在中国养老院的痴呆症护理人员中，对痴呆症护理人员能力感量表进行中文翻译和心理计量学测试。
Translation and psychometric testing of the sense of competence in Dementia Care Staff Scale in Chinese amongst dementia care staff in nursing homes of China.
机构信息
School of Nursing, Fudan University, Shanghai, China.
Department of Nursing, Zhongshan Hospital, Fudan University, Shanghai, China.
出版信息
BMC Geriatr. 2023 Mar 21;23(1):158. doi: 10.1186/s12877-023-03845-x.
BACKGROUND
Although China has the largest population of persons with dementia, there is no validated tool available to accurately assess formal caregivers' competence in dementia care in long-term care settings. Appropriately assessing nursing staff's level of competence in dementia care is the first step to develop precision training interventions to improve the quality of dementia care. The Sense of Competence in Dementia Care Staff scale (SCIDS) is a user-friendly tool with satisfactory reliability and validity. We adapted SCIDS into a Chinese version (SCIDS-C) and validated its uses in China's socio-cultural context to assess nursing staff's capability and competence in dementia care at nursing homes.
AIMS
We aimed to adapt and psychometrically test the tool among frontline nursing staff in long-term care settings in China.
METHODS
The research employed a correlational design with repeated measures. In translation section, we adapted and tailored the original scale in the cultural and social context in China's nursing homes. The scale's adaptation consists of translating adaptation and semantic equivalence. In psychometric testing phase, we tested the validity and reliability of the scale with 174 nursing staff conveniently from six nursing homes. Construct validity was tested using exploratory factor analysis (EFA), including principal component analysis and maximum variance rotation method. Reliability was tested using Cronbach's alpha value and intraclass correlation coefficient (ICC).
RESULTS
The SCIDS-C has 17 items, which belong to the two sub-scales, the Relationship-Centered Care(RCC) and Professional Care(PC). The Cronbach's alpha value was 0.88, showing a good internal consistency. The full scale's value of ICC was 0.94 which indicated good reliability. Exploratory factor analysis(EFA) extracted 2 common factors in each sub-scale, cumulative variance contribution rate was 56.71% and 53.92%, respectively. The named four factors are the same as the Sense of Competence in Dementia Care Staff (SCIDS) scale in English, including Building Relationships, Sustaining Personhood, Professionalism and Care Challenges.
CONCLUSION
The SCIDS-C has shown good reliability and validity. It can be used as an appropriate tool to evaluate the competence of nursing care staff to provide dementia care for residents in nursing homes.
背景
中国是世界上痴呆症患者人数最多的国家，但目前还没有经过验证的工具可以准确评估长期护理环境中正式护理人员的痴呆症护理能力。适当评估护理人员在痴呆症护理方面的能力水平是制定精准培训干预措施以提高痴呆症护理质量的第一步。感知痴呆症护理人员能力量表（SCIDS）是一种使用方便、信度和效度均令人满意的工具。我们将 SCIDS 改编成中文版（SCIDS-C），并在适合中国社会文化背景的情况下对其进行验证，以评估养老院护理人员对痴呆症患者的护理能力。
目的
我们旨在改编并对中国长期护理环境中的一线护理人员进行心理测量学测试。
方法
本研究采用相关性设计，进行重复测量。在翻译部分，我们根据中国养老院的文化和社会背景改编和调整了原始量表。量表的改编包括翻译改编和语义等价物。在心理测量测试阶段，我们从六家养老院中方便地抽取了 174 名护理人员对量表进行了有效性和可靠性测试。构念效度采用探索性因子分析（EFA）进行测试，包括主成分分析和最大方差旋转法。采用 Cronbach's alpha 值和组内相关系数（ICC）测试可靠性。
结果
SCIDS-C 有 17 个项目，分为两个分量表，即以关系为中心的护理（RCC）和专业护理（PC）。Cronbach's alpha 值为 0.88，表明内部一致性良好。全量表的 ICC 值为 0.94，表明可靠性良好。探索性因子分析（EFA）在每个分量表中提取了 2 个共同因素，累积方差贡献率分别为 56.71%和 53.92%。命名的四个因素与英文的感知痴呆症护理人员能力量表（SCIDS）相同，包括建立关系、维持人格、专业性和护理挑战。
结论
SCIDS-C 具有良好的信度和效度。它可以作为评估养老院护理人员为居民提供痴呆症护理能力的合适工具。
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