《成人住院患者安全感量表的编制及心理测量学评价：探索性序贯混合方法》

'Development and psychometric evaluation of the safety feeling scale in adult patients at hospital: Exploratory sequential mixed method'.

机构信息

Department of community health nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Nurs Open. 2023 Sep;10(9):6165-6174. doi: 10.1002/nop2.1850. Epub 2023 May 28.

DOI:10.1002/nop2.1850

PMID:37246347

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10416024/

Abstract

AIM AND OBJECTIVES

This study aimed to develop and examine psychometric properties of the safety feeling scale (SFS) in adult patients to assess their sense of safety during a hospital stay.

DESIGN

Mixed methods design. A SQUIRE checklist was used.

METHODS

This is a study with two phases of scale development and evaluation of the psychometric properties of the scale. In the first phase, the concept of 'safety feeling' was analysed using a hybrid model. Thus, a systematic review and then a qualitative study with hospitalized patients (n = 31) were conducted by conventional content analysis. In the psychometric phase, factorial validity, reliability, feasibility, and responsiveness of the scale were evaluated by different tests in various samples.

RESULTS

After integrating the results of the systematic review and qualitative study, a scale item pool with 84 items was developed. In the psychometric phase, 12 items with four factors were specified; 'effective care,' 'confidence in the healthcare team,' 'emotional enrichment' and 'hygienic facilities,' explaining 51% of the total variance of the scale. They were confirmed by confirmatory factor analysis. Internal consistency and stability of the scale were satisfactory. Feasibility and responsiveness were also acceptable.

摘要

目的和目标

本研究旨在开发并检验成人患者安全感受量表（SFS）的心理测量特性，以评估其在住院期间的安全感。

设计

混合方法设计。使用了 SQUIRE 清单。

方法

这是一项具有两个阶段的量表开发和量表心理测量特性评估的研究。在第一阶段，使用混合模型分析了“安全感受”的概念。因此，通过常规内容分析进行了系统评价，然后对住院患者（n=31）进行了定性研究。在心理测量阶段，通过不同的测试在不同的样本中评估了量表的因子有效性、可靠性、可行性和反应性。

结果

在整合系统评价和定性研究的结果后，开发了一个包含 84 个项目的量表条目池。在心理测量阶段，确定了包含 12 个项目的四个因子，分别为“有效护理”、“对医疗团队的信心”、“情感丰富”和“卫生设施”，解释了量表总方差的 51%。这些因子通过验证性因子分析得到了确认。量表的内部一致性和稳定性令人满意。可行性和反应性也可以接受。