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在护理中自我报告的临床决策工具的测量特性:COSMIN系统审查
Patrick Lavoie1,2, Alexandra Lapierre1,2, Marc-André Maheu-Cadotte1,2
1Faculty of Nursing, Université de Montréal, 2375 Côte-Sainte-Catherine Rd., Montreal, Quebec, H3C 3J7, Canada.
International journal of nursing studies advances
|May 15, 2024
概括
这次审查评估了测量护士临床决策技能的工具. 六种工具显示出有希望的结果,其中护士临床推理量表和适应的临床决策在护理量表具有最强有力的证据.
科学领域:
- 护理科学 护理科学
- 健康 专业 教育 卫生 专业 教育
- 衡量健康的方法
背景情况:
- 临床决策对于安全和优质的护理服务至关重要.
- 评估护士自我报告决策的工具对于研究和教育至关重要.
- 需要有效可靠的工具来准确反映护士的决策能力.
研究的目的:
- 系统地评估用于护理的自我报告临床决策工具的测量特性.
- 确定最有效和可靠的工具来评估护士的决策能力.
主要方法:
- 根据基于共识的健康测量仪器选择标准指南 (COSMIN) 进行了系统审查.
- 搜索了五个数据库,发现了关于护士临床决策工具及其测量属性的研究.
- 两个审查员使用COSMIN标准评估了研究质量,测量属性质量 (有效性,可靠性) 和证据质量.
主要成果:
- 在11项涉及注册护士和护理学生的研究中,评估了9种仪器.
- 结构有效性和内部一致性是最常见的;测量错误和标准有效性在很大程度上没有被评估.
- 根据Cosmin标准,有6个仪器显示出有前途,但需要进一步验证.
结论:
- 对评估护士临床决策的工具的证据仍然有限.
- 护士临床推理尺度和在护理尺度中适应的临床决策表明了最强有力的证据.
- 未来的研究应该优先考虑内容有效性,涉及目标人群,以及对所有测量属性的严格报告.
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