Saeidzadeh Seyedehtanaz, Wang Anni, Duan Yinfei, Hipel Isaiah, Norton Peter G, Estabrooks Carole A
University of Alberta, Edmonton, Canada.
Fudan University, Shanghai, China.
BMC Health Serv Res. 2025 Jan 2;25(1):4. doi: 10.1186/s12913-024-12143-0.
The ProQoL (30 items) is a widely used instrument of work-related quality of life for health care workers. Recently, a shorter 9-item version of the ProQoL was developed and validated among palliative care workers. The ProQoL-9 consists of three subscales: compassion satisfaction (CS), burnout (BO), and compassion fatigue (CF). Care aides (personal support workers, nursing assistants) are an understudied population in terms of their professional quality of life. It is critical to use validated instruments to measure their experiences. The purpose of this study was to examine the internal consistency and factorial structure of the ProQoL-9 among care aides working in LTC.
We used surveys collected by the Translating Research in Elder Care (TREC), a pan-Canadian program that collects longitudinal surveys from the healthcare workforce in the LTC. We used TREC surveys containing information on demographics, characteristics of LTC homes (e.g., ownership model), and the ProQoL-9. Our sample included all care aides who completed TREC surveys in the province of Alberta, Canada, from 2020-2021. We examined internal consistency via alpha and omega coefficients. To examine the factorial structure, we conducted confirmatory factor analysis (CFA) testing one factor, two factors (CF and BO together & CS), and three factor models (CF, BO, and CS).
N = 760 care aides completed the surveys in Alberta. The majority were female (90.79%) and worked in general LTC units (55.29%). The Cronbach's alpha results showed an overall α = 0.56 for the whole scale and adequate reliability of the subscales (α = 0.73 for CS, α = 0.68 for CF, and α = 0.75 for BO). The omega reliability results for all the subscales were ≥ 0.70, reflecting good internal consistency (BO = 0.77, CS = 0.73, and CF = 0.70). The three-factor model had the best goodness of fit values, reflecting an adequate goodness of fit (X2 = 165.82, DF = 24, X/DF = 6.9, P < .0001, RMSEA = 0.08, CFI = 0.92, TLI = 0.89).
The ProQoL-9 is a valid and reliable instrument among care aides in LTC. The factorial structure shows that this shorter version of the ProQoL is rigorously designed and can be utilized by health service researchers in LTC.
ProQoL（30项）是医护人员广泛使用的与工作相关的生活质量评估工具。最近，开发了一个更简短的9项版本的ProQoL，并在姑息治疗工作者中进行了验证。ProQoL - 9由三个子量表组成：同情满足感（CS）、职业倦怠（BO）和同情疲劳（CF）。护理助手（个人支持工作者、护理助理）在职业生活质量方面是一个研究较少的群体。使用经过验证的工具来衡量他们的经历至关重要。本研究的目的是检验在长期护理机构工作的护理助手中ProQoL - 9的内部一致性和因子结构。
我们使用了由老年护理转化研究（TREC）收集的调查数据，TREC是一个泛加拿大项目，收集来自长期护理机构医护人员的纵向调查数据。我们使用了包含人口统计学信息、长期护理机构特征（如所有权模式）以及ProQoL - 9的TREC调查。我们的样本包括2020 - 2021年在加拿大艾伯塔省完成TREC调查的所有护理助手。我们通过α系数和ω系数检验内部一致性。为了检验因子结构，我们进行了验证性因子分析（CFA），测试了一个因子、两个因子（CF和BO合并与CS）以及三个因子模型（CF、BO和CS）。
在艾伯塔省，760名护理助手完成了调查。大多数是女性（90.79%），在普通长期护理单元工作（55.29%）。克朗巴哈α系数结果显示，整个量表的总体α = 0.56，子量表具有足够的信度（CS的α = 0.73，CF的α = 0.68，BO的α = 0.75）。所有子量表的ω信度结果均≥0.70，反映出良好的内部一致性（BO = 0.77, CS = 0.73, CF = 0.70）。三因子模型具有最佳的拟合优度值，反映出拟合优度良好（χ² = 165.82, DF = 24, χ/DF = 6.9, P <.0001, RMSEA = 0.08, CFI = 0.92, TLI = 0.89）。
ProQoL - 9在长期护理机构的护理助手中是一个有效且可靠的工具。因子结构表明，这个更简短版本的ProQoL设计严谨，可供长期护理机构的卫生服务研究人员使用。
