Questionnaire for patient participation in emergency departments: development and psychometric testing
Questionnaire for patient participation in emergency departments: development and psychometric testing
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DOI：
10.1111/j.1365-2648.2010.05472.x
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发表时间：
2011-03-01
影响因子：
3.8
通讯作者：
Baigi, Amir
中科院分区：
文献类型：
--
作者：
Frank, Catharina;Asp, Margareta;Baigi, Amir
瞄准本研究的目的是开发和测试急诊科患者参与问卷的心理测量学特性。患者参与是医疗质量的重要指标。国际和国家医疗保健政策指南促进患者参与。虽然在急诊科照顾的病人一般表示不满，他们的护理，文献回顾未能揭示任何科学的测试仪器，从病人的角度来评估病人的参与。一项方法学研究，涉及356例患者最近在瑞典急诊科照顾方便的样本。数据收集于2008年，并分析了结构和效标效度，以及同质性和稳定性的可靠性。编制了一份17项问卷。两个独立的因素分析揭示了一个独特的4因素的解决方案，被标记为：争取参与，参与的要求，相互参与和参与获得基本需求的满足。标准有效性检验显示，20个相关系数中有9个高于0.30，其中3个为中度相关系数，分别为0.62、0.63和0.70。Cronbath的α系数在0.63 ~ 0.84之间，重测系数在0.59 ~ 0.93之间。结果表明证据的可接受的效度和可靠性，和问卷调查，使其有可能评估病人参与急诊科护理的情况。此外，它还生成可供各种医疗保健专业人员使用的数据。
Aim. The aim of the study was to develop and test the psychometric properties of a patient participation questionnaire in emergency departments.Background. Patient participation is an important indicator of the quality of healthcare. International and national healthcare policy guidelines promote patient participation. While patients cared for in emergency departments generally express dissatisfaction with their care, a review of the literature fails to reveal any scientifically tested instruments for assessing patient participation from the perspective of patients.Methods. A methodological study was conducted involving a convenience sample of 356 patients recently cared for in emergency departments in Sweden. Data were collected in 2008 and analysed for construct and criterion validity, also homogeneity and stability reliability.Results. A 17-item questionnaire was developed. Two separate factor analyses revealed a distinct 4-factor solution which was labelled: Fight for participation, Requirement for participation, Mutual participation and Participating in getting basic needs satisfied. Criterion validity testing showed 9 out of 20 correlations above 0.30 and, of these, three were moderate correlations of 0.62, 0.63 and 0.70. Cronbath's alpha coefficient ranged from 0.63 to 0.84 and test-retest varied between 0.59 and 0.93.Conclusion. The results signify evidence of acceptable validity and reliability, and the questionnaire makes it possible to evaluate patient participation in emergency department caring situations. In addition, it produces data which are usable by a diverse range of healthcare professionals.