Development of the Self-assessment Scale of Nursing Practice for Elderly Patients with Cognitive Impairment with the Aim of Person-centred Care in Acute Hospitals

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  • 急性期病院の認知障害高齢者に対するパーソン・センタード・ケアをめざした看護実践自己評価尺度の開発

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Abstract

This study clarified the nursing practice of person-centred care for elderly patients with cognitive impairment and developed a nursing practice self-assessment scale at acute care hospitals. The participants were 283 nurses working on wards in two acute care hospitals in September 2014. Their responses were used for the exploratory factor analysis. Items with low factor loading were deleted. This scale comprised 19 items and four factors. Cronbach's α was more than 0.797 for all four factors and the total items. In test-retest analysis, the correlation coefficients were ≥0.7. Reviewing the covariance structure analysis for construct validity, the best fit indices were GFI=0.912, AGFI=0.863, and RMSEA=0.721. The pass coefficients between potential and observational variables were significantly high from 0.53 to 0.87. The concurrent validity calculated the relationship between the total score of an attitude scale for persons with dementia and this scale; it was significantly correlated to three factors of this scale and the total score. Reliability and validity of this scale were therefore demonstrated.

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