The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong, China.
Hong Kong Association of Gerontology, Hong Kong, China.
Geriatr Gerontol Int. 2018 May;18(5):745-749. doi: 10.1111/ggi.13244. Epub 2018 Jan 16.
Although much attention has been on integrating the palliative care approach into services of long-term care homes for older people living with frailty and progressive diseases, little is known about the staff preparedness for these new initiatives. The present study aimed to develop and test the psychometric properties of an instrument for measuring care home staff preparedness in providing palliative and end-of-life care.
A 16-item instrument, covering perceived knowledge, skill and psychological readiness, was developed. A total of 247 staff members of different ranks from four care homes participated in the study. Exploratory factor analysis using the principal component analysis extraction method with varimax rotation was carried out for initial validation. Known group comparison was carried out to examine its discriminant validity. Reliability of the instrument was assessed based on test-retest reliability of a subsample of 20 participants and the Cronbach's alpha of the items.
Exploratory factor analysis showed that the instrument yielded a three-factor solution, which cumulatively accounted for 68.5% of the total variance. Three subscales, namely, willingness, capability and resilience, showed high internal consistency and test-retest reliability. It also showed good discriminant validity between staff members of professional and non-professional groups.
This is a brief, valid and reliable scale for measuring care home staff preparedness for providing palliative and end-of-life care. It can be used to identify their concerns and training needs in providing palliative and end-of-life care, and as an outcome measure to evaluate the effects of interventional studies for capacity building in this regard. Geriatr Gerontol Int 2018; 18: 745-749.
尽管人们已经关注将姑息治疗方法整合到为患有虚弱和进行性疾病的老年人提供服务的长期护理院服务中，但对于这些新举措的工作人员准备情况却知之甚少。本研究旨在开发和测试一种用于衡量护理院工作人员提供姑息治疗和临终关怀准备情况的工具的心理测量学特性。
开发了一个包含感知知识、技能和心理准备的 16 项工具。共有来自 4 家养老院的 247 名不同职级的员工参与了这项研究。采用主成分分析提取方法和方差极大旋转进行探索性因素分析，对初始有效性进行验证。采用已知组比较来检验其判别效度。通过对 20 名参与者的子样本进行测试-重测信度和项目的克朗巴赫 α 来评估仪器的可靠性。
探索性因素分析显示，该工具产生了一个三因素解决方案，累计解释了总方差的 68.5%。三个分量表，即意愿、能力和弹性，表现出较高的内部一致性和测试-重测信度。它还显示了专业和非专业人员之间的良好判别效度。
这是一种用于衡量护理院工作人员提供姑息治疗和临终关怀准备情况的简短、有效且可靠的量表。它可用于识别他们在提供姑息治疗和临终关怀方面的关注点和培训需求，并可作为评估干预性研究在这方面建立能力的效果的结果测量。老年医学与老年病学国际 2018 年；18：745-749.
