测量护理道德敏感度的仪器的心理特征:一个系统的审查
Lu Zhou1, LiXiong Bi1, YuMing Wu2
1School of Nursing, Yunnan University of Chinese Medicine, Kunming, China.
Systematic reviews
|November 20, 2024
概括
这次系统性审查评估了11种衡量护士道德敏感性的仪器,推了两个具体的工具,但强调需要进一步的可靠性和有效性测试. 未来的研究应该集中在使用先进的心理测量模型开发新的仪器上.
科学领域:
- 护理研究 护理研究
- 医疗保健道德 医疗保健道德
- 心理测量 心理测量 心理测量
背景情况:
- 伦理敏感性对于专业护理实践和减轻医疗保健伦理不一致性至关重要.
- 对伦理敏感性的准确评估对于护士来说是必不可少的,以了解他们的职业责任.
- 对测量仪器的系统审查有助于从业人员选择合适的护理工具.
研究的目的:
- 系统地评估用于测量护理道德敏感度的仪器的测量特性.
- 确定可靠和有效的工具来评估护理专业人员的道德敏感性.
- 引导未来在护理中的伦理敏感度测量工具的选择和开发.
主要方法:
- 在2022年7月,在六个主要数据库 (Scopus,CINAHL,APAPsycINFO,Embase,Web of Science,PubMed) 进行了系统的文献搜索.
- 两位独立审稿人使用基于COnsensus的健康测量仪器选择标准 (COSMIN) 清单对研究进行了选.
- 评估使用了对良好测量性能的更新标准和修改后的建议评估,开发和评价 (GRADE) 方法.
主要成果:
- 该审查包括29项研究,描述了11种不同的仪器来衡量护理中的伦理敏感性.
- 在任何包括的研究中都没有评估跨文化有效性和响应性.
- 建议使用护理学生的道德敏感性问卷 (ESQ-NS) 和重症监护病房护士的道德意识量表,尽管需要进一步的心理测量评估.
结论:
- 这些发现支持在护理中明智选择伦理敏感度测量仪器.
- 建议对这些工具的开发,心理测量验证和跨文化适应进行进一步的研究.
- 项目响应理论 (IRT) /Rasch模型被建议用于开发新的护理专用工具.
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