護理人員安寧療護知識、態度與行為需求量表的發展

Developing the Scale of Palliative Care Knowledge, Attitude and Self-efficacy need for Nurse.

林淑娟(Shu-Chuan Lin)

指導教授 ： 黃瓊玉

共同指導教授 ： 陳文魁(Wen-Kuei Chen)

義守大學/管理學院/管理碩博士班/碩士(2014年)

https://doi.org/10.6343/ISU.2014.00173

摘要

本研究目的在發展護理人員對安寧緩和醫療相關的知識、態度量表及護理人員對安寧緩和醫療的自我效能評量表，第一階段是建構量表內容，研究者查證護理人員與安寧療護相關的知識、態度、自我效能等相關文獻，發展成量表之項目，並經過四位專家確立量表的內容效度後，初建立施測問卷內容包括五部份，如下：護理人員基本資料、護理人員對安寧療護的知識量表、護理人員對安寧療護的態度量表、護理人員自我效能量表、護理人員人格特質量表。第二階段是測試量表的信效度，以南部某區域教學醫院之臨床護理人員為施測對象，共得226份有效問卷。首先進行項目分析決定題目的優劣，極端組比較、同質性檢驗等方法進行檢定，以Amos為研究分析工具，再以因素分析驗證量表之建構效度。「護理人員對安寧療護相關的態度量表」的Cronbach’s alpha係數為 0.932，內容效度高，經探索性因素分析(EFA)後，萃取出三個因素共計九題，歸納重組後予以命名分別為「工作認知」(5題)、「行為態度」(2題)、「知識經驗」(2題)。「護理人員對安寧緩和醫療的自我效能評量表」，經探索性因素分析(EFA)後，P值為0.807，萃取出五個因素共計十四題，歸納重組，分別命名「安緩概念」(2題)、「安緩運作」(5題)、「安緩法令」(2題)、「專業支持」(3題)、「知識運用」(2題)。
本研究發展之量表，可作為臨床評估護理人員對於安寧療護相關資訊需求的工具。此外，測量的結果建議可作為未來安排安寧療護相關教育訓練課程的方向及內容之參考依據。

關鍵字

護理人員 ； 安寧療護 ； 知識 ； 態度 ； 自我效能 ； 量表建立

並列摘要

The purpose of the study is to develop and to test the nursing knowledge related to hospice palliative care, attitude and self-efficacy rating scale. The study was conducted in two parts, developing the instrument and testing its validity and reliability. In the parts one, the researcher reviewed the literature about knowledge related to hospice palliative care, attitude, and self-efficacy, and wrote down for item derivation, discussed with expert validity. Five parts of respondents’ personal data, knowledge regarding hospice palliative care, attitudes toward hospice palliative care, self-efficacy, and various scales. In parts two, test its reliability and validity. The scale was administered of 226 nurses in a Clinical southern regional teaching hospital. First, project analysis determines the merits of the topic, the extreme groups, homogeneity testing and other methods of verification. The use of analytical tools for the study of Amos, then factor analysis to verify the scale of the construct validity. The Cronbach alpha of nursing knowledge related to palliative care scale were 0.932, content validity is good. The constructed validity of the scale was by exploratory factor analysis. 9 items were divided to three factors: cognitive work(5 items), behavior and attitude(2 items), knowledge and experience(2 items). Palliative care nurses self-efficacy rating scale was by exploratory factor analysis. 14 items were divided to five factors: hospice palliative care concept(2 items), hospice palliative care work (5 questions), hospice palliative care statutes (2 items), professional support (3 items), knowledge use(2 items).
Scale of the research and development, clinical evaluation as a hospice nurse for information on demand tools. In addition, the measurement results can be used as future arrangements recommended hospice training courses related to the direction and content of the reference.

並列關鍵字

nurse ； hospice palliative care ； knowledge ； attitude ； self-efficacy ； instrument development

參考文獻

朱育增、吳肖琪(2009)‧國際安寧緩和療護發展及其對我國政策之啟示‧長期照護雜誌，13(1)，95-107。

宋藝君(2009)‧血液透析病患自我管理量表之建構與測試‧未發表的碩士論文，高雄市：高雄醫學大學護理學研究所。

阮平英、黃珊(2004)‧外科加護單位護理人員照護瀕死病人之行為及其相關因素‧新台北護理期刊，6(1)，33-45。

李英芬、方俊凱、莊榮彬、陳榮基(2010) ‧保障病人尊嚴，拒絕無效醫療 -談安寧緩和醫療條例宣導暨意願註記健保IC卡的執行‧醫療品質雜誌，4(5)，17-21。

李尹暘、林曉佩、林君怡(2007)‧自我效能理論之分析與應用‧澄清醫護管理雜