Fetherstonhaugh Deirdre, Lewis Virginia, McAuliffe Linda, Bauer Michael
La Trobe University, Melbourne, Australia.
Int J Geriatr Psychiatry. 2016 Apr;31(4):428-34. doi: 10.1002/gps.4364. Epub 2015 Oct 2.
To develop a psychometrically sound tool for measuring the knowledge of nursing and care staff about the experience, assessment and management of pain in older people (including people with dementia) for use in the residential aged care setting.
The Pain in Older Adults Knowledge Survey (POAKS) was developed and tested in two phases. Phase 1 involved developing an initial item pool with good content validity based on a review of the research literature and a modified Delphi technique involving national and international experts. A pool of 24 items was developed for testing. Initial testing of the psychometric properties of the POAKS with 30 university employees led to refinement and final wording of items. Phase 2 involved testing of the psychometric properties of the POAKS with 279 respondents, including first year (n = 176) and third year (n = 70) nursing students and staff in a residential aged care service (n = 33).
Results established the content validity and internal consistency of the POAKS and supported its use as an instrument to measure nursing staff knowledge about the experience, assessment and management of pain in older people.
The POAKS will enable residential aged care facilities to measure the level of knowledge among nursing and care staff about pain in older people (including people with dementia). The measure provides a basis for the development and implementation of educational interventions to address knowledge gaps that may impact on the quality of care provided.
开发一种心理测量学上合理的工具，用于测量护理和照料人员对老年人（包括痴呆症患者）疼痛体验、评估和管理的知识，以用于老年护理机构。
老年人疼痛知识调查（POAKS）分两个阶段进行开发和测试。第一阶段包括根据研究文献综述和涉及国内外专家的改良德尔菲技术，开发一个具有良好内容效度的初始项目池。开发了一组24个项目用于测试。对30名大学员工进行POAKS心理测量特性的初步测试，从而对项目进行完善和最终措辞确定。第二阶段包括对279名受访者进行POAKS心理测量特性测试，其中包括一年级（n = 176）和三年级（n = 70）护理专业学生以及一家老年护理服务机构的员工（n = 33）。
结果确定了POAKS的内容效度和内部一致性，并支持将其用作衡量护理人员对老年人疼痛体验、评估和管理知识的工具。
POAKS将使老年护理机构能够测量护理和照料人员对老年人（包括痴呆症患者）疼痛知识的水平。该测量方法为制定和实施教育干预措施提供了基础，以解决可能影响所提供护理质量的知识差距。
