Tsukuda Makoto, Fukuda Atsuko, Shogaki Junko, Miyawaki Ikuko
College of Nursing Art and Science, University of Hyogo, 13-71 Kitaoji-Cho, Akashi 673-0021, Hyogo, Japan.
Graduate School of Health Sciences, Kobe University, 7-10-2 Tomogaoka, Suma-Ku, Kobe 654-0142, Hyogo, Japan.
Nurs Rep. 2023 Sep 1;13(3):1170-1184. doi: 10.3390/nursrep13030101.
The number of patients on ventilators is rapidly increasing owing to the coronavirus pandemic. The previously developed Questionnaire for the Reflective Practice of Nursing Involving Invasive Mechanical Ventilation (Q-RPN-IMV) for the care of patients on ventilators includes nurses' thought processes as items. This study aims to develop a short form of the Q-RPN-IMV for immediate use in practice and to test its reliability and validity. A convenience sample of 629 participants was used to explore the factor structure using factor analysis. The test-retest reliability was assessed using the intraclass correlation coefficient (ICC). The study was a cross-sectional design instrument development study and was reported according to GRRAS guidelines. Q-RPN-IMV short form was divided into ventilator management and patient management. The ventilator management comprised 31 items organized into six factors. Cronbach's alpha ranged from 0.82 to 0.91, and the ICC ranged from 0.82 to 0.89. The patient management comprised 27 items organized into five factors. Cronbach's alpha ranged from 0.75 to 0.97, and ICC ranged from 0.75 to 0.97. The Q-RPN-IMV short form is a reliable and validated instrument for assessing care for patients on ventilators. This study was not registered.
由于新冠疫情，使用呼吸机的患者数量正在迅速增加。先前开发的用于护理使用呼吸机患者的《有创机械通气护理反思实践问卷》（Q-RPN-IMV）将护士的思维过程作为条目。本研究旨在开发Q-RPN-IMV的简版以便立即用于实践，并测试其信效度。采用便利抽样选取629名参与者，通过因子分析探索因子结构。使用组内相关系数（ICC）评估重测信度。本研究为横断面设计的工具开发研究，并按照GRRAS指南进行报告。Q-RPN-IMV简版分为呼吸机管理和患者管理两部分。呼吸机管理部分包含31个条目，分为六个因子。克朗巴哈系数在0.82至0.91之间，ICC在0.82至0.89之间。患者管理部分包含27个条目，分为五个因子。克朗巴哈系数在0.75至0.97之间，ICC在0.75至0.97之间。Q-RPN-IMV简版是一种用于评估使用呼吸机患者护理情况的可靠且经过验证的工具。本研究未进行注册。
