Validation of toolkit after-death bereaved family member interview
Validation of toolkit after-death bereaved family member interview
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DOI：
10.1016/s0885-3924(01)00331-1
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发表时间：
2001-09-01
影响因子：
4.7
通讯作者：
Fowler, J
中科院分区：
文献类型：
--
作者：
Teno, JM;Clarridge, B;Fowler, J
本研究的目的是从家属的独特视角，检验工具包《死亡后家属访谈》测量临终关怀质量的信度和效度。该调查包括建议的问题分数（改善护理质量的机会计数）和量表。通过回顾性电话调查收集数据，其中一名家庭成员在患者死亡后3至6个月接受了采访。背景是一个门诊临终关怀服务，一个财团的疗养院，和一家医院在新英格兰。来自不同背景的100名五十六家庭成员参加了调查。提出的8个护理领域，以问题分数或量表为代表，是基于以病人为中心，以家庭为中心的医疗护理的概念模型。调查设计强调表面效度，以提供可操作的信息，以健康护理提供者。相关分析和因素分析进行了8个建议的问题分数或量表。克朗巴赫的α分数从0.58到0.87不等，其中两个问题分数（每个问题只有3个调查项目）的α分数较低，为0.58。其他问题得分的平均项目与总得分的相关性在0.36到0.69之间变化，平均项目与项目的相关性在0.32到0.70之间。所提出的问题恐惧或量表，除了关闭和提前护理计划外，表现出中度相关性（即，从0.44到0.52），总体满意度评分（用从“优”到“差”的5分制衡量）。与临终关怀服务死亡的人的家属报告的问题较少，在每一个医疗保健的六个领域，给予较高的评价的护理质量，并报告较高的自我效能感在照顾他们的亲人。这些结果表明，7的8个建议的问题分数或量表表现出心理测量学特性，值得进一步测试。领域的关闭表现出整体满意度的相关性差，需要进一步的工作。这项调查可以提供信息，以帮助指导质量改进工作，以提高临终关怀。(C)联合S.癌症疼痛缓解委员会，2001年。
The purpose of this study was to examine the reliability and validity of the Toolkit After-Death Bereaved Family Member Interview to measure quality of care at the end of life from the unique Perspective of family members. The survey included proposed problem scores (a count of the opportunity to improve the quality of care) and scales. Data were collected through a retrospective telephone survey with a family member who was interviewed between 3 and 6 months after the death of the patient. The setting was an outpatient hospice service, a consortium of nursing homes, and a hospital in New England. One hundred fifty-six family members from across these settings participated. The 8 proposed domains of care, as represented by problem scores or scales, were based on a conceptual model of patient-focused, family-centered medical care. The survey design emphasized face validity in order to provide actionable information to healthy care providers. A correlational and factor analysis was undertaken of the 8 proposed problem scores or scales. Cronbach's alpha scores varied from 0.58 to 0.87, with two problem scores (each of which had only 3 survey items) having a low alpha of 0.58. The mean item-to-total correlations for the other problem scores varied from 0.36 to 0.69, and the mean item-to-item correlations were between 0.32 and 0.70. The proposed problem scares or scales, with the exception of closure and advance care planning, demonstrated a moderate correlation (i.e., from 0.44 to 0.52) with the overall rating of satisfaction (as measured by a five-point, "excellent" to "poor" scale). Family members of persons who died with hospice service reported fewer problems in each of the six domains of medical care, gave a higher rating of the quality of care, and reported higher self-efficacy in caring for their loved ones. These results indicate that 7 of the 8 proposed problem scores or scales demonstrated psychometric properties that warrant further testing. The domain of closure demonstrated a poor correlation with overall satisfaction and requires further work. This survey could provide information to help guide quality improvement efforts to enhance the care of the dying. (C) U. S. Cancer Pain Relief Committee, 2001.