專科護理師健康照護服務品質量表之發展及心理計量檢測

Translated title of the contribution: Development and Psychometric Testing of the Nurse Practitioner Healthcare Service Quality Scale

Chia Hung Lin, Heng Hsin Tung, Kuo Piao Chung, Shu Fen Siao, Shiow Ching Shun*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: Many hospitals in Taiwan currently use the nurse practitioner (NP) care model to ameliorate the chronic shortage of resident physicians. However, no healthcare service quality scale is presently available that allows the evaluation of the healthcare quality provided by NPs from the perspective of patients. A scale of this type is necessary in order to effectively monitor and improve care outcomes. Purpose: This project was designed to develop the Nurse Practitioner Healthcare Service Quality Scale (NPHSQS) and then to test its validity and reliability. Methods: A cross-sectional design combined with Parasuraman, Zeithaml, and Berry's Service Quality Model was adopted to construct the NPHSQS. After expert evaluation and confirmation of the model's content validity, 200 valid questionnaires were collected from a convenience sample of patients from medical center wards in northern Taiwan that regularly used the NP care model. The data were analyzed by group using item analysis, construct validity, internal consistency, and discriminant validity. Results: The 25-item NPHSQS developed in this study earned a CVI (content validity index) of .91 and a good CR (critical ratio). Exploratory factor analysis revealed that four factors extracted in the expectation level, including reliable responsiveness, assurance, empathy, and tangibility, explained 62.47% of the total variance. Furthermore, three factors extracted in the perception level, including reliable responsiveness, trust, and tangibility, explained 67.71% of the total variance. The NPHSQS has a good overall internal consistency coefficient and may also significantly distinguish differences in patient satisfaction between good and bad healthcare service quality groups (p < .001). Conclusion: The developed NPHSQS has good reliability and validity and is a reliable instrument for assessing the quality of NP-provided healthcare services from the perspective of healthcare recipients.
Translated title of the contributionDevelopment and Psychometric Testing of the Nurse Practitioner Healthcare Service Quality Scale
Original languageChinese (Traditional)
Pages (from-to)54-64
Number of pages11
JournalJournal of Nursing
Volume66
Issue number5
DOIs
StatePublished - Oct 2019

Keywords

  • Nurse practitioners
  • Healthcare service quality
  • Validity

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