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系统评价评估护士对将家庭纳入其临床实践重要性的态度的工具的测量特性。

Systematic review of measurement properties of instruments assessing nurses' attitudes towards the importance of involving families in their clinical practice.

机构信息

School of Nursing, Department of Nursing Care for Adult Patients, University of Navarra, Pamplona, Spain.

IdiSNa, Navarra Institute for Health Research, Pamplona, Spain.

出版信息

J Adv Nurs. 2019 Nov;75(11):2299-2312. doi: 10.1111/jan.14049. Epub 2019 Jun 10.

Abstract

AIMS

To identify, appraise and describe the characteristics and measurement properties of instruments assessing nurses' attitudes towards the importance of involving families in their clinical practice.

DESIGN

Psychometric systematic review.

DATA SOURCES

The PubMed, CINAHL, PsycINFO, Web of Science, and Cochrane Library databases were searched from their time of inception to June 2018.

REVIEW METHODS

Two reviewers independently assessed the eligibility of studies, extracted data, and appraised the methodological quality of the studies using the COSMIN checklist.

RESULTS

A total of 19 studies representing 5 instruments were included. Two instruments-a revised version of the Families' Importance in Nursing Care: Nurses' Attitudes scale (FINC-NA-R) and the Family Nurse Practice Scale (FNPS)-obtained higher scores for most of their properties. The instruments used in the remaining eight studies require further assessment of their psychometric properties.

CONCLUSION

This psychometric review offers a synthesis of the quality of the available instruments and gives a better understanding of nursing theory-based tools. The FNPS and FINC-NA-R instruments seem to be the most suitable measures of nurses' attitudes towards the importance of involving families in their clinical practice.

IMPACT

The growing emphasis on improving nurse-family relationships and the quality of care provided makes it necessary to have valid and reliable instruments for assessing nurses' attitudes towards the importance of involving families in their clinical practice. This paper provides evidence that will help clinicians and researchers make decisions about the most suitable instrument based on a critical appraisal and comparison of the measurement properties according to a rigorous methodology.

摘要

目的

识别、评价并描述评估护士对将家庭纳入其临床实践重要性的态度的工具的特征和测量属性。

设计

心理测量学系统评价。

资料来源

从建库时间起至 2018 年 6 月,对 PubMed、CINAHL、PsycINFO、Web of Science 和 Cochrane Library 数据库进行了检索。

评价方法

两名评价员独立评估研究的合格性、提取数据,并使用 COSMIN 清单评价研究的方法学质量。

结果

共有 19 项研究代表 5 种工具被纳入。两种工具——家庭在护理中的重要性:护士态度量表(FINC-NA-R)的修订版和家庭护士实践量表(FNPS)——在其大多数属性上都获得了较高的分数。其余 8 项研究中使用的工具需要进一步评估其心理测量学特性。

结论

本心理测量学综述综合了现有工具的质量,并对基于护理理论的工具有了更好的理解。FNPS 和 FINC-NA-R 这两种工具似乎是评估护士对将家庭纳入其临床实践重要性的态度的最合适的测量工具。

影响

对改善护士与家庭的关系和提供护理质量的重视程度日益提高,这使得我们有必要拥有评估护士对将家庭纳入其临床实践重要性的态度的有效和可靠的工具。本文提供了证据,将有助于临床医生和研究人员根据严格的方法学进行评价和比较测量属性后,对最合适的工具做出决策。

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