Department of Respiratory and Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Wuhan University School of Health Sciences, Wuhan, Hubei, China.
BMC Palliat Care. 2021 Feb 16;20(1):32. doi: 10.1186/s12904-021-00725-2.
Nurses' palliative and hospice care-specific education is associated with the quality of palliative and hospice care that influences health outcomes of patients with life-limiting illnesses and their caregivers. However, China lacks measures available to assess nurses' educational needs in palliative and hospice care. The End-of-Life Professional Caregiver Survey (EPCS) is a psychometrically reliable self-reporting scale to measure multidisciplinary professionals' palliative and hospice care educational needs. This study was performed to explore the psychometric properties of the Chinese version of the EPCS (EPCS-C) among Chinese nurses.
We translated and culturally adapted the EPCS into Chinese based on Beaton and colleagues' instrument adaptation process. A cross-sectional study design was used. We recruited 312 nurses from 1482 nurses in a tertiary hospital in central China using convenience sampling to complete the study. Participants completed the EPCS-C and a demographic questionnaire. Exploratory and confirmatory factor analysis was carried out to test and verify the construct validity of the nurse-specific EPCS-C. Cronbach's alpha coefficient was used to appraise the reliability of the nurse-specific EPCS-C.
A three-factor structure of EPCS-C was determined, including cultural, ethical, and national values; patient- and family-centered communication; and effective care delivery. The exploratory factor analysis explained 70.82% of the total variances. The 3-factor solution of the nurse-specific EPCS-C had a satisfactory model fit: χ2 = 537.96, χ2/df = 2.96, CFI = 0.94, RMSEA = 0.079, IFI = 0.94, and GFI = 0.86. Cronbach's alpha coefficient of the overall questionnaire was 0.96.
The nurse-specific EPCS-C showed satisfactory reliability and validity to assess nurses' palliative and hospice care educational need. Further research is required to verify the reliability and validity of the EPCS-C in a larger sample, especially the criterion-related validity.
护士的姑息治疗和临终关怀专业教育与姑息治疗和临终关怀的质量有关，而姑息治疗和临终关怀的质量会影响患有绝症的患者及其护理人员的健康结果。然而，中国缺乏评估护士在姑息治疗和临终关怀方面教育需求的方法。《生命终末期专业护理人员调查问卷》（EPCS）是一种经过心理测量验证的自我报告量表，用于测量多学科专业人员的姑息治疗和临终关怀教育需求。本研究旨在探讨中文版 EPCS（EPCS-C）在中国护士中的心理测量学特性。
我们根据 Beaton 等人的仪器适应过程将 EPCS 翻译成中文并进行文化调适。采用横断面研究设计。我们使用便利抽样法从中国中部一家三级医院的 1482 名护士中招募了 312 名护士来完成这项研究。参与者完成了 EPCS-C 和一份人口统计学问卷。进行探索性和验证性因子分析，以检验和验证护士特异性 EPCS-C 的结构效度。使用克朗巴赫α系数评估护士特异性 EPCS-C 的信度。
确定了 EPCS-C 的三因素结构，包括文化、伦理和国家价值观；以患者和家庭为中心的沟通；以及有效的护理服务提供。探索性因子分析解释了总方差的 70.82%。护士特异性 EPCS-C 的 3 因素解决方案具有令人满意的模型拟合度：χ2=537.96，χ2/df=2.96，CFI=0.94，RMSEA=0.079，IFI=0.94，和 GFI=0.86。问卷的整体克朗巴赫α系数为 0.96。
护士特异性 EPCS-C 具有令人满意的信度和效度，可以评估护士的姑息治疗和临终关怀教育需求。需要进一步研究来验证 EPCS-C 在更大样本中的信度和效度，特别是效标关联效度。
