在临床实践中测量护士领导的共享决策准备:开发和首次测试RSDM-N尺度
Meiqi Meng1,2,3, Sihan Chen1,2,3, Dan Yang1,2,3
1School of Nursing, Beijing University of Chinese Medicine, Beijing, China.
BMC nursing
|April 14, 2025
概括
一个新的尺度有效地衡量了中国护士领导的共同决策 (SDM) 中的组织变革准备 (ORC). 该工具可确保准备情况的可靠评估,指导改进SDM实施.
科学领域:
- 护理实践 护理实践
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 组织对变革的准备 (ORC) 对于实施创新的医疗保健实践至关重要.
- 护士领导的共享决策 (SDM) 需要特定的组织支持和准备.
- 评估中国护士领导的SDM的ORC需要一个文化相关和验证的工具.
研究的目的:
- 开发和验证一个衡量中国护士领导的共享决策 (SDM) 组织变革准备 (ORC) 的尺度.
- 评估新开发的尺度的可靠性和有效性.
- 分析中国护士中护士领导的SDM准备现状.
主要方法:
- 该研究遵循基于共识的健康测量仪器选择标准 (COSMIN) 方法.
- 规模开发涉及文献审查,定性访谈,专家咨询 (Delphi) 和认知访谈.
- 可靠性和有效性测试,包括克伦巴赫的alpha,分半,测试重试和内容有效性指数,在496名护士的样本上进行.
主要成果:
- 完成了跨越五个维度的55项规模,命名为RSDM-N规模.
- 该尺度表现出卓越的可靠性 (克朗巴赫的α = 0.987,测试-重新测试 = 0.904) 和内容有效性 (平均CVI = 0.989).
- 实地测试显示,护士SDM准备的平均得分为209.79±35.82.
结论:
- 在中国,RSDM-N尺度具有足够的测量质量来评估护士领导的SDM准备.
- 经过验证的规模可以有效地指导实施由护士领导的SDM计划.
- 调查结果提供了对中国临床实践中护士领导的SDM准备现状的见解.
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