摘要
目的编制养老护理员优质照护行为量表,并检验其信效度。方法将以人为中心照护框架作为理论基础,结合文献回顾法、半结构式访谈法、专家函询和预调查,形成量表测试版。2024年4-6月,采用便利抽样法,选取华中地区湖南省、湖北省、河南省11家养老机构的养老护理员作为调查对象,第1次调查330名、第2次调查340名养老护理员进行量表项目分析及信效度检验。结果最终形成的养老护理员优质照护行为量表包括整体照护、个性关怀、尊老敬老、积极互动、赋权增能5个维度共26个条目。探索性因子分析累计方差贡献率为67.907%;验证性因子分析显示,χ^(2)/df=2.607,RMSEA=0.069,CFI=0.914,TLI=0.903,IFI=0.914。效标关联效度结果显示,量表与以人为中心的照护量表的相关系数为0.894;总量表的Cronbach′sα系数为0.948,折半信度为0.889。结论养老护理员优质照护行为评估量表信效度较好,可作为评估养老护理员优质照护行为的有效工具。
Objective To develop the Quality Care Behavior Scale for Elderly Care Assistant Nurse and test its reliability and validity.Methods Based on the person-centered care framework,the scale test version was formed by combining the literature review me-thod,semi-structured interview method,expert correspondence and pre-survey.A convenient sampling method was used to select elderly care nursing assistants from 11 nursing homes of Hunan,Hubei and Henan Provinces in central China from April to June 2024 as participants.Totally 330 elderly care nursing assistants were investigated firstly and other 340 were surveyed secondly for scale item analysis and reliability and validity test.Results The finalized Quality Care Behavior Scale for Elderly Care Assistant Nurse includes 26 items in 5 dimensions:holistic care,individualized care,respect for the elderly,positive interaction,and empowerment.The cumulative variance contribution rate of exploratory factor analysis was 67.907%;Confirmatory factor analysis showed thatχ^(2)/df=2.607,RMSEA=0.069,CFI=0.914,TLI=0.903,IFI=0.914,which was a good model fit.Criterion-related validity results showed that,the correlation coefficient of the scale score with the Person-centered Care Assessment Tool score was 0.894,the Cronbach′sαcoefficient of the scale was 0.948,and the split-half reliability was 0.889.Conclusion The Quality Care Behavior Scale for Elderly Care Assistant Nurse has good reliability and validity,and can be used as a valid tool to assess the quality care behavior of elderly care assistant nurses.
作者
廖露露
何笑笑
杨玲花
谭蕾
龙环
黄胜兰
李霞
韩影
彭笑
陈荟菁
杨秀芬
李慧
刘义兰
Liao Lulu;He Xiaoxiao;Yang Linghua;Tan Lei;Long Huan;Huang Shenglan;Li Xia;Han Ying;Peng Xiao;Chen Huijing;Yang Xiufen;Li Hui;Liu Yilan(Department of Nursing,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《护理学杂志》
北大核心
2025年第5期74-78,共5页
Journal of Nursing Science
基金
华中科技大学护理学院2022年度自主创新研究重点项目(ZZCX2022001)
湖南省自然科学基金青年项目(2023JJ40883)。
关键词
养老机构
养老护理员
老年人
优质照护行为
老年照护行为
整体照护
个性关怀
量表
elderly care institutions
elderly care assistant nurse
elderly people
quality care behavior
geriatric care beha-vior
holistic care
personality care
scale
作者简介
廖露露:女,博士在读,学生,584576067@qq.com;通信作者:刘义兰,yilanl2020@163.com。
