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进一步测试一种用于测量医院情感关怀的工具的心理计量学特性。

Further psychometric testing of an instrument to measure emotional care in hospital.

机构信息

Clinical Nursing and Midwifery Research Centre, School of Nursing and Midwifery, Faculty of Computing, Health and Science, Edith Cowan University, 270 Joondalup Drive, Joondalup, Western Australia 6027, Australia.

出版信息

J Clin Nurs. 2011 Dec;20(23-24):3472-82. doi: 10.1111/j.1365-2702.2011.03846.x.

DOI:10.1111/j.1365-2702.2011.03846.x
PMID:22187737
Abstract

AIMS AND OBJECTIVES

This paper describes further testing of the instrument Patient Evaluation of Emotional Care during Hospitalisation.

BACKGROUND

In 2005, a questionnaire was developed that could be completed by patients to evaluate the quality of emotional care received during their time in hospital. This questionnaire was tested at an acute care private hospital in Perth, Western Australia, with encouraging estimates of reliability and validity. The purpose of this study was to further test this questionnaire in a larger sample of inpatients at a public hospital in the same state.

DESIGN

Psychometric evaluation.

METHOD

A hospital-wide survey of 13 wards of a public hospital was conducted. Two hundred and fifty-one patients completed the questionnaire.

RESULTS

Psychometric testing of the Patient Evaluation of Emotional Care during Hospitalisation demonstrated acceptable internal consistency reliability. Confirmatory factor analysis substantiated the four sub-scales as follows: Level of Security, Level of Knowing, Level of Personal Value and Level of Connection. The Level of Connection sub-scale was assessed for the first time in this study. This sub-scale had the lowest mean score of all the sub-scales across the hospital as well as in each of the wards surveyed. Qualitative data substantiated, from the patients’ perspective, a lack of connection with hospital staff.

CONCLUSIONS

Further psychometric testing of the Patient Evaluation of Emotional Care during Hospitalisation instrument has confirmed its psychometric properties and usefulness as an instrument to measure emotional care during hospitalisation.

RELEVANCE TO CLINICAL PRACTICE

The Patient Evaluation of Emotional Care during Hospitalisation is a reliable and valid tool with which the emotional care of patients in hospital can be measured and the effectiveness of interventions assessed.

摘要

目的和目标

本文描述了对住院期间患者情感关怀评估量表(Patient Evaluation of Emotional Care during Hospitalisation)的进一步测试。

背景

2005 年,开发了一种问卷,患者可以完成该问卷,以评估他们在住院期间接受的情感关怀质量。该问卷在西澳大利亚珀斯的一家急性护理私立医院进行了测试,其可靠性和有效性的估计结果令人鼓舞。本研究的目的是在同一州的一家公立医院中对更大样本的住院患者进一步测试该问卷。

设计

心理测量评估。

方法

对一家公立医院的 13 个病房进行了全院范围的调查。251 名患者完成了问卷。

结果

住院期间患者情感关怀评估的心理测量测试显示出可接受的内部一致性可靠性。验证性因子分析证实了四个子量表,分别是安全感、了解程度、个人价值观和联系程度。连接程度子量表是在本研究中首次评估的。该子量表在整个医院以及每个调查病房的所有子量表中得分最低。定性数据从患者的角度证实了与医院工作人员缺乏联系。

结论

对住院期间患者情感关怀评估量表的进一步心理测量测试证实了其心理测量特性和作为衡量住院期间情感关怀的工具的有用性。

临床意义

住院期间患者情感关怀评估是一种可靠和有效的工具,可以衡量患者在医院的情感关怀,并评估干预措施的效果。

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