开发和验证错过的密集护理护理规模的发展和验证
1Nursing Department, The Second Affiliated Hospital of Chongqing Medical University, Nanan District, Chongqing, China.
BMC nursing
|March 8, 2024
概括
一个新的工具,错过的重症监护护理量表 (MINCS),有效地衡量了ICU中错过的护理护理. 这种经过验证的尺度有助于识别护理遗漏,以提高患者安全和护理质量.
科学领域:
- 护理科学 护理科学
- 患者安全研究 患者安全研究
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 错过的护理是医疗机构中普遍存在的问题,它会对患者的安全,满意度和护理人员的士气产生负面影响.
- 识别错过护理的原因和性质对于开发有效干预措施至关重要.
- 需要一个经过验证的工具来评估特别是在成人重症监护病房 (ICU) 中遗漏的护理.
研究的目的:
- 开发和验证一个可靠和强大的工具来评估在成人重症监护病房中错过的护理.
- 分类错过的护理要素及其潜在原因.
主要方法:
- 通过半结构面试,德尔菲方法专家咨询和项目分析开发了一个规模.
- 分析了400名护士的数据,使用经典测试理论和物品响应理论 (IRT) 的原则,包括相关性,关键比率,克伦巴赫的α,离散趋势和因子分析.
- 规模验证涉及550名护士,评估结构有效性,内部可靠性,分半可靠性和测试-重新测试可靠性.
主要成果:
- 错过的密集护理规模 (MINCS) 被开发出来,由三个部分组成:参与者信息,错过的护理元素和错过护理的原因.
- 部分B中错过的护理元素根据马斯洛的层次结构被分为五个领域:生理学,安全性,归属性,尊重和认知.
- 在C部分中,错过护理的原因包括劳动力资源,物质资源,沟通和管理因素. MINCS显示出高可靠性 (克朗巴赫α=0.951) 和有效性 (S-CVI=0.988对于B部分,0.977对于C部分).
结论:
- 错过的重症护理规模 (MINCS) 是一个可靠和有效的仪器,用于测量ICU环境中错过的护理.
- MINCS为医疗保健专业人员和研究人员提供了宝贵的资源,以识别和解决错过的护理.
- 研究结果支持使用MINCS来制定旨在预防和减轻遗漏护理不良影响的策略,最终提高患者安全和护理质量.
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