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员工评估以人为本的护理问卷:针对葡萄牙人群的改编与验证

Staff Assessment Person-Directed Care Questionnaire: Adaptation and Validation for the Portuguese Population.

作者信息

Barbosa Maria M, Teixeira Laetitia, Yanguas Javier, Paul Constança, Afonso Rosa M

机构信息

Instituto de Ciências Biomédicas Abel Salazar, School of Medicine and Biomedical Sciences, University of Porto, Rua Jorge de Viterbo Ferreira, 228, 4050-313 Porto, Portugal.

Health Sciences Research Centre, Faculty of Health Sciences, University of Beira Interior (CICS-UBI), Avenida Infante D. Henrique, 6201-506 Covilhã, Portugal.

出版信息

Gerontol Geriatr Med. 2022 Jun 4;8:23337214221103394. doi: 10.1177/23337214221103394. eCollection 2022 Jan-Dec.

Abstract

Person-centered care aims to increase and guarantee the quality of care at residential care facilities for older adults. The implementation and development of this approach requires validated assessment tools, which are still lacking in Portugal. This study aims to adapt and validate for the Portuguese population the internationally and widely used essential instrument that is the Staff Assessment Person-Directed Care (SAPDC). The adaptation of the SAPDC included its translation, back translation, and a pilot-study. For validation, staff members were recruited by distributing the study via email and on social media. Respondents included 546 native Portuguese-speaking staff members working at residential care facilities for over 6 months. The mean score of SAPDC was 165.74 (SD = 36.78). The exploratory factor analysis showed eight conceptually distinct dimensions, considered adequate by the expert team. The total scale showed a very good internal consistency (α = .96) and excellent temporal stability assessed by Intraclass Correlation Coefficient (> .90). Providing a Portuguese version of the SAPDC is useful to substantiate technical and scientific advancements and define policies with implications on evolving care approaches. This tool helps optimize the quality and dignification of gerontological practices, which is urgent at Portuguese residential care facilities.

摘要

以人为主的护理旨在提高并保证老年人住宿护理机构的护理质量。这种方法的实施与发展需要经过验证的评估工具,而葡萄牙目前仍缺乏此类工具。本研究旨在针对葡萄牙人群改编并验证国际上广泛使用的重要工具——员工评估人本位护理(SAPDC)。SAPDC的改编工作包括翻译、回译以及一项预研究。为进行验证,通过电子邮件和社交媒体分发研究问卷来招募工作人员。受访者包括546名在住宿护理机构工作超过6个月、以葡萄牙语为母语的工作人员。SAPDC的平均得分为165.74(标准差=36.78)。探索性因素分析显示出八个概念上不同的维度,专家团队认为这是足够的。整个量表显示出非常好的内部一致性(α=0.96),通过组内相关系数评估的时间稳定性极佳(>0.90)。提供葡萄牙语版的SAPDC有助于证实技术和科学进步,并制定对不断发展的护理方法有影响的政策。这个工具有助于优化老年护理实践的质量和尊严,这在葡萄牙的住宿护理机构中是紧迫的。

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