Zhongshan Hospital, Fudan University, Shanghai, China.
Shanghai Jiaotong University School of Medicine, Shanghai Ninth People's Hospital, Shanghai, China.
Int J Health Plann Manage. 2021 Mar;36(2):364-380. doi: 10.1002/hpm.3074. Epub 2020 Oct 15.
To match the reform of hospice development in China, this study aimed to construct an indigenized health providers' Knowledge, Attitude and Practice of Hospice Care (KAPHC) Scale in China with good validity and reliability.
We used three steps to develop the scale, establishing items-pool firstly based on literature review and expert consultation, followed by forming a draft-scale design through synthetically consideration, and finally modifying the draft by conducting a self-administrative survey in sampled institution and testing the reliability and validity by statistical analysis.
The KAPHC Scale was comprised of 15 knowledge items, 24 attitude items and 22 practice items. In the part of knowledge, the Cronbach's α coefficient was 0.686, the average difficulty was 0.62 and average discrimination was 0.46. The attitude items were divided into four domains (KMO = 0.770), with Cronbach's α coefficient of 0.868. The practice items included confidence of practices and self-reported behaviors (KMO = 0.732), with Cronbach's α coefficient of 0.958.
The KAPHC Scale demonstrated good validity and reliability. As an effective tool, the scale may contribute to assessing health providers' KAP status of hospice care and exploring their future education needs in mainland China.
为适应中国 Hospice 发展改革，本研究旨在构建本土化的医护人员 Hospice 照护知识、态度和实践（KAPHC）量表，以确保其具有良好的信度和效度。
我们采用三步法开发量表，首先通过文献回顾和专家咨询建立条目池，然后综合考虑设计量表草案，最后通过在抽样机构进行自填式调查进行修订，并通过统计分析测试可靠性和有效性。
KAPHC 量表包含 15 个知识项目、24 个态度项目和 22 个实践项目。在知识部分，Cronbach's α 系数为 0.686，平均难度为 0.62，平均区分度为 0.46。态度项目分为四个领域（KMO = 0.770），Cronbach's α 系数为 0.868。实践项目包括实践信心和自我报告行为（KMO = 0.732），Cronbach's α 系数为 0.958。
KAPHC 量表具有良好的信度和效度。作为一种有效的工具，该量表可用于评估医护人员 Hospice 照护的 KAP 状况，并探索他们在内地的未来教育需求。
