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为不同患者和家庭开发住院感知仪器:建立内容和面部有效性
Cara L Wallace1, Divya S Subramaniam2, Ricardo Wray3
1Trudy Busch Valentine School of Nursing, Saint Louis University, Saint Louis, MO, USA.
The American journal of hospice & palliative care
|September 10, 2024
概括
开发了一个新的临终关怀感知仪器 (HPI),以测量患者和家庭对临终关怀的看法. 这种工具解决了理解临终关怀感知的差距,并可以改善患者的参与度.
科学领域:
- 抚慰性护理和临终关怀医疗
- 医疗保健服务研究 医疗服务研究
- 患者体验测量 患者体验测量
背景情况:
- 患者和家庭对临终关怀的看法不太清楚,经常与终身终身结合在一起.
- 临床医生在讨论宿舍护理时面临着挑战,因为他们担心患者的希望会减弱.
- 目前还没有有效的工具来评估患者和家庭对临终关怀的看法.
研究的目的:
- 开发和验证住院感知仪器 (HPI).
- 为了捕捉不同患者和家庭对临终关怀的看法.
- 提供一个工具,以更好地理解和参与患者和家庭关于临终关怀.
主要方法:
- 起草了79个项目,在5分利克特级别上改进为36个项目,涵盖哲学,服务,价值观和反感知.
- 与10个国家主题专家 (医生,护士,社会工作者,牧师) 评估内容有效性.
- 评估了5名临终关怀护理人员的面部有效性.
主要成果:
- 整体内容有效性指数 (CVI) 为0.83,表明内容有效性很好.
- 三个项目被删除,九个项目根据专家反进行了修订.
- 护理人员证实了脸部的有效性,不需要进一步的修订.
结论:
- 专业人士对临终关怀的理解与患者/家庭对临终关怀的看法之间存在重大分歧.
- 开发的宿舍感知仪器 (HPI) 提供了一种新的方法来理解这些感知.
- 这种工具可以促进改善患者和家庭对宿舍服务的参与.
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