Ahmadi Parvin, Alavi Negin Masoudi, Gilasi Hamid Reza, Safa Azade, Aghajani Mohammad
Medical Surgical Nursing Department, Kashan University of Medical Sciences, Kashan, Iran.
Faculty of Nursing and Midwifery, Trauma Nursing Research Center, Kashan University of Medical Sciences, Ghotb Ravandi Highway, Kashan, Iran.
J Cross Cult Gerontol. 2019 Mar;34(1):25-33. doi: 10.1007/s10823-019-09364-w.
Ageism implies negative views and attitudes towards older people. These unconscious behaviors could make the elderly feel as if they were no longer useful for the family and community. Ageism is common in healthcare services. The objective of this study was to develop a tool to assess ageism in nursing care in Kashan/Iran 2015. This psychometric study was carried out in four stages: literature review for item generation; content validity testing; exploratory factor analysis (EFA) for evaluation of construct validity; and reliability assessment. The data analyzed with SPSS version 16. The final questionnaire had 24 items. The total CVI and CVR were 0.88 and 0.57. Explanatory factor analysis identified 3 factors of respecting older adult in nursing care (14 items); age discrimination and negative views towards older adults (5 items); attention to older adult and their basic caring needs (5 items). The three factors could explain 49.54% of variance. The test-re-test correlation stood at 0.9. The internal consistency of the questionnaire was Cronbach's alpha =0.85. A valid and reliable instrument for the evaluation of ageism in nursing care was developed in this study.
年龄歧视意味着对老年人持有负面的看法和态度。这些无意识的行为可能会让老年人觉得自己对家庭和社区不再有用。年龄歧视在医疗保健服务中很常见。本研究的目的是开发一种工具，用于评估2015年伊朗卡尚地区护理工作中的年龄歧视情况。这项心理测量研究分四个阶段进行：通过文献综述生成项目；进行内容效度测试；进行探索性因素分析（EFA）以评估结构效度；以及进行信度评估。使用SPSS 16版对数据进行分析。最终问卷有24个项目。总的内容效度指数（CVI）和内容效度比率（CVR）分别为0.88和0.57。解释性因素分析确定了护理中尊重老年人的三个因素（14个项目）；对老年人的年龄歧视和负面看法（5个项目）；关注老年人及其基本护理需求（5个项目）。这三个因素可以解释49.54%的方差。重测信度为0.9。问卷的内部一致性为Cronbach's alpha = 0.85。本研究开发了一种有效且可靠的工具，用于评估护理工作中的年龄歧视情况。
