Wressle Ewa, Eriksson Lennart, Fahlander Amie, Håkansson Helena, Jönsson Anna-Lena, Martinsson Britt-Marie, Rasmusson Ing-Marie, Sjölander Ingrid, Tängmark Karin
Department of Neuroscience and Locomotion: Geriatrics, Faculty of Health Sciences, Linköping, Sweden.
Scand J Caring Sci. 2008 Dec;22(4):590-5. doi: 10.1111/j.1471-6712.2007.00571.x.
We perceived a need for relatives' evaluation of geriatric care and rehabilitation during the care period as well as the first few weeks after discharge. The aim of this study was therefore to develop and test a questionnaire for use in telephone interviews with relatives of patients discharged from geriatric wards to measure their perceptions of the quality of care. The instrument development process comprised a literature review, focus group interviews, construction of items, test of content validity, a pilot study and finally the main data collection to test the construct validity and reliability. A Likert-type questionnaire was used containing 26 items with five response alternatives; totally disagree, partly disagree, doubtful, partly agree and totally agree. The main data collection comprised 238 telephone interviews. The factor analysis revealed four factors with an eigenvalue >1.0. Cronbach's alpha coefficient was 0.89, which indicates high reliability. The duration of the telephone interview was approximately 10-20 minutes. The relatives appreciated the opportunity to evaluate the care, and a majority stated that they preferred a telephone interview to answering in writing. The questionnaire is considered reliable, valid and useful for identifying areas in need of quality improvement interventions.
我们意识到需要亲属在护理期间以及出院后的头几周对老年护理和康复进行评估。因此，本研究的目的是开发并测试一份问卷，用于对从老年病房出院患者的亲属进行电话访谈，以衡量他们对护理质量的看法。问卷开发过程包括文献综述、焦点小组访谈、项目构建、内容效度测试、预试验，最后是用于测试结构效度和信度的主要数据收集。使用了一份李克特式问卷，包含26个项目，有五个回答选项：完全不同意、部分不同意、不确定、部分同意和完全同意。主要数据收集包括238次电话访谈。因子分析揭示了四个特征值大于1.0的因子。克朗巴赫α系数为0.89，表明信度较高。电话访谈的时长约为10 - 20分钟。亲属们对有机会评估护理表示赞赏，大多数人表示他们更喜欢电话访谈而不是书面回答。该问卷被认为可靠、有效且有助于识别需要进行质量改进干预的领域。
