Nursing Program, School of Nursing and Health Sciences, La Salle University, Philadelphia, Pennsylvania, USA.
School of Nursing, Rutgers University-Camden, Camden, New Jersey, USA.
Nurs Forum. 2022 Jul;57(4):509-529. doi: 10.1111/nuf.12703. Epub 2022 Feb 8.
Nursing's continued focus on caring for physical aspects of patients' bodies underscores the importance of bodywork and shows nursing's privileged, professional access to patients. This instrument development study presents the first phases of a new instrument. It established a conceptual definition of nursing's bodywork and initial psychometric properties of the Nursing Bodywork Instrument. Literature sources generated codes and clusters for item development. Literature-based and expert content validity were demonstrated. A pilot study tested nurses' (N = 53) agreement with draft items. The highest-ranked items confirmed nurses' bodywork and reliance on technological devices when giving direct patient care. Known groups validity testing by groups' years as a nurse did not differ statistically. Internal consistency reliability was 0.98 on the 128-item instrument, pointing to the need for future reduction. Inter-item correlations suggested that factor analysis with a large sample size might generate domains descriptive of nursing's bodywork. A total of 125 items resulted from item analysis and subsequent item revision. All items were matched with clusters; for example, technologic device management, physical comfort facilitation, skin/wound management, self-care facilitation, and respiratory management include some item clusters.
护理继续专注于照顾患者身体的生理方面，这强调了身体护理的重要性，并展示了护理人员对患者的特殊、专业的护理途径。这项仪器开发研究呈现了一种新仪器的最初阶段。它确立了护理身体护理的概念定义和护理身体护理仪器的初始心理测量特性。文献来源为项目开发生成了代码和聚类。展示了基于文献的和专家的内容有效性。一项试点研究测试了护士（N=53）对草案项目的一致性。排名最高的项目证实了护士在提供直接患者护理时的身体护理和对技术设备的依赖。按护士工作年限分组的已知组有效性测试在统计学上没有差异。128 个项目的仪器内部一致性信度为 0.98，表明需要进一步减少。项目间相关性表明，使用大样本量的因子分析可能会产生描述护理身体护理的领域。通过项目分析和随后的项目修订，共产生了 125 个项目。所有项目都与聚类匹配；例如，技术设备管理、身体舒适度促进、皮肤/伤口管理、自我护理促进和呼吸管理包括一些项目聚类。
