Persoon Anke, Bakker Franka C, van der Wal-Huisman Hanneke, Olde Rikkert Marcel G M
Department of Geriatrics, Radboud University Medical Centre, Nijmegen, The Netherlands.
J Am Geriatr Soc. 2015 Feb;63(2):327-34. doi: 10.1111/jgs.13243. Epub 2015 Feb 2.
To develop a questionnaire, the Geriatric In-hospital Nursing Care Questionnaire (GerINCQ), to measure, in an integrated way, the care that older adults receive in the hospital and nurses' attitudes toward and perceptions about caring for older adults.
Questionnaire development.
Twelve university and teaching hospitals.
Thirteen experienced geriatric nurses and three geriatricians from 12 hospitals evaluated an initial version of the questionnaire. Two hundred seventy-one nurses, primarily registered nurses from 11 geriatric, medical, and surgical departments in six hospitals, validated the final questionnaire.
Items from two published instruments were extracted for use in the questionnaire. Content validity was confirmed using the Delphi technique with an expert panel. Internal consistency was measured by calculating Cronbach alpha; intrarater reliability was measured using test-retest correlations and intraclass correlation coefficients (ICCs); differences between hospital departments were analyzed using analysis of variance. Sensitivity to detect before-and-after changes with implementation of a geriatric care program was determined using the Student t-test.
Consensus was reached after three Delphi rounds. The GerINCQ is a self-administered questionnaire to be filled out by hospital nurses that comprises five subscales with 67 items. It has good content validity (each item content validity index >0.9) and good internal consistency (Cronbach alpha = 0.86). Intrarater reliability revealed high test-retest results (ICC = 0.87). The questionnaire detected significant differences between nurses in three types of hospital departments (medical, surgical, and geriatric (P < .01). The GerINCQ was sensitive to changes after an educational program (P < .02) and had a large effect size (0.5).
The GerINCQ is a reliable and valid tool and is sensitive to change over time. It is clinically relevant because it provides a quantitative measure of hospital nurses' geriatric practices, attitudes, and perceptions. Moreover, the GerINCQ is suitable for monitoring progress after implementation of geriatric improvement programs.
编制一份问卷，即老年住院护理问卷（GerINCQ），以综合衡量老年人在医院接受的护理以及护士对护理老年人的态度和认知。
问卷编制。
12所大学附属医院和教学医院。
来自12所医院的13名经验丰富的老年护理护士和3名老年病科医生对问卷初稿进行了评估。271名护士（主要是来自6所医院的11个老年科、内科和外科的注册护士）对最终问卷进行了验证。
从两份已发表的工具中提取项目用于问卷。采用德尔菲技术和专家小组确认内容效度。通过计算克朗巴赫α系数测量内部一致性；使用重测相关性和组内相关系数（ICC）测量评分者内信度；使用方差分析分析医院科室之间的差异。使用学生t检验确定实施老年护理计划前后变化的检测敏感性。
经过三轮德尔菲法达成了共识。GerINCQ是一份由医院护士自行填写的问卷，包括五个分量表，共67个项目。它具有良好的内容效度（每个项目的内容效度指数>0.9）和良好的内部一致性（克朗巴赫α系数 = 0.86）。评分者内信度显示重测结果较高（ICC = 0.87）。该问卷检测出三类医院科室（内科、外科和老年科）护士之间存在显著差异（P <.01）。GerINCQ对教育计划后的变化敏感（P <.02），且效应量较大（0.5）。
GerINCQ是一种可靠且有效的工具，对随时间的变化敏感。它具有临床相关性，因为它提供了医院护士老年护理实践、态度和认知的定量测量。此外，GerINCQ适用于监测老年改善计划实施后的进展情况。
