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评估希腊护士对计算机化痴呆筛查的态度。

Assessing the Attitudes of Greek Nurses Toward Computerized Dementia Screening.

机构信息

School of Medicine, Aristotle University of Thessaloniki, Greece.

Network Aging Research, Heidelberg University, Germany.

出版信息

J Alzheimers Dis. 2020;78(4):1575-1583. doi: 10.3233/JAD-200666.

Abstract

BACKGROUND

Despite the abundance of research on computerized dementia screening tests, the attitudes of hospital personnel toward this screening method have not been investigated.

OBJECTIVE

  1. To conduct a confirmatory factor analysis of the first part of a two-part questionnaire about computerized dementia screening. 2) To assess the attitudes of Greek nurses toward computerized dementia screening. 3) To assess barriers to future implementation of computerized dementia screening in the Greek healthcare system, as reported by nurses.

METHODS

161 Greek nurses from two urban public general hospitals who participated in a dementia training program were recruited. They were asked to complete a two-part questionnaire about computerized dementia screening. The first part of the questionnaire assesses attitudes toward dementia screening while the second part of the questionnaire assesses barriers to its implementation.

RESULTS

Confirmatory factor analysis on the first part of the questionnaire suggested a two-factor structure (feasibility/acceptability). The total score of all items loading on each factor was calculated. For feasibility, scores ranged between 10 and 25 (M = 19.38, SD = 3.80). For acceptability, scores ranged between 6 and 20 (M = 15.27, SD = 2.76). The main barriers to implementation were cost of equipment, insufficient training, lack of a plan for the integration of computerized screening tests in the daily routine of the hospital and time needed for staff training.

CONCLUSION

The positive attitude of nurses supports the implementation of computerized dementia screening in public hospitals as long as identified barriers are addressed.

摘要

背景

尽管有大量关于计算机化痴呆筛查测试的研究,但尚未调查医院人员对这种筛查方法的态度。

目的

1)对两部分问卷的第一部分进行计算机化痴呆筛查的验证性因子分析。2)评估希腊护士对计算机化痴呆筛查的态度。3)评估护士报告的希腊医疗保健系统未来实施计算机化痴呆筛查的障碍。

方法

从两家城市公立综合医院招募了 161 名参加痴呆培训计划的希腊护士。他们被要求完成一份关于计算机化痴呆筛查的两部分问卷。问卷的第一部分评估对痴呆筛查的态度,而问卷的第二部分评估其实施的障碍。

结果

对问卷第一部分的验证性因子分析表明存在两因素结构(可行性/可接受性)。计算了每个因素上所有项目的总分。对于可行性,分数在 10 到 25 之间(M=19.38,SD=3.80)。对于可接受性,分数在 6 到 20 之间(M=15.27,SD=2.76)。实施的主要障碍是设备成本、培训不足、缺乏将计算机化筛查测试纳入医院日常工作的计划以及员工培训所需的时间。

结论

只要解决了确定的障碍,护士的积极态度就支持在公立医院实施计算机化痴呆筛查。

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