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Rasch 分析在护理研究中的使用及报告质量:方法学范围综述。

The use and quality of reporting of Rasch analysis in nursing research: A methodological scoping review.

机构信息

Department of Nursing Science, University of Turku, Finland.

Faculty of Health and Society, Malmö University, Malmö, Sweden.

出版信息

Int J Nurs Stud. 2022 Aug;132:104244. doi: 10.1016/j.ijnurstu.2022.104244. Epub 2022 Apr 20.

Abstract

BACKGROUND

Rasch analysis is widely used in the life sciences. Rasch analysis is a mathematical and probabilistic model based on the assumption that the probability of passing a single item is governed by a person's ability and the difficulty of the item. However, its use in nursing science remains unclear.

AIM

To (i) describe the use of Rasch analysis in nursing research and (ii) determine the quality of reporting in nursing studies using Rasch models.

METHODS

A methodological scoping review of literature was conducted. The systematic electronic literature search was initially conducted on 1 February 2020 and updated on 16 April 2021 from PubMed/Medline and CINAHL databases. The search was limited to covering the timeframe from the earliest literature available until 31 December 2020. The search terms used were Rasch, IRT, item response theory, and nursing. The search was limited to the English language and title/abstract level. The analysis included quantification and content analysis.

RESULTS

In total, 388 hits were identified. Following a two-phase retrieval process, 88 articles were included in the final analysis. Rasch analysis was used to test the psychometric properties of the newly developed instrument, and validate or test a short version of the existing instrument. The reporting of Rasch analysis demonstrated large variability in quality. Rating scale functioning, internal scale validity using goodness-of-fit statistics, and unidimensionality were the most frequently reported outcomes.

CONCLUSION

The use of Rasch analysis in nursing science was found to be unsystematic. Rasch analysis could provide new possibilities for investigating measurement properties. However, robust, comprehensive, and precise reporting of the methodological choices and results of Rasch analysis is needed. Furthermore, the use of Rasch analysis in nursing science is encouraged.

WHAT IS ALREADY KNOWN

WHAT THIS PAPER ADDS.

摘要

背景

Rasch 分析在生命科学中得到了广泛应用。Rasch 分析是一种基于概率的数学模型,其假设通过单一项目的概率由人的能力和项目的难度决定。然而,它在护理科学中的应用仍不清楚。

目的

(i)描述 Rasch 分析在护理研究中的应用,(ii)确定使用 Rasch 模型的护理研究报告的质量。

方法

对文献进行了方法学范围的综述。最初于 2020 年 2 月 1 日在 PubMed/Medline 和 CINAHL 数据库中进行了系统的电子文献检索,并于 2021 年 4 月 16 日进行了更新,检索范围覆盖最早的文献到 2020 年 12 月 31 日。使用的检索词是 Rasch、IRT、项目反应理论和护理。检索仅限于英语和标题/摘要水平。分析包括量化和内容分析。

结果

共确定了 388 个符合条件的结果。经过两阶段检索过程,最终有 88 篇文章被纳入最终分析。Rasch 分析用于测试新开发工具的心理计量学特性,并验证或测试现有工具的简短版本。Rasch 分析的报告显示质量存在很大差异。评分量表的功能、拟合优度统计数据的内部量表有效性以及单维性是最常报告的结果。

结论

在护理科学中使用 Rasch 分析的情况发现是不系统的。Rasch 分析可以为研究测量特性提供新的可能性。然而,需要对 Rasch 分析的方法选择和结果进行稳健、全面和精确的报告。此外,鼓励在护理科学中使用 Rasch 分析。

已有知识

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