Psychometric Characteristics of the Quality of Oncology Nursing Care Scale (QONCS): A Validation Study

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing Pub Date : 2024-12-01 DOI:10.1016/j.soncn.2024.151751

Ilaria Marcomini , Roberta Pendoni , Mattia Bozzetti , Maria Mallio , Francesca Riboni , Valerio Di Nardo , Rosario Caruso

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引用次数: 0

Abstract

Objectives

Quality care in healthcare settings shortens hospitalization, reduces infection rates and complication risks, and improves patients’ ability to manage their symptoms. Due to the absence of tools for assessing care quality in Italian oncology settings, this study aimed to evaluate the psychometric properties of the Italian version of the Quality of Oncology Nursing Care Scale (QONCS).

Methods

The study comprised 4 phases. Phase I involved cultural adaptation of the QONCS following Brislin's model. In phase II, 6 external experts assessed the instrument's face and content validities. In phase III, a cross-sectional study was conducted at 3 hospitals from February to September 2023. In phase IV, factor analyses were performed using exploratory structural equation modeling.

Results

The 5-dimensional structure of the adapted QONCS showed a good fit based on the following statistics: χ² (324, N = 219) = 704.690, P < .001; root mean square error of approximation = 0.059 (90% confidence interval [CI] = 0.52-0.66), P < .001; comparative fit index = 0.935; Tucker–Lewis index = 0.908; standardized root mean square residual = 0.026. McDonald's ω (0.968) indicated satisfactory internal consistency. The test-retest reliability demonstrated a high and significant positive correlation. Correlation analysis revealed that age, marital status, and employment status were significantly and positively associated with the QONCS score.

Conclusion

This study confirms the validity and reliability of the QONCS. We recommend using the QONCS to thoroughly assess nursing care quality and identify factors that influence the delivery of high-quality care in oncology settings.

Implications for Nursing Practice

Our findings highlight the value of the QONCS in helping nurses assess and improve perceived care quality among patients with cancer. Valid and reliable tools, such as the QONCS, are crucial for guiding policies to enhance patient care.

查看原文本刊更多论文

肿瘤护理质量量表（QONCS）的心理测量学特征：验证研究。

目标：医疗机构中的优质护理可缩短住院时间、降低感染率和并发症风险，并提高患者控制症状的能力。由于缺乏评估意大利肿瘤护理质量的工具，本研究旨在评估意大利版肿瘤护理质量量表（QONCS）的心理测量特性：研究分为四个阶段。第一阶段是按照布里斯林模式对 QONCS 进行文化适应性调整。在第二阶段，6 位外部专家对该工具的表面和内容效度进行了评估。在第三阶段，2023 年 2 月至 9 月在 3 家医院进行了横断面研究。在第四阶段，使用探索性结构方程模型进行了因素分析：根据以下统计数据，改编后的 QONCS 的五维结构显示出良好的拟合度：χ2 (324, N = 219) = 704.690，P < .001；均方根近似误差 = 0.059 (90% 置信区间 [CI] = 0.52-0.66)，P < .001；比较拟合指数 = 0.935；Tucker-Lewis 指数 = 0.908；标准化均方根残差 = 0.026。麦克唐纳ω（0.968）表明内部一致性令人满意。测试-再测信度显示出高度显著的正相关。相关分析表明，年龄、婚姻状况和就业状况与 QONCS 分数呈显著正相关：本研究证实了 QONCS 的有效性和可靠性。结论：本研究证实了 QONCS 的有效性和可靠性，我们建议使用 QONCS 全面评估护理质量，并找出影响肿瘤科提供高质量护理的因素：我们的研究结果强调了 QONCS 在帮助护士评估和提高癌症患者护理质量方面的价值。QONCS等有效可靠的工具对于指导加强患者护理的政策至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Oncology Nursing Nursing-Oncology (nursing)

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

45 days

期刊介绍： Seminars in Oncology Nursing is a unique international journal published six times a year. Each issue offers a multi-faceted overview of a single cancer topic from a selection of expert review articles and disseminates oncology nursing research relevant to patient care, nursing education, management, and policy development.