Nurse-Physician Collaboration Scale: development and psychometric testing
Nurse-Physician Collaboration Scale: development and psychometric testing
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DOI：
10.1111/j.1365-2648.2009.05011.x
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发表时间：
2009-07-01
影响因子：
3.8
通讯作者：
Ushiro, Rei
中科院分区：
文献类型：
--
作者：
Ushiro, Rei
护士-医生协作量表：发展和心理测量学测试。本文是一项研究的报告，进行开发和测试的心理测量学性质的护士-医生合作量表。医疗保健专业人员之间的合作的重要性是公认的，在欧洲和美国，但在日本，还没有专门研究医护人员之间的相互作用或护士-医生合作。医师合作量表的开发使用的项目设计，项目细化，并测试的信度和效度的过程。2006年，在日本一个城市的87家急性护理医院中，随机抽样确定了27家潜在的受访者。446名医生和1217名护士（护士的应答率为78.7%，医生的应答率为54.4%）获得了有效应答。结构效度首先通过探索性因素分析确认，然后通过验证性因素分析。最后，同时分析了几组。信度采用重测法和Cronbach’s α系数，探索性因素分析得到三个因素。三因素模型经验证性因素分析（CFI > 0.9，RMSEA < 0.08）得到验证。多组同时分析（RMSEA = 0.046，AIC = 3115.888）显示护士和医生的因素结构相同。重测信度相关系数r均在0.7以上。内部一致性表现为Cronbach α = 0.8或以上。护士-医师协作量表可用于建立护士-医师协作的标准，测量协作活动的频率，并验证协作与护理质量之间的单位特定关系。
Nurse-Physician Collaboration Scale: development and psychometric testing.This paper is a report of a study conducted to develop and test the psychometric properties of the Nurse-Physician Collaboration Scale.The importance of cooperation between healthcare professionals is widely acknowledged in Europe and the United States of America, but there have been no specific studies of interactions between healthcare professionals or of nurse-physician cooperation in Japan.The 51-item Nurse-Physician Collaboration Scale was developed using a process of item design, item refinement, and testing for reliability and validity. Random sampling was used to identify potential respondents from 27 of the 87 acute care hospitals in one city in Japan in 2006. Valid responses were obtained from 446 physicians and 1217 nurses (response rate 78.7% for nurses, and 54.4% for physicians). Construct validity was first confirmed by an exploratory factor analysis and then by a confirmatory factor analysis. Finally, a simultaneous analysis of several groups was performed. The test-retest method and Cronbach's alpha coefficients were used to assess reliability.Exploratory factor analysis yielded three factors. The three-factor models were confirmed by a confirmatory factor analysis (CFI > 0.9, RMSEA < 0.08). Simultaneous analysis of several groups (RMSEA = 0.046, AIC = 3115.888) showed the same factor structure for both nurses and physicians. The r values of the test-retest reliability correlations were all 0.7 or above. Internal consistency was demonstrated by a Cronbach's alpha = 0.8 or above.The Nurse-Physician Collaboration Scale can be used to establish standards for nurse-physician collaboration, to measure the frequency of collaborative activity, and to verify unit-specific relationships between collaboration and quality of care.