开发和验证一个特定于护士的尺度,以评估临床实践指南实施中的影响因素:基于i-PARIHS的研究
Lu Liu1, Namuna Dallakoti1, Wei Cui2
1School of Nursing, Capital Medical University, Beijing, CN 100069, China, ccmu.edu.cn.
Journal of nursing management
|February 4, 2026
概括
开发了一种新的尺度,即临床实践指南实施影响护士因素 (CPGIF-N) 尺度,以评估影响指南遵守的因素. 这种经过验证的工具有助于识别护士实施临床实践指南的障碍.
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
- 心理测量 心理测量 心理测量
背景情况:
- 临床实践指南 (CPG) 对于标准化护理质量至关重要.
- 在CPG建议和实际护理实践之间仍然存在差距,这可能导致患者的不良结果.
- 需要一种基于理论的工具来系统地评估影响护士CPG实施的因素.
研究的目的:
- 开发和验证临床实践指南实施影响护士因素 (CPGIF-N) 尺度.
- 确定影响护士CPG实施的因素.
主要方法:
- 通过范围审查和两轮Delphi审查生成项目.
- 试点和横截面调查涉及8家三级医院的1005名护士.
- 使用经典测试理论 (CTT) 和物品响应理论 (IRT) 的分析.
主要成果:
- 最终的量表显示了高含量有效性 (I-CVI:0.93-1.00;S-CVI/Ave:0.99).
- IRT分析证实了商品差别和门参数.
- 确认因素分析和可靠性测量 (克朗巴赫的α=0.972,麦当劳的欧米茄=0.982) 显示出强烈的心理测量特性.
结论:
- CPGIF-N尺度是评估影响CPG实施因素的可靠和有效工具.
- 这种天平具有强烈的心理测量特性.
- 它为评估护士的CGG实施提供了一个实用的工具,特别是在中国的背景下.
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