Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
School of Behavioral Sciences and Mental Health, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Eur J Trauma Emerg Surg. 2024 Apr;50(2):447-453. doi: 10.1007/s00068-023-02360-3. Epub 2023 Sep 20.
Systematic trauma care scale could be designed and used by nurses to completely and adequately fulfill a complex care to improve trauma care quality. The purpose of this study was to design and evaluate the psychometric property of the Nursing Care Quality in Trauma Emergency Units and trauma care promotion.
This methodological study was conducted in 2022. The process of designing and psychometric assessment of the scale was performed in two steps such as Generating an Item Pool and Validity and Reliability evaluation (Item reduction). The construct validity was determined using the experimental intervention; for determining the reliability of the scale and internal consistency, we measured the inter-rater reliability (IRR). Data were analyzed using the SPSS software, version 22.
Based on our findings, the CVI and CVR of the scale were 1 and 0.83-1, respectively. A significant difference between the pre- and post-intervention scores in group 1 supports the inference that the construct has been appropriately represented, and the instrument has construct validity (p < 0.001). We found that there was a significant difference in the scores of Patient assessment, Planning and Implementations, and Evaluation of the care plan. The inter-rater reliability method allows the optimal reliability assessment of observational instruments, which was used in this study, and the results confirmed excellent reliability of the instrument.
The validity and reliability of the Nursing Care Quality in Trauma Emergency Units Scale were confirmed. The instrument could successfully assess the process of nursing care in the trauma emergency ward. The use of this checklist is recommended as a valid observational tool for other researchers.
Therapeutic/care management.
系统创伤护理量表可以由护士设计和使用，以全面和充分地提供复杂护理，从而提高创伤护理质量。本研究旨在设计和评估创伤急救单元护理质量和创伤护理促进的心理计量学特性。
这是一项 2022 年进行的方法学研究。该量表的设计和心理计量评估过程分两步进行，即生成项目池和有效性和可靠性评估（项目减少）。采用实验干预法确定结构效度；为了测量量表的可靠性和内部一致性，我们测量了评分者间信度（IRR）。数据使用 SPSS 软件，版本 22 进行分析。
根据我们的发现，量表的 CVI 和 CVR 分别为 1 和 0.83-1。组 1 的干预前后评分之间存在显著差异，支持推断结构已得到适当表示，并且仪器具有结构有效性（p < 0.001）。我们发现，患者评估、计划和实施以及护理计划评估的评分存在显著差异。评分者间信度法允许对观察仪器进行最佳的可靠性评估，本研究中使用了这种方法，结果证实了仪器具有极好的可靠性。
创伤急救单元护理质量量表的有效性和可靠性得到了确认。该工具可以成功评估创伤急救病房的护理过程。建议其他研究人员使用此清单作为有效的观察工具。
治疗/护理管理。
