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Developing a Quality Assessment Scale for Clinical Dysphagia Nursing

制定临床吞咽困难护理质量评估量表

基本信息

批准号：
18592380
负责人：
KAMAKURA Yayoi
金额：
$ 1.24万
依托单位：
Aichi Prefectural College of Nursing & Health
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2006
资助国家：
日本
起止时间：
2006 至 2007
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-18592380/
关键词：
dysphagia nursmg certified nurse aualitv assessment developing scale

项目摘要

Purpose: The purpose of this study is to develop a quality assessment scale (QAS) for dysphagia nursing by both certified nurses (CN) in the dysphagia nursing field and hospital nurses. We seek to clarify the effectivness of CN education and to improve the quality of dysphagia nursing by nurses in hospitals where CNs work.Methods: A QAS was developed based on a literature review of dysphagia nursing and assessed by thirteen experts in dysphagia rehabilitation. A questionnaire survey regarding the QAS for dysphagia nursing was longitudinally conducted among CNs of the dysphagia nursing field registered in 2006 and 2007, and nurses in hospital CN work.Results:1. A QAS for dysphagia nursing by hospital nurses was constructed from sixty-four items and six factors, and Cronbach's a was 0.92 for overall scores.2. A QAS for dysphagia nursing by CNs was constructed from 69 items and 7 factors, and Cronbach's a was 0.98 for overall scores.3. From the results of the Wilcoxson signed-rank test, the mean score of 5 factors (i.e. II ・ III ・ V ・ VI ・ VII) in the QAS of CNs registered in 2006 was significantly increased at one year and seven months, compared with the score at seven months since completion of the regular course.4. From the results of multiple regression analysis, at one year and seven months after completing the regular course, overall QAS scores of nurses in hospitals CNs working showed a statistically significant correlation with the length of dysphagia nursing experience, the length of their nursing experience, and above - average QAS scale scores of CNs.Conclusion: The validity and reliability of the QAS for dysphagia nursing developed were confirmed. The results was suggested ways to improve the educational curriculum for CNs in the dysphagia nursing field.

目的：本研究的目的是为吞咽困难护理领域的注册护士和医院护士编制吞咽困难护理的质量评估量表（QAS）。我们试图澄清吞咽困难教育的有效性，并提高吞咽困难护士在吞咽困难护士工作的医院护理质量。方法：在查阅有关吞咽困难护理的文献的基础上，由13名吞咽困难康复专家进行评估。对2006年和2007年注册的吞咽困难护理专业护士和医院吞咽困难护理专业护士进行了吞咽困难护理质量评价的纵向问卷调查。采用64项6因素构建医院护士吞咽困难护理质量评价量表（QAS），总分Cronbach’s A为0.92。2 .构建由69项7个因素组成的CNs护理吞咽困难质量评价量表（QAS），总分Cronbach’s A为0.98。从Wilcoxson sign -rank检验的结果来看，2006年注册的CNs在1年零7个月时的QAS中5个因素（即II·III·V·VI·VII）的平均分数与完成常规课程后7个月的分数相比有显著提高。从多元回归分析结果来看，在完成常规课程1年7个月时，在医院工作的护士的总体QAS得分与吞咽困难护理经验长度、护士护理经验长度、护士QAS量表得分高于平均水平有统计学意义。结论：所编制的质量评价体系在吞咽困难护理中的有效性和可靠性得到了验证。为进一步完善吞咽困难护理专业中医师教育课程提供参考。