病程记录中护患互动评估量表（SESPI）的开发与信效度测试：一项心理健康护理记录评估工具
Development and reliability testing of the Scale for the Evaluation of Staff-Patient Interactions in Progress Notes (SESPI): An assessment instrument of mental health nursing documentation.
作者信息
Myklebust Kjellaug K, Bjørkly Stål
机构信息
Faculty of Health Sciences and Social Care Molde University College Molde Norway.
Centre for Forensic Psychiatry Oslo University Hospital Oslo Norway.
出版信息
Nurs Open. 2019 Mar 21;6(3):790-798. doi: 10.1002/nop2.254. eCollection 2019 Jul.
AIM
To develop and test the reliability of the Scale for the Evaluation of Staff-Patient Interactions in Progress Notes (SESPI). Therapeutic nurse-patient interactions are fundamental in mental health nursing. However, little is known about how these interactions are recorded in nursing documentation and there is no instrument available for collecting this type of information for quantitative analysis.
DESIGN
Instrument development and reliability testing.
METHODS
The development of the SESPI was based on qualitative analyses of progress notes retrieved from patient records in two mental health services. A self psychological attunement perspective guided the analyses. SESPI was tested for internal consistency and inter-rater reliability after 22 nurses independently scored 10 progress notes.
RESULTS
Cronbach's alpha for the entire instrument was 0.977, indicating that the raters' scores had very high internal consistency. ICC was 0.770. The alpha and ICC values for each step were high, varying between 0.970 and 0.992.
目的
开发并测试病程记录中护患互动评估量表（SESPI）的可靠性。治疗性护患互动在精神科护理中至关重要。然而，对于这些互动在护理记录中如何被记录，人们知之甚少，并且没有可用的工具来收集此类信息以进行定量分析。
设计
工具开发与可靠性测试。
方法
SESPI的开发基于对从两个精神卫生服务机构的患者记录中检索到的病程记录进行的定性分析。自我心理协调视角指导了分析过程。在22名护士独立对10份病程记录进行评分后，对SESPI进行了内部一致性和评分者间信度测试。
结果
整个量表的Cronbach's α系数为0.977，表明评分者的分数具有非常高的内部一致性。组内相关系数（ICC）为0.770。每个步骤的α系数和ICC值都很高，在0.970至0.992之间变化。
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