International Doctoral Program in Nursing, Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
J Adv Nurs. 2022 Dec;78(12):3952-3973. doi: 10.1111/jan.15436. Epub 2022 Sep 7.
To synthesize and evaluate the psychometric properties of self-report instruments that measure patient dignity.
A psychometric systematic review.
A comprehensive search of studies published from inception until February 17, 2022, was performed using PubMed, Embase, CINAHL, Web of Science, and Scopus.
The methodological quality of the psychometric studies was evaluated following the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines.
Eleven self-report instruments that evaluate dignity were identified. For most instruments, psychometric properties, including reliability, cross-cultural validity, responsiveness, and measurement error, had not been adequately examined. The Patient Dignity Inventory (PDI), the Jacelon's Attributed Dignity Scale (JADS), and the Inpatient Dignity Scale (IPDS) had acceptable content validity, structure validity, and internal consistency to measure dignity among adult patients under palliative care, community-dwelling older adults, and inpatients receiving daily care.
The PDI, the JADS, and the IPDS are recommended for future clinical practice and research to measure dignity among adult patients under palliative care, community-dwelling older adults, and inpatients receiving daily care. Early identification of patients' dignity-related problems in nursing care can prevent negative health outcomes and help develop a timely intervention to promote patients' health and recovery.
Given that the psychometric properties of the existing self-report dignity instruments have not been systematically assessed, the present review utilized comprehensive methods according to COSMIN to evaluate and determine the most appropriate measure for research and practice. The PDI, the JADS, and the IPDS demonstrated satisfactory psychometric properties and are, thus, recommended for clinical and research applications. Nursing professionals can employ these instruments to assess and promptly identify dignity issues among both young and older adults in hospitals and communities.
综合评价测量患者尊严的自评工具的心理测量学特性。
心理测量学系统评价。
从建库至 2022 年 2 月 17 日，通过 PubMed、Embase、CINAHL、Web of Science 和 Scopus 全面检索已发表的研究。
根据共识基础的健康测量仪器选择标准（COSMIN）指南评价心理测量研究的方法学质量。
共确定了 11 种评估尊严的自评工具。对于大多数工具，其心理测量学特性，包括可靠性、跨文化有效性、反应度和测量误差，尚未得到充分检验。在姑息治疗下的成年患者、社区居住的老年人以及接受日常护理的住院患者中，尊严评估的患者尊严量表（PDI）、Jacelon 的归因尊严量表（JADS）和住院患者尊严量表（IPDS）具有可接受的内容效度、结构效度和内部一致性。
PDI、JADS 和 IPDS 推荐用于未来的临床实践和研究，以测量姑息治疗下的成年患者、社区居住的老年人以及接受日常护理的住院患者的尊严。在护理中尽早识别患者尊严相关问题，可以预防不良健康结局，并有助于及时干预，促进患者的健康和康复。
鉴于现有自评尊严工具的心理测量学特性尚未得到系统评估，本研究采用了 COSMIN 中的综合方法进行评估，以确定最适合研究和实践的测量工具。PDI、JADS 和 IPDS 具有满意的心理测量学特性，因此推荐用于临床和研究应用。护理专业人员可以使用这些工具评估和及时识别医院和社区中年轻和老年患者的尊严问题。
