改编、修订和心理计量评估挪威版养老院护理资源分配量表（BERNCA-NH）。
Adaptation, modification, and psychometric assessment of a Norwegian version of the Basel extent of rationing of nursing care for nursing homes instrument (BERNCA-NH).
机构信息
Norwegian Institute of Public Health, PO Box 222 Skøyen, NO-0213, Oslo, Norway.
Department of Health Management and Health Economics, University of Oslo, Faculty of Medicine, Institute of Health and Society, PO Box 1130 Blindern, NO-0318, Oslo, Norway.
出版信息
BMC Health Serv Res. 2019 Dec 16;19(1):969. doi: 10.1186/s12913-019-4817-3.
BACKGROUND
To our knowledge, no instrument has been developed and tested for measuring unfinished care in Norwegian nursing home settings. The Basel Extent of Rationing of Nursing Care for Nursing Homes instrument (BERNCA-NH) was developed and validated in Switzerland to measure the extent of implicit rationing of nursing care in nursing homes. The BERNCA-NH comprises a list of nursing care activities in which a care worker reports the frequency to which activities were left unfinished over the last 7 working days as a result of lack of time. The aim of this study was to adapt and modify a Norwegian version of the BERNCA-NH intended for all care workers, and assess the instruments' psychometric properties in a Norwegian nursing home setting.
METHODS
The BERNCA-NH was translated into Norwegian and modified to fit the Norwegian setting with inputs from individual cognitive interviews with informants from the target population. The instrument was then tested in a web-based survey with a final sample of 931 care workers in 162 nursing home units in different parts of Norway. The psychometric evaluation included score distribution, response completeness and confirmatory factor analysis (CFA) of a hypothesised factor structure and evaluation of internal consistency. Hypothesised relation to other variables was assessed through correlations between the subscale scores and three global ratings.
RESULTS
The Norwegian version of BERNCA-NH comprised four subscales labelled: routine care, 'when required' care, documentation and psychosocial care. All subscales demonstrated good internal consistency. The CFA supported the four-factor structure with fit statistics indicating a robust model. There were moderate to strong bivariate associations between the BERNCA-NH subscales and the three global ratings. Three items which were not relevant for all care workers were not included in the subscales and treated as single items.
CONCLUSIONS
This study found good psychometric properties of the Norwegian version BERNCA-NH, assessed in a sample of care workers in Norwegian nursing homes. The results indicate that the instrument can be used to measure unfinished care in similar settings.
背景
据我们所知，尚未开发和测试出用于衡量挪威养老院中未完成护理的工具。巴塞尔养老院护理配给程度量表（BERNCA-NH）是在瑞士开发和验证的，用于衡量养老院中护理配给的程度。BERNCA-NH 包括一份护理活动清单，护理人员根据过去 7 个工作日因缺乏时间而未完成的活动频率进行报告。本研究的目的是改编和修改一份适用于所有护理人员的挪威语版 BERNCA-NH，并评估该工具在挪威养老院环境中的心理测量特性。
方法
BERNCA-NH 被翻译成挪威语，并根据目标人群的个体认知访谈进行修改，以适应挪威的环境。然后，该工具在一项基于网络的调查中进行了测试，最终样本为挪威各地 162 个养老院单元的 931 名护理人员。心理测量评估包括分数分布、反应完整性和假设因素结构的验证性因素分析（CFA）以及内部一致性评估。通过子量表分数与三个总体评分之间的相关性来评估与其他变量的假设关系。
结果
BERNCA-NH 的挪威语版本包括四个子量表，分别为：常规护理、“按需”护理、文档和心理社会护理。所有子量表都表现出良好的内部一致性。CFA 支持四因素结构，拟合统计数据表明该模型稳健。BERNCA-NH 子量表与三个总体评分之间存在中等至强的二元关联。不涉及所有护理人员的三个项目未包含在子量表中，作为单个项目处理。
结论
本研究发现，在挪威养老院护理人员样本中，BERNCA-NH 的挪威语版本具有良好的心理测量特性。结果表明，该工具可用于衡量类似环境中的未完成护理。
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