对于护理助理的缓解护理自我有效性工具的Rasch分析
Jinsook Kim1, Jennifer A Gray1
1School of Health Studies, Northern Illinois University, DeKalb, IL, 60115, USA.
概括
这项研究完善了护理助理 (NA) 的息护理自我有效性工具. 修订后的12项工具有效地衡量了NA对心理息护理的信心,帮助有针对性的培训改进.
科学领域:
- 老年人护理老年人护理
- 抚慰性护理是一种缓解性护理.
- 心理测量 心理测量 心理测量
- 护理教育 护理教育
背景情况:
- 护理助理 (NA) 需要在心理社会息护理方面具备专业技能.
- 现有的自我有效性工具可能无法充分捕捉到该领域的NA能力.
- 客观地评估息护理的自我有效性对于有效的培训至关重要.
研究的目的:
- 评估心理辅助护士 (NA) 在心理息护理中的自我效能工具的心理测量特性.
- 改进仪器以提高测量准确性和在培训环境中的实用性.
- 评估息护理培训干预对NA自我有效性的影响.
主要方法:
- 拉什模型被用来分析自我效能仪器的心理特征.
- 在基线和1个月的随访期间,从6个熟练护理机构的102名护理助理收集了数据.
- 工具改进包括根据拉什分析调整响应类别和项目选择.
主要成果:
- 与5类量表相比,3类响应量表改善了仪表结构.
- 在删除了4项后,仪器显示了单维性和局部独立性,导致12项测量.
- 确定了上限效应,并且在干预组中观察到训练后项目难度的变化.
结论:
- 对护理助理 (PCSE-NA) 的精细的12项缓和护理自我效能指标是缓和护理自我效能的适当衡量标准.
- PCSE-NA工具可以帮助老年护士确定特定的培训需求和需要改进的领域.
- 这种经过验证的工具支持基于证据的培训开发,以加强护理助理的心理社会息护理服务.
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