Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
BMC Palliat Care. 2023 Aug 5;22(1):112. doi: 10.1186/s12904-023-01213-5.
The evaluation of spiritual requirements in patients can facilitate the delivery of spiritual care as an essential element of holistic healthcare. The objective of this research was to develop and evaluate the psychometric properties of a questionnaire on patients' spiritual needs in medical-surgical hospital settings.
This research utilized an exploratory sequential design, involving the creation of a pool of items through both inductive and deductive methods. The questionnaire's psychometric properties were then assessed using various techniques, such as face and content validity, item analysis, construct validity, internal consistency, stability, confirmatory factor analysis, and the Gradual Response Model of Samejima. The data analysis was conducted using MPLUS software, version 5.1.
The study's results showed that a four-factor structure (interpersonal connectedness, relationship with God, transcendence, and peaceful environment) with 43 items was successfully extracted through exploratory factor analysis. The confirmatory factor analysis supported the findings of the exploratory factor analysis. The Cronbach's alpha coefficients for the scale and factors ranged between 0.83 and 0.95. Furthermore, the interclass correlation coefficients for the scale and factors were between 0.89 and 0.96.
The questionnaire designed in this study is a reliable and valid instrument that can be utilized by healthcare, educational, and research institutions to evaluate the spiritual needs of patients in medical-surgical hospital settings.
评估患者的精神需求可以促进提供精神关怀，使其成为整体医疗保健的重要组成部分。本研究的目的是开发和评估适用于医疗-外科医院环境下患者精神需求的问卷的心理测量特性。
本研究采用探索性序贯设计，通过归纳法和演绎法创建项目池。然后使用各种技术评估问卷的心理测量特性，如表面效度和内容效度、项目分析、结构效度、内部一致性、稳定性、验证性因子分析和Samejima 的逐步反应模型。数据分析使用 MPLUS 软件，版本 5.1。
研究结果表明，通过探索性因子分析成功提取了一个包含 43 个项目的四因素结构（人际联系、与神的关系、超越、和宁静的环境）。验证性因子分析支持了探索性因子分析的结果。该量表和各因素的克朗巴赫 α 系数在 0.83 到 0.95 之间。此外，量表和各因素的组内相关系数在 0.89 到 0.96 之间。
本研究设计的问卷是一种可靠有效的工具，可用于医疗、教育和研究机构评估医疗-外科医院环境下患者的精神需求。
