Lipkis-Orlando Robin, Carroll Diane L, Duffy Mary E, P Weiss Anthony, Jones Dorothy A
Author Affiliations: Director (Ms Lipkis-Orlando), Office of Patient Advocacy, Office of Quality and Safety; Nurse Scientist (Dr Carroll), Senior Nurse Scientist (Dr Duffy), Director Emeritus, Munn Center for Nursing Research, Institute for Patient Care Massachusetts General Hospital, Boston, and Professor, Boston College, Massachusetts (Dr Jones); and Chief Medical Officer and Associate Dean for Medical Affairs (Dr Weiss), SUNY Upstate Medical University, Syracuse, New York.
J Nurs Adm. 2016 May;46(5):250-6. doi: 10.1097/NNA.0000000000000339.
The aim of this study is to develop and psychometrically test the Staff Perception of Disruptive Patient Behavior (SPDPB) Scale.
Disruptive patient behaviors impact work safety for nurses in hospitals. There is no standardized approach to capturing staff perceptions of these behaviors.
A mixed-methods approach was used to develop and psychometrically evaluate the SPDPB Scale. Items were generated from a survey completed by 770 healthcare providers. A prototype 66-item instrument was developed and content validity was obtained. Evaluation of the psychometric properties of the SPDPB Scale was completed with 558 nurses. Evaluation included internal consistency reliability, principal components analysis, and internal consistency reliability derived subscales to refine the final scale.
The SPDPB Scale is a multidimensional measure of perceptions of disruptive patient behaviors. The analysis identified 6 components explaining 54.1% of the variance. The final scale contained 65 items.
This scale demonstrated psychometric adequacy and can be recommended to measure staff perceptions of disruptive patient behavior.
本研究旨在开发并对员工对患者破坏性行为的感知量表（SPDPB量表）进行心理测量学测试。
患者的破坏性行为会影响医院护士的工作安全。目前尚无标准化方法来获取员工对这些行为的看法。
采用混合方法来开发并对SPDPB量表进行心理测量学评估。项目源自770名医疗服务提供者完成的一项调查。开发了一个包含66个条目的原型工具，并获得了内容效度。对558名护士完成了SPDPB量表心理测量特性的评估。评估包括内部一致性信度、主成分分析以及通过内部一致性信度得出的子量表以完善最终量表。
SPDPB量表是对患者破坏性行为感知的多维度测量工具。分析确定了6个成分，解释了54.1%的方差。最终量表包含65个条目。
该量表显示出心理测量学上的充分性，可推荐用于测量员工对患者破坏性行为的看法。
