使用数据三角验证护理量表的存在。

Validation of the Presence of Nursing Scale Using Data Triangulation.

机构信息

Wendy B. Hansbrough, PhD, RN, CNE, is Assistant Professor and Associate Director, California State University San Marcos School of Nursing. Jane M. Georges, PhD, RN, is Professor and Dean, University of San Diego Hahn School of Nursing and Health Science, California.

出版信息

Nurs Res. 2019 Nov/Dec;68(6):439-444. doi: 10.1097/NNR.0000000000000381.

DOI:10.1097/NNR.0000000000000381

PMID:31693549

Abstract

BACKGROUND

Nursing presence has been developed as a distinct concept with identifiable behaviors but remains only partially defined as a quantifiable construct.

OBJECTIVES

This study asked if the Presence of Nursing Scale (PONS) is a reliable and valid instrument to measure nursing presence from the patient's perspective.

METHODS

A convenience sample of 75 adult acute care inpatients were verbally administered the 25-item PONS considering the registered nurse taking care of them on the day of data collection. Open-ended questions elicited the patients' explanations of their ratings. They also rated their overall satisfaction with the nursing care provided by the subject nurse using a 5-point scale.

RESULTS

The mean PONS score was 104.5 (SD = 17.26) on the 25-125 scale. Instrument reliability reported as a Cronbach's alpha coefficient of .95 was .94 in this study. Instrument validity was tested correlating PONS scores to the satisfaction rating. The Spearman's rho correlation was large and statistically significant, r (73) = .708. The higher the PONS score, the more satisfied the patient was with care from that nurse. Nineteen narratives selected from the lower quartile PONS scores (PONS < 99) and 11 from the upper quartile (PONS > 116) were thematically analyzed. Lower PONS scores corresponded with themes of patients being objectified as the work of the nurse without a respectful and caring nurse-patient relationship. Higher PONS scores coincided with patients' perceptions of enhanced nurse-patient rapport, feelings of better coping, and decreased anxiety.

DISCUSSION

These results demonstrate reliability and validity of the PONS and add to the body of evidence about nurse behaviors exhibited in the nurse-patient relationship, which influence patients' feelings of being cared for and satisfied with nursing care. These findings may be useful in the development of educational materials aimed at the advancement of nursing presence competency.

摘要

背景

护理存在已被发展为一个具有可识别行为的独特概念，但仍然只是部分定义为一种可量化的结构。

目的

本研究旨在探讨护理存在量表（PONS）是否是一种从患者角度测量护理存在的可靠和有效的工具。

方法

采用便利抽样法，对 75 名成年急性住院患者进行口头管理，考虑到在数据收集当天照顾他们的注册护士。患者对其评分的解释用开放式问题引出。他们还使用 5 分制对他们对主题护士提供的护理总体满意度进行评分。

结果

在 25-125 分制上，PONS 的平均得分为 104.5（SD=17.26）。本研究中报告的仪器可靠性为 Cronbach's alpha 系数为.94。仪器有效性通过将 PONS 评分与满意度评分相关联进行测试。Spearman's rho 相关系数较大且具有统计学意义，r（73）=.708。PONS 得分越高，患者对该护士护理的满意度越高。从较低四分位 PONS 分数（PONS<99）中选择了 19 个叙述，从较高四分位（PONS>116）中选择了 11 个叙述进行主题分析。较低的 PONS 分数对应于患者被视为护士工作的客体，而没有尊重和关怀的护士-患者关系的主题。较高的 PONS 分数与患者对增强的护士-患者融洽关系、更好的应对感和减少焦虑的感知相一致。