Fox R N, Ventura M R
Nurs Res. 1984 Mar-Apr;33(2):112-7.
This study sought to clarify the subdimensions of the domain of quality nursing care as measured by the Quality Patient Care Scale. The care received by 269 surgical patients over a predetermined period was assessed by nonparticipant nurse observers using the methodology. The instrument contains six subscales. The data analyses showed them to be internally homogeneous and capable of providing reliable measurements. The unrotated first factor for each subscale is strong and items correlate with it and with the respective subscale totals. However, in the Psychosocial Individual, Physical, and General areas, enough clustering of items within subscales emerged to support the contention that there are several conceptually discrete, yet interdependent, sources of variation in each subdomain. The factor analyses identified the clustering of items, but, in the present exploratory mode of research, the ability to understand the apparent complexity of subdomains is limited. Future researchers should elaborate these complexities to determine if they represent consistent and discrete sources of variance that can be replicated and used to provide more accurate assessments. The subscales moderately intercorrelated, and evidenced discriminant validity.
本研究旨在阐明用优质患者护理量表测量的优质护理领域的子维度。269名外科患者在预定时间段内接受的护理由非参与观察的护士采用该方法进行评估。该工具包含六个分量表。数据分析表明它们在内部是同质的，并且能够提供可靠的测量结果。每个分量表未旋转的第一个因子很强，项目与其以及各自分量表总分相关。然而，在心理社会个体、身体和一般领域，分量表内出现了足够的项目聚类，以支持这样的观点，即每个子领域存在几个概念上离散但相互依存的变异来源。因子分析确定了项目的聚类，但在目前的探索性研究模式下，理解子领域明显复杂性的能力有限。未来的研究人员应详细阐述这些复杂性，以确定它们是否代表可以复制并用于提供更准确评估的一致且离散的变异来源。这些分量表之间存在适度的相互关联，并证明了区分效度。
