Development of a Modified High-Value Care Rounding Tool.

Q1 Nursing
William A Frese, Keith Hanson, Yanzhi Wang, Wei-Cheing Hsiao
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引用次数: 0

Abstract

Background and objectives: Providers should engage hospitalized patients and families in high-value care (HVC) during rounds. The HVC Rounding Tool (HVC-RT) is the only published tool that assesses providers' HVC rounding performance. However, the HVC-RT has limitations, including little previous quantitative, psychometric assessment of its 3-domain, 10-measure construct. The purpose of this study is to psychometrically evaluate and explore a data-derived, modified HVC-RT structure.

Methods: This content validation study conducted a series of psychometric tests on a tertiary center's pediatric hospitalist service's HVC-RT rounding encounter data collected over a 15-month interval: Polychoric correlation first was performed to identify any collinear measures appropriate for elimination in subsequent exploratory factor analysis (EFA). EFA then was applied to generate a data-derived domain and measure arrangement structure. Finally, this new EFA-derived structure was reliability-tested on a domain level using a Kuder-Richardson test (KR-20).

Results: A total of 371 encounters were analyzed. Polychoric correlation and EFA together reduced and rearranged the original HVC-RT's 3 domains and 10 measures into a 2-domain, 7-measure construct, comprising a cost-effective care and an individualized hospital care domain. The EFA's Kaiser-Meyer-Olkin measure of sampling adequacy, root mean square residual, measures' factor loading, and communality values, respectively, were 0.8 (values of ≥0.7 preferred), 0.05 (≤0.05 excellent), greater than or equal to 0.6 (≥0.6 strong), and greater than or equal to 0.5 (≥0.4 acceptable). KR-20 results for both EFA domains was adequate at ≥0.6, demonstrating measures' reliability at assessing their respective domains.

Conclusions: Psychometric analysis of the original HVC-RT supports its restructure. Our EFA model proposes a shorter, psychometrically derived, modified HVC-RT with acceptable reliability.

一种改进型高价值磨圆工具的研制。
背景和目的:在查房期间,提供者应让住院患者和家属参与高价值护理(HVC)。HVC舍入工具(HVC- rt)是唯一发布的评估供应商HVC舍入性能的工具。然而,HVC-RT有局限性,包括对其3域,10测量结构的先前定量,心理测量评估。本研究的目的是心理测量学评估和探索数据衍生的改良HVC-RT结构。方法:本内容验证研究对某三级中心儿科住院医师服务的HVC-RT舍入相遇数据进行了一系列心理测试,收集时间间隔为15个月。首先进行多重相关,以确定在随后的探索性因素分析(EFA)中适合消除的共线性测量。然后应用EFA生成数据派生域和度量排列结构。最后,使用库德-理查森测试(KR-20)在域水平上对这种新的efa衍生结构进行了信度测试。结果:共分析371例病例。多重相关性和EFA一起减少并重新安排了原来的HVC-RT的3个域和10个措施,成为2个域,7个措施的结构,包括成本效益的护理和个性化的医院护理领域。EFA的Kaiser-Meyer-Olkin抽样充分性测量值、均方根残差、测量因子负荷和群落值分别为0.8(≥0.7优先)、0.05(≤0.05优)、大于或等于0.6(≥0.6强)和大于或等于0.5(≥0.4可接受)。两个EFA域的KR-20结果≥0.6,表明测量方法在评估各自域时的可靠性。结论:原HVC-RT的心理测量分析支持其重构。我们的EFA模型提出了一个更短的、心理测量衍生的、改进的HVC-RT,具有可接受的可靠性。
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
Hospital pediatrics
Hospital pediatrics Nursing-Pediatrics
CiteScore
3.70
自引率
0.00%
发文量
204
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