Department of Nursing, Faculty of Health Sciences, European University of Valencia, Valencia, Spain.
Department of Social Psychology, Faculty of Psychology, University of Valencia, Valencia, Spain.
Nurse Educ Today. 2018 May;64:27-32. doi: 10.1016/j.nedt.2018.01.031. Epub 2018 Feb 7.
Patient communication is a key skill for nurses involved in clinical care. Its measurement is a complex phenomenon that can be addressed through attitude evaluation.
To develop and psychometrically test a measure of nurses' attitudes towards communication with patients (ACO), to study the relationship between these dimensions, and to analyse nursing attitudes.
To develop and psychometrically test the ACO questionnaire.
All hospitals in the province of Valencia were invited by e-mail to distribute the ACO instrument. Ten hospitals took part in the study.
The study population was composed of a convenience sample of 400 hospital nurses on general or special services. The inclusion criteria were nurses at the selected centres who had previously provided an informed consent to participate.
A literature review and expert consultation (N = 10) was used to develop the content of the questionnaire. The 62-item version of the instrument was applied to a convenience sample of 400 nurses between May 2015 and March 2016. Factor structure was evaluated with exploratory and confirmatory factor analysis (EFA, CFA), and reliability was evaluated with Cronbach's alpha, composite reliability (CR), and average variance extracted (AVE).
The final instrument (ACO), composed of 25 items grouped into three attitude dimensions (cognitive, affective and behavioural), had good psychometric properties. In the study sample, nurses had a favourable attitude towards communication. The cognitive and affective dimensions of the ACO should be able to predict the behaviour dimension.
The ACO is useful for evaluating current clinical practices, identifying educational needs and assessing the effectiveness of communication training or other interventions intended to improve communication.
患者沟通是参与临床护理的护士的关键技能。其测量是一个复杂的现象，可以通过态度评估来解决。
开发和心理测量护士对患者沟通态度的测量工具（ACO），研究这些维度之间的关系，并分析护理态度。
开发和心理测量 ACO 问卷。
通过电子邮件邀请瓦伦西亚省的所有医院分发 ACO 工具。十家医院参与了这项研究。
研究人群由一般或特殊服务的 400 名医院护士的便利样本组成。纳入标准为选定中心的护士，他们之前已同意参与。
文献回顾和专家咨询（N=10）用于开发问卷的内容。2015 年 5 月至 2016 年 3 月，对 400 名护士进行了 62 项仪器的便利性抽样。使用探索性和验证性因素分析（EFA、CFA）评估因子结构，使用 Cronbach's alpha、综合可靠性（CR）和平均方差提取（AVE）评估可靠性。
最终仪器（ACO）由 25 个项目组成，分为三个态度维度（认知、情感和行为），具有良好的心理测量特性。在研究样本中，护士对沟通持积极态度。ACO 的认知和情感维度应该能够预测行为维度。
ACO 可用于评估当前的临床实践、确定教育需求以及评估沟通培训或其他旨在改善沟通的干预措施的有效性。
