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以患者为中心的实践量表 - 员工版(PCPI-S)的开发与测试。

The development and testing of the Person-centred Practice Inventory - Staff (PCPI-S).

作者信息

Slater Paul, McCance Tanya, McCormack Brendan

机构信息

Institute of Nursing and Health Research, Ulster University, Belfast, Northern Ireland.

The Institute for Nursing and Health Research, The Person-centred Practice Research Centre, Ulster University, Belfast, Northern Ireland.

出版信息

Int J Qual Health Care. 2017 Aug 1;29(4):541-547. doi: 10.1093/intqhc/mzx066.

Abstract

OBJECTIVE

The aim of the study was to develop and test an instrument, underpinned by a recognized theoretical framework, that examines how staff perceive person-centred practice, using proven methods of instrument design and psychometric analysis.

DESIGN

The study used a mixed method multiphase research design involving: two Delphi studies to agree definitions and items to measure the constructs aligned to the person-centred practice theoretical framework (Phase 1); and a large-scale quantitative cross-sectional survey (Phase 2).

SETTING

Phase 1 was an international study involving representatives from seven countries across Europe and Australia, with Phase 2 conducted in one country across five organizations.

PARTICIPANTS

Two international panels of experts (n = 33) in person-centred practice took part in the Delphi study and a randomly selected sample of registered nurses (n = 703, 23.8%) drawn from across a wide range of clinical settings completed the Person-centred Practice Inventory - Staff (PCPI-S).

MAIN OUTCOME MEASURES

The main outcome is to establish a measure of staff perceptions of person-centred Practice.

RESULTS

Broad consensus on definitions relating to 17 constructs drawn from a person-centred practice framework was achieved after two rounds; likewise with the generation of 108 items to measure the constructs; a final instrument comprising 59 items with proven psychometric properties was achieved.

CONCLUSIONS

The PCPI-S is psychometrically acceptable instrument validated by an international expert panel that maps specifically to a theoretical framework for person-centred practice and provides a generic measure of person-centredness.

摘要

目的

本研究旨在开发并测试一种基于公认理论框架的工具,该工具采用成熟的工具设计和心理测量分析方法,来考察工作人员如何看待以患者为中心的实践。

设计

本研究采用了混合方法多阶段研究设计,包括:两项德尔菲研究,以就与以患者为中心的实践理论框架相一致的结构定义和测量项目达成共识(第一阶段);以及一项大规模定量横断面调查(第二阶段)。

背景

第一阶段是一项国际研究,涉及来自欧洲和澳大利亚七个国家的代表,第二阶段在一个国家的五个组织中进行。

参与者

两个以患者为中心实践的国际专家小组(n = 33)参与了德尔菲研究,从广泛的临床环境中随机抽取的注册护士样本(n = 703,23.8%)完成了以患者为中心的实践量表 - 工作人员版(PCPI-S)。

主要结局指标

主要结局是建立一种衡量工作人员对以患者为中心实践认知的方法。

结果

经过两轮,就从以患者为中心的实践框架中提取的17个结构的定义达成了广泛共识;同样,在生成108个测量这些结构的项目方面也达成了共识;最终形成了一个包含59个项目且具有可靠心理测量特性的工具。

结论

PCPI-S是一种经国际专家小组验证的心理测量可接受的工具,它专门映射到以患者为中心实践的理论框架,并提供了一种以患者为中心程度的通用测量方法。

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