hospitals. The typical patient was a married, 50-year-old, high school-educated patient hospitalized for the fourth time. Every 10th patient was asked to complete the PAQS-ACV 2 weeks later.
After exploratory factor analysis, 45 items remained in five factors, accounting for 54% of the variance. Internal consistency estimates were above.83 for four of the five factors, with the fifth factor being.68. Test-retest reliability ranged from .58 to .71. Content validity was established and construct validity has been explored preliminarily by examining the relationship between the PAQS-ACV scores and patients' compliance.
Although the PAQS-ACV is a relatively new measure of quality nursing care, it has met many criteria for an adequate measure of quality care. The instrument fills a void in the assessment of quality by including patients in the direct evaluation of the care received.
传统上，患者被认为无法评估他们所接受护理的质量，这导致他们极少参与其中。
开发患者护理质量评估量表——急性护理版（PAQS - ACV），以提供一种机制，使患者能够有意义地评估他们所接受的护理。
基于对患者的定性访谈开发而成，最初包含90个条目的PAQS - ACV在7家医院的43个科室对1470名内科和外科患者进行了测试。典型患者为一名50岁、已婚、受过高中教育且第四次住院的患者。每10名患者被要求在2周后完成PAQS - ACV。
经过探索性因素分析，45个条目保留在五个因素中，占方差的54%。五个因素中有四个因素的内部一致性估计值高于0.83，第五个因素为0.68。重测信度范围为0.58至0.71。已建立内容效度，并通过检查PAQS - ACV得分与患者依从性之间的关系初步探索了结构效度。
尽管PAQS - ACV是一种相对较新的优质护理测量方法，但它已满足许多优质护理测量的标准。该工具通过让患者直接评估所接受的护理，填补了质量评估方面的空白。
