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助产士的丧亲之痛理解评估工具(UBET):因素结构与临床研究应用

The Understanding Bereavement Evaluation Tool (UBET) for midwives: factor structure and clinical research applications.

作者信息

Hollins Martin Caroline J, Forrest Eleanor, Wylie Linda, Martin Colin R

机构信息

School of Nursing, Midwifery and Social Care, University of Salford, Greater Manchester, England, UK.

出版信息

Nurse Educ Today. 2013 Oct;33(10):1153-9. doi: 10.1016/j.nedt.2012.11.019. Epub 2013 Jan 4.

DOI:10.1016/j.nedt.2012.11.019
PMID:23290713
Abstract

BACKGROUND

The NMSF (2009) survey reported that bereavement midwife care was inadequate in a number of UK NHS Trusts. Using a small grant from the Scottish government, 3 experienced midwifery lecturers designed an interactive workbook called "Shaping bereavement care for midwives in clinical practice" for the purpose of improving delivery of bereavement education to student midwives. An instrument called the Understanding Bereavement Evaluation Tool (UBET) was designed to measure effectiveness of the workbook at equipping students with essential knowledge.

AIM

To assess validity and reliability of the UBET at measuring midwives' self-perceptions of knowledge surrounding delivery of bereavement care to childbearing women, partners and families who have experienced childbirth related bereavement.

METHOD

An evaluative audit using the UBET was undertaken to explore student midwives' (n=179) self perceived knowledge levels before and after the workbook intervention. Validity tests have shown that the UBET, (6-item version), could be considered a psychometrically robust instrument for assessing students' knowledge gain. PCA identified that the UBET comprised two sub-scales (theoretical knowledge base - Q 1, 2 & 3 and psychosocial elements of care delivery - Q 4, 5 & 6).

DISCUSSION

Data has shown that the easy to administer and short 6-item UBET is a valid and reliable tool for educators to measure success at delivering education using the "Shaping bereavement care for midwives in clinical practice" work book.

摘要

背景

2009年的全国助产士调查(NMSF)显示,在英国国民医疗服务体系(NHS)的一些信托机构中,丧亲助产护理服务不足。利用苏格兰政府提供的一笔小额赠款,3位经验丰富的助产讲师设计了一本名为《塑造临床实践中助产士的丧亲护理》的互动工作手册,目的是改善对助产专业学生的丧亲教育。设计了一种名为“丧亲理解评估工具”(UBET)的工具,以衡量该工作手册在使学生掌握基本知识方面的效果。

目的

评估UBET在衡量助产士对为经历分娩相关丧亲之痛的产妇、伴侣和家庭提供丧亲护理相关知识的自我认知方面的有效性和可靠性。

方法

使用UBET进行了一项评估性审计,以探究助产专业学生(n = 179)在工作手册干预前后的自我认知知识水平。效度测试表明,UBET(6项版本)可被视为一种在心理测量学上稳健的工具,用于评估学生的知识收获。主成分分析确定,UBET包括两个子量表(理论知识库——问题1、2和3,以及护理提供的心理社会要素——问题4、5和6)。

讨论

数据表明,易于管理且简短的6项UBET是一种有效且可靠的工具,可供教育工作者使用《塑造临床实践中助产士的丧亲护理》工作手册来衡量教育成效。

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