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构建和心理测量评价瑞典语版以患者为中心的护理环境问卷-员工版。

Construction and psychometric evaluation of the Swedish language Person-centred Climate Questionnaire - staff version.

机构信息

Department of Nursing, Umea University, SE-901 87 Umea, Sweden.

出版信息

J Nurs Manag. 2009 Nov;17(7):790-5. doi: 10.1111/j.1365-2834.2009.01005.x.

DOI:10.1111/j.1365-2834.2009.01005.x
PMID:19793235
Abstract

AIM

The aim of the study was to construct and evaluate psychometric properties of the Swedish language Person-centred Climate Questionnaire - staff version.

BACKGROUND

Person-centred care is often quoted but ill defined, and the literature warrants the development of valid and reliable measurement tools.

METHODS

During 2006, a questionnaire was constructed and distributed to a sample of Swedish hospital staff (n = 600). Questionnaire data was subjected to item analysis and reduction. Psychometrical properties of the questionnaire were evaluated.

RESULTS

The 14-item Person-centred Climate Questionnaire showed satisfactory psychometric properties. Measures of validity were good, internal consistency was high, Cronbach's alpha was satisfactory for the total scale (0.88) and test-retest reliability was adequate.

CONCLUSION

The results indicate that the staff Person-centred Climate Questionnaire is a valid and reliable tool for assessing staff perceptions of the person centredness of hospital environments.

IMPLICATIONS FOR NURSING MANAGEMENT

This instrument makes it possible to study the degree of person-centredness in relation to different organizational systems, environments, staff groups and managerial styles. In addition, staff variables such as turnover rates, health outcomes and efficacy can be related to staff perceived person centredness of the organization.

摘要

目的

本研究旨在构建并评估瑞典语版员工版以患者为中心的护理环境量表的心理测量学特性。

背景

以患者为中心的护理理念经常被提及,但定义却很模糊,且现有文献表明需要开发有效的、可靠的测量工具。

方法

2006 年,我们设计了一份问卷,并向瑞典医院的员工(n=600)发放了该问卷。对问卷数据进行项目分析和精简。评估问卷的心理测量学特性。

结果

包含 14 个条目的以患者为中心的护理环境量表具有良好的心理测量学特性。该量表的测量效度良好,内部一致性高,总量表的克朗巴赫系数(Cronbach's alpha)令人满意(为 0.88),重测信度也足够。

结论

结果表明,员工版以患者为中心的护理环境量表是评估员工对医院环境以患者为中心程度的有效、可靠工具。

对护理管理的意义

该工具可用于研究不同组织系统、环境、员工群体和管理风格的以患者为中心程度。此外,员工变量(如离职率、健康结果和功效)也可以与员工对组织的以患者为中心程度相关联。

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