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护士(CA-SE-n 和 CA-OE-n)和家庭支持工作者(CA-SE-d 和 CA-OE-d)的客户激活自我效能感和结果预期量表的心理测量特性:一项横断面研究。

Psychometric properties of the client activation self-efficacy and outcome expectation scales for nurses (CA-SE-n and CA-OE-n) and domestic support workers (CA-SE-d and CA-OE-d): A cross-sectional study.

机构信息

Maastricht University, Faculty of Health, Medicine and Life Sciences, Care and Public Health Research Institute (CAPHRI), Department of Health Services Research, P.O. Box 616, 6200 MD Maastricht, the Netherlands.

Maastricht University, Faculty of Health, Medicine and Life Sciences, Care and Public Health Research Institute (CAPHRI), Department of Health Services Research, P.O. Box 616, 6200 MD Maastricht, the Netherlands.

出版信息

Geriatr Nurs. 2021 Mar-Apr;42(2):309-316. doi: 10.1016/j.gerinurse.2020.12.013. Epub 2021 Feb 6.

Abstract

Self-efficacy and outcome expectations regarding client activation determine professionals' level of actively engaging clients during daily activities. The Client Activation Self-Efficacy and Outcome Expectation Scales for nurses and domestic support workers (DSWs) were developed to measure these concepts. This study aimed to assess their psychometric properties. Cross-sectional data from a sample of Dutch nurses (n=150) and DSWs (n=155) were analysed. Descriptive statistics were used to examine floor and ceiling effects. Construct validity was assessed by testing research-based hypotheses. Internal consistency was determined with Cronbach's alpha. The scales for nurses showed a ceiling effect. There were no floor or ceiling effects in the scales for domestic support workers. Three out of five hypotheses could be confirmed (construct validity). For all scales, Cronbach's alpha coefficients exceeded 0.70. In conclusion, all scales had moderate construct validity and high internal consistency. Further research is needed concerning their construct validity, test-retest reliability and sensitivity to change.

摘要

自我效能感和对客户激活的结果期望决定了专业人员在日常活动中积极参与客户的程度。护士和家庭支持工作者(DSW)的客户激活自我效能感和结果期望量表是为了测量这些概念而开发的。本研究旨在评估其心理测量特性。从荷兰护士(n=150)和 DSW(n=155)的样本中分析了横断面数据。使用描述性统计来检查地板和天花板效应。通过测试基于研究的假设来评估结构有效性。使用 Cronbach 的 alpha 确定内部一致性。护士量表显示出天花板效应。家庭支持工作者量表没有地板或天花板效应。五个假设中有三个可以得到证实(结构有效性)。对于所有量表,Cronbach 的 alpha 系数均超过 0.70。总之,所有量表都具有中等的结构有效性和较高的内部一致性。还需要进一步研究其结构有效性、重测信度和对变化的敏感性。

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