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Development and validation of the Care Transitions Scale for Patients with Heart Failure: A tool for nurses to assess patients' readiness for hospital discharge

克朗巴赫阿尔法 结构效度 验证性因素分析 比例(比率) 医学 探索性因素分析 过渡期护理 有效性 内容有效性 护理部 标准效度 可靠性(半导体) 收敛有效性 医疗保健 家庭医学 临床心理学 心理测量学 结构方程建模 患者满意度 统计 经济 经济增长 物理 功率(物理) 数学 内部一致性 量子力学
作者
Mai Yoshimura,Masumi Kawamura,Satoko Hasegawa,Yoichi M. Ito,Keita Takahashi,Naomi Sumi
出处
期刊:Japan Journal of Nursing Science [Wiley]
卷期号:20 (2) 被引量:1
标识
DOI:10.1111/jjns.12522
摘要

This study aimed to develop and assess the validity and reliability of the Care Transitions Scale for Patients with Heart Failure (CTS-HF) as a nurse-reported measure for evaluating patients' readiness for hospital discharge.We conducted a cross-sectional study of cardiovascular ward nurses from 163 hospitals across Japan. Structural validity was assessed using exploratory factor analysis with development participants and confirmatory factor analysis with validation participants. Convergent validity was assessed by correlation with the Discharge Planning of Ward Nurses scale (DPWN). Hypotheses testing for construct validity was performed as comparisons between subgroups of transitional care practice.Valid responses were obtained from 704 nurses (development participants, n = 352; validation participants, n = 352). The final scale comprised 21 items divided into six factors: "Clear preparation for how to manage health at home," "Adjusting to home care/support system," "Transitions of medication management from hospital to home," "Dealing with patients' concerns and questions," "Transitions of disease management from hospital to home," and "Family support." Indices of fit supported these results (comparative fit index = 0.944, root mean square error of approximation = 0.057). The CTS-HF was significantly correlated with the DPWN. The nurses' subgroup with higher transitional care practice had higher CTS-HF scores. Cronbach's alpha was .93 for the CTS-HF.The CTS-HF showed sufficient reliability and validity for use in evaluating discharge care. Further studies are needed regarding the usefulness of this scale in nursing practice.
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