成人住院环境中的 "患者体验报告":系统回顾

IF 3.7 2区 医学 Q2 MANAGEMENT
Yichen Kang, Tingyu Guan, Xiao Chen, Yuxia Zhang
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引用次数: 0

摘要

背景:以患者为中心的理念已成为衡量医疗服务质量的关键指标,而患者报告的体验测量方法则是衡量这一理念实施情况的方法。目前有许多成人住院患者体验工具,有必要进行此类系统性回顾,以发现新的工具,并帮助政策制定者和研究人员通过适当选择这些工具来提高听到患者真实声音的可能性。 目标:确定现有的成人住院患者体验测量方法,并对其开发设计和心理测试结果进行严格评估。 方法:EMBASE、PUBMED检索了从开始到 2023 年 3 月的 EMBASE、PUBMED、Cochrane、CINAHL (EBSCOhost)、PsycINFO 和 ProQuest。按照《系统综述和元分析首选报告项目》(PRISMA)指南进行了全面综述。研究是通过特定的检索词和纳入标准确定的。根据基于共识的健康测量工具选择标准(COSMIN)核对表对方法学质量进行了评估。 结果:共有 29 篇文章对 23 种工具进行了报告。根据 COSMIN 核对表的推荐标准,每种工具在开发过程和心理测试中都表现出满意和失望。有 9 项研究忽略或未报告试点测试和认知访谈。只有 5 项研究对内容效度进行了评估。在所有测量属性中,内部一致性和结构有效性是最常测量的两个属性。所纳入的 29 项研究均未对量表的反应性或测量误差进行评估。 结论在各种成人住院体验工具中,只有少数研究在方法上是合理的。在开发和验证患者报告的体验测量方法方面仍需开展进一步的研究。此外,还应该实施新的质量评估,如工具效用,以便在信息时代对工具进行更全面的评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Patient-Reported Experience Measures in Adult Inpatient Settings: A Systematic Review

Patient-Reported Experience Measures in Adult Inpatient Settings: A Systematic Review

Background: Patient-centered ideas have become the key indicator of medical service quality, and patient-reported experience measures are ways to measure how well this idea is being implemented. There are currently numerous adult inpatient experience instruments available, and it is necessary to conduct such systematic reviews to discover any new instruments and help policymakers and researchers increase the likelihood of hearing true patients’ voices through appropriate selection of these instruments.

Objective: To identify existing adult inpatient experience measures and to critically appraise their development design and psychometric testing results.

Methods: EMBASE, PUBMED, Cochrane, CINAHL (EBSCOhost), PsycINFO, and ProQuest were searched from inception to March 2023. A comprehensive review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted. Studies were identified via specific search terms and inclusion criteria. The methodological quality assessment was evaluated according to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist.

Results: A total of 29 articles reporting on 23 instruments were included. Each instrument demonstrated both satisfaction and disappointment during the development process and psychometric testing with the recommended criteria of the COSMIN checklist. Pilot tests and cognitive interviews were ignored or not reported in 9 studies. Only 5 studies evaluated the content validity. Among all measurement properties, internal consistency and structural validity were the two most frequently measured attributes. None of the 29 included studies assessed the responsiveness or measurement error of the scales.

Conclusion: Among a variety of adult inpatient experience instruments, only a limited number of studies were methodologically sound. Further research still needs to be conducted for the development and validation of patient-reported experience measures. New quality assessments, such as instrument utility, also should be implemented to provide a more complete evaluation of instruments in the information era.

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来源期刊
CiteScore
9.40
自引率
14.50%
发文量
377
审稿时长
4-8 weeks
期刊介绍: The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses. The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide. The Journal of Nursing Management aims to: -Inform practitioners and researchers in nursing management and leadership -Explore and debate current issues in nursing management and leadership -Assess the evidence for current practice -Develop best practice in nursing management and leadership -Examine the impact of policy developments -Address issues in governance, quality and safety
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