自我伤害的障碍和促进因素:为卫生专业人员开发和验证工具
Amanda Sarah Vanzela1,2, Aline Conceição Silva3, Laysa Fernanda Silva Pedrollo1,2
1Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.
Revista latino-americana de enfermagem
|August 20, 2025
概括
这项研究开发并验证了卫生专业人员预防自伤的障碍和促进因素. 经过验证的工具具有很高的内部一致性,并且可以适应巴西的环境.
科学领域:
- 医疗服务研究
- 心理学
- 公共卫生
背景情况:
- 预防自我伤害是一个关键的公共卫生问题,需要有效的战略.
- 在卫生专业人员中发现障碍和促进者对于成功实施预防计划至关重要.
- 现有的工具可能无法充分解决巴西的自我伤害预防的具体情况.
研究的目的:
- 开发和验证一个工具,以识别卫生专业人员在自我伤害预防中的感知障碍和促进者.
- 在已建立的理论领域框架 (TDF) 上建立该工具.
主要方法:
- 一项采用Pasquali理论框架和TDF的方法论研究.
- 通过专家评估验证面部和内容 (n=13) 并与卫生专业人员进行构造验证 (n=91).
- 数据分析包括内容有效性指数 (CVI),AC1系数和探索因素分析 (霍恩的方法).
主要成果:
- 最终的仪器由利克特尺度上的11个项目组成,显示出高的内部一致性 (ω = 0.89).
- 因素分析确定了三个关键因素:知识和能力,背景和机构支持.
- 评价者之间的一致性是中等的 (AC1=0. 52),并且在对目标受众的分析后删除了三个项目.
结论:
- 开发的工具是巴西环境的开创性和可访问的工具.
- 它有效地识别了卫生专业人员预防自伤的障碍和助力因素.
- 该工具有可能对预防自伤的研究和实践做出重大贡献.
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