PDF(Pubmed)
Abstract：
BACKGROUND: Delirium, a common occurrence in clinical work, can be divided into three subtypes according to Diagnostic and Statistical Manual of Mental Disorders, 5 th Edition (DSM-5). Each subtype has its special significance and focus. As the primary caregivers and observer of delirious patients, nurses should be able to quickly and accurately indentify each subtype. Therefore, it is necessary to clarify nurses\' assessment ability of delirium subtypes. However, there is currently no suitable questionnaire available for investigating nurses\' assessment ability of delirium subtypes.
OBJECTIVE: To develop a scientifically validated questionnaire for assessing nursing assessment ability of delirium subtypes based on Knowledge-Attitude-Practice(KAP) Model.
METHODS: The questionnaire was conducted from October 2021 to February 2022 to assess the KAP status of nurses the regarding delirium subtype. A two-round Delphi Method was employed to revise the draft questionnaire, ensuring the importance and rationality of each item. Ten experts specializing in critically ill patients, clinical nursing, and nursing management were invited from seven provinces in China for the Delphi process. Additionally, we validated the reliability and validity of the questionnaire.
RESULTS: The return rate in the first and second rounds were 83% and 100%, respectively. The individual authority coefficients for the two rounds of correspondence ranged from 0.787 to 0.987, while the overall authority coefficient of experts was 0.866. Kendall\'s coefficient of coordination for the importance scores were found to be 0.192 and 0.156, respectively, whereas those for rationality scores were calculated as 0.149 and 0.141, respectively. Notably, all mean values of importance and rationality scores in the two rounds were exceeded a threshold of 4.10 across both rounds of assessment with coefficient variations (CV) ranging from 0.00 to 0.19 for importance ratings and 0.00 to 0.16 for rationality ratings, both of which were <0.25. Experts proposed modifications to eleven items while introducing four new ones into consideration during this process; thus ensuring that reliability and validity standards were met by the final questionnaire design which consists of a total of thirty-seven items distributed across four dimensions: delirium subtype-related knowledge, assessment attitude, assessment practice, and knowledge source-thereby establishing its clinical relevance as a reliable scientific instrument.
CONCLUSIONS: The development process is both scientific and theoretical, encompassing reliable expert correspondence results and a diverse range of question formats. As thus, effectively captures the current landscape of delirium subtypes assessment among clinical nurses from multiple perspectives, including knowledge level and source, attitude, assessment behavior, and assessment barriers. It offers comprehensive and detailed insights.
OBJECTIVE: To develop a scientifically validated questionnaire for assessing nursing assessment ability of delirium subtypes based on Knowledge-Attitude-Practice(KAP) Model.
METHODS: The questionnaire was conducted from October 2021 to February 2022 to assess the KAP status of nurses the regarding delirium subtype. A two-round Delphi Method was employed to revise the draft questionnaire, ensuring the importance and rationality of each item. Ten experts specializing in critically ill patients, clinical nursing, and nursing management were invited from seven provinces in China for the Delphi process. Additionally, we validated the reliability and validity of the questionnaire.
RESULTS: The return rate in the first and second rounds were 83% and 100%, respectively. The individual authority coefficients for the two rounds of correspondence ranged from 0.787 to 0.987, while the overall authority coefficient of experts was 0.866. Kendall\'s coefficient of coordination for the importance scores were found to be 0.192 and 0.156, respectively, whereas those for rationality scores were calculated as 0.149 and 0.141, respectively. Notably, all mean values of importance and rationality scores in the two rounds were exceeded a threshold of 4.10 across both rounds of assessment with coefficient variations (CV) ranging from 0.00 to 0.19 for importance ratings and 0.00 to 0.16 for rationality ratings, both of which were <0.25. Experts proposed modifications to eleven items while introducing four new ones into consideration during this process; thus ensuring that reliability and validity standards were met by the final questionnaire design which consists of a total of thirty-seven items distributed across four dimensions: delirium subtype-related knowledge, assessment attitude, assessment practice, and knowledge source-thereby establishing its clinical relevance as a reliable scientific instrument.
CONCLUSIONS: The development process is both scientific and theoretical, encompassing reliable expert correspondence results and a diverse range of question formats. As thus, effectively captures the current landscape of delirium subtypes assessment among clinical nurses from multiple perspectives, including knowledge level and source, attitude, assessment behavior, and assessment barriers. It offers comprehensive and detailed insights.
摘要：
背景：谵妄，临床工作中常见的情况，根据精神疾病诊断和统计手册可分为三个亚型，第5版(DSM-5)。每个亚型都有其特殊的意义和焦点。作为神志不清患者的主要照顾者和观察者，护士应该能够快速准确地识别每个亚型。因此,有必要明确护士对谵妄亚型的评估能力。然而,目前尚无合适的问卷可用于调查护士对谵妄亚型的评估能力。
目的：建立基于知识-态度-实践（KAP）模型的谵妄亚型护理评估能力评估问卷。
方法：问卷于2021年10月至2022年2月进行，以评估护士关于谵妄亚型的KAP状况。采用两轮德尔菲法修订问卷草案，确保每个项目的重要性和合理性。十位专攻危重病人的专家,临床护理,并邀请了来自中国七个省的护理管理部门进行德尔菲流程。此外,我们验证了问卷的信度和效度。
结果：第一轮和第二轮的回报率分别为83％和100％，分别。两轮对应关系的个人权威系数为0.787~0.987，而专家的整体权威系数为0.866。肯德尔的重要性得分协调系数分别为0.192和0.156，而理性得分分别为0.149和0.141。值得注意的是,两轮评估中的重要性和合理性得分的所有平均值均超过了阈值4.10，重要性等级的系数变化（CV）为0.00至0.19，合理性等级为0.00至0.16，两者均<0.25。专家建议对11个项目进行修改，同时在此过程中考虑4个新项目；从而确保最终问卷设计符合信度和效度标准，该问卷由分布在四个维度上的总共37个项目组成：谵妄亚型相关知识，评估态度,评估实践，和知识来源-从而将其临床相关性确立为可靠的科学仪器。
结论：开发过程是科学和理论的，包含可靠的专家通信结果和各种问题格式。因此，从多个角度有效地捕捉临床护士谵妄亚型评估的现状，包括知识水平和来源，态度,评估行为，评估障碍。它提供了全面和详细的见解。
目的：建立基于知识-态度-实践（KAP）模型的谵妄亚型护理评估能力评估问卷。
方法：问卷于2021年10月至2022年2月进行，以评估护士关于谵妄亚型的KAP状况。采用两轮德尔菲法修订问卷草案，确保每个项目的重要性和合理性。十位专攻危重病人的专家,临床护理,并邀请了来自中国七个省的护理管理部门进行德尔菲流程。此外,我们验证了问卷的信度和效度。
结果：第一轮和第二轮的回报率分别为83％和100％，分别。两轮对应关系的个人权威系数为0.787~0.987，而专家的整体权威系数为0.866。肯德尔的重要性得分协调系数分别为0.192和0.156，而理性得分分别为0.149和0.141。值得注意的是,两轮评估中的重要性和合理性得分的所有平均值均超过了阈值4.10，重要性等级的系数变化（CV）为0.00至0.19，合理性等级为0.00至0.16，两者均<0.25。专家建议对11个项目进行修改，同时在此过程中考虑4个新项目；从而确保最终问卷设计符合信度和效度标准，该问卷由分布在四个维度上的总共37个项目组成：谵妄亚型相关知识，评估态度,评估实践，和知识来源-从而将其临床相关性确立为可靠的科学仪器。
结论：开发过程是科学和理论的，包含可靠的专家通信结果和各种问题格式。因此，从多个角度有效地捕捉临床护士谵妄亚型评估的现状，包括知识水平和来源，态度,评估行为，评估障碍。它提供了全面和详细的见解。
