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以患者为中心的护理评估工具印尼语版本的心理测量学评估

Psychometric evaluation of the Indonesian version of the Person-centered Care Assessment Tool.

作者信息

Weni Woro Mustika, Shimizu Megumi, Ando-Ohmura Chiaki, Ohashi Yuki, Edvardsson David, Backman Annica, Baxter Rebecca, Kloos Noortje, Ozaki Akiko

机构信息

Department of Gerontological and Home Healthcare Nursing, Tohoku University, Sendai, Japan.

Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.

出版信息

Int J Older People Nurs. 2023 Nov;18(6):e12565. doi: 10.1111/opn.12565. Epub 2023 Aug 16.

Abstract

BACKGROUND

The number of Indonesian care staff working in hospitals and long-term care facilities caring for persons with dementia in Japan is increasing; however, there is no instrument available in the Indonesian language to assess their dementia care practice.

OBJECTIVES

This study aimed to translate the Person-centered Care Assessment Tool (P-CAT) and evaluate its psychometric properties in a sample of Indonesian care staff working in dementia care and long-term care facilities in Japan.

METHODS

This is a descriptive, methodological, and cross-sectional study. The P-CAT was translated into the Indonesian language. The draft was administered to Indonesian care staff (n = 218) working at long-term care facilities in Japan. Data were analysed using exploratory factor analysis (EFA), confirmatory factor analysis (CFA), known-group validity, internal consistency, and test-retest reliability.

RESULTS

EFA showed three-factor and CFA of the three-factor indicated that the model had an acceptable fit (chi-squared statistics/degree of freedom = 1.78, comparative fit index = 0.94, root mean square error of approximation = 0.06) with a slightly different structure compared to the original P-CAT. Regarding known-group validity, the P-CAT total score was significantly higher for those who had training in dementia, who knew about person-centred care, and who showed satisfaction in the job. Internal consistency (Cronbach's α) of the total scale was 0.68 which is considered acceptable, and the test-retest reliability intraclass correlation coefficient was 0.61 which is considered moderate.

CONCLUSION

The Indonesian P-CAT indicated sound validity and reliability to measure person-centred care among Indonesian care staff working in dementia care and long-term care facilities in Japan.

IMPLICATION FOR PRACTICE

The development of Indonesian P-CAT allows the evaluation of dementia care, promotes and further improves person-centred care for persons with dementia provided by Indonesian care staff working in long-term care facilities in Japan.

摘要

背景

在日本,为痴呆症患者提供护理服务的医院和长期护理机构中,印尼护理人员的数量在不断增加;然而,目前还没有印尼语的工具来评估他们的痴呆症护理实践。

目的

本研究旨在翻译以患者为中心的护理评估工具(P-CAT),并在日本从事痴呆症护理和长期护理机构工作的印尼护理人员样本中评估其心理测量特性。

方法

这是一项描述性、方法学和横断面研究。P-CAT被翻译成印尼语。该草案被分发给在日本长期护理机构工作的印尼护理人员(n = 218)。使用探索性因素分析(EFA)、验证性因素分析(CFA)、已知群体效度、内部一致性和重测信度对数据进行分析。

结果

探索性因素分析显示为三因素模型,三因素的验证性因素分析表明该模型具有可接受的拟合度(卡方统计量/自由度 = 1.78,比较拟合指数 = 0.94,近似均方根误差 = ),与原始P-CAT相比结构略有不同。关于已知群体效度,接受过痴呆症培训、了解以患者为中心的护理且对工作表示满意的人员的P-CAT总分显著更高。总量表的内部一致性(Cronbach's α)为0.68,被认为是可接受的,重测信度组内相关系数为0.61,被认为是中等的。

结论

印尼语版的P-CAT在测量日本痴呆症护理和长期护理机构中工作的印尼护理人员的以患者为中心的护理方面具有良好的效度和信度。

对实践的启示

印尼语版P-CAT的开发使得能够对痴呆症护理进行评估,促进并进一步改善在日本长期护理机构工作的印尼护理人员为痴呆症患者提供的以患者为中心的护理。

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