Department of Nursing, Nanfang Hospital, Southern Medical University, Guangzhou, China.
J Clin Nurs. 2019 Feb;28(3-4):444-457. doi: 10.1111/jocn.14613. Epub 2018 Aug 6.
To translate the Patient Perceptions of Patient-Empowering Nurse Behaviours Scale (PPPNBS) into Chinese and to psychometrically test the Chinese version of PPPNBS (PPPNBS-C) in chronically ill patients.
The growing prevalence and burden of chronic illnesses became the driving force for the need of empowerment as an approach to engage patients in self-management. The PPPNBS was developed to assess patient perceptions of the process of empowerment during hospitalisation. Extending its application to different clinical context and ethnicities is worth pursuing.
A cross-sectional survey.
The PPPNBS was translated according to Brislin's translation guidelines and was culturally adapted. A questionnaire survey was carried out to determine the reliability and validity of the PPPNBS-C among a total of 517 hospitalised patients with chronic illnesses.
The content validity was found to be good with a content validity index of 0.94. Exploratory factor analysis identified six factors explaining 68.56% of the total variance and confirmatory factor analysis confirmed this six-factor structure. The hypothesised differences were demonstrated through contrasted group comparisons by time since diagnosis and length of hospital stay. The score of the PPPNBS-C was significantly and positively associated with that of the Client Satisfaction Questionnaire, as was the Self-Efficacy for Managing Chronic Disease 6-Item Scale score, providing evidence of convergent validity. The Cronbach's alpha coefficient was 0.960 and the intraclass correlation coefficient was 0.86 for the total scale, explaining good internal consistency and time stability.
The PPPNBS-C has preliminary verification of the validity and reliability and could be useful in measuring patient perceptions of patient-empowering nurse behaviours.
The PPPNBS-C can be applied to chronically ill patients as a metric of the implementation status of patient-empowering nurse behaviours and can be used as a guide to encourage nurse's intentional utilisation of empowering behaviours.
将《患者感知护士赋权行为量表》（PPPNBS）翻译为中文，并对慢性病患者进行中文版 PPPNBS（PPPNBS-C）的心理测量测试。
慢性疾病的患病率和负担不断增加，这促使人们需要采用赋权方法来鼓励患者参与自我管理。PPPNBS 是为了评估患者在住院期间对赋权过程的感知而开发的。将其应用于不同的临床环境和种族是值得探索的。
横断面调查。
根据 Brislin 的翻译指南对 PPPNBS 进行翻译，并进行文化调适。共对 517 名患有慢性病的住院患者进行问卷调查，以确定 PPPNBS-C 的信度和效度。
内容效度良好，内容效度指数为 0.94。探索性因子分析确定了六个因子，解释了总方差的 68.56%，验证性因子分析也证实了这六个因子结构。通过对比诊断后时间和住院时间的对比组比较，证明了假设的差异。PPPNBS-C 的得分与客户满意度问卷的得分显著正相关，与慢性病管理自我效能 6 项量表的得分也显著正相关，表明具有收敛效度。总量表的克朗巴赫 α 系数为 0.960，组内相关系数为 0.86，说明内部一致性和时间稳定性良好。
PPPNBS-C 具有有效性和可靠性的初步验证，可用于测量患者对护士赋权行为的感知。
PPPNBS-C 可用于慢性病患者，作为衡量护士赋权行为实施情况的指标，并可作为鼓励护士有意利用赋权行为的指南。
