The University of Texas at Arlington School of Nursing, Arlington, TX 76019,USA.
Nurs Ethics. 2010 Mar;17(2):255-67. doi: 10.1177/0969733009352070.
Patient advocacy is an important aspect of nursing care, yet there are few instruments to measure this essential function. This study was conducted to develop, determine the psychometric properties, and support validity of the Protective Nursing Advocacy Scale (PNAS), which measures nursing advocacy beliefs and actions from a protective perspective. The study used a descriptive correlational design with a systematically selected sample of 419 medical-surgical registered nurses. Analysis of the 43-item instrument was conducted using principal components analysis with promax rotation, which resulted in the items loading onto four components. The four subscales have sufficient internal consistency, as did the overall PNAS. Satisfactory evidence of construct, content, and convergent validity were determined. Implications for nursing practice include using the PNAS in conjunction with an educational program to enhance advocacy skills, which may help to improve patient outcomes.
患者倡导是护理工作的一个重要方面，但目前很少有工具可以衡量这一基本功能。本研究旨在开发、确定保护护理倡导量表（PNAS）的心理测量特性和支持有效性，该量表从保护的角度衡量护理倡导的信念和行为。该研究采用描述性相关设计，对 419 名外科注册护士进行了系统选择的样本分析。使用主成分分析与 promax 旋转对 43 项工具进行分析，结果表明这些项目可以加载到四个组件上。四个分量表具有足够的内部一致性，PNAS 也是如此。确定了结构、内容和收敛有效性的充分证据。对护理实践的影响包括将 PNAS 与教育计划结合使用，以提高倡导技能，这可能有助于改善患者的结果。
