Heggland Liv-Helen, Mikkelsen Aslaug, Øgaard Torvald, Hausken Kjell
Stavanger University Hospital, Stavanger, Norway.
J Clin Nurs. 2014 Feb;23(3-4):482-91. doi: 10.1111/jocn.12184. Epub 2013 Apr 3.
To develop, empirical test, and validate an instrument measuring patient participation in surgical treatment decision-making from healthcare professionals' perspective.
Since the advent of New Public Management in many Western countries, patient participation in healthcare decision-making has been considered to be a best practice. A common notion is that well-educated and well-informed public want to choose their own treatments and providers and want to ask questions about the quality of their health services.
Survey.
A self-report-measuring instrument was designed and administered to 620 healthcare professionals. Items were developed, validated and tested by 451 nurses and physicians working in six surgical wards in a University Hospital in Norway.
A 16-item scale with the following four dimensions was developed: information dissemination, formulation of options, integration of information and control. Factor analysis procedures and reliability testing were performed. A one-way, between-groups analysis of variance was conducted to compare doctors' and nurses' opinions on four dimensions of patient participation in surgical treatment decision-making.
This article shows that patient participation in surgical treatment decision-making can be measured by a 16-item scale and four distinct dimensions. The analysis demonstrated a reasonable level of construct validity and reliability. Nurses and physicians have a positive attitude towards patient participation overall, but the two groups differ in the extent to which they accept the idea of patient participation in treatment decision-making.
The instrument can be a tool for managers and healthcare professionals in the implementation of patient participation in clinical practice. Data from the instrument can be useful to identify health services being provided and what areas that could strengthen patient participation.
从医疗保健专业人员的角度开发、实证检验并验证一种衡量患者参与手术治疗决策的工具。
自许多西方国家引入新公共管理以来，患者参与医疗保健决策被视为一种最佳实践。一种普遍的观念是，受过良好教育且信息充分的公众希望选择自己的治疗方式和医疗服务提供者，并希望就其医疗服务质量提出问题。
调查。
设计了一份自我报告测量工具，并对620名医疗保健专业人员进行了施测。该工具的项目由挪威一家大学医院六个外科病房的451名护士和医生开发、验证和测试。
开发了一个包含16个条目的量表，具有以下四个维度：信息传播、方案制定、信息整合和控制权。进行了因子分析程序和信度测试。进行了单因素组间方差分析，以比较医生和护士对患者参与手术治疗决策四个维度的看法。
本文表明，患者参与手术治疗决策可以通过一个包含16个条目的量表和四个不同维度来衡量。分析表明该量表具有合理水平的结构效度和信度。护士和医生总体上对患者参与持积极态度，但两组在接受患者参与治疗决策这一理念的程度上存在差异。
该工具可作为管理人员和医疗保健专业人员在临床实践中实施患者参与的工具。该工具的数据有助于识别正在提供的医疗服务以及哪些领域可以加强患者参与。
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