Validation of the German revised version of the program in palliative care education and practice questionnaire (PCEP-GR)
Validation of the German revised version of the program in palliative care education and practice questionnaire (PCEP-GR)
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DOI：
10.1186/s12904-017-0263-3
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发表时间：
2017-12-28
影响因子：
3.1
通讯作者：
Schulz-Quach, Christian
中科院分区：
文献类型：
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作者：
Fetz, Katharina;Wenzel-Meyburg, Ursula;Schulz-Quach, Christian
背景：本科姑息治疗教育（UPCE）项目有效性评估是提供高质量 UPCE 项目的重要基础。因此，实施有效的评估工具是必不可少的。直到今天，对于具体的结果参数及其准确测量尚未达成普遍共识。姑息治疗教育和实践问卷项目（德语修订版；PCEP-GR）是 UPCE 的一个有前景的评估工具。本研究的目的是评估 PCEP-GR 的心理测量特性，并证明其用于评估 UPCE 项目的可行性。方法：在德国杜塞尔多夫海因里希海涅大学对 24 名本科医学生进行的一项试点研究中，调查了 PCEP-GR 的实际可行性及其在医学生中的接受程度。随后，PCEP-GR 在医学生的代表性样本（N = 680）中进行了调查，以调查其心理测量特性。通过主成分分析（PCA）研究因子有效性。通过分半可靠性分析和内部一致性分析来检验可靠性。在考虑PCA和分布分析结果后，制定了PCEP-GR的评估指导。结果：PCEP-GR被证明是可行的并且在医学生中得到了广泛接受。 PCA 揭示了一个四因素解决方案，表明四个 PCEP-GR 分量表：提供姑息治疗的准备、对姑息治疗的态度、与临终患者及其亲属沟通的能力的自我估计以及姑息治疗知识和技能的自我估计。PCEP-GR 显示出良好的分半信度，并且分量表的良好内部一致性是可以接受的。对姑息治疗的态度稍微未达到可接受的内部一致性标准。评估说明提出了全球PCEP-GR指数和四个分量表。结论：PCEP-GR已被证明是评估UPCE的可行、经济、有效和可靠的工具，包括自我效能期望和对姑息治疗的相关态度。
Background: The evaluation of the effectiveness of undergraduate palliative care education (UPCE) programs is an essential foundation to providing high-quality UPCE programs. Therefore, the implementation of valid evaluation tools is indispensable. Until today, there has been no general consensus regarding concrete outcome parameters and their accurate measurement. The Program in Palliative Care Education and Practice Questionnaire (German Revised Version; PCEP-GR) is a promising assessment tool for UPCE. The aim of the current study was to evaluate the psychometric properties of PCEP-GR and to demonstrate its feasibility for the evaluation of UPCE programs.Methods: The practical feasibility of the PCEP-GR and its acceptance in medical students were investigated in a pilot study with 24 undergraduate medical students at Heinrich Heine University Dusseldorf, Germany. Subsequently, the PCEP-GR was surveyed in a representative sample (N = 680) of medical students in order to investigate its psychometric properties. Factorial validity was investigated by means of principal component analysis (PCA). Reliability was examined by means of split-half-reliability analysis and analysis of internal consistency. After taking into consideration the PCA and distribution analysis results, an evaluation instruction for the PCEP-GR was developed.Results: The PCEP-GR proved to be feasible and well-accepted in medical students. PCA revealed a four-factorial solution indicating four PCEP-GR subscales: preparation to provide palliative care, attitudes towards palliative care, self-estimation of competence in communication with dying patients and their relatives and self-estimation of knowledge and skills in palliative care.The PCEP-GR showed good split-half-reliability and acceptable to good internal consistency of subscales. Attitudes towards palliative care slightly missed the criterion of acceptable internal consistency. The evaluation instruction suggests a global PCEP-GR index and four subscales.Conclusions: The PCEP-GR has proven to be a feasible, economic, valid and reliable tool for the assessment of UPCE that comprises self-efficacy expectation and relevant attitudes towards palliative care.