Centre for Health Services and Nursing Research, Faculty of Medicine, Catholic University of Leuven, Leven, Belgium.
J Clin Nurs. 2012 May;21(9-10):1387-400. doi: 10.1111/j.1365-2702.2011.03861.x. Epub 2011 Sep 27.
The aims of this study were to translate the Care-Q into Dutch, adapt it for use in oncological care settings in Flanders and explore its psychometric properties in oncology patients.
The 'good nurse' is a difficult concept to measure. Patients' experiences are essential for understanding what characterises good nurses in the oncology setting. Although the Care-Q is one of the most widely used instruments to measure cancer patients' perceptions of good nurses, no translated, validated instrument has been developed for Flanders.
A quantitative, descriptive, non-experimental research design was used.
We translated the Care-Q into Dutch, adapted it and assessed its face and content validity. Its psychometric properties were examined in 100 oncology patients. Internal consistency was assessed using Cronbach's alpha coefficient, and test-retest reliability was assessed using Wilcoxon matched pairs test and Spearman's rho coefficient. Factor structure was studied using explorative factor analysis derived from principal component analysis with varimax rotation, and the user-friendliness was examined using descriptive statistics.
Several items from the original Care-Q were removed or adapted, and new items were added. The content validity index was 0·83. Five reliable, consistent and meaningful subscales were identified that explained 49·7% of the total variance: good nurses are empathic (towards patients and family), professional, patient-centred, respectful and communicative. Cronbach's alpha was 0·92 for the whole instrument and 0·65-0·81 for the subscales. User-friendliness was deemed favourable.
The Flemish adaptation of the Care-Q has favourable psychometric properties. It appears to be a useful instrument for studying cancer patients' perceptions of good nurses in Flanders.
The Flemish adaptation of the Care-Q is useful for helping nurses to reflect critically on the care they offer and to adapt and improve care to the real needs and expectations of patients with cancer.
本研究的目的是将 Care-Q 翻译成荷兰语，使其适用于佛兰德斯的肿瘤护理环境，并探索其在肿瘤患者中的心理测量特性。
“好护士”是一个难以衡量的概念。患者的体验对于理解在肿瘤环境中好护士的特点至关重要。尽管 Care-Q 是衡量癌症患者对好护士看法最广泛使用的工具之一，但在佛兰德斯尚未开发出经过翻译和验证的工具。
采用定量、描述性、非实验性研究设计。
我们将 Care-Q 翻译成荷兰语，对其进行了改编，并评估了其表面和内容效度。在 100 名肿瘤患者中评估了其心理测量特性。使用 Cronbach's alpha 系数评估内部一致性，使用 Wilcoxon 匹配对检验和 Spearman's rho 系数评估重测信度。使用探索性因子分析从主成分分析衍生而来的方差极大旋转，研究因子结构，并使用描述性统计评估用户友好性。
对原始 Care-Q 的一些项目进行了删除或改编，并添加了新的项目。内容效度指数为 0.83。确定了 5 个可靠、一致和有意义的子量表，它们解释了总方差的 49.7%：好护士富有同情心（对患者和家属）、专业、以患者为中心、尊重和善于沟通。整个工具的 Cronbach's alpha 为 0.92，子量表的 Cronbach's alpha 为 0.65-0.81。用户友好性被认为是有利的。
Care-Q 的佛兰德斯语改编具有良好的心理测量特性。它似乎是一种有用的工具，可用于研究佛兰德斯肿瘤患者对好护士的看法。
Care-Q 的佛兰德斯语改编有助于护士批判性地反思他们提供的护理，并根据癌症患者的实际需求和期望调整和改进护理。
