测量关爱的科学:一个以患者为中心的预测模型,用于关爱的互动
Regina Allande-Cussó1, María Alejandra Pinero-De Plaza2, Juan Gómez-Salgado3
1Department of Nursing, University of Seville, Seville, Spain.
Scandinavian journal of caring sciences
|September 9, 2025
概括
一个新的工具,护理互动在护理能力评估-患者 (NIC_CA-患者),量化患者报告的护理互动. 这种经过验证的工具确定了治疗关系中的关键因素,以改善患者的护理和结果.
科学领域:
- 护理科学 护理科学
- 改善医疗保健质量 改善医疗保健质量
- 患者体验研究 研究研究
背景情况:
- 护士与病人之间的关系对于优质护理至关重要,但很难衡量.
- 现有的工具缺乏患者对护理能力的直接反.
- 需要验证的仪器来评估患者感知到的护理互动.
研究的目的:
- 开发和验证护理互动在护理能力评估-患者 (NIC_CA-患者) 工具.
- 创建一个以患者为中心的仪器来测量护理护理互动.
- 从患者的角度建立一个关爱互动的预测模型.
主要方法:
- 在8家医院对1060名内科患者进行横截面研究.
- 护理护士与患者互动 (CNPI) 尺度的调整.
- 使用探索性因子分析 (EFA) 和部分最小平方结构方程建模 (PLS-SEM) 验证.
主要成果:
- 一个三维模型 (治疗关系,问题管理,适应) 解释了79%的患者报告的体验.
- 该NIC_CA-患者工具显示出高可靠性 (克朗巴赫的α = 0.97).
- 优秀的模型合适指数 (SRMR = 0.03,AVE > 0.7) 证实了该模型的有效性.
结论:
- 从患者的角度来看,NIC_CA-Patient工具提供了一个可量化的,可预测的护理措施.
- 实施可以通过突出关系因素来增强以患者为中心的护理.
- 这种工具可以改善临床实践和研究中的健康结果和患者体验.
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