多专业合作多群组测量量表的有效性和可靠性。
Validity and reliability of a multiple-group measurement scale for interprofessional collaboration.
机构信息
Keenan Research Centre in Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada.
出版信息
BMC Health Serv Res. 2010 Mar 30;10:83. doi: 10.1186/1472-6963-10-83.
BACKGROUND
Many measurement scales for interprofessional collaboration are developed for one health professional group, typically nurses. Evaluating interprofessional collaborative relationships can benefit from employing a measurement scale suitable for multiple health provider groups, including physicians and other health professionals. To this end, the paper begins development of a new interprofessional collaboration measurement scale designed for use with nurses, physicians, and other professionals practicing in contemporary acute care settings. The paper investigates validity and reliability of data from nurses evaluating interprofessional collaboration of physicians and shows initial results for other rater/target combinations.
METHODS
Items from a published scale originally designed for nurses were adapted to a round robin proxy report format appropriate for multiple health provider groups. Registered nurses, physicians, and allied health professionals practicing in inpatient wards/services of 15 community and academic hospitals in Toronto, Canada completed the adapted scale. Exploratory and confirmatory factor analysis of responses to the adapted scale examined dimensionality, construct and concurrent validity, and reliability of nurses' response data. Correlations between the adapted scale, the nurse-physician relations subscale of the Nursing Work Index, and the Attitudes Toward Health Care Teams Scale were calculated. Differences of mean scores on the Nursing Work Index and the interprofessional collaboration scale were compared between hospitals.
RESULTS
Exploratory factor analysis revealed 3 factors in the adapted interprofessional collaboration scale - labeled Communication, Accommodation, and Isolation - which were subsequently corroborated by confirmatory factor analysis. Nurses' scale responses about physician collaboration had convergent, discriminant, and concurrent validity, and acceptable reliability.
CONCLUSION
The new scale is suitable for use with nurses assessing physicians. The scale may yield valid and reliable data from physicians and others, but measurement equivalence and other properties of the scale should be investigated before it is used with multiple health professional groups.
背景
许多用于评价跨专业合作的测量量表都是针对单一的医疗专业群体（通常是护士）开发的。评价跨专业合作关系可以受益于使用适合多个医疗服务提供者群体（包括医生和其他医疗专业人员）的测量量表。为此，本文开始开发一种新的跨专业合作测量量表，该量表专为在当代急性护理环境中工作的护士、医生和其他专业人员设计。本文研究了护士评价医生跨专业合作的量表数据的有效性和可靠性，并展示了其他评价者/目标组合的初步结果。
方法
从最初为护士设计的已发表量表中选取项目，采用适合多个医疗服务提供者群体的轮询代理报告格式进行改编。加拿大多伦多 15 家社区和学术医院的注册护士、医生和联合医疗保健专业人员在住院病房/服务中完成了改编后的量表。对改编后的量表的响应进行探索性和验证性因素分析，考察了维度、结构和同时效度以及护士响应数据的可靠性。计算了改编后的量表与护理工作指数中护士-医生关系子量表和医疗团队态度量表之间的相关性。比较了不同医院在护理工作指数和跨专业合作量表上的平均得分差异。
结果
探索性因素分析显示，改编后的跨专业合作量表有 3 个因素-分别标记为沟通、适应和隔离-随后通过验证性因素分析得到了证实。护士对医生合作的量表反应具有收敛、区别和同时效度，并且具有可接受的可靠性。
结论
新量表适用于护士评价医生。该量表可能会从医生和其他人员那里获得有效和可靠的数据，但在将其用于多个医疗专业群体之前，应调查该量表的测量等效性和其他特性。
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