Department of Nursing Administration, The First Affiliated Hospital of Naval Medical University (Changhai Hospital), Shanghai, China.
Department of Burns, The First Affiliated Hospital of Naval Medical University (Changhai Hospital), Shanghai, China.
J Adv Nurs. 2022 Oct;78(10):3483-3494. doi: 10.1111/jan.15418. Epub 2022 Aug 16.
The aim was to develop and psychometrically test the burn inpatient nursing dependency assessment scale (BINDAS).
This was a scale development study.
This study was conducted in four phases from November 2019 to November 2021. Items were generated and the initial scale was constructed in phase 1. The preliminary evaluation of items was conducted through expert reviews and a pilot study in phase 2. The scale, including item quality, reliability and validity, was validated with 420 individuals in phase 3. The translation of the scale from Chinese to English was performed in phase 4.
Content validity was satisfactory. Thirteen items were retained after item analysis, and three factors accounting for 73% of the total item variance were extracted through exploratory and confirmatory factor analyses. Predictive validity with nursing time spent with patients during 24 h was also estimated, with r = .66 (p < .01). Receiver operating characteristic analysis was conducted, and an area under the curve of the scale of 0.94 was obtained. Concurrent validity with Barthel index was estimated, with r = -.71 (p < .01). Cronbach's alpha coefficient for scale was .93, and the correlation between raters for total scores was .95.
Burn inpatient nursing dependency assessment scale is a psychometrically valid and reliable measurement instrument as well as objective other-rating scale with 12 items for scoring on a four-point scale (0, 1, 2 or 3) and 1 item for scoring on a two-point scale (0 or 2). BINDAS with 13 items was developed in this study. Nurses can give each patient a total score of 0-38. A high score indicates high nursing dependency. The 13-item scale consists of three factors: basic care need, physiological index, and psychology and adaptation.
This scale demonstrated satisfactory psychometric properties and can be used to evaluate patient dependency on nurses in burn units and optimize an individual's care plan to achieve efficient staff allocation.
旨在开发并对烧伤住院患者护理依赖评估量表（BINDAS）进行心理测量学测试。
这是一项量表开发研究。
本研究于 2019 年 11 月至 2021 年 11 月分四个阶段进行。在第 1 阶段生成项目并构建初始量表。在第 2 阶段通过专家评审和试点研究对项目进行初步评估。在第 3 阶段，使用 420 名个体对量表进行了包括项目质量、信度和效度在内的验证。在第 4 阶段，对量表进行了从中文到英文的翻译。
内容效度令人满意。项目分析后保留了 13 项，通过探索性和验证性因子分析提取了占总项目方差 73%的三个因素。通过与 24 小时内护理患者时间的预测效度也进行了估计，r=0.66（p<0.01）。还进行了受试者工作特征分析，量表的曲线下面积为 0.94。与巴氏量表的同时效度进行了评估，r=0.71（p<0.01）。量表的克朗巴赫α系数为 0.93，总分评分者之间的相关性为 0.95。
烧伤住院患者护理依赖评估量表是一种具有心理测量学效度和信度的客观他评量表，有 12 项评分（0、1、2 或 3）的 4 点量表和 1 项评分（0 或 2）的 2 点量表。本研究开发了 BINDAS，共 13 项。护士可为每位患者打出 0-38 的总分。得分越高表示护理依赖性越高。13 项量表由基本护理需求、生理指标、心理和适应三个因素组成。
该量表具有良好的心理计量学特性，可用于评估烧伤病房患者对护士的依赖程度，并优化患者的护理计划，实现高效的人员配置。
