Hasta merkezli bakım yetkinliği (HMBY) ölçeğinin Türkçe’ye uyarlanması
Yıl 2019,
Cilt: 6 Sayı: 2, 158 - 166, 30.06.2019
Ali Arslanoğlu
,
Harun Kırılmaz
Öz
Giriş ve amaç: Bu araştırma ile Jee-In Hwang (2015) tarafından geliştirilen Hasta Merkezli Bakım Yetkinlik Ölçeği’nin (PCC-HMBY) Türkçe’ye uyarlanarak, ölçeğin Türkçe versiyonunun geçerlilik ve güvenilirliğinin yapılması amaçlanmıştır. Gereç ve yöntem: Bu amaç doğrultusunda, ölçek ifadeleri bir kamu üniversitesinde görevli İngilizce dili alanında uzman bir öğretim üyesi tarafından öncelikle Türkçeye çevrilmiş, sonra ifadelerin başka bir öğretim üyesi tarafından İngilizceye geri çevirisi yapılmıştır. İngilizceye geri çeviri sonucu elde edilen ölçek ifadeleri ile İngilizce olan orijinal ölçeğin arasındaki tutarlılıkları incelenmiş, her iki form arasında anlam kaybı olmadığı görüldükten sonra mesleki tecrübeye ve akademik özgeçmişe sahip, alanında uzman hasta bakım ve tedavi hizmetlerinde çalışan 50 kişilik bir hemşire grubuna pilot çalışma uygulanmıştır. Elde edilen geri bildirimler sonucu ve alan uzmanlarının onayı sonrasında ölçeğe son hali verilerek oluşturulan ölçek formu ile İstanbul ilinde mevcut bir eğitim araştırma hastanesinde çalışan 350 hemşireden veri toplanmıştır. Bulgular ve sonuç: Ölçeğin güvenilirlik ve geçerliliğinin test edilmesi için Cronbach Alpha ve Faktör Analizleri sonucunda ölçeğin uyum indekslerinin yeterli düzeyde olduğu görülerek orijinal versiyondaki dört faktörlü yapının doğruluğu test edilmiştir. Ayrıca alt boyutlar ve ölçeğin tamamı için hesaplanan iç tutarlık analizinin yeterli düzeyde olduğu tespit edilmiştir. Bu bulgular, HMBY’nin Türkçe formunun psikometrik özelliklerinin uygun olduğunu göstermektedir.
Kaynakça
- Şahin, G. & İğde, Artıran, F.A. (2014).Hasta Merkezli Bakım-Ortak Karar Alma Süreci ve Kalite. Turkiye Klinikleri J Fam Med-Special Topics. 5(3), 38-43.
- Luxford, K., Safran, D.G. & Delbanco, T. (2011). Promoting Patient-Centered Care: A Qualitative Study Of Facilitators And Barriers İn Healthcare Organizations With A Reputation For İmproving The Patient Experience. International Journal for Quality in Health Care. 23(5), 510-515.
- Renedo, A. & Marston, C. (2015). Developing Patient-Centred Care: An Ethnographic Study Of Patient Perceptions And İnfluence On Quality İmprovement. BMC Health Services Research. 15(122), 1-11.
- Hwang, Jee-In. (2015). Development And Testing Of A Patient-Centred Care Competency Scale For Hospital Nurses. International Journal of Nursing Practice. 21(1), 43-51.
- Mccormack, B., Borg, M., Cardiff, S., Dewing, J., Jacobs, G., Janes, N., Karlsson, B., Mccance, T., Mekki, T.E., Porock, D.V., Lieshout, F. ve Wilson, V. (2015). Personcentredness-The ‘State’of The Art”. International Practice Development Journal. 5(1), 1-15.
- Ogden, K., Barr, J. & Greenfield, D. (2017). Determining Requirements For Patientcentred Care: A Participatory Concept Mapping Study. BMC Health Services Research. 17(780), 1-11.
- Quality and Safety Education for Nurses (QSEN). (2012). Evidence-based practice. Retrieved from http://www.qsen.org
- Bankert, E., Lazarek-LaQuay, A. & Joseph, J.M. (2014). Patient-Centered Care. Patricia Kelly, Beth Vottero ve Carolyn Christie-McAuliffe (Ed.) Introduction to Quality and Safety Education for Nurses: Core Competencies içinde (161-190). New York: Springer Publishing Company, Inc.
- Rathert, C., Williams, E.S., McCaughey, D. & Ishqaidef, G. (2015). Patient Perceptions Of Patient-Centred Care: Empirical Test Of A Theoretical Model. Health Expectations. 18(2) 199–209.
- Reed, P., Conrad, D.A., Hernandez, S.E., Watt, C. & Marcus-Smith, M. (2012). Innovation İn Patient-Centered Care: Lessons From A Qualitative Study Of İnnovative Health Care Organizations İn Washington State. BMC Family Practice. 13(120), 1-9.
- Lewin, S.A, Skea, Z.C., Entwistle, V., Zwarenstein M., & Dick J. (2001). Interventions For Providers To Promote A Patient-Centred Approach İn Clinical Consultations. Cochrane Library. C.4. DOI:10.1002 / 14651858.CD003267
- Mccormack, B. & Mccane, T.V. (2006). Development Of A Framework For Person-Centred Nursing. Journal of Advanced Nursing. 56(5), 472-479.
- Frenk, J., Chen L., Bhutta, Z.A., Cohen, J., Crisp, N., Evans, T., Fineberg, H., Garcia, P., Ke, Y., Kelley, P., Kistnasamy, B., Meleis, A., Naylor, D., Pablos-Mendez, A., Srinath, R., Scrimshaw, S., Sepulveda, J., Serwadda, D., & Zurayk, H. (2010). Health Rofessionals For A New Century: Transforming Education To Strengthen Health Systems İn An İnterdependent World. The Lancet. 376(9756), 1923–1958. DOI:https://doi.org/10.1016/S0140-6736(10)61854-5.
- Richards, T., Coulter, A. Wicks P. (2015). Time To Deliver Patient Centred Care. The BMJ. 350, 1-2. https://doi.org/10.1136/bmj.h530.
- Wolfe, A. (2001). Institute of Medicine Report. Crossing The Quality Chasm: A New Health System For The 21st Century. Policy, Politics, & Nursing Practice. 2(3), 233-235. https://doi.org/10.1177/152715440100200312.
- Rokstad, A.M., Engedal, K., Edvardsson, D. & Selbaek, G. (2012). Psychometric Evaluation Of The Norwegian Version Of The Person-Centred Care Assessment Tool. International Journal of Nursing Practice. 18, 99-105. doi:10.1111/j.1440-172X.2011.01998.x
- Edvardsson, D., Koch, S. & Nay, R. (2010). Psychometric Evaluation Of The English Language Person-Centred Climate Questionnaire—Staff Version. Journal of Nursing Management. 18(1), 54-60.
- Stewart, M., Brown, J., Belle, D.A., Mcwhınney, I., Oates, J., Weston, W. & Jordan, J. (2000). The İmpact Of Patient-Centered Care On Outcomes. The Journal of Family Practice. 49(9), 796–804.
- Bertakis, Klea D. & Azari, R. (2011). Patient-Centered Care İs Associated With Decreased Health Care Utilization. Journal of the American Board of Family Medicine. 24(3), 229-239.
- Colye, J. & Wıllıams, B. (2001). Valuing People As İndividuals: Development Of An İnstrument Through A Survey Of Personcentredness İn Secondary Care. Journal of Advanced Nursing. 36(3), 450-459.
- Edvardsson, D., Koch, S. & Nay, R. (2009). Psychometric Evaluation Of The English Language Person-Centred Climate Questionnaire-Patient Version. Western Journal of Nursing Research. 31(4), 235-244.
- Edvardsson, D. & Innes, A. (2010). Measuring Person-Centered Care: A Critical Comparative Review Of Published Tools. The Gerontologist. 50 (6), 834-846.
- Zucca, A., Sanson-Fısher, R., Waller A. & Carey, M. (2014). Patient-Centred Care: Making Cancer Treatment Centres Accountable. Support Care Cancer. 22(7), 1989–1997.
- Cramm, J.M. & Nieboer, P.A. (2017). Validation of an instrument to assess the delivery of patient-centred care to people with intellectual disabilities as perceived by professionals. BMC Health Services Research. 17(472), 1-11.
- Voshaar, Marieke M.J.H., Nota, I., Vandelaar, M.A.F.J., & Vandenbemt, B.J.F. (2015). Patient-Centred Care İn Established Rheumatoid Arthritis. Best Practice&Research Clinical Rheumatology. 29(4-5), 643-663.
- Mckeon, L.M., Norris, T., Cardell, B. & Britt, T. (2009). Developing Patient-Centered Care Competencies Among Prelicensure Nursing Students Using Simulation. The Journal of Nursing Education. 48(12), 711-715.
- Mccormack, B. (2003). A Conceptual Framework For Personcentred Practice With Older People. International Journal of Nursing Practice. Cilt 9, Sayı 3, s.202-209.
- Dewing J. (2002). From Ritual To Relationship: A Person-Centred Approach To Consent İn Qualitative Research With Older People Who Have A Dementia. Sage Journals. 1(2), 157-171.
- Williams B. & Grant G. (1998). Defining ‘people-centredness’: Making the implicit explicit. Health Social Care in the Community. 6(2), 84–94.
- McCormack B. (2001). Negotiating Partnerships with Older People: A Person-Centred Approach. London: Routledge, https://doi.org/10.4324/9781315195346
- Meyers, D.T. (1989). Self, Society and Personal Choice. New York: Columbia University Press.
- Cramm, J.M. & Nieboer, A.P. (2018). Validation of an instrument for the assessment of patient-centred care among patients with multimorbidity in the primary care setting: the 36-item patient-centred primary care instrument. BMC Family Practice. 19(143), 1-10.
- Brislin, R.W., Lonner, W.J. & Thorndike, R.M. (1973). Cross-Cultural Research Methods. New York: John Wiley-Sons.
- Ægisdóttir, S., Gerstein, L.H. ve Çınarbaş, D.C. (2008). Methodological issues in cross-cultural counseling research equivalence, bias, and translations. The Counseling Psychologist. 36(2), 188-219.
- Bayık, M.E. & Gürbüz, S. (2016). Ölçek uyarlamada metodoloji sorunu: Yönetim ve örgüt alanında uyarlanan ölçekler üzerinden bir araştırma. İş ve İnsan Dergisi. 3(1), 1-20.
- Gürbüz, S. (2017). Öznel Kariyer Başarısı: Bir Ölçek Uyarlama Çalışması. İş ve İnsan Dergisi. 4(2), 87-99. DOİ: 10.18394/iid.280529.
- Meydan, C. H. ve Şeşen, H. (2015). Yapısal Eşitlik Modellemesi AMOS Uygulamaları. (2. Baskı). Ankara: Detay Yayıncılık.
Adaptation of patient-centered care (PCC) competency scale into Turkish
Yıl 2019,
Cilt: 6 Sayı: 2, 158 - 166, 30.06.2019
Ali Arslanoğlu
,
Harun Kırılmaz
Öz
Introduction and Purpose: The aim of this study was to adapt the Turkish version of the Patient-Centered Care Competence Scale (PCC-HMBY) developed by Jee-In Hwang (2015) and to evaluate the validity and reliability of the Turkish version of the scale. Materials and methods: For this purpose, scale expressions were first translated into Turkish by a faculty member specialized in the field of English language at a public university and then translated into English by another faculty member. The consistency between the scale expressions from translation to English and the original English language scale was examined and no significant loss of meaning was found between the two forms. With this scale, a pilot study was conducted on 50 groups of specialist nurses with professional experience and academic background in patient care and treatment services. As a result of the feedback obtained and the approval of the field experts, the form was finalized and the data was collected from 350 nurses working in an existing training and research hospital in Istanbul. Findings and result: Cronbach Alpha and Factor Analyzes were conducted to test the reliability and validity of the scale. The accuracy of the four-factor structure in the original version was tested. The internal consistency analysis was found to be sufficient for the sub-dimensions and the whole scale. These findings indicate that the psychometric properties of the Turkish version of HMBY are appropriate.
Kaynakça
- Şahin, G. & İğde, Artıran, F.A. (2014).Hasta Merkezli Bakım-Ortak Karar Alma Süreci ve Kalite. Turkiye Klinikleri J Fam Med-Special Topics. 5(3), 38-43.
- Luxford, K., Safran, D.G. & Delbanco, T. (2011). Promoting Patient-Centered Care: A Qualitative Study Of Facilitators And Barriers İn Healthcare Organizations With A Reputation For İmproving The Patient Experience. International Journal for Quality in Health Care. 23(5), 510-515.
- Renedo, A. & Marston, C. (2015). Developing Patient-Centred Care: An Ethnographic Study Of Patient Perceptions And İnfluence On Quality İmprovement. BMC Health Services Research. 15(122), 1-11.
- Hwang, Jee-In. (2015). Development And Testing Of A Patient-Centred Care Competency Scale For Hospital Nurses. International Journal of Nursing Practice. 21(1), 43-51.
- Mccormack, B., Borg, M., Cardiff, S., Dewing, J., Jacobs, G., Janes, N., Karlsson, B., Mccance, T., Mekki, T.E., Porock, D.V., Lieshout, F. ve Wilson, V. (2015). Personcentredness-The ‘State’of The Art”. International Practice Development Journal. 5(1), 1-15.
- Ogden, K., Barr, J. & Greenfield, D. (2017). Determining Requirements For Patientcentred Care: A Participatory Concept Mapping Study. BMC Health Services Research. 17(780), 1-11.
- Quality and Safety Education for Nurses (QSEN). (2012). Evidence-based practice. Retrieved from http://www.qsen.org
- Bankert, E., Lazarek-LaQuay, A. & Joseph, J.M. (2014). Patient-Centered Care. Patricia Kelly, Beth Vottero ve Carolyn Christie-McAuliffe (Ed.) Introduction to Quality and Safety Education for Nurses: Core Competencies içinde (161-190). New York: Springer Publishing Company, Inc.
- Rathert, C., Williams, E.S., McCaughey, D. & Ishqaidef, G. (2015). Patient Perceptions Of Patient-Centred Care: Empirical Test Of A Theoretical Model. Health Expectations. 18(2) 199–209.
- Reed, P., Conrad, D.A., Hernandez, S.E., Watt, C. & Marcus-Smith, M. (2012). Innovation İn Patient-Centered Care: Lessons From A Qualitative Study Of İnnovative Health Care Organizations İn Washington State. BMC Family Practice. 13(120), 1-9.
- Lewin, S.A, Skea, Z.C., Entwistle, V., Zwarenstein M., & Dick J. (2001). Interventions For Providers To Promote A Patient-Centred Approach İn Clinical Consultations. Cochrane Library. C.4. DOI:10.1002 / 14651858.CD003267
- Mccormack, B. & Mccane, T.V. (2006). Development Of A Framework For Person-Centred Nursing. Journal of Advanced Nursing. 56(5), 472-479.
- Frenk, J., Chen L., Bhutta, Z.A., Cohen, J., Crisp, N., Evans, T., Fineberg, H., Garcia, P., Ke, Y., Kelley, P., Kistnasamy, B., Meleis, A., Naylor, D., Pablos-Mendez, A., Srinath, R., Scrimshaw, S., Sepulveda, J., Serwadda, D., & Zurayk, H. (2010). Health Rofessionals For A New Century: Transforming Education To Strengthen Health Systems İn An İnterdependent World. The Lancet. 376(9756), 1923–1958. DOI:https://doi.org/10.1016/S0140-6736(10)61854-5.
- Richards, T., Coulter, A. Wicks P. (2015). Time To Deliver Patient Centred Care. The BMJ. 350, 1-2. https://doi.org/10.1136/bmj.h530.
- Wolfe, A. (2001). Institute of Medicine Report. Crossing The Quality Chasm: A New Health System For The 21st Century. Policy, Politics, & Nursing Practice. 2(3), 233-235. https://doi.org/10.1177/152715440100200312.
- Rokstad, A.M., Engedal, K., Edvardsson, D. & Selbaek, G. (2012). Psychometric Evaluation Of The Norwegian Version Of The Person-Centred Care Assessment Tool. International Journal of Nursing Practice. 18, 99-105. doi:10.1111/j.1440-172X.2011.01998.x
- Edvardsson, D., Koch, S. & Nay, R. (2010). Psychometric Evaluation Of The English Language Person-Centred Climate Questionnaire—Staff Version. Journal of Nursing Management. 18(1), 54-60.
- Stewart, M., Brown, J., Belle, D.A., Mcwhınney, I., Oates, J., Weston, W. & Jordan, J. (2000). The İmpact Of Patient-Centered Care On Outcomes. The Journal of Family Practice. 49(9), 796–804.
- Bertakis, Klea D. & Azari, R. (2011). Patient-Centered Care İs Associated With Decreased Health Care Utilization. Journal of the American Board of Family Medicine. 24(3), 229-239.
- Colye, J. & Wıllıams, B. (2001). Valuing People As İndividuals: Development Of An İnstrument Through A Survey Of Personcentredness İn Secondary Care. Journal of Advanced Nursing. 36(3), 450-459.
- Edvardsson, D., Koch, S. & Nay, R. (2009). Psychometric Evaluation Of The English Language Person-Centred Climate Questionnaire-Patient Version. Western Journal of Nursing Research. 31(4), 235-244.
- Edvardsson, D. & Innes, A. (2010). Measuring Person-Centered Care: A Critical Comparative Review Of Published Tools. The Gerontologist. 50 (6), 834-846.
- Zucca, A., Sanson-Fısher, R., Waller A. & Carey, M. (2014). Patient-Centred Care: Making Cancer Treatment Centres Accountable. Support Care Cancer. 22(7), 1989–1997.
- Cramm, J.M. & Nieboer, P.A. (2017). Validation of an instrument to assess the delivery of patient-centred care to people with intellectual disabilities as perceived by professionals. BMC Health Services Research. 17(472), 1-11.
- Voshaar, Marieke M.J.H., Nota, I., Vandelaar, M.A.F.J., & Vandenbemt, B.J.F. (2015). Patient-Centred Care İn Established Rheumatoid Arthritis. Best Practice&Research Clinical Rheumatology. 29(4-5), 643-663.
- Mckeon, L.M., Norris, T., Cardell, B. & Britt, T. (2009). Developing Patient-Centered Care Competencies Among Prelicensure Nursing Students Using Simulation. The Journal of Nursing Education. 48(12), 711-715.
- Mccormack, B. (2003). A Conceptual Framework For Personcentred Practice With Older People. International Journal of Nursing Practice. Cilt 9, Sayı 3, s.202-209.
- Dewing J. (2002). From Ritual To Relationship: A Person-Centred Approach To Consent İn Qualitative Research With Older People Who Have A Dementia. Sage Journals. 1(2), 157-171.
- Williams B. & Grant G. (1998). Defining ‘people-centredness’: Making the implicit explicit. Health Social Care in the Community. 6(2), 84–94.
- McCormack B. (2001). Negotiating Partnerships with Older People: A Person-Centred Approach. London: Routledge, https://doi.org/10.4324/9781315195346
- Meyers, D.T. (1989). Self, Society and Personal Choice. New York: Columbia University Press.
- Cramm, J.M. & Nieboer, A.P. (2018). Validation of an instrument for the assessment of patient-centred care among patients with multimorbidity in the primary care setting: the 36-item patient-centred primary care instrument. BMC Family Practice. 19(143), 1-10.
- Brislin, R.W., Lonner, W.J. & Thorndike, R.M. (1973). Cross-Cultural Research Methods. New York: John Wiley-Sons.
- Ægisdóttir, S., Gerstein, L.H. ve Çınarbaş, D.C. (2008). Methodological issues in cross-cultural counseling research equivalence, bias, and translations. The Counseling Psychologist. 36(2), 188-219.
- Bayık, M.E. & Gürbüz, S. (2016). Ölçek uyarlamada metodoloji sorunu: Yönetim ve örgüt alanında uyarlanan ölçekler üzerinden bir araştırma. İş ve İnsan Dergisi. 3(1), 1-20.
- Gürbüz, S. (2017). Öznel Kariyer Başarısı: Bir Ölçek Uyarlama Çalışması. İş ve İnsan Dergisi. 4(2), 87-99. DOİ: 10.18394/iid.280529.
- Meydan, C. H. ve Şeşen, H. (2015). Yapısal Eşitlik Modellemesi AMOS Uygulamaları. (2. Baskı). Ankara: Detay Yayıncılık.