养老院探访家庭意义量表的编制与验证。
Development and validation of the Family Meaning of Nursing-Home Visits Scale.
机构信息
School of Nursing, Chang Gung University, Tao-Yuan, Taiwan.
出版信息
J Clin Nurs. 2012 Aug;21(15-16):2108-17. doi: 10.1111/j.1365-2702.2012.04150.x. Epub 2012 Jun 7.
AIMS AND OBJECTIVES
The purpose of this study was to develop and test a Family Meaning of Nursing-Home Visits Scale that can be used to assess and document family members' rationale for visiting nursing home residents.
BACKGROUND
Understanding the meaning ascribed by families for visiting nursing home residents is necessary to develop intervention programmes that facilitate the quality of families' nursing home visits. No valid and reliable instrument is available in Taiwan or elsewhere to accurately document the meaning of family visits to nursing home residents.
DESIGN
A cross-sectional design was used to collect survey data from family members of nursing home residents as the quantitative component of a mixed-methods study. Items were developed based on qualitative data from our previous research and that of others. This initial pool of items was used to develop and validate the scale.
METHODS
The validity of the scale was confirmed by exploratory factor analysis and criterion-related validity testing. Internal consistency reliability was assessed by Cronbach's alphas.
RESULTS
Factor analysis yielded a six-factor final solution (32 items), accounting for 66·76% of the variance. For criterion-related validity, 'responsibility for care quality' was negatively correlated with satisfaction with nursing home caregiving (r = -0·23, p < 0·01) and nursing home rehabilitation activities (r = -0·17, p < 0·05). Cronbach's α for each subscale ranged from 0·68-0·98, and Cronbach's α for the total scale was 0·83.
CONCLUSIONS
The Family Meaning of Nursing-Home Visits Scale has acceptable internal consistency reliability, good content validity and acceptable construct validity.
RELEVANCE TO CLINICAL PRACTICE
The Family Meaning of Nursing-Home Visits Scale provides nurses and healthcare providers an objective and consistent method to explore the priority of meanings family members assign to nursing home visits. Based on this priority for visiting, interventions could be designed to increase the quality of visits, thus promoting families' continued incentive to visit in person.
目的和目标
本研究的目的是开发和测试家庭对养老院探访意义量表，可以用来评估和记录家庭成员探访养老院居民的理由。
背景
了解家庭对探访养老院居民赋予的意义，对于制定能够促进家庭探访养老院质量的干预计划是必要的。在台湾或其他地方，没有有效的、可靠的工具来准确记录家庭探访养老院居民的意义。
设计
采用横断面设计，从养老院居民的家庭成员那里收集调查数据，作为混合方法研究的定量部分。项目是基于我们之前的研究和其他人的研究的定性数据开发的。这个初始项目池用于开发和验证量表。
方法
通过探索性因子分析和与标准相关的有效性检验来确认量表的有效性。内部一致性可靠性通过 Cronbach's alphas 进行评估。
结果
因子分析产生了一个六因素的最终解决方案（32 个项目），占方差的 66.76%。对于与标准相关的有效性，“护理质量责任”与对养老院护理的满意度呈负相关（r = -0.23，p < 0.01），与养老院康复活动呈负相关（r = -0.17，p < 0.05）。每个子量表的 Cronbach's α 值范围为 0.68-0.98，总量表的 Cronbach's α 值为 0.83。
结论
家庭对养老院探访意义量表具有可接受的内部一致性可靠性、良好的内容有效性和可接受的结构有效性。
临床意义
家庭对养老院探访意义量表为护士和医疗保健提供者提供了一种客观、一致的方法，用于探索家庭成员对养老院探访赋予的意义的优先级。基于这种探访的优先级，可以设计干预措施来提高探访的质量，从而促进家庭继续有动力亲自探访。
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