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中文版护患中心护理量表的心理计量学评价。

Psychometric Evaluation of the Korean Version of Patient-Centered Care Scale for Hospital Nurses.

机构信息

1 Department of Nursing, College of Medicine, Inje University, Busan, South Korea.

2 College of Nursing, Ajou University, Suwon, South Korea.

出版信息

Eval Health Prof. 2019 Sep;42(3):344-365. doi: 10.1177/0163278718805244. Epub 2018 Oct 18.

DOI:10.1177/0163278718805244
PMID:30336687
Abstract

Patient-centered care (PCC) encourages active collaboration and effective communication among patients, their family caregivers, and health-care providers to achieve high-quality care. Despite its importance, there is no validated and reliable Korean instrument for assessing PCC among health-care providers yet. This study aimed to establish a Korean version of the PCC (K-PCC) Scale using international translation guidelines and systematically evaluating its psychometric properties. The participants in this study were 424 nurses with a mean age of 28.07 years (±4.56) from two university hospitals in South Korea. Confirmatory factor analysis identified that the revised model, which included three factors (holistic, collaborative, and responsive care), had a satisfactory goodness of fit. The testing of item convergent and item-discriminant validity revealed a 100% scaling success. Criterion validity showed that nurses who had positive perceptions of K-PCC were more likely to practice PCC ( = .692, < .001). The internal consistency for 23 items as a whole was good, at .935. From these results, K-PCC is considered a valid and reliable instrument for measuring health-care providers' perceptions of PCC among Korean populations. Scale brevity and simplicity, together with rigorous testing, indicate that validation of the PCC Scale may be helpful for ensuring quality improvement in hospital settings.

摘要

以患者为中心的护理(PCC)鼓励患者、其家庭照顾者和医疗保健提供者之间积极合作和有效沟通,以实现高质量的护理。尽管它很重要,但目前还没有经过验证和可靠的韩语工具来评估医疗保健提供者的 PCC。本研究旨在使用国际翻译指南制定以患者为中心的护理(K-PCC)量表的韩语版本,并系统评估其心理测量特性。本研究的参与者是来自韩国两所大学医院的 424 名平均年龄为 28.07 岁(±4.56)的护士。验证性因子分析确定,包括三个因素(整体、协作和响应性护理)的修订模型具有令人满意的拟合优度。项目收敛和项目区分效度的检验显示 100%的定标成功率。效标效度表明,对 K-PCC 有积极看法的护士更有可能实施 PCC(=.692,<.001)。23 项整体的内部一致性较好,为.935。从这些结果来看,K-PCC 被认为是一种有效的、可靠的工具,可以衡量韩国人群中医疗保健提供者对 PCC 的看法。该量表的简洁性和严谨性测试表明,PCC 量表的验证可能有助于确保医院环境中的质量改进。

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