Acceso usuarios
Jingying Huang, Lili Yang, Haiou Qi, Yiting Zhu, Minyan Zhang
Antecedentes/objetivo El objetivo de este estudio es obtener una versión china del End-of-Life Decision Making and Associated Staff Stress Questionnaire.
Método Una muestra de 119 médicos de la Unidad de Cuidados Intensivos y 485 enfermeras chinas completaron el cuestionario, junto con cuestionarios para evaluar el agotamiento por movimiento, la sobrecarga de estrés y otras variables asociadas con la decisión del final del la vida.
Resultados Siete factores obtenidos a través del análisis factorial exploratorio explican el 70,61% de la varianza total. El análisis factorial confirmatorio mostró un modelo de cuatro factores con ajuste satisfactorio (RMSEA = .078; SRMR = .066). Las evidencias de validez basadas en las relaciones con otras variables fue demostrada por correlaciones con agotamiento emocional, sobrecarga de estrés y otras variables asociadas con la decisión de fin de la vida. El índice de validez de contenido promedio fue de 0,96. Los coeficientes de fiabilidad de consistencia interna y test-retest fueron buenos.
Conclusiones Se trata de un instrumento que aporta medidas fiables y válidas para la percepción del fin de la vida por el personal médico chino de las unidades de cuidados intensivos.
Background/objective The goal of this study is to establish a Chinese version of the End-of-Life Decision Making and Associated Staff Stress Questionnaire to assess its reliability and validity.
Method A sample of 119 Intensive Care Unit physicians and 485 nurses in China completed the questionnaire, along with questionnaires assessing motional exhaustion subscale, Stress Overload Scale, and other variables associated with end-of-life decision.
Results Seven factors obtained via exploratory factor analysis could explain 70.61% of the total variance. Confirmatory factor analysis demonstrated an acceptable model fit with Root Mean Square Error of Approximation (RMSEA) being .078 and Standardized Root Mean Square Residual (SRMR) being .066. Validity evidence based on relationships with other variables was provided by positive or negative correlations between the questionnaire subscales and emotional exhaustion, stress overload, and other variables associated with end-of-life decision. The average content validity index was .96. The Cronbach’s α and test–retest reliability was outstanding.
Conclusions The Chinese version of the End-of-Life Decision Making and Associated Staff Stress Questionnaire is a reliable and valid instrument for measuring the facilitators and hinders to facilitate the end-of-life decision-making, communication and the associated pressure perceived by relevant Intensive Care Unit medical staff among the Chinese population.
