测量临终关怀和姑息治疗提供者的精神不确定性。
Measuring spiritual uncertainty for hospice and palliative care providers.
机构信息
Associate Professor, College of Nursing, Kent State University, Ohio, US.
Professor, College of Nursing, Kent State University, Ohio, US.
出版信息
Int J Palliat Nurs. 2023 Apr 2;29(4):180-186. doi: 10.12968/ijpn.2023.29.4.180.
BACKGROUND
Spiritual uncertainty is a new construct for end-of-life care that focuses on the questions, worries and doubts people have with end-of-life spirituality. Spiritual uncertainty can contribute to spiritual distress for patients and families dealing with the end of life, as well as lead healthcare providers to avoid spiritual care methods.
AIMS
This article reports on the item construction of a new survey design to measure the spiritual uncertainty of healthcare providers.
METHODS
Items were constructed from qualitative data gathered from five focus groups (with a total of 23 interdisciplinary hospice and palliative care providers being surveyed). Data were developed through three rounds of item construction, selection/refinement and assessment.
FINDINGS
A final pool of 42 items was constructed to measure the spiritual uncertainty of healthcare providers. Expert validity was obtained by 16 interdisciplinary hospice and palliative care providers.
CONCLUSION
This survey is the first to measure spiritual uncertainty of healthcare providers. Additional research is needed to assess the psychometric properties of survey items.
背景
精神不确定性是临终关怀的一个新概念，它侧重于人们在临终精神方面的问题、担忧和疑虑。精神不确定性可能导致患者和家属在生命末期感到精神痛苦，并导致医疗保健提供者回避精神关怀方法。
目的
本文报告了一种新的调查设计的项目构建，用于衡量医疗保健提供者的精神不确定性。
方法
项目是从五个焦点小组（共调查了 23 名跨学科临终关怀和姑息治疗提供者）收集的定性数据中构建的。通过三轮项目构建、选择/精炼和评估来开发数据。
结果
构建了一个由 42 个项目组成的最终池，用于衡量医疗保健提供者的精神不确定性。16 名跨学科临终关怀和姑息治疗提供者获得了专家有效性。
结论
该调查是第一个衡量医疗保健提供者精神不确定性的调查。需要进一步研究来评估调查项目的心理测量特性。
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