Grealish Laurie, Chaboyer Wendy, Harbeck Emma, Edvardsson David
Subacute and Aged Nursing, Menzies Health Institute Queensland, Griffith University & Gold Coast Health, Southport, Queensland, Australia.
NHMRC Centre of Research Excellence in Nursing (NCREN), Menzies Health Institute Queensland, Griffith University, Southport, Queensland, Australia.
J Nurs Manag. 2017 Mar;25(2):139-147. doi: 10.1111/jonm.12451. Epub 2016 Nov 21.
To test the reliability and validity of the Person-centred care of Older People with cognitive impairment in Acute Care scale to determine nurses' perceptions of person-centred care.
One-third of older adults admitted to hospital are at risk of serious hospital-acquired complications such as falls, infections and pressure injuries because of cognitive impairment. These risks can be reduced through person-centred practices. The Person-centred care of Older People with cognitive impairment in Acute Care scale is a self-report staff instrument to explore the extent to which person-centred practices are undertaken; however psychometric testing is limited.
A cross-sectional sample of acute care nurses (n = 240) in Queensland, Australia completing self-report questionnaires. Psychometric analyses of item performance, reliability and validity were conducted.
Item analysis revealed independent items. One item was removed due to negatively associating with the scale, improving total Cronbach's alpha from 0.76 to 0.84. The three original factors were maintained with regrouping of items. Confirmatory factor analysis confirmed the revised model.
The revised Person-centred care of Older People with cognitive impairment in Acute Care scale had satisfactory psychometric properties when used as a total scale.
Scale brevity and simplicity together with rigorous development and testing indicates that the revised Person-centred care of Older People with cognitive impairment in Acute Care may be useful for quality improvement programmes into the care of older people in hospitals.
测试《急性护理中认知障碍老年人的以人为本护理量表》的信度和效度，以确定护士对以人为本护理的看法。
因认知障碍而入院的老年人中有三分之一面临严重医院获得性并发症的风险，如跌倒、感染和压疮。这些风险可通过以人为本的做法降低。《急性护理中认知障碍老年人的以人为本护理量表》是一种自我报告的员工工具，用于探索以人为本做法的实施程度；然而，心理测量测试有限。
对澳大利亚昆士兰州的急性护理护士（n = 240）进行横断面抽样，让他们填写自我报告问卷。对项目表现、信度和效度进行心理测量分析。
项目分析显示了独立项目。由于一个项目与量表呈负相关，该项目被删除，总体克朗巴哈系数从0.76提高到0.84。通过重新组合项目，保留了三个原始因素。验证性因素分析证实了修订后的模型。
修订后的《急性护理中认知障碍老年人的以人为本护理量表》作为一个整体量表使用时，具有令人满意的心理测量特性。
量表的简洁性以及严格的开发和测试表明，修订后的《急性护理中认知障碍老年人的以人为本护理量表》可能有助于改善医院中老年人护理的质量改进计划。
