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題名：中文版加護病房護理人員生命末期照護之障礙及促進因素量表信效度測試
書刊名：護理暨健康照護研究
作者：張惠敏／李鳳屏／胡文郁／謝秀芳 引用關係
作者(外文)：Chang, Hui-min／Lee, Feng-ping／Hu, Wen-yu／Hsieh, Hsiu-fang
出版日期：2013
卷期：9:3
頁次：頁218-227
主題關鍵詞：生命末期照護；加護病房護理人員；障礙因素；促進因素；End-of-life care；Intensive care unit nurses；ICU nurses；Barriers；Facilitators
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:4
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背景：加護病房護理人員經常直接照顧臨終或生命末期病人，可能因此引起護理人員的情緒或精神耗竭、流動率上升及照護品質下降。國內無相關問卷，較無法瞭解加護病房護理人員在照護生命末期病人時所感受到的障礙與促進因素。 目的：發展中文版的加護病房護理人員生命末期照護之障礙與促進因素量表並測試其信效度。 方法：本量表測試研究共分為三階段，第一階段為英文版量表取得及翻譯成中文版，第二階段為專家內容效度檢測，檢視七位專家的項目內容效度指標(item content validity index)；第三階段為量表信度與再測信度的測量，以及因素分素，採立意取樣，共282名加護病房護理人員完成測試，於三週後進行再測信度。 結果：中文版量表的內容效度值為 .95，信度Cronbach’s α值為 .95，再測信度 .70。為建立建構效度，探索性因素分析結果發現障礙與促進因素各有六個因子，其解釋變異量分別為59.2%與63.1%。 結論/實務應用：中文版的加護病房護理人員生命末期照護之障礙與促進因素量表是具有信效度的工具，可供國內加護病房使用，以瞭解護理人員在生命末期病人照護時所面對的相關障礙與促進因素，提供相關在職教育參考，進而在相關照護與制度面加以改善，期能提升照護品質與降低護理人員流動率。
Background: The emotional and spiritual exhaustion experienced by nurses working in intensive care units (ICUs) may decrease quality of care and lead to higher turnover rates among these nurses. However, the lack of a relevant questionnaire to assess the facilitators and barriers perceived by ICU nurses in caring for end‐of‐life patients hinders further understanding of ICU nurse exhaustion. Purpose: This study developed and tested the psychometric properties of a Chinese‐version questionnaire of facilitators and barriers perceived by ICU nurses providing care to end‐of‐life patients. Methods: This was a three‐phase study. The first phase involved translating the English questionnaire into Chinese with original author approval. The second phase used a panel of seven experts to validate questionnaire content. The third and final phase used purposive sampling to recruit 282 ICU nurses to establish the reliability and test‐retest reliability of the questionnaire. Results: A content validity index of .95, internal consistency coefficient of .95 and test‐retest of .70 were found. Factor analysis showed six barrier factors, which together accounted for 59.2% of total variance and six facilitator factors, which accounted for 63.1% of total variance. Conclusions / Implication for Practice: Results of this study indicate that the Chinese‐version questionnaire of facilitators and barriers perceived by ICU nurses in caring for end‐of‐life patients is a valid and reliable instrument that may be applied in ICU settings to elicit barrier and facilitator factors, which may be used to improve continuing education curricula, enhance quality of care, and reduce ICU nurse turnover.
期刊論文
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2.Angus, D. C、Barnato, A. E.、Linde-Zwirble, W. T、Weissfeld,L. A、Watson, R. S、Rickert, T.、Rubenfeld, G. D(2004)。Use of intensive care at the end of life in theUnited States: An epidemiologic study。Critical Care Medicine，32(3)，638-643。  new window
3.Beckstrand, R. L、Kirchhoff, K. T.(2005)。Providing end-of life care to patients: Critical care nurses’ perceived obstacles and supportive behaviors。American Journal of Critical Care，14(5)，395-403。  new window
4.Boyle, D. K.、Miller, P. A.、Forbes-Thompson, S. A.(2005)。Communication and end-of-life care in the intensive care unit: Patient, family, and clinician outcomes。Critical Care Nursing Quarterly，28(4)，302-316。  new window
5.Dobbins, E. H.(2007)。End-of-life decisions: Influence of advance directives on patient care。Journal of Gerontological Nursing，33(10)，50-56。  new window
6.Espinosa, L.、Young, A、Walsh, T.(2008)。Barriers to intensive care unit nurses providing terminal care: An integrated literature review。Critical Nursing Care Quarterly，31(1)，83-93。  new window
7.Gross, A. G.(2006)。End-of-life care obstacles and facilitators in the critical care units of a community hospital。Journal of Hospice and Palliative Nursing，8(2)，92-102。  new window
8.Heaston, S.、Beckstrand, R. L、Bond, A. E、Palmer, S. P.(2006)。Emergency nurses' perceptions of obstacles and supportive behaviors in end-of-life care。Journal of Emergency Nursing: Official Publication of the Emergency Department Nurses Association，32(6)，477-485。  new window
9.Kirchhoff, K. T.、Beckstrand, R. L.(2000)。Critical care nurses' perceptions of obstacles and helpful behaviors in providing end-of-life care to dying patients。American Journal of Critical Care，9(2)，96-105。  new window
10.Kinoshita, S、Miyashita, M.(2011)。Development of a scale for "difficulties felt by ICU nurses providing end-of-life care" (DFINE): A survey study。Intensive & Critical Care Nursing，27(4)，202-210。  new window
11.Nelson, J. E.、Angus, D. C、Weissfeld, L. A.、Puntillo, K. A.、Danis, M.、Deal, D.(2006)。Critical Care Peer Workgroup of the Promoting Excellence in End-of-Life Care Project End-of-life care for the critically ill: A national intensive care unit survey。Critical Care Medicine，34(10)，10-1097。  new window
12.Quenot, J. P.、Rigaud, J. P.、Prin, S.、Barbar, S.、Pavon, A.、Hamet, M.、Jacquiot, N.、Blettery, B.、Hervé, C.、Charles, P. E.、Moutel, G.(2012)。Suffering among carers working in critical care can be reduced by an intensive communication strategy on end-of-life practices。Intensive Care Medicine，38(1)，55-61。  new window
13.Shorter, M、Stayt, L. C.(2010)。Critical care nurses’experiences of grief in an adult intensive care unit。Journal Advanced Nursing，66(1)，159-167。  new window
14.阮平英、黃珊(2004)。外科加護單位護理人員照護瀕。新臺北護理期刊，6(1)，33-65。  延伸查詢new window
15.Polit, Denise F.、Beck, Cheryl Tatano、Owen, Steven V.(2007)。Is the CVI an acceptable indicator of content validity? Appraisal and recommendations。Research in Nursing and Health，30(4)，459-467。  new window
16.鍾月枝、鄭高珍(20100300)。加護病房中長期醫療資源使用和死亡率分析。醫務管理期刊，11(1)，33-44。new window  延伸查詢new window
17.林芳如、黃勝堅、吳春桂、黃美玲、林亞陵、蘇玲華、林宏茂(2010)。重症生命末期無效醫療之探討。中華民國急救加護醫學會雜誌，21(5)，S1-S8。  延伸查詢new window
18.Kaiser, Henry F.、Rice, John(1974)。Little Jiffy, Mark IV。Educational and Psychological Measurement，34(1)，111-117。  new window
19.Lynn, M. R.(1986)。Determination and quantification of content validity。Nursing Research，35(6)，382-385。  new window
圖書
1.Dixon J. K.(2001)。Factor analysis。Statistical method for health care research。New York, NY：Lippincott。  new window
2.吳明隆(2003)。SPSS統計應用學習實務：問卷分析與應用設計。臺北市：知城數位科技股份有限公司。  延伸查詢new window
3.吳明隆(2009)。SPSS操作與應用：問卷統計分析實務。五南圖書出版股份有限公司。  延伸查詢new window
4.Tabachnick, Barbara G.、Fidell, Linda S.(2007)。Using multivariate statistics。Pearson/Allyn and Bacon。  new window
5.Hair, Joseph F. Jr.、Black, William C.、Babin, Barry J.、Anderson, Rolph E.、Tatham, Ronald L.(2006)。Multivariate data analysis。Pearson Prentice Hall。  new window
6.陳寬裕、王正華(2010)。論文統計分析實務--SPSS與AMOS的運用。臺北市：五南。  延伸查詢new window
其他
1.衛生福利部(20120629)。衛生福利統計專區：歷年醫院死亡、解剖、轉診及院內感染病例數，http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&fod_list_no=2631。  延伸查詢new window
 
 
 
 
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