首页|医院急诊患者人文关怀满意度评价量表的编制及信效度检验

医院急诊患者人文关怀满意度评价量表的编制及信效度检验

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目的 构建医院急诊患者人文关怀满意度评价量表并检验其信效度.方法 以质量关怀模式和Kano模型为理论基础,通过文献分析、质性访谈、德尔菲专家函询及小样本预调查形成医院急诊患者人文关怀满意度评价量表.采用方便抽样法,选取湖北省2所三甲医院436例急诊住院患者进行调查,检验量表信效度.结果 形成的正式量表包括预检分诊关怀满意度,就医关怀满意度,检查、缴费、取药关怀满意度,治疗、抢救、观察关怀满意度,转运关怀满意度及关怀环境与设施满意度6个维度共32个条目.探索性因子分析提取6个公因子,累计方差贡献率为88.260%;验证性因子分析结果显示,模型拟合良好,量表因子结构稳定.量表总体内容效度指数为0.957,各条目内容效度指数为0.824~1.000;量表的Cronbach's a系数为0.968,分半信度为0.960,重测信度为0.876.结论 医院患者人文关怀满意度评价量表信效度良好,可作为评价医院急诊科人文关怀实施效果的工具.
Development,reliability,and validity testing of the Human Caring Satisfaction Evaluation Scale for Hospital Emergency Patients
Objective To develop the Human Caring Satisfaction Evaluation Scale for Hospital Emergency Patients and to test its reliability and validity.Methods Guided by the quality-caring model and Kano model,the scale was constructed through literature analysis,interviews,Delphi expert consultation,and a small-sample pre-survey.Convenient sampling was used to survey 436 emergency inpatients from two tertiary hospitals in Hubei province to examine the reliability and validity of the scale.Results The final scale comprised six dimensions with 32 items:precheck triage caring satisfaction;medical care caring satisfaction;examina-tion,payment and medicine collection caring satisfaction;treatment,rescue and observation caring satisfaction;transportation ca-ring satisfaction;caring environment and facilities satisfaction.Exploratory factor analysis extracted 6 common factors with a cu-mulative variance contribution rate of 88.260%.Confirmatory factor analysis indicated good model fit and stable factor structure.The S-CVI of the scale was 0.957,and the I-CVI of each item ranged from 0.824 to 1.000;the overall Cronbach's α coefficient was 0.968,the split-half reliability was 0.960,and the test-retest reliability was 0.876.Conclusion The Human Caring Satisfac-tion Evaluation Scale for Hospital Emergency Patients demonstrates good reliability and validity,making it a suitable tool for eva-luating the implementation effectiveness of human caring for the emergency department in hospitals.

emergency departmenthuman caringsatisfactionscaleprecheck triagecaring environmentreliabilityvalidity

汪唯、刘义兰、邓先锋、霍晓鹏、孙鹏、杨霞、吴改平、冯霞、谭蓉、何笑笑、廖露露

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华中科技大学同济医学院附属协和医院护理部(湖北武汉,430022)

华中科技大学同济医学院护理学院

华中科技大学同济医学院附属协和医院急诊科(湖北武汉,430022)

北京协和医院

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急诊科 人文关怀 满意度 量表 预检分诊 关怀环境 信度 效度

湖北省技术创新专项(软科学研究类)项目

2018ADC078

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(6)
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