荷兰 EBPAS-ve 和 EBPQ-ve 在具有职业教育的护理助理和护士中的开发与验证。

Development and Validation of the Dutch EBPAS-ve and EBPQ-ve for Nursing Assistants and Nurses with a Vocational Education.

机构信息

Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.

Institute of Nursing, HAN University of Applied Science, Nijmegen, The Netherlands.

出版信息

Worldviews Evid Based Nurs. 2019 Oct;16(5):371-380. doi: 10.1111/wvn.12389. Epub 2019 Sep 5.

DOI:10.1111/wvn.12389

PMID:31489765

Abstract

BACKGROUND

In recent years, there has been an increasing focus on the role of evidence-based practice (EBP) to increase the quality and safety of care. However, EBP implementation research has predominantly taken place in hospitals and hardly in nursing homes or home care. In these care settings, patients are attended by nursing assistants and registered vocationally trained nurses. A good EBP starting point is to assess their current attitude toward and use of EBP. However, current questionnaires are not valid for assistants and nurses with vocational education.

AIMS

To adapt the Evidence-Based Practice Attitude Scale (EBPAS) and the Evidence-Based Practice Questionnaire (EBPQ) to a Dutch questionnaire for nursing assistants and registered vocationally trained nurses European Qualification Framework level 3-4 employed in home care or nursing homes.

METHODS

Translation, adaptation through cross-cultural validation, pretesting, exploratory factor analysis, and evaluation of psychometric properties among a group of nursing assistants and registered vocationally trained nurses.

RESULTS

Cross-cultural validation led to modified items of EBPQ and EBPAS. The sample comprised 273 nurses. Analysis of both instruments showed a robust factor structure. EBPAS-ve: internal consistency: α = 0.76; intra-rater reliability: ICC = 0.52. EBPQ-ve: α = 0.75; ICC = 0.60. Convergent validity (correlation EBPAS-ve and EBPQ-ve's subscale Attitude): r = .300 (p < .01). Construct validity: significantly higher scores (p < .01) in the group with higher education.

LINKING EVIDENCE TO ACTION

Psychometric qualities of both instruments were satisfactory, although we recommend refinement of EBPAS-ve's subscale Divergence and extra instructions for the EBPQ's subscale Attitude. To our knowledge, this is the first adaptation of an EBP measurement instrument for nursing assistants and registered vocationally trained nurses. The questionnaires appeared to be feasible and showed multiple valid and reliable properties, including a satisfactory intra-rater reliability. Both questionnaires may facilitate the implementation of EBP as they contribute to a richer understanding of the attitude toward and use of EBP in nursing homes and home care.

摘要

背景

近年来，人们越来越关注循证实践（EBP）在提高护理质量和安全性方面的作用。然而，EBP 的实施研究主要发生在医院，而在养老院或家庭护理中几乎没有。在这些护理环境中，患者由护理助理和注册的职业培训护士照顾。一个良好的 EBP 起点是评估他们对 EBP 的当前态度和使用情况。然而，目前的问卷对接受职业教育的助理和护士并不适用。

目的

将循证实践态度量表（EBPAS）和循证实践问卷（EBPQ）改编为适用于在家庭护理或养老院工作的护理助理和注册的职业培训护士（欧洲资格框架 3-4 级）的荷兰问卷。

方法

通过跨文化验证、预测试、探索性因素分析和对一组护理助理和注册的职业培训护士的心理测量特性进行评估，对 EBPQ 和 EBPAS 进行翻译和改编。

结果

跨文化验证导致 EBPQ 和 EBPAS 的项目发生变化。样本包括 273 名护士。对这两种工具的分析都显示出了稳健的因子结构。EBPAS-ve：内部一致性：α=0.76；组内信度：ICC=0.52。EBPQ-ve：α=0.75；ICC=0.60。效标关联（EBPAS-ve 和 EBPQ-ve 的态度子量表的相关）：r=0.300（p<0.01）。结构效度：教育程度较高的组得分显著较高（p<0.01）。

循证实践

两种工具的心理测量特性均令人满意，尽管我们建议改进 EBPAS-ve 的分歧子量表和 EBPQ 的态度子量表的额外说明。据我们所知，这是首次对护理助理和注册的职业培训护士的 EBP 测量工具进行改编。问卷似乎是可行的，并且表现出了多种有效且可靠的特性，包括令人满意的组内信度。这两个问卷都可能促进 EBP 的实施，因为它们有助于更深入地了解养老院和家庭护理中对 EBP 的态度和使用情况。