University of Stirling@milan米兰体育 三种工具的开发和心理测试，将以人为本的关怀衡量为三个概念 - 个性化、参与和响应

引用

Strachan H、Williamson L、Elders A、Sutherland B、Hibberd C 和 Williams B (2020) 三种工具的开发和心理测试，这些工具将以人为本的关怀衡量为三个概念：个性化、参与和响应。高级护理杂志，76 (11)，第 3190-3203 页。 https://doi.org/10.1111/jan.14484

摘要
Aim To develop and test the psychometric properties of three instruments that measure Person‐centred Caring: as Personalization, Participation and Responsiveness. Design A three‐phase mixed methods design used two frameworks: content validity determination and quantification; consensus‐based standards for selection of health measurement instruments. Methods A narrative literature review identified the domain definition. A systematic review of instruments provided the basis for item pools, which were refined by focus groups (N = 4) of multidisciplinary staff and service users (N = 25) and cognitive interviews (N = 11) with service users. Scale content validity indexes were calculated. Three cross‐sectional surveys were conducted between April 2015 and June 2016. The instruments' psychometric properties tested included factor structure, internal consistency and construct validity. Convergent validity was tested, hypothesizing that: Personalization related to relational empathy; Participation related to empowerment; and Responsiveness related to trust. Results Scale content validity indexes were ≥0.96 in all instruments. Response rates were 24% (N = 191), 15% (N = 108) and 19% (N = 124). Two factors were revealed for the Personalization and Responsiveness instruments and one factor for the Participation instrument. All had acceptable: reliability (Cronbach's Alpha >0.7); construct validity (>50%); and convergent validity (Spearman's correlation coefficient >0.25，p 0.05). Conclusion This study composed definitions and instruments that reflect the multidisciplinary teams' caring behaviours, which have acceptable reliability and validity in the community population. Further psychometric testing of Participation and Responsiveness instruments should be undertaken with a larger sample. Impact The instruments can be used to monitor the variability of multidisciplinary teams' caring behaviours; research effective interventions to improve caring behaviours; and increase understanding of the impact of caring on health outcomes.

关键字
关怀；共情;仪器开发；护理；患者参与；以患者为中心的护理；质量改进；调查和问卷

期刊
高级护理杂志：第 76 卷，第 11 期

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