PDF(Pubmed)
Abstract：
UNASSIGNED: In China, clinical deterioration events present a real problem for every clinical nurse. Patient deterioration is determined in part by nurses\' attitudes toward early recognition of clinical deterioration. However, research on attitudes toward the early identification of clinical deterioration is still in its infancy, and even less research has been done on ward nurses\' attitudes toward the early identification of clinical deterioration. To drive behavioral change and improve the care of deteriorating patients, nurses need comprehensive, valid, and reliable tools to assess their attitudes toward early identification of deterioration.
UNASSIGNED: In this study, we aimed to translate the Attitudes Toward Recognizing Early and Noticeable Deterioration (ATREND) scale into Chinese and to assess its validity and reliability tests.
UNASSIGNED: From March 2022 to July 2022, the ATREND scale was translated, back-translated, and cross-culturally adapted into the Chinese version using a modified Brislin translation model. Then, 460 ward nurses were recruited from tertiary Grade A general hospitals in two cities: Shenyang and Jinzhou in Liaoning Province, China. Reliability analyses were conducted using internal consistency, split-half, and test-retest reliability. We convened a committee of experts to determine the validity of the content. Tests of the structural validity of the scale were conducted using exploratory and validation factor analyses.
UNASSIGNED: The Cronbach\'s α value of the Chinese version of the ATREND scale was 0.804, and the Cronbach\'s α value of the dimensions ranged from 0.782 to 0.863. The split-half reliability and test-retest reliability were 0.846 and 0.711, respectively. Furthermore, the scale has an index of content validity of 0.922, indicating a high level of content validity. In exploratory factor analysis, eigenvalues, total variance explained, and scree plot supported a three-factor structure. The three-factor model supported by this study was confirmed by confirmatory factor analysis (CFA). Moreover, the model fitting indexes (e.g., χ 2/DF = 1.498, GFI = 0.954, RMSEA = 0.047) were all within acceptable limits based on the CFA.
UNASSIGNED: The Chinese version of the scale is reliable and valid among ward nurses. Nursing educators and clinicians will be able to develop targeted educational programs to enhance the competence and behaviors of Chinese ward nurses in recognizing clinical deterioration. It will be based on the developed scale to assess Chinese nurses\' attitudes and practices regarding early recognition of clinical deterioration. As a result, it is necessary to consider the Chinese scale\'s three-factor structure. The developed three-factor structured scale will assess Chinese ward nurses\' attitudes and practices toward patient observation and vital sign-monitoring empowerment, enlightening them on the importance of patient observation, encouraging ward nurses to use a wider range of patient assessment techniques to capture early signs of clinical deterioration, and helping ward nurses to develop clinical confidence to monitor clinical deterioration.
UNASSIGNED: In this study, we aimed to translate the Attitudes Toward Recognizing Early and Noticeable Deterioration (ATREND) scale into Chinese and to assess its validity and reliability tests.
UNASSIGNED: From March 2022 to July 2022, the ATREND scale was translated, back-translated, and cross-culturally adapted into the Chinese version using a modified Brislin translation model. Then, 460 ward nurses were recruited from tertiary Grade A general hospitals in two cities: Shenyang and Jinzhou in Liaoning Province, China. Reliability analyses were conducted using internal consistency, split-half, and test-retest reliability. We convened a committee of experts to determine the validity of the content. Tests of the structural validity of the scale were conducted using exploratory and validation factor analyses.
UNASSIGNED: The Cronbach\'s α value of the Chinese version of the ATREND scale was 0.804, and the Cronbach\'s α value of the dimensions ranged from 0.782 to 0.863. The split-half reliability and test-retest reliability were 0.846 and 0.711, respectively. Furthermore, the scale has an index of content validity of 0.922, indicating a high level of content validity. In exploratory factor analysis, eigenvalues, total variance explained, and scree plot supported a three-factor structure. The three-factor model supported by this study was confirmed by confirmatory factor analysis (CFA). Moreover, the model fitting indexes (e.g., χ 2/DF = 1.498, GFI = 0.954, RMSEA = 0.047) were all within acceptable limits based on the CFA.
UNASSIGNED: The Chinese version of the scale is reliable and valid among ward nurses. Nursing educators and clinicians will be able to develop targeted educational programs to enhance the competence and behaviors of Chinese ward nurses in recognizing clinical deterioration. It will be based on the developed scale to assess Chinese nurses\' attitudes and practices regarding early recognition of clinical deterioration. As a result, it is necessary to consider the Chinese scale\'s three-factor structure. The developed three-factor structured scale will assess Chinese ward nurses\' attitudes and practices toward patient observation and vital sign-monitoring empowerment, enlightening them on the importance of patient observation, encouraging ward nurses to use a wider range of patient assessment techniques to capture early signs of clinical deterioration, and helping ward nurses to develop clinical confidence to monitor clinical deterioration.
摘要：
未经批准：在中国，临床恶化事件对每个临床护士来说都是一个真正的问题.患者恶化部分取决于护士对早期识别临床恶化的态度。然而,关于早期识别临床恶化的态度的研究仍处于起步阶段，甚至更少的研究已经做了病房护士对早期识别临床恶化的态度。为了推动行为改变并改善恶化患者的护理，护士需要全面的，有效,和可靠的工具来评估他们对早期识别恶化的态度。
未经批准：在这项研究中，我们的目的是将对早期和可察觉的恶化认识的态度（ATREND）量表翻译成中文，并评估其有效性和可靠性测试。
UNASSIGNED：从2022年3月到2022年7月，ATREND量表进行了翻译，回译,并使用修改后的Brislin翻译模型跨文化改编成中文版本。然后，从辽宁省沈阳和锦州两个城市的三级甲等综合医院招募了460名病房护士，中国。可靠性分析使用内部一致性进行，半分，和重测可靠性。我们召集了一个专家委员会来确定内容的有效性。使用探索性和验证性因素分析对量表的结构效度进行了测试。
UNASSIGNED：ATREND量表中文版的Cronbach\α值为0.804，尺寸的Cronbach\α值为0.782至0.863。分半信度和重测信度分别为0.846和0.711。此外，该量表的内容效度指数为0.922，表明内容效度较高。在探索性因素分析中，特征值，解释了总方差，和scree图支持三因素结构。验证性因子分析（CFA）证实了本研究支持的三因素模型。此外，模型拟合指数(例如，χ2/DF=1.498，GFI=0.954，RMSEA=0.047）均在基于CFA的可接受范围内。
UNASSIGNED：中文版量表在病房护士中可靠有效。护理教育者和临床医生将能够制定有针对性的教育计划，以增强中国病房护士在识别临床恶化方面的能力和行为。它将基于开发的量表来评估中国护士对早期识别临床恶化的态度和做法。因此,有必要考虑中国量表的三因素结构。开发的三因素结构化量表将评估中国病房护士对患者观察和生命体征监测授权的态度和做法，启发他们观察病人的重要性，鼓励病房护士使用更广泛的患者评估技术来捕捉临床恶化的早期迹象，并帮助病房护士培养临床信心以监测临床恶化。
未经批准：在这项研究中，我们的目的是将对早期和可察觉的恶化认识的态度（ATREND）量表翻译成中文，并评估其有效性和可靠性测试。
UNASSIGNED：从2022年3月到2022年7月，ATREND量表进行了翻译，回译,并使用修改后的Brislin翻译模型跨文化改编成中文版本。然后，从辽宁省沈阳和锦州两个城市的三级甲等综合医院招募了460名病房护士，中国。可靠性分析使用内部一致性进行，半分，和重测可靠性。我们召集了一个专家委员会来确定内容的有效性。使用探索性和验证性因素分析对量表的结构效度进行了测试。
UNASSIGNED：ATREND量表中文版的Cronbach\α值为0.804，尺寸的Cronbach\α值为0.782至0.863。分半信度和重测信度分别为0.846和0.711。此外，该量表的内容效度指数为0.922，表明内容效度较高。在探索性因素分析中，特征值，解释了总方差，和scree图支持三因素结构。验证性因子分析（CFA）证实了本研究支持的三因素模型。此外，模型拟合指数(例如，χ2/DF=1.498，GFI=0.954，RMSEA=0.047）均在基于CFA的可接受范围内。
UNASSIGNED：中文版量表在病房护士中可靠有效。护理教育者和临床医生将能够制定有针对性的教育计划，以增强中国病房护士在识别临床恶化方面的能力和行为。它将基于开发的量表来评估中国护士对早期识别临床恶化的态度和做法。因此,有必要考虑中国量表的三因素结构。开发的三因素结构化量表将评估中国病房护士对患者观察和生命体征监测授权的态度和做法，启发他们观察病人的重要性，鼓励病房护士使用更广泛的患者评估技术来捕捉临床恶化的早期迹象，并帮助病房护士培养临床信心以监测临床恶化。
