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评估医护人员对残疾人士态度的量表的编制与验证。

Development and validation of a scale to assess the attitude of healthcare professionals toward persons with disability.

机构信息

Department of Rehabilitation Medicine, College of Medicine, Seoul National University, Seoul, Republic of Korea.

Department of Rehabilitation Medicine, National Traffic Injury Rehabilitation Hospital, Gyeonggi-do, Republic of Korea.

出版信息

Clin Rehabil. 2020 May;34(5):667-676. doi: 10.1177/0269215520911968. Epub 2020 Mar 12.

Abstract

OBJECTIVE

This study aimed to develop and validate an instrument that measures the attitudes of healthcare professionals toward persons with disabilities.

DESIGN

The Delphi survey consensus method was used to compose a preliminary questionnaire for survey. Then, healthcare professionals responded to the questionnaire online, and the results were used for psychometric analysis.

SETTING

Three tertiary hospitals.

SUBJECTS

A total of 993 healthcare professionals.

INTERVENTIONS

Not applicable.

MAIN MEASURES

Attitudes of healthcare professionals toward persons with disabilities.

RESULTS

A 28-item preliminary questionnaire was initially developed after a two-round Delphi survey with 16 experts. Through an online survey, the final 20 items were categorized as follows: behaviors in clinical situation, knowledge and skills, emotional response, and responsibility of healthcare professionals. The Cronbach's alpha coefficient for the total score was 0.890 and varied between 0.856 and 0.892 in the four subdomains. The newly developed tool showed an acceptable model fit. Healthcare professionals who participated in an education module showed higher scores in behavior and knowledge/skills subdomains than those who did not, whereas participants who had clinical experience with persons with disabilities demonstrated higher scores in emotional response and knowledge/skills subdomains.

CONCLUSIONS

We developed a scale to measure the attitudes toward persons with disabilities of healthcare professionals. The scale demonstrated a sensitivity to measure a difference by participation in an education module or clinical experience with persons with disabilities.

摘要

目的

本研究旨在开发和验证一种衡量医疗保健专业人员对残疾人士态度的工具。

设计

采用德尔菲调查共识方法编制初步调查问卷进行调查。然后,医疗保健专业人员在线回答问卷,结果用于心理测量分析。

设置

三家三级医院。

受试者

共 993 名医疗保健专业人员。

干预措施

不适用。

主要措施

医疗保健专业人员对残疾人士的态度。

结果

经过两轮包含 16 名专家的德尔菲调查,初步制定了一份包含 28 个项目的初步问卷。通过在线调查,最终确定了 20 个项目,分为以下四个领域:临床情况下的行为、知识和技能、情绪反应和医疗保健专业人员的责任。总分的克朗巴赫α系数为 0.890,在四个子领域内的变异范围为 0.856 至 0.892。新开发的工具表现出可接受的模型拟合度。参加教育模块的医疗保健专业人员在行为和知识/技能子领域的得分高于未参加的人员,而有残疾人士临床经验的参与者在情绪反应和知识/技能子领域的得分更高。

结论

我们开发了一种衡量医疗保健专业人员对残疾人士态度的量表。该量表通过参与教育模块或与残疾人士的临床经验表现出对差异的敏感性。

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