Hasta Merkezli Bakım Ölçeğinin Türkçe Geçerlilik ve Güvenilirliği

Öz

Amaç: Bu araştırmanın amacı, hasta perspektifinde hasta merkezli bakım algısını ölçmeyi hedefleyen geçerli ve güvenilir bir ölçeği Türkçeye uyarlamaktır. Gereç ve Yöntem: Hastaların hasta merkezli bakım algısını değerlendirmek için Cramm ve Nieboer tarafından geliştirilen Hasta Merkezli Bakım Ölçeği kullanılmıştır. Ölçeğin Türkçeye uyarlanmasında açıklayıcı ve doğrulayıcı faktör analizi ile güvenilirlik analizi yapılmıştır. Araştırmada kolayda örnekleme yöntemi tercih edilmiştir. Araştırmanın örneklemini çalışmaya katılmayı kabul eden 300 kişi oluşturmaktadır. Bulgular: Araştırmada örneklem yeterliliği için Kaiser-Meyer-Olkin değeri 0,866 ve Barlett’s testi anlamlıdır. Açıklayıcı faktör analizi sonucuna göre orijinal ölçekteki gibi sekiz boyuta ayrılmaktadır ve açıklanan toplam varyans %75,623’tür. Ölçeğin uyum iyiliği değerleri RMSEA= 0,046, NFI= 0,901, TLI= 0,954, CFI= 0,959, IFI= 0,959, GFI= 0,859 olup bu değerler kabul edilebilir değerlerdir. Ölçeğin Cronbach alfa değeri 0,961’dir. Ölçeğin boyutları arasında pozitif yönlü, orta ve yüksek düzeyde ilişki söz konusudur. Son olarak ölçeğin genel ortalaması 3,48 olarak tespit edilmiştir. Sonuç: Hasta Merkezli Bakım Ölçeğinin Türkçe uyarlaması, hasta perspektifinde kullanılabilecek geçerli ve güvenilir bir araçtır. Orijinal ölçeğin elde ettiği bulgular ile ölçeğin Türkçe uyarlamasında elde edilen bulgular örtüşmektedir. Bu doğrultuda ölçeğin, hastaların hasta merkezli bakım ile ilgili tutum ve düşüncelerini değerlendirmede kullanılabileceği düşünülmektedir.

Anahtar Kelimeler

• Hasta merkezlilik
• hasta merkezli bakım
• geçerlilik
• güvenilirlik

Turkish validity and reliability of patient-centred care scale

Öz

Purpose: The aim of this study is to adapt a valid and reliable scale aiming to measure the perception of patient-centred care from the patient perspective into Turkish. Materials and Methods: The Patient-Centred Care Scale developed by Cramm and Nieboer was used to assess patients' perception of patient-centred care. In the adaptation of the scale to Turkish, explanatory, and confirmatory factor analysis and reliability analysis were performed. Convenience sampling method was preferred in the study. The sample of the study consisted of 300 people who agreed to participate in the study. Result: The Kaiser-Meyer-Olkin value for sampling adequacy was 0.866 and Barlett's test was significant. According to the results of the exploratory factor analysis, the scale is divided into eight dimensions as in the original scale and the total variance explained is 75.623%. The goodness of fit values of the scale are RMSEA= 0.046, NFI= 0.901, TLI= 0.954, CFI= 0.959, IFI= 0.959, GFI= 0.859 and these values are acceptable. Cronbach's alpha value of the scale is 0.961. There is a positive, medium, and high-level relationship between the dimensions of the scale. Finally, the overall mean of the scale was determined as 3.48. Conclusion: The Turkish adaptation of the Patient-Centred Care Scale is a valid and reliable tool that can be used from a patient perspective. The findings obtained in the original scale and the findings obtained in the Turkish adaptation of the scale overlap. In this direction, it is thought that the scale can be used to evaluate patients' attitudes and thoughts about patient-centred care.

Anahtar Kelimeler

• Patient centredness
• patient centred care
• validity
• reliability

Kaynakça

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