Joo Youngshin, Jang Yeonsoo, Park Chang Gi, Yang You Lee
College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, Republic of Korea.
College of Nursing and Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Republic of Korea.
BMC Nurs. 2024 Aug 13;23(1):550. doi: 10.1186/s12912-024-02174-7.
Patient-centered care aims to prevent disease and promote well-being by actively involving patients in treatment and decision-making that is based on respecting the patients and their families. However, no scales have been developed to assess patient-centered care from the nurse's perspective. This study aimed to develop a scale to measure nurses' level of patient-centered communication and confirm its validity and reliability.
A methodological cross-sectional study was adopted to develop and validate the Patient-Centered Communication Scale (PCCS). The items were developed through a literature review and online interviews with nurses. Content validity was assessed by experts and the content validity index was calculated. A pretest of the questionnaire was conducted with 10 clinical nurses. To evaluate the factor structure and internal consistency reliability, the PCCS was administered online to 325 nurses in South Korea. Data were analyzed using descriptive statistics, explanatory factor analysis (EFA), and confirmatory factor analysis (CFA).
The final instrument consisted of 12 items and three factors: (1) information sharing, (2) patient-as-person, and (3) therapeutic alliance. EFA revealed a distinct three-factor structure, explaining 59.0% of the total variance. CFA confirmed the adequacy of the model fit and validated the inclusion of the final items. The Cronbach's alpha values ranged from 0.60 to 0.77, indicating acceptable internal consistency. Convergent validity was evidenced by the correlation between the PCCS and a measure of interpersonal communication competence.
The 12-item PCCS showed good reliability, construct validity, and convergent validity. The scale has utility for measuring the level of patient-centered communication skills in nurses.
以患者为中心的护理旨在通过让患者积极参与基于尊重患者及其家属的治疗和决策来预防疾病并促进健康。然而，尚未开发出从护士角度评估以患者为中心护理的量表。本研究旨在开发一种量表来衡量护士以患者为中心的沟通水平，并确认其有效性和可靠性。
采用方法学横断面研究来开发和验证以患者为中心的沟通量表（PCCS）。通过文献回顾和对护士的在线访谈来确定条目。由专家评估内容效度并计算内容效度指数。对10名临床护士进行了问卷预测试。为了评估因子结构和内部一致性信度，对韩国的325名护士进行了PCCS在线施测。使用描述性统计、探索性因子分析（EFA）和验证性因子分析（CFA）对数据进行分析。
最终的量表由12个条目和三个因子组成：（1）信息共享，（2）将患者视为人，（3）治疗联盟。EFA揭示了一个独特的三因子结构，解释了总方差的59.0%。CFA证实了模型拟合的充分性并验证了最终条目的纳入。Cronbach's alpha值范围为0.60至0.77，表明内部一致性可接受。PCCS与人际沟通能力测量指标之间的相关性证明了收敛效度。
12个条目的PCCS显示出良好的信度、结构效度和收敛效度。该量表可用于测量护士以患者为中心的沟通技能水平。
