在中国开发并验证护患关系量表（NPRS）。
Developing and validating the nurse-patient relationship scale (NPRS) in China.
作者信息
Feng Yajie, Liu Chaojie, Tao Siyi, Wang Chen, Zhang Huanyu, Liu Xinru, Liu Zhaoyue, Liu Wei, Zhao Juan, Zou Dandan, Liu Zhixin, Liu Junping, Wang Nan, Wu Lin, Wu Qunhong, Hao Yanhua, Xu Weilan, Liang Libo
机构信息
School of Health Administration, Harbin Medical University, Harbin, China.
Department of Public Health, School of Psychology and Public Health, La Trobe University, 3086, Melbourne, VIC, Australia.
出版信息
BMC Nurs. 2024 Apr 22;23(1):255. doi: 10.1186/s12912-024-01941-w.
BACKGROUND
Poor nurse-patient relationship poses an obstacle to care delivery, jeopardizing patient experience and patient care outcomes. Measuring nurse-patient relationship is challenging given its multi-dimensional nature and a lack of well-established scales.
PURPOSE
This study aimed to develop a multi-dimensional scale measuring nurse-patient relationship in China.
METHODS
A preliminary scale was constructed based on the existing literature and Delphi consultations with 12 nursing experts. The face validity of the scale was tested through a survey of 45 clinical nurses. This was followed by a validation study on 620 clinical nurses. Cronbach's α, content validity and known-group validity of the scale were assessed. The study sample was further divided into two for Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA), respectively, to assess the construct validity of the scale.
RESULTS
The Nurse-Patient Relationship Scale (NPRS) containing 23 items was developed and validated, measuring five dimensions: nursing behavior, nurse understanding and respect for patient, patient misunderstanding and mistrust in nurse, communication with patient, and interaction with patient. The Cronbach's α of the NPRS ranged from 0.725 to 0.932, indicating high internal consistency. The CFA showed excellent fitness of data into the five-factor structure: χ/df = 2.431, GFI = 0.933, TLI = 0.923, CFI = 0.939, IFI = 0.923, RMSEA = 0.070. Good content and construct validity are demonstrated through expert consensus and psychometric tests.
CONCLUSION
The NPRS is a valid tool measuring nurse-patient relationship in China.
背景
护患关系不佳对护理服务的提供造成阻碍，危及患者体验和护理效果。鉴于护患关系具有多维度性质且缺乏成熟的量表，对其进行测量具有挑战性。
目的
本研究旨在开发一个用于测量中国护患关系的多维度量表。
方法
基于现有文献并与12名护理专家进行德尔菲咨询，构建了初步量表。通过对45名临床护士的调查测试了量表的表面效度。随后对620名临床护士进行了效度验证研究。评估了量表的克朗巴哈α系数、内容效度和已知组效度。研究样本进一步分为两组，分别进行探索性因子分析（EFA）和验证性因子分析（CFA），以评估量表的结构效度。
结果
开发并验证了包含23个条目的护患关系量表（NPRS），该量表测量五个维度：护理行为、护士对患者的理解与尊重、患者对护士的误解与不信任、与患者的沟通以及与患者的互动。NPRS的克朗巴哈α系数在0.725至0.932之间，表明内部一致性较高。CFA显示数据与五因素结构的拟合度良好：χ/df = 2.431，GFI = 0.933，TLI = 会对个人造成伤害。因此，我们应该谨慎对待人工智能的发展，并确保它的使用符合人类的利益和价值观。
结论
NPRS是测量中国护患关系的有效工具。 0.923，CFI = 0.939，IFI = 0.923，RMSEA = 0.070。通过专家共识和心理测量测试证明了良好的内容效度和结构效度。
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