测量持续性体征症状相关的耻辱化:为医疗保健专业人员开发持续性体征症状耻辱度表 (PSSS-HCP)
Brodie McGhie-Fraser1, Caoimhe McLoughlin2, Peter Lucassen1
1Department of Primary and Community Care, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Netherlands.
开发了一种新的尺度,即医疗保健专业人员的持续体质症状耻辱度 (PSSS-HCP),用于测量医疗保健专业人员对持续体质症状 (PSS) 患者的耻辱感. 临时的19项量表显示,在三个领域的内容有效性足够.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 一般的做法一般的做法
背景情况:
- 持续的身体症状 (PSS) 包括慢性症状,如疲劳,疼痛或头,往往导致功能障碍.
- 医疗保健专业人员的污名化是一个公认的问题,但验证的测量工具很少.
- 开发一个可靠的工具对于评估和解决这种耻辱至关重要.
研究的目的:
- 开发和确定一个新的仪器的内容有效性,以测量医疗保健专业人员对PSS患者的耻辱感.
- 该仪器,医疗保健专业人员的持续体征耻辱度表 (PSSS-HCP),旨在量化刻板印象,偏见和歧视.
主要方法:
- 一个代的开发过程,涉及研究团队审查,从现有文献中生成项目,以及认知面试.
- 通过与英国医疗保健专业人员进行的18次认知访谈进行定性数据收集.
- 分析的重点是项目相关性,可理解性,全面性和潜在的社会可取性偏见.
主要成果:
- 一个最初的60项长清单被改进为40项用于认知面试.
- 两轮认知访谈导致删除24项,增加3项,修改8项.
- 其余项目显示出良好的相关性,可理解性和全面性,没有发现主要的社会可取性问题.
结论:
- 制定了PSSS-HCP的临时19项版本,涵盖刻板印象,偏见和歧视.
- 该尺度表现出足够的内容有效性来衡量医疗保健专业人员对PSS患者的耻辱感.
- 计划在未来进行验证研究,以最终确定项目选择并确认尺度结构.
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