波兰语版《感知护理资源分配不足问卷》（PIRNCA）的适应性和验证：一项横断面验证研究。
Polish adaptation and validation of the Perceived Implicit Rationing of Nursing Care (PIRNCA) questionnaire: a cross-sectional validation study.
机构信息
Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland
Department of Nervous System Diseases, Wroclaw Medical University, Wroclaw, Poland.
出版信息
BMJ Open. 2020 Apr 6;10(4):e031994. doi: 10.1136/bmjopen-2019-031994.
OBJECTIVES
To develop a Polish adaptation of the Perceived Implicit Rationing of Nursing Care (PIRNCA)questionnaire.
DESIGN
Cross-sectional validation study.
SETTINGS
Nurses working in surgical and cancer wards in Poland.
PARTICIPANTS
A sample of 513 professionally active nurses was enrolled in the study.
INTERVENTION
To complete a Polish translation of the full original PIRNCA questionnaire.
PRIMARY AND SECONDARY OUTCOME MEASURES
The primary outcome was translation and adaptation of the full original PIRNCA tool and its validation to the Polish conditions. The secondary outcome was determination of relationships between sociodemographic variables, nurses' assessment of patient care quality and their overall job satisfaction on the one hand, and PIRNCA scores on the other.
RESULTS
The respondents' mean score was 1.27 points (SD=0.68) on a scale from 0 to 3. Cronbach's alpha for the entire instrument was 0.957. All items of the questionnaire were found to have a positive item-total correlation. The developed linear regression model showed that nurses' assessment of patient care quality and their overall job satisfaction were independent predictors of PIRNCA scores (p<0.05). 94.15% of nurses reported rationing at least one of the 31 care activities.
CONCLUSIONS
The present findings indicate a high level of reliability and validity of the translated PIRNCA questionnaire, fully comparable to that of the original. The questionnaire can be used for the assessment of PIRNCA in Polish hospitals.
目的
开发波兰语版的护理感知隐性配给（PIRNCA）问卷。
设计
横断面验证性研究。
地点
波兰外科和癌症病房的护士。
参与者
本研究招募了 513 名在职专业护士。
干预措施
完成完整的原始 PIRNCA 问卷的波兰语翻译。
主要和次要结果
主要结果是完整原始 PIRNCA 工具的翻译和改编，并验证其在波兰的适用性。次要结果是确定社会人口统计学变量、护士对患者护理质量的评估以及他们对工作的整体满意度与 PIRNCA 评分之间的关系。
结果
在 0 到 3 的评分范围内，受访者的平均得分为 1.27 分（SD=0.68）。整个工具的克朗巴赫α系数为 0.957。问卷的所有项目都与总分呈正相关。开发的线性回归模型表明，护士对患者护理质量的评估和他们对工作的整体满意度是 PIRNCA 评分的独立预测因素（p<0.05）。94.15%的护士报告至少对 31 项护理活动中的一项进行了配给。
结论
本研究结果表明，翻译后的 PIRNCA 问卷具有较高的信度和效度，与原始问卷完全可比。该问卷可用于评估波兰医院的 PIRNCA。
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