Baggs J G
School of Nursing, University of Rochester Medical Center, New York 14642.
J Adv Nurs. 1994 Jul;20(1):176-82. doi: 10.1046/j.1365-2648.1994.20010176.x.
The psychometric assessment of a new instrument for measurement of the construct of nurse-physician collaboration in making specific patient care decisions. Collaboration and Satisfaction About Care Decisions (CSACD), is reported. Content validity for the tool was supported by literature review, nurse and physician experts, and potential subjects. In a pilot study 58 neonatal intensive care nurses' and resident physicians' responses showed variance; alpha reliability of the collaboration questions was 0.95. Construct validity of the collaboration questions was supported by finding expected correlational patterns and by factor analysis revealing a single factor that explained 75% of the variance in collaboration. Further psychometric testing of the instrument is proposed, particularly in the context of substantive studies that would allow investigation of its association with patient outcomes.
报告了一种用于衡量护士与医生在做出特定患者护理决策时协作情况的新工具——护理决策协作与满意度(CSACD)的心理测量评估。该工具的内容效度得到了文献综述、护士和医生专家以及潜在受试者的支持。在一项试点研究中,58名新生儿重症监护护士和住院医师的回答显示出差异;协作问题的α信度为0.95。协作问题的结构效度通过发现预期的相关模式以及通过因子分析揭示一个解释了协作中75%方差的单一因子得到了支持。建议对该工具进行进一步的心理测量测试,特别是在实质性研究的背景下,这将有助于调查其与患者结局的关联。