开发并测试适用于护生和助产士的 EPICC 精神关怀能力自我评估工具。
Developing and testing the EPICC Spiritual Care Competency Self-Assessment Tool for student nurses and midwives.
机构信息
Faculty of Health Studies, VID Specialized University, Bergen, Norway.
Viaa Christian University of Applied Sciences, Zwolle, The Netherlands.
出版信息
J Clin Nurs. 2023 Apr;32(7-8):1148-1162. doi: 10.1111/jocn.16261. Epub 2022 Mar 14.
AIMS AND OBJECTIVES
To develop and psychometrically test a self-assessment tool that measures undergraduate nursing and midwifery students' perceptions of spiritual care competence in health care practice.
BACKGROUND
Spiritual care is part of nurses/midwives' responsibility. There is a need to better benchmark students' competency development in spiritual care through their education. The EPICC Spiritual Care Education Standard served as groundwork for the development of the EPICC Spiritual Care Competency Self-Assessment Tool.
DESIGN
Cross sectional, mixed methods design. A STROBE checklist was used.
METHODS
The Tool (available in English, Dutch and Norwegian) was developed by an international group. It was tested between July-October 2020 with a convenience sample of 323 nursing/midwifery students at eight universities in five countries. The Tool was tested for validity using Kaiser-Meyer-Olkin (KMO) test, exploratory and confirmatory factor analysis, one-way ANOVA and independent samples t test. The reliability was tested by Cronbach's alpha coefficient. Qualitative data were analysed using thematic analysis.
RESULTS
The KMO test for sampling adequacy was 0.90. All, but two, items were related to the same factor. Cronbach's alpha coefficient for the Tool was 0.91. Students found the Tool easy to use, and they gained new insights by completing it. However, students felt that some questions were repetitive and took time to complete.
CONCLUSIONS
The Tool has construct and discriminant validity, and high internal consistency (is reliable). In addition, students found the Tool useful, especially in early stages of education.
RELEVANCE TO CLINICAL PRACTICE
The Tool affords student nurses and midwives the opportunity to self-evaluate their knowledge, skills and attitudes about spirituality and spiritual care. The Tool offers students, educators and preceptors in clinical practice a tangible way of discussing and evaluating spiritual care competency.
目的和目标
开发并心理测量一种自我评估工具，用于衡量护理和助产学本科生在医疗实践中对灵性关怀能力的看法。
背景
灵性关怀是护士/助产妇的职责之一。需要通过教育更好地衡量学生在灵性关怀方面的能力发展。EPICC 灵性关怀教育标准为 EPICC 灵性关怀能力自我评估工具的开发提供了基础。
设计
横断面混合方法设计。使用 STROBE 清单。
方法
该工具（提供英文、荷兰文和挪威文版本）由一个国际团队开发。它于 2020 年 7 月至 10 月在五个国家的八所大学进行了一项方便样本的 323 名护理/助产学学生的测试。使用 Kaiser-Meyer-Olkin（KMO）测试、探索性和验证性因素分析、单因素方差分析和独立样本 t 检验来评估工具的有效性。使用 Cronbach 的 alpha 系数来评估可靠性。使用主题分析对定性数据进行分析。
结果
样本充分性的 KMO 测试为 0.90。除了两个项目之外，所有项目都与同一个因素有关。工具的 Cronbach 的 alpha 系数为 0.91。学生认为该工具易于使用，并且通过完成它获得了新的见解。但是，学生们认为有些问题是重复的，并且需要时间来完成。
结论
该工具具有结构有效性和判别有效性，以及高度的内部一致性（可靠）。此外，学生们认为该工具很有用，尤其是在教育的早期阶段。
临床相关性
该工具为护理学生提供了自我评估他们关于灵性和灵性关怀的知识、技能和态度的机会。该工具为学生、教育者和临床实践中的导师提供了一种有形的方式来讨论和评估灵性关怀能力。
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