Gold Coast University Hospital, Gold Coast Health, Southport, Queensland, Australia.
NHMRC CRE in Wiser Wound Care, Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia.
Health Expect. 2022 Oct;25(5):2492-2502. doi: 10.1111/hex.13569. Epub 2022 Jul 27.
When handover is conducted at the patient's bedside, active patient participation can be encouraged, which may improve the safety and quality of care. There is a need for valid and reliable tools to measure patient perceptions of participation in bedside handover, to ensure the rising number of implementation and improvement efforts are consistently and effectively evaluated. The aim of this study is to systematically develop and evaluate the psychometric properties of a self-report survey to measure patients' perceptions of participation in bedside handover.
In Phase 1, our team developed a conceptual framework and item pool (n = 130). In Phase 2, content validity was assessed with four health consumers, four nurses and four researchers. Next, 10 current hospital inpatients tested the survey for end-user satisfaction. In Phase 3, 326 inpatients completed the survey, allowing exploratory factor analysis, reliability analyses and convergent/divergent validity analyses to occur.
Phase 1 and 2 resulted in a 42-item survey. In Phase 3, 321 surveys were available for analysis. Exploratory factor analysis revealed a three-factor solution, with 24 items, which matched our conceptual framework. The three factors were: 'Conditions for patient participation in bedside handover', 'Level of patient participation in bedside handover' and 'Evaluation of patient participation in bedside handover'. There was strong evidence for factor reliability and validity. Additionally, the correlation between factors was strong.
This study furthers our conceptual understanding by showing that nurse facilitating behaviours are a strong precursor for patient participation and perceived handover outcomes, justifying the need for nursing training. A robust survey has been developed to measure patient perceptions of participation in bedside handover, which can effectively evaluate this approach to care. Engaging consumers and nurses as research team members was invaluable in ensuring that the survey is acceptable for end-users.
A health consumer and nurse partnered as members of the research team from study inception to dissemination.
当在患者床边进行交接时，可以鼓励患者积极参与，这可能会提高护理的安全性和质量。需要有有效的、可靠的工具来衡量患者对参与床边交接的看法，以确保越来越多的实施和改进工作得到持续和有效的评估。本研究的目的是系统地开发和评估一种自我报告调查工具，以测量患者对参与床边交接的看法。
在第 1 阶段，我们的团队制定了一个概念框架和项目池（n=130）。在第 2 阶段，使用四名健康消费者、四名护士和四名研究人员评估内容效度。接下来，10 名当前住院患者对调查进行了终端用户满意度测试。在第 3 阶段，326 名住院患者完成了调查，允许进行探索性因素分析、可靠性分析和收敛/发散有效性分析。
第 1 阶段和第 2 阶段产生了一个包含 42 个项目的调查。在第 3 阶段，有 321 份调查可供分析。探索性因素分析显示出一个三因素解决方案，有 24 个项目，与我们的概念框架相匹配。这三个因素是：“患者参与床边交接的条件”、“患者参与床边交接的程度”和“患者对床边交接的评价”。有强有力的证据表明因素的可靠性和有效性。此外，各因素之间的相关性很强。
这项研究通过表明护士的促进行为是患者参与和感知交接结果的一个重要前提，进一步深化了我们的概念理解，证明了护理培训的必要性。已经开发了一个强大的调查来衡量患者对参与床边交接的看法，这可以有效地评估这种护理方法。让消费者和护士作为研究团队的成员从研究开始到传播一直参与进来，是非常宝贵的，这确保了调查对终端用户是可接受的。
一名健康消费者和一名护士从研究开始到传播一直作为研究团队的成员合作。
