肿瘤护理质量量表（QONCS）的心理计量学特征：一项验证研究。

Psychometric Characteristics of the Quality of Oncology Nursing Care Scale (QONCS): A Validation Study.

机构信息

Nursing Degree Course, Azienda Socio Sanitaria Territoriale (ASST) of Crema, University of Milan, Milan, Italy; Centre for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, Milan, Italy.

Direction of Health Professions, Azienda Socio Sanitaria Territoriale (ASST) of Cremona, Cremona, Italy.

出版信息

Semin Oncol Nurs. 2024 Dec;40(6):151751. doi: 10.1016/j.soncn.2024.151751. Epub 2024 Nov 12.

DOI:10.1016/j.soncn.2024.151751

PMID:39532658

Abstract

OBJECTIVES

Quality care in healthcare settings shortens hospitalization, reduces infection rates and complication risks, and improves patients' ability to manage their symptoms. Due to the absence of tools for assessing care quality in Italian oncology settings, this study aimed to evaluate the psychometric properties of the Italian version of the Quality of Oncology Nursing Care Scale (QONCS).

METHODS

The study comprised 4 phases. Phase I involved cultural adaptation of the QONCS following Brislin's model. In phase II, 6 external experts assessed the instrument's face and content validities. In phase III, a cross-sectional study was conducted at 3 hospitals from February to September 2023. In phase IV, factor analyses were performed using exploratory structural equation modeling.

RESULTS

The 5-dimensional structure of the adapted QONCS showed a good fit based on the following statistics: χ (324, N = 219) = 704.690, P < .001; root mean square error of approximation = 0.059 (90% confidence interval [CI] = 0.52-0.66), P < .001; comparative fit index = 0.935; Tucker-Lewis index = 0.908; standardized root mean square residual = 0.026. McDonald's ω (0.968) indicated satisfactory internal consistency. The test-retest reliability demonstrated a high and significant positive correlation. Correlation analysis revealed that age, marital status, and employment status were significantly and positively associated with the QONCS score.

CONCLUSION

This study confirms the validity and reliability of the QONCS. We recommend using the QONCS to thoroughly assess nursing care quality and identify factors that influence the delivery of high-quality care in oncology settings.

IMPLICATIONS FOR NURSING PRACTICE

Our findings highlight the value of the QONCS in helping nurses assess and improve perceived care quality among patients with cancer. Valid and reliable tools, such as the QONCS, are crucial for guiding policies to enhance patient care.

摘要

目的

医疗保健环境中的优质护理可缩短住院时间，降低感染率和并发症风险，并提高患者管理症状的能力。由于意大利肿瘤学环境中缺乏评估护理质量的工具，本研究旨在评估肿瘤护理质量量表（QONCS）意大利语版本的心理测量学特性。

方法

该研究包括 4 个阶段。第 I 阶段根据 Brislin 模型对 QONCS 进行文化适应性调整。在第 II 阶段，6 位外部专家评估了该工具的表面和内容有效性。在第 III 阶段，于 2023 年 2 月至 9 月在 3 家医院进行了横断面研究。在第 IV 阶段，使用探索性结构方程模型进行了因子分析。

结果

改编后的 QONCS 的 5 维结构基于以下统计数据显示出良好的拟合度：χ（324，N=219）=704.690，P<.001；近似均方根误差=0.059（90%置信区间[CI] = 0.52-0.66），P<.001；比较拟合指数=0.935；Tucker-Lewis 指数=0.908；标准化均方根残差=0.026。McDonald's ω（0.968）表示内部一致性令人满意。测试-重测可靠性显示出高度且显著的正相关性。相关性分析表明，年龄、婚姻状况和就业状况与 QONCS 评分呈显著正相关。