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[一种以患者为中心的重症护理评估测量方法的开发与验证]

[Development and Validation of a Measurement to Assess Person-centered Critical Care Nursing].

作者信息

Kang Jiyeon, Cho Young Shin, Jeong Yeon Jin, Kim Soo Gyeong, Yun Seonyoung, Shim Miyoung

机构信息

Department of Nursing, Dong-A University, Busan, Korea.

Surgical Intensive Care Unit, Kosin University Gospel Hospital, Busan, Korea.

出版信息

J Korean Acad Nurs. 2018 Jun;48(3):323-334. doi: 10.4040/jkan.2018.48.3.323.

Abstract

PURPOSE

The purpose of this study was to develop a scale to measure person-centered critical care nursing and verify its reliability and validity.

METHODS

A total of 38 preliminary items on person-centered critical care nursing were selected using content validity analysis of and expert opinion on 72 candidate items derived through literature review and qualitative interviews. We conducted a questionnaire survey with 477 nurses who worked in intensive care units. The collected data were analyzed using exploratory factor analysis (EFA) and confirmative factor analysis (CFA) with SPSS and AMOS 24.0 program.

RESULTS

EFA was performed with principal axis factor analysis and Varimax rotation. The 15 items in 4 factors that accounted for 50.8% of the total variance were identified by deleting the items that were not meet the condition that the commonality should be .30 or more and the factor loading over .40. We named the factors as compassion, individuality, respect, and comfort, respectively. The correlation coefficient between this scale and the Caring Perception Scale was r=.57 (p<.001), which determined concurrent validity. The item-total correlation values ranged from .39 to .63, and the internal consistency for the scale was Cronbach's α=.84.

CONCLUSION

The reliability and validity of the 15 item person-centered critical care nursing scale were verified. It is expected that the use of this scale would expand person-centered care in critical care nursing.

摘要

目的

本研究旨在开发一个量表来测量以患者为中心的重症护理,并验证其信效度。

方法

通过对72个经文献回顾和质性访谈得出的候选条目进行内容效度分析和专家意见,共选取了38个关于以患者为中心的重症护理的初步条目。我们对477名在重症监护病房工作的护士进行了问卷调查。使用SPSS和AMOS 24.0程序对收集的数据进行探索性因素分析(EFA)和验证性因素分析(CFA)。

结果

采用主轴因素分析和方差最大旋转法进行EFA。通过删除共同度应在0.30及以上且因素负荷超过0.40这一条件不满足的条目,确定了4个因素中的15个条目,它们占总方差的50.8%。我们将这些因素分别命名为同情心、个性化、尊重和舒适。该量表与关怀感知量表的相关系数为r = 0.57(p < 0.001),确定了同时效度。条目与总分的相关值范围为0.39至0.63,量表的内部一致性为Cronbach's α = 0.84。

结论

验证了15个条目的以患者为中心的重症护理量表的信效度。预计该量表的使用将扩大重症护理中以患者为中心的护理。

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