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流行-大流行影响量表(简易医疗模块)有效性的证据:内部结构及与其他变量的关联

Evidence for validity of the epidemic-pandemic impacts inventory (brief healthcare module): Internal structure and association with other variables.

作者信息

Young John Q, McCann-Pineo Molly, Rasul Rehana, Malhotra Prashant, Jan Sophia, Friedman Karen, Corley Samantha S, Yacht Andrew C, Barone Stephen, Bellehsen Mayer, Parashar Nidhi, Schwartz Rebecca M

机构信息

Department of Psychiatry, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.

Department of Psychiatry, Zucker Hillside Hospital at Northwell Health, Glen Oaks, NY, USA.

出版信息

Arch Environ Occup Health. 2023;78(2):98-107. doi: 10.1080/19338244.2022.2093823. Epub 2022 Jul 1.

DOI:10.1080/19338244.2022.2093823
PMID:35776080
Abstract

The COVID-19 pandemic has subjected healthcare workers to enormous stress. Measuring the impact of this public health emergency is essential to developing strategies that can effectively promote resilience and wellness. The Epidemic-Pandemic Impacts Inventory Supplemental Healthcare Module-Brief Version (EPII-SHMb) was developed to measure impacts among occupational cohorts serving on the front lines of healthcare. While this instrument has been utilized in COVID-19 related studies, little is known about its psychometric properties. This study collects evidence for validity of the EPII-SHMb by evaluating its internal structure and how its scores associate with other variables. Physicians and nursing staff across a large New York health system were cross-sectionally surveyed using an online questionnaire between June and November 2020. Exploratory factor analysis resulted in a 3-factor solution, identifying factors (7 items), (3 items), and (2 items). Internal consistency was high overall and within physician/nursing and gender subgroups (Cronbach's alpha: 0.70 - 0.81). Median scores on Death/Dying of Patients were higher among those who directly cared for COVID-19 patients or worked in COVID-19 hospital units. These results are promising. Additional studies evaluating other dimensions of validity are necessary.

摘要

新冠疫情给医护人员带来了巨大压力。衡量这一突发公共卫生事件的影响对于制定能够有效提升恢复力和健康水平的策略至关重要。《流行-大流行影响量表补充医疗保健模块简版》(EPII-SHMb)旨在衡量在医疗保健一线工作的职业群体所受的影响。虽然该工具已在与新冠疫情相关的研究中使用,但其心理测量特性却鲜为人知。本研究通过评估其内部结构以及分数与其他变量的关联,收集EPII-SHMb有效性的证据。2020年6月至11月期间,对纽约一个大型医疗系统中的医生和护理人员进行了在线问卷调查。探索性因素分析得出了一个三因素解决方案,确定了因素(7项)、(3项)和(2项)。总体而言,以及在医生/护士和性别亚组中,内部一致性较高(克朗巴哈系数:0.70 - 0.81)。在直接护理新冠患者或在新冠病房工作的人员中,患者死亡/临终方面的中位数得分更高。这些结果很有前景。有必要开展其他评估有效性其他维度的研究。

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