护士成长型思维评估量表的编制及信效度检验

Qualitative research on home-based hospice care experiences of nurses:a Meta-synthesis

目的构建护士成长型思维评估量表,并检验量表的信效度,为准确测评护士的成长型思维能力提供测评工具。方法2021年6—10月,以成长型思维理论为研究框架,同时对成长型思维的相关研究进行回顾分析,全面构建量表的条目池,通过因子分析、德尔菲法等研究方法,形成正式版量表。方便抽样法选取山东大学齐鲁医院和山东省立医院578名护士进行调查,检测量表信效度。结果构建的护士成长型思维评估量表包括31个条目和3个维度,3个维度分别为对自身的认识、对挑战的态度和对挫折的复原力,累计方差贡献率为65.954%。量表的Cronbachα系数为0.926,Spearman-Brown分半信度系数为0.750。结论护士成长型思维评估量表具有良好的信效度,可用于评价护士成长型思维能力。

Objective To systematically review the experience of nurses′in providing home-based hospice care,so as to provide a basis for improving the quality of home-based hospice care and the nursing service system.Methods Qualitative researches on nurses′experience of providing home-based hospice care were retrieved from the Cochrane Library,PubMed,Web of Science,EBSCO,Medline,China National Knowledge Internet,China Biomedical Literature Database,Wanfang Database,VIP Database from inception to April 1,2022.Adopting Joanna Briggs Institute Critical Appraisal Tool(2016)to evaluate the quality of included studies,the Meta-synthesis was used to explain and integrate the research results.Results A total of 9 articles were included.This study extracted 23 clear results,8 new categories,and 3 integrated results,including the significance of nurses′acceptance of home-based hospice care;positive and negative emotions coexist when nurses provide home-based hospice care;challenges in implementing home-based hospice care.Conclusions The development of home-based hospice care service is helpful to provide continuous care for the terminally ill patients and improve their quality of life,but at the same time,the ability of home-based hospice care of nurses should be further improved and the related policy guarantee should be perfected to promote the steady development of home-based hospice care in China.