在儿科重症监护病房的感知错误沟通措施的发展
Jesse R Wool1, Jesse Chittams2, Salimah H Meghani2
1University of Pennsylvania, School of Nursing, 418 Curie Blvd, Philadelphia, PA 19104, USA; Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, USA; La Salle University, 1900 W Olney Ave, Philadelphia, PA 19141, USA.
Journal of pediatric nursing
|June 3, 2023
概括
一个新的六项尺度有效地衡量了家长在儿科重症监护室 (PICU) 感知的错误沟通. 这种工具可以通过突出沟通差距来改善父母提供者关系和患者的结果.
科学领域:
- 儿科医疗保健沟通 儿科医疗保健沟通
- 患者和家庭在重症监护中的经验.
- 测量工具的心理测定验证
背景情况:
- 在儿科重症监护室 (PICU) 中,家长提供者沟通不当可能会对家庭关系和患者的结果产生负面影响.
- 有效的沟通对于应对儿科重症监护的复杂性至关重要.
- 开发可靠的工具来评估这种错误的沟通对于有针对性的干预是必不可少的.
研究的目的:
- 开发和心理测试一种新的措施,用于在PICU中发现家长错误的沟通.
- 从父母的角度来看,定义父母认为的错误沟通是未能从父母的角度清晰地沟通.
- 为评估儿科重症监护机构的沟通质量提供一个有效的工具.
主要方法:
- 通过文献审查和专家咨询,确定了误传措施的项目.
- 对200名从PICU出院的儿童的父母进行了横截面的定量调查.
- 用探索性因子分析,内部一致性可靠性和确认性因子分析来评估心理测量属性.
主要成果:
- 探索性因子分析确定了一个单一因素解释了66.09%的差异.
- 六项指标显示了强大的内部一致性可靠性 (α = 0.89).
- 在家长的压力,信任和感知错误沟通 (p < .001) 之间发现了显著的相关性,支持构造有效性.
结论:
- 新开发的六项误传测量表现出有希望的心理测量特性,包括内容和构造有效性.
- 这种经过验证的工具可以在未来的研究中使用,以进一步调查错误沟通及其对PICU结果的影响.
- 识别和解决被认为是错误的沟通对于加强父母-孩子-提供者关系和改善临床环境至关重要.
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