荷兰患者和护士个体化护理量表的心理测量学验证研究。
The Dutch Individualised Care Scale for patients and nurses - a psychometric validation study.
机构信息
Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care - University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.
IQ Healthcare, Radboud University Medical Centre, Nijmegen, The Netherlands.
出版信息
Scand J Caring Sci. 2021 Mar;35(1):308-318. doi: 10.1111/scs.12853. Epub 2020 Apr 16.
AIMS AND OBJECTIVES
Translating and psychometrically assessing the Individualised Care Scale (ICS) for patients and nurses for the Flemish and Dutch healthcare context.
BACKGROUND
Individualised care interventions have positive effects on health outcomes. However, there are no valid and reliable instruments for evaluating individualised care for the Flemish and Dutch healthcare context.
DESIGN
Psychometric validation study.
SETTING AND PARTICIPANTS
In Flemish hospitals, data were collected between February and June 2016, and in Dutch hospitals, data were collected between December 2014 and May 2015. Nurses with direct patient contact and a working experience of minimum 6 months on the wards could participate. Patient inclusion criteria were being an adult, being mentally competent, having an expected hospital stay of minimum 1 day, and being able to speak and read the Dutch language. In total, 845 patients and 569 nurses were included.
METHODS
The ICS was translated into Dutch using a forward-backward translation process. Minimal linguistic adaptations to the Dutch ICS were made to use the scale as a Flemish equivalent. Omega, Cronbach's Alpha, mean inter-item correlations and standardised subscale correlations established the reliability and confirmatory factor analysis the construct validity of the ICS.
RESULTS
Internal consistency using Omega (Cronbach's Alpha) ranged from 0.83 to 0.96 (0.82-0.95) for the ICS-Nurse and from 0.88 to 0.96 (0.87-0.96) for the ICS-Patient. Fit indices of the confirmatory factor analysis indicated a good model fit, except for the root mean square error of approximation, which indicated only moderate model fit.
CONCLUSION
The Dutch version of the ICS showed acceptable psychometric performance, supporting its use for the Dutch and Flemish healthcare context.
RELEVANCE TO CLINICAL PRACTICE
Knowledge of nurses' and patients' perceptions on individualised care will aid to target areas in the Dutch and Flemish healthcare context in which work needs to be undertaken to provide individualised nursing care.
目的和目标
将个体化护理量表（ICS）翻译并进行心理计量学评估，适用于 Flemish 和荷兰医疗保健环境中的患者和护士。
背景
个体化护理干预对健康结果有积极影响。然而， Flemish 和荷兰医疗保健环境中还没有用于评估个体化护理的有效且可靠的工具。
设计
心理计量验证研究。
地点和参与者
在 Flemish 医院，数据收集于 2016 年 2 月至 6 月之间，在荷兰医院，数据收集于 2014 年 12 月至 2015 年 5 月之间。具有直接患者接触且在病房工作经验至少 6 个月的护士可以参与。患者纳入标准为成年、精神健全、预计住院时间至少 1 天，并且能够说和阅读荷兰语。共有 845 名患者和 569 名护士参与。
方法
ICS 使用前后翻译过程被翻译成荷兰语。对荷兰 ICS 进行了最小的语言调整，使其成为 Flemish 的等效物。omega、Cronbach's Alpha、平均项目间相关性和标准化子量表相关性建立了 ICS 的可靠性和验证性因素分析的结构效度。
结果
使用 omega（Cronbach's Alpha）的内部一致性范围为 ICS-Nurse 从 0.83 到 0.96（0.82-0.95），ICS-Patient 从 0.88 到 0.96（0.87-0.96）。验证性因素分析的拟合指数表明模型拟合良好，除了均方根误差接近，这表明仅具有适度的模型拟合。
结论
ICS 的荷兰语版本表现出可接受的心理计量性能，支持其在荷兰和 Flemish 医疗保健环境中的使用。
临床实践意义
了解护士和患者对个体化护理的看法将有助于确定荷兰和 Flemish 医疗保健环境中需要开展工作的领域，以提供个体化护理。
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