家庭和社区护理高级实践规模的开发和验证
John Unsworth1,2, Crystal Oldman3, Joanne Atkinson4
1Department of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.
Journal of clinical nursing
|January 20, 2025
概括
开发了一种新的尺度来衡量家庭和社区护理的先进实践. 该尺度显示了良好的可靠性和有效性,突出了先进实践护理的五个关键领域.
科学领域:
- 护理科学 护理科学
- 高级实践护理高级实践护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在家庭和社区环境中,高级实践护理角色的范围需要明确的定义和测量.
- 现有的工具可能无法充分捕捉这些不同背景下先进实践的多面性质.
研究的目的:
- 开发和心理测试一个强大的尺度来评估家庭和社区护理的先进实践.
- 建立构造有效性,内容有效性和内部一致性可靠性的新尺度.
主要方法:
- 一个使用经典测试理论的方法尺度验证设计.
- 这是一项三阶段研究,包括项目生成,内容有效性指数评估和横截面调查.
- 使用探索和确认因素分析来确定构造的有效性.
主要成果:
- 开发的家庭和社区护理高级实践量表显示了良好的构造有效性,包括5个领域和27个项目.
- 该尺度表现出极好的内部一致性可靠性,具有高的克朗巴赫αα.
- 与社区护士相比,家庭实践中的高级实践护士在临床推理和健康促进方面得分更高,他们在更广泛的团队中擅长领导实践.
结论:
- 家庭和社区护理高级实践量表是评估高级实践护理的心理测量工具.
- 该尺度确定了先进实践的五个核心领域:临床护理,领先实践,临床推理,健康促进和道德.
- 家庭和社区环境中的高级实践角色在很大程度上是相似的,在研究参与等特定活动中存在微小的差异.
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