制定一份评估中国社区卫生工作者实施预先医疗指示意愿的问卷。

The development of a questionnaire to assess the willingness of Chinese community health workers to implement advance care planning.

机构信息

School of Clinical Medicine, Hangzhou Normal University of Division of Health Science, The Affiliated Hospital of Hangzhou Normal University, No.126 of Wenzhou Rd, Gongshu District, Hangzhou, Zhejiang, 310015, China.

School of Nursing, Hangzhou Normal University, Building No.8 in Shenyuan, No.2318 of Yuhangtang Rd, Yuhang District, Hangzhou, Zhejiang, 311121, China.

出版信息

BMC Palliat Care. 2022 Sep 9;21(1):157. doi: 10.1186/s12904-022-01046-8.

DOI:10.1186/s12904-022-01046-8

PMID:36085142

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9461251/

Abstract

BACKGROUND

To develop a questionnaire to evaluate the willingness of Chinese health care workers to implement an advance care planning (ACP) program for patients in a Chinese cultural context.

METHODS

Guided by the framework of the theory of planned behavior (TPB), a literature analysis and semi-structured interviews were conducted to create a pool of questionnaire items, and then the initial assessment questionnaire was developed by two rounds of expert consultations. A random sampling method was used to pre-survey 204 health care workers in community health service centers (CHSCs) in three urban areas of Hangzhou, Zhejiang Province. The final questionnaire was derived from item analysis and exploratory factor analysis.

RESULTS

Based on exploratory factor analysis, five common factors were identified from the questionnaire on community health care workers'(CHWs) willingness to implement ACP. In general, the content validity of the questionnaire was 0.91, and the content validity of each of the entries ranged from 0.80 to 1.00, indicating acceptable overall questionnaire content validity. The total Cronbach coefficient for the questionnaire was 0.966, the Cronbach coefficient for each dimension ranged from 0.865 to 0.954, and the retest reliability was 0.856. The questionnaire produced a final draft containing five dimensions (behavioral attitudes, subjective norms, direct control, indirect control, and behavioral intentions) and 30 items.

CONCLUSION

The questionnaire on the willingness of CHWs to implement ACP was validated and found to be reliable.

摘要

背景

为了在中国文化背景下开发一种评估中国卫生保健工作者实施预先护理计划（ACP）意愿的问卷。

方法

以计划行为理论（TPB）为指导，通过文献分析和半结构化访谈，创建了问卷项目库，然后通过两轮专家咨询制定了初始评估问卷。采用随机抽样法，对浙江省杭州市三个城区的 204 名社区卫生服务中心（CHSC）的卫生保健工作者进行了预调查。最终问卷是从项目分析和探索性因素分析中得出的。

结果

基于探索性因素分析，从社区卫生保健工作者（CHWs）实施 ACP 意愿问卷中确定了五个共同因素。总体而言，问卷的内容效度为 0.91，各条目内容效度范围为 0.80 至 1.00，表明整体问卷内容效度可接受。问卷的总 Cronbach 系数为 0.966，各维度的 Cronbach 系数范围为 0.865 至 0.954，重测信度为 0.856。问卷最终草稿包含五个维度（行为态度、主观规范、直接控制、间接控制和行为意向）和 30 个项目。