预先护理计划实施质量评估工具 (ACP-QAT) 的心理测量分析,用于养老院
Peiyuan Zhang1, Joan Davitt2, Nancy Kusmaul3
1University of Alabama School of Social Work, Tuscaloosa, AL, USA.
Journal of the American Medical Directors Association
|February 3, 2026
概括
预先护理计划实施质量评估工具 (ACP-QAT) 是评估养老院预先护理计划 (ACP) 的可靠和有效措施. 该工具有助于评估养老院的结构性支持和实施程序,以更好地评估质量.
科学领域:
- 老年学是一门学科.
- 改善医疗保健质量 改善医疗保健质量
- 医疗保健服务研究 医疗服务研究
背景情况:
- 评估预先护理计划 (ACP) 在养老院 (NHs) 的实施质量对于政策和研究至关重要.
- 需要一个经过验证的工具来准确地测量在NH环境中的ACP质量.
研究的目的:
- 对提前护理计划实施质量评估工具 (ACP-QAT) 进行心理测量分析.
- 检查ACP-QAT的内部一致性可靠性,评分器间可靠性和构造有效性 (融合和已知组).
主要方法:
- 横截面调查设计. 横截面调查设计.
- 来自全国公立医院的31名跨学科医疗保健提供者参加了这次活动.
- 参与者使用19项ACP-QAT评价了3个小组,评估了NH的结构性支持和实施程序.
主要成果:
- 在ACP-QAT中,表现出极好的内部一致性可靠性 (KR-20 > 0.90).
- 评分器间的可靠性几乎是完美的 (ICC = 0.80).
- 该工具显示了可接受的收有效性 (r = 0.81) 和已知组有效性 (χ2(2) = 62.7,P <.001).
结论:
- 非洲国家和地区 (ACP-QAT) 是一个可靠和有效的工具,用于评估非洲国家和地区的实施.
- 该工具有效地衡量了养老院的结构性支持和标准化实施程序.
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