Chen Chuqian, Chow Amy Yin Man
Department of Medical Humanities, School of Humanities, Southeast University, Nanjing, China.
Department of Social Work and Social Administration, the University of Hong Kong, Hong Kong SAR, China.
Palliat Support Care. 2022 Feb;20(1):4-14. doi: 10.1017/S1478951521000250.
To develop and validate Professional Bereavement Scale (PBS), a specific measurement tool for professional bereavement experiences.
An online cross-sectional survey collected data from 563 physicians and nurses from urban hospitals in Mainland China. Item consistency analysis, component factor analysis, exploratory factor analysis, and confirmatory factor analysis were run to develop and validate the scale. Correlational analysis was conducted to evaluate the psychometric property of the scale.
Two subscales of the PBS were developed: the 17-item Short-term Bereavement Reactions Subscale (PBS-SBR) and the 15-item Accumulated Global Changes Subscale (PBS-AGC). Four factors, namely, frustration and trauma, guilt, grief, and being moved, are involved in PBS-SBR. Five factors are involved in PBS-AGC, which are new insights, more acceptance of limitations, more death-related anxiety, less influenced by patient deaths, and better coping with patient deaths. Both subscales have good content validity, construct validity, and criterion validity, as well as satisfactory internal consistency and split-half reliability.
PBS is a specific assessment tool for professional bereavement which is clearly defined, comprehensive, rigorously tested, and generalizable to different professional caregivers from various departments. Unveiled constructs illustrate that professional bereavement experiences contain a professional dimension in addition to a personal dimension both in an event-specific and a global perspective, which distinguishes them from familial bereavement experiences.
开发并验证专业丧亲量表（PBS），这是一种针对专业丧亲经历的特定测量工具。
通过在线横断面调查收集了来自中国大陆城市医院的563名医生和护士的数据。进行了项目一致性分析、成分因子分析、探索性因子分析和验证性因子分析，以开发和验证该量表。进行相关性分析以评估该量表的心理测量特性。
PBS形成了两个子量表：包含17个条目的短期丧亲反应子量表（PBS-SBR）和包含15个条目的累积总体变化子量表（PBS-AGC）。PBS-SBR涉及四个因子，即挫折与创伤、内疚、悲伤和感动。PBS-AGC涉及五个因子，即新见解、更多地接受局限性、更多与死亡相关的焦虑、受患者死亡的影响较小以及更好地应对患者死亡。两个子量表都具有良好的内容效度、结构效度和效标效度，以及令人满意的内部一致性和分半信度。
PBS是一种针对专业丧亲的特定评估工具，定义明确、全面、经过严格测试，并且可推广到来自各个科室的不同专业护理人员。所揭示的结构表明，专业丧亲经历在事件特定和总体层面上，除了个人层面外还包含一个专业层面，这使其有别于家庭丧亲经历。
