Department of International Business and Trade, Shu-Te University, Kaohsiung, Taiwan.
Department of Long Term Care, National Quemoy University, Kinmen, Taiwan.
J Nurs Manag. 2018 Mar;26(2):227-237. doi: 10.1111/jonm.12539. Epub 2017 Sep 27.
Develop the patient-centred innovation questionnaire for hospital nurses and establish its validity and reliability.
Patient-centred care has been adopted by health care managers in their efforts to improve health care quality. It is regarded as a core concept for developing innovation.
A cross-sectional study was employed to collect data from hospital nurses in Taiwan. This study was divided into two stages: pilot study and main study. In the main study, 596 valid responses were collected. This study adopted reliability analysis, exploratory factor analysis, confirmatory factor analysis and selected nurse innovation scale as a criterion to test criterion-related validity.
Five-dimension patient-centred innovation questionnaire was proposed: access and practicability, co-ordination and communication, sharing power and responsibility, care continuity, family and person focus. Each dimension demonstrated a reliability of 0.89-0.98. All dimensions had acceptable convergent and discriminate validity. The patient-centred innovation questionnaire and nurse innovation scale exhibited a significantly positive correlation.
Patient-centred innovation questionnaire not only had a good theoretical basis but also had sufficient reliability and construct validity, and criterion-related validity.
Patient-centred innovation questionnaire could give a measure for evaluating the implementation of patient-centred care and could be used as a management tool during the process of nurse innovation.
为医院护士开发以患者为中心的创新问卷，并确立其有效性和可靠性。
以患者为中心的护理已被医疗保健管理人员采用，以努力提高医疗保健质量。它被认为是开发创新的核心概念。
本研究采用横断面研究，从台湾的医院护士中收集数据。本研究分为两个阶段：试点研究和主要研究。在主要研究中，共收集了 596 份有效回复。本研究采用可靠性分析、探索性因素分析、验证性因素分析，并选择护士创新量表作为标准来测试效标关联效度。
提出了五维度以患者为中心的创新问卷：可及性和实用性、协调和沟通、共享权力和责任、护理连续性、家庭和个人关注。每个维度的可靠性为 0.89-0.98。所有维度均具有可接受的收敛和区分效度。以患者为中心的创新问卷和护士创新量表之间呈显著正相关。
以患者为中心的创新问卷不仅具有良好的理论基础，而且具有足够的可靠性和结构有效性以及效标关联效度。
以患者为中心的创新问卷可以为评估以患者为中心的护理实施情况提供一种衡量标准，并可作为护士创新过程中的管理工具。
