[Development of a scale for quality of care management process. A Delphi survey and studies on reliability and validity].
[Development of a scale for quality of care management process. A Delphi survey and studies on reliability and validity].
复制标题
[制定护理质量管理流程量表。
DOI：
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发表时间：
1999
期刊：
影响因子：
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通讯作者：
R. Okamoto
中科院分区：
文献类型：
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作者：
R. Okamoto
本研究的目的是开发一种评估护理管理质量的测量工具，并测试其信度和效度。首先对96名经验丰富的社区卫生护士进行了德尔菲法调查，以提高问卷的内容效度，该问卷是在反复三轮数据收集和内容分析后制定的。来自日本121个城镇的353名社区卫生护士完成了邮寄的调查问卷。问卷中所有项目和每个因素的Cronbach‘s Alpha值分别大于0.8，表明信度的内部一致性。因子分析采用主因素方差旋转的方法，确定了5个影响因素。这些因素很好地反映了部分研究者分类的成分，表明了结构效度。此外，护理经理根据他们的年龄和工作经验等标准进行分组。正如理论上预期的那样，比较了每组的QCM-P(护理质量管理-过程测量)得分。各组间QCM-P得分有显著差异，证明了问卷的有效性。与信度相关的效标效度和稳定性有待进一步研究。因此，虽然还需要进一步的工作，但QCM-P被发现在允许的水平上具有信度和效度，作为衡量护理管理过程质量的标准。
The purpose of this study was to develop a measurement tool for assessing quality in care management and to test its reliability and validity. A Delphi survey was initially administered on 96 experienced community health nurses, to improve the content validity of a questionnaire that was developed after three repeated rounds of data collection and content analysis. A total of 353 community health nurses, from 121 cities and towns across Japan, completed the mailed questionnaire. Cronbach's alpha value was more than 0.8, respectively, for all items in questionnaires, and for each factor, indicating internal consistency in reliability. Five factors were identified through factor analysis using a principal factor method with varimax rotation. These factors were good reflections of components classified by some researchers, indicating construct validity. In addition, care managers were grouped according to such criteria as their age and work experience. The QCM-P (Quality of Care Management-Process Measurement) score of each group was compared, as theoretically differences are expected. The questionnaire's validity was evidenced by significant differences in the QCM-P score among each group. Further studies on criterion-related validity and stability which relates to reliability are required. Thus, although further work is needed, QCM-P was found to have both reliability and validity at a permissible level as a scale for measuring the quality of care management process.