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老年机构评估概况专业问题量表的因子结构

Factor structure of the geriatric institutional assessment profile's professional issues scales.

作者信息

Boltz Marie, Capezuti Elizabeth, Kim Hongsoo, Fairchild Susan, Secic Michelle

机构信息

NICHE (Nurses Improving Care for Healthsystem Elders), Hartford Institute for Geriatric Nursing, New York University College of Nursing, New York, New York 10003, USA.

出版信息

Res Gerontol Nurs. 2010 Apr;3(2):126-34. doi: 10.3928/19404921-20091207-98.

Abstract

The Geriatric Institutional Assessment Profile (GIAP) is a self-administered survey of hospital nurses, designed to assess a hospital's readiness to implement geriatric programs. A sample of 2,211 direct care RNs in 24 hospitals was randomly split in half to analyze the Geriatric Professional Issues scales of the GIAP, using one sample for exploratory factor analysis and one for confirmatory factor analysis. An exploratory factor analysis of the six Geriatric Professional Issue scales (staff disagreement, staff/family/patient disagreement, use of geriatric services, perceived legal vulnerability, perceived upsetting behaviors, and burden of upsetting behaviors) demonstrated very good internal consistency both as a whole (Cronbach's alpha coefficient = 0.90) and as individual factors (0.94, 0.91, 0.92, 0.89, 0.85, and 0.81, respectively). The six factors were validated in a half randomly selected sample, with a root-mean-square error of approximation fit index of 0.07 and the normed and non-normed fit indices both 0.8, all indicating adequate fit of the six-factor model.

摘要

老年机构评估概况(GIAP)是一项针对医院护士的自我管理调查,旨在评估医院实施老年项目的准备情况。对24家医院的2211名直接护理注册护士样本进行随机分成两半,以分析GIAP的老年专业问题量表,其中一个样本用于探索性因素分析,另一个用于验证性因素分析。对六个老年专业问题量表(工作人员分歧、工作人员/家属/患者分歧、老年服务使用情况、感知到的法律脆弱性、感知到的令人不安行为以及令人不安行为的负担)进行的探索性因素分析表明,整体内部一致性非常好(克朗巴赫α系数 = 0.90),各因素的内部一致性也很好(分别为0.94、0.91、0.92、0.89、0.85和0.81)。在随机选择的另一半样本中对这六个因素进行了验证,近似误差均方根拟合指数为0.07,标准化拟合指数和非标准化拟合指数均为0.8,所有这些都表明六因素模型拟合良好。

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