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サカガミ ユミ
sakagami yumi
阪上 由美 所属 大阪信愛学院大学 看護学部 看護学科 職種 准教授 |
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| 言語種別 | 英語 |
| 発行・発表の年月 | 2022/03 |
| 形態種別 | 研究論文（学術雑誌） |
| 査読 | 査読あり |
| 標題 | Reliability and validity of home-visit nursing quality indicators for children with medical complexity in Japan |
| 執筆形態 | 指定なし |
| 掲載誌名 | Journal of Pediatric Nursing |
| 掲載区分 | 国外 |
| 出版社・発行元 | Elsevier BV |
| 巻・号・頁 | 63,pp.136-142 |
| 担当区分 | 筆頭著者 |
| 著者・共著者 | Yumi Sakagami,Naoko Nakayama,Kaoru Konishi |
| 概要 | PURPOSE: This study aims to examine the reliability and validity of Home-visit Nursing Quality Indicators for Children (HNQIC) with medical complexity in Japan that will enable measuring the quality of services provided by home-visit nursing agencies (HNA) for children with medical complexity (CMC) and their families. DESIGN AND METHODS: This study employed a model that measures medical quality as proposed by Donabedian in a conceptual framework. The HNQIC is comprised of a total of 42 items with responses in 5-point Likert scale: 8 items in "Structure", 24 items in "Process", and 10 items in "Outcome". A self-rating questionnaire survey was administered and responses from 57 home-visit nursing agencies were analyzed. An exploratory factor analysis was performed to examine the validity of the construct, and a covariance structure analysis was performed to examine the structural validity of the model that measures medical quality. RESULTS: The "Structure" and "Process" sections included 28 items in 5 factors, and the "Outcome" section included 7 items in 3 factors. The Cronbach's α coefficient for all of the items of "Structure" and "Process" was 0.93, and that of "Outcome" was 0.76. As a result of a covariance structure analysis, we obtained following goodness-of-fit indices: χ2 / df = 1.41, GFI = .897, AGFI = .794, CFI = .926, and for the coefficient of determination .14 ≤ R2 ≤ .68. CONCLUSIONS: As the statistical validity of the HNQIC was confirmed, we determined the goodness-of-fit indices of the model to be acceptable. PRACTICE IMPLICATIONS: The findings suggested that the HNQIC can be used as a quality indicator to access care effects objectively to provide better support. |