National Ageing Research Institute, Poplar Road, Parkville, Victoria, Australia.
Int Psychogeriatr. 2013 Jul;25(7):1065-76. doi: 10.1017/S1041610213000471. Epub 2013 Apr 29.
Health services are encouraged to adopt a strong person-centered approach to the provision of care and services for older people. The aim of this project was to establish a user-friendly, psychometrically valid, and reliable measure of healthcare staff's practice, attitudes, and beliefs regarding person-centered healthcare.
Item reduction (factor analysis) of a previously developed "benchmarking person-centred care" survey, followed by psychometric evaluations of the internal consistency reliability and construct validity, was conducted. The initial survey was completed by 1,428 healthcare staff from 17 health services across Victoria, Australia.
After removing 17 items from the previously developed "benchmarking person-centred care" survey, the revised 31-item survey (Person-Centred Health Care for Older Adults Survey) attained eight factors that explain 62.7% of the total variance with a Cronbach's α coefficient of 0.91, indicating excellent internal consistency. Expert consultation confirmed that the revised survey had content validity.
The results indicated that the Person-Centred Health Care for Older Adults Survey is a user-friendly, psychometrically valid, and reliable measure of staff perceptions of person-centered healthcare for use in hospital settings.
医疗服务机构被鼓励采取以患者为中心的方法来为老年人提供护理和服务。本项目旨在开发一种用户友好、具有良好心理测量学特性且可靠的工具，用于评估医护人员在以患者为中心的医疗保健实践、态度和信念方面的情况。
对先前开发的“基准测试以患者为中心的护理”调查进行项目删减（因子分析），然后对内部一致性信度和结构有效性进行心理测量学评估。该初始调查由澳大利亚维多利亚州 17 个医疗服务机构的 1428 名医护人员完成。
在从先前开发的“基准测试以患者为中心的护理”调查中删除 17 个项目后，修订后的 31 项调查（老年人以患者为中心的医疗保健调查）获得了 8 个因子，解释了总方差的 62.7%，克朗巴赫 α 系数为 0.91，表明内部一致性极好。专家咨询证实修订后的调查具有内容有效性。
结果表明，老年人以患者为中心的医疗保健调查是一种用户友好、具有良好心理测量学特性且可靠的工具，用于评估医院环境中工作人员对以患者为中心的医疗保健的看法。
