收稿日期: 2023-01-14
网络出版日期: 2023-12-13
Validation of Chinese version of Patient Participation Culture Tool for Healthcare Workers and its application in clinical nurses
目的 翻译、修订患者参与文化评估量表(医护版)(The Patient Participation Culture Tool for Healthcare Workers,PaCT-HCW),为从护士角度测评患者参与提供可靠的工具。 方法 根据Brislin翻译模型对PaCT-HCW进行翻译和回译,通过专家咨询和预调查对中文版量表进行文化调试和修订。请7名专家对量表的内容进行评价,选取812名护士进行问卷调查,2周后抽取50名临床护士进行再次调查。 结果 中文版PaCT-HCW包括6个维度(能力、支持、对时间不足的感知、信息共享与对话、对问题的回应、对新角色的接受度),44个条目。探索性因子共提取6个公因子,累计方差贡献率69.829%;量表条目内容效度指数为0.710~1.000,量表层面内容效度指数为0.970。总量表的Cronbach’s α系数为0.962,各维度的Cronbach’s α系数为0.748~0.956;总量表的重测信度为0.980,各维度的重测信度为0.690~0.977。 结论 中文版PaCT-HCW信效度良好,可作为测评医院病房内患者参与文化水平的工具。
王文娜 , 张振香 , 周辰茜 , 江湖 , 赵志欣 . 患者参与文化评估量表(医护版)的汉化及信效度检验[J]. 中华护理教育, 2023 , 20(12) : 1487 -1492 . DOI: 10.3761/j.issn.1672-9234.2023.12.014
Objective The purpose of this study was to translate and revise Patient Participation Culture Tool for Healthcare Workers(PaCT-HCW) in Chinese background,so as to provide a reliable tool for evaluating the level of patient engagement. Methods The translation and back-translation of PaCT-HCW were followed by the Brislin translation model. The Chinese version was culturally adjusted and refined through expert consultations and pre-investigation. Content validity of the Chinese version was evaluated by seven experts. A questionnaire survey was conducted among 812 nurses. Fifty clinical nurses were selected to investigate again after two weeks. Results The Chinese version of PaCT-HCW consisted of 44 items into six dimensions:competence,support,perceived lack of time,information sharing and dialogue,response to questions,and acceptance of a new role. Exploratory factor analysis revealed six common factors,accounting for a cumulative variance contribution rate of 69.829%. The item content validity index(I-CVI) of the scale rangedfrom 0.710 to 1.000,and average content validity(S-CVI/Ave) reached 0.970. The Cronbach’s α for the whole scale was 0.962,while varied from 0.748 to 0.956 for dimensions. The test-retest reliability of the scale was 0.980,andranged from 0.690 to 0.977 for dimensions. Conclusion The Chinese version of PaCT-HCW has good reliability and validity,and can be used as a valid tool in evaluating the level of patients’ participation cultural for nurses.
Key words: Patients Participation; Culture; Nurses; Questionnaires
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