DEVELOPMENT AND VALIDATION OF A QUESTIONNAIRE FOR PATIENTS "STUDYING THE OPINION OF PATIENTS' SATISFACTION WITH NURSE INDEPENDENT APPOINTMENT AT THE LEVEL OF PRIMARY HEALTH CARE"
Introduction. Since 2017, an independent professional nursing practice has been introduced in Kazakhstan, focusing on the best international experience, involving the implementation of independent nursing reception and delegation of a number of medical functions to them. [8-10]. In connection with the introduction of a new model of nursing service, there is a need to assess the quality of the activities of advanced practice nurses. Undoubtedly, patient satisfaction with medical care is one of the indicators of its quality. According to this, the assessment of patients' satisfaction with nurse independent appointment at the primary health care level is becoming increasingly relevant [14-16].
Aim. Develop, test and evaluate the reliability of a questionnaire aimed at studying the opinion of patients' satisfaction with nurse independent appointment at the primary health care level.
Materials and methods. The questionnaire was developed on the basis of a systematic review of the literature in the databases of medical publications. Validation of the questionnaire included several stages: development, translation and linguistic adaptation, examination, pilot testing, correction and formation of the final version. The determination of the reliability of the questionnaire was based on an assessment of internal consistency, which was calculated based on the calculation of the Cronbach's alpha coefficient.
Results. Summing up the results of all the stages of linguistic adaptation of the questionnaire, there were no special differences in the translated versions of the questionnaire.
Minor adjustments were made to the wording of the questions and their answers for easy understanding of the questions. 50 patients participated in the pilot survey. Internal consistency was calculated and established using the Cronbach's alpha coefficient for each area of study, except for demographic indicators. The value of the Cronbach's alpha reliability criterion for the questionnaire questions was at least 0.7.
Conclusions. The developed and tested new original questionnaire (modified version) "Studying the opinion of patients' satisfaction with nurse independent appointment at the primary health care level" demonstrated sufficient indicators of reliability and internal consistency. This ensures the reliability and convenience of its use for assessing the opinion of patients' satisfaction with nurse independent appointment and allows us to recommend its use in scientific nursing research and in clinical practice.
Zhanar A. Dostanova1, https://orcid.org/0000-0002-2531-7106
Lyudmila S. Yermukhanova1, https://orcid.org/0000-0001-7703-9649
Zaure A. Baigozhina2, https://orcid.org/0000-0001-7098-6782
Maiya K. Taushanova1, https://orcid.org/0000-0002-0165-9312
Gulnar D. Sultanova1, https://orcid.org/0000-0001-8346-0077
Meruyert B. Kurganbekova1, https://orcid.org/ 0000-0002-3739-2365
Beket E. Yerezhepov3, https://orcid.org/0000-0002-9701-442X
1 West Kazakhstan Marat Ospanov medical university, Aktobe, Republic of Kazakhstan.
2 Astana Medical University, Astana, Republic of Kazakhstan.
3 Atyrau regional children's hospital, Atyrau, Republic of Kazakhstan.
1. Акпанова Т.Ж., Тултабаев С.Ч. Готовность профессиональной медицинской среды казахстана к введению специалистов среднего звена нового формата // Астана медициналық журналы 2020. 4(106). С.167-172.
2. Кобякова О.С., Деев И.А., Тюфилин Д.С., Куликов Е.С., Табакаев Н.А., Воробьева О.О. Удовлетворённость медицинской помощью: как измерить и сравнить? // Социальные аспекты здоровья населения. 2016. 3(49): 5. doi:10.21045/2071-5021-2016-49-3-5.
3. Кондратова Н.В. Методические подходы к исследованию удовлетворённости пациентов в медицинской организации // В мире научных открытий. 2016. 5(77): 23-37. doi:10.12731/wsd-2016-5-2.
4. Митрякова Г.И Пути совершенствования сестринского дела в Казахстане // Сборник материалов Республиканской научно-практической конференции «Пути совершенствования сестринского дела в Казахстане» - Алматы: 2013г. – 28 с.
5. Приказ Министра здравоохранения Республики Казахстан. Об утверждении правил оказания сестринского ухода: от 23 ноября 2020 года, № ҚР ДСМ-199/2020. https://adilet.zan.kz/rus/docs/V2000021674
6. Садыкова К.А. Актуальные вопросы в современной сестринской практике // Сборник материалов Республиканской научно-практической конференции «Пути совершенствования сестринского дела в Казахстане» - Алматы: 2013. C.18- 19.
7. Сыдыкова Б.К., Умбетпаев А.Т., Байгожина З. А., Хисметова З.А., Самарова У.С., Сарсенбаева Г.Ж., Елисинова А.М., Смаилова Д.С. Стимулирование профессионального развития медицинских сестер как способ повышения качества медицинской деятельности // Наука и Здравоохранение. 2021. 4(Т.23). С. 199-207. doi 10.34689/SH.2021.23.4.022
8. Утепбергенова Ж.М., Калматаева Ж.А., Калмаханов С.Б. Новая формация профессиональной деятельности медицинских сестер первичного звена в казахстане и мире // Вестник КАЗНМУ. 2016. №1. С. 674-678.
9. Цыганков Б.Д., Малыгин Я.В. Подходы к изучению факторов, влияющих на удовлетворённость пациентов медицинской помощью (по данным иностранной литературы) // Проблемы социальной гигиены, здравоохранения и истории медицины. 2014. 22(4): 18-22.
10. Clarke H. How pre-registration nursing students acquire delegation skills: A systematic literature review. Nurse Education Today, 2021. 106: 105096. [Crossref].
11. Cronbach L.J. Coefficient alpha and the internal structure of tests // Psychometrika. - 1951. - V. 16. - P. 297-334.
12. Hidayat A.T., Hariyati R.T.S., Nuraini T. The factor of affecting head nurse's delegation: A cross sectional study // Enfermería Clínica, 2021. 31: S117-S121.
13. Koikov V., Baigozhina Z., Umbetzhanova A., Bekbergenova Z.H., Derbissalina G. Implementation of a new model of management to increase the effectiveness of nursing specialists // European Journal of Public Health, 2019. 29(Supplement_4): ckz186-704 [Google Scholar].
14. Lopes-Júnior L.C. Advanced practice nursing and the expansion of the role of nurses in primary health care in the Americas // SAGE open nursing, 2021. 7: 23779608211019491.
15. Perneger T.V., Courvoisier D.S. Hudelson A. Gayet-Ageron Sample size for pre-tests of questionnaires // Quality of Life Research. 2015. V. 24(1). P. 147-151.
16. Scheydt S., Hegedüs A. Tasks and activities of Advanced Practice Nurses in the psychiatric and mental health care context: A systematic review and thematic analysis // International Journal of Nursing Studies, 2021. 118: 103759.
17. Streiner D.L., Norman G.R. Health measurement scales a practical guide to their development and use. - Oxford: Oxford University Press, 2008. - 345 p.
18. Tekpınar L., Uludağ A. Perspective of Doctors and Nurses on the Principle of Extended Autonomy in Konya, Turkey // OMEGA Journal of Death and Dying, 2021. 83(4): 884-897.
19. Tiittanen H., Heikkilä J., Baigozhina Z. Development of management structures for future nursing services in the Republic of Kazakhstan requires change of organizational culture // Journal of Nursing Management, 2021. 29(8): 2565-2572. .
20. Utepbergenova Z.M., Kalmatayeva Z.A. Expansion of General Practice Nurses’ Powers in Primary Health Care Organizations of the Republic of Kazakhstan. Official Publication of Africa Health Research Organization, 2020; 21. AP203319.
References: [1-9]
1. Akpanova T.Zh., Tultabayev S.Ch. Gotovnost' professional'noi meditsinskoi sredy kazakhstana k vvedeniyu spetsialistov srednego zvena novogo formata [Readiness of the professional medical environment of Kazakhstan to introduce mid-level specialists of a new format]. Astana meditsinalyқ zhurnaly [Astana meditsinalyk Journal]. 2020. 4(106):167-172. [in Russian]
2. Kobyakova O.S., Deev I.A., Tyufin D.S., Kulikov E.S., Tabakaev N.A., Vorobyeva O.O. Udovletvorennost' meditsinskoi pomoshch'yu: kak izmerit' i sravnit'? [Satisfaction with medical care: how to measure and compare?]. Sotsial'nye aspekty zdorov'ya naseleniya. [Joint monitoring of public health]. 2016. 3(49): 5. doi: 10.21045/2071-5021-2016-49-3-5. [in Russian]
3. Kondratova N.V. Metodicheskie podkhody k issledovaniyu udovletvorennosti patsientov v meditsinskoi organizatsii [Methodological approaches to the study of patient satisfaction in a medical organization]. V mire nauchnykh otkrytii [In the world of scientific discoveries]. 2016. 5(77): 23-37. doi:10.12731/wsd-2016-5-2. [in Russian]
4. Mitryakova G.I. Puti sovershenstvovaniya sestrinskogo dela v Kazakhstane [Ways of improving nursing in Kazakhstan]. Sbornik materialov Respublikanskoi nauchno-prakticheskoi konferentsii «Puti sovershenstvovaniya sestrinskogo dela v Kazakhstane» [Collection of materials of the Republican scientific and practical conference "Ways of improving nursing in Kazakhstan"]. Almaty: 2013 28 p. [in Russian]
5. Prikaz Ministra zdravoohranenija Respubliki Kazahstan. Ob utverzhdenii pravil okazanija sestrinskogo uhoda [Order of the Minister of Health of the Republic of Kazakhstan. On the approval of the rules for the provision of nursing care)]. ot 23 noyabrjy 2020 goda, № ҚR DSM-199/2020. Rezhim dostupa: https://adilet.zan.kz/rus/docs/V2000021674 [in Russian]
6. Sadykova K.A. Aktual'nye voprosy v sovremennoi sestrinskoi praktike [Topical issues in modern nursing practice]. Sbornik materialov Respublikanskoi nauchno-prakticheskoi konferentsii «Puti sovershenstvovaniya sestrinskogo dela v Kazakhstane» [Collection of materials of the Republican scientific and practical conference "Ways to improve nursing in Kazakhstan"]. Almaty: 2013. pp.18-19. [in Russian]
7. Sydykova B.K., Umbetpaev A.T., Baigozhina Z.A., Khismetova Z.A., Samarova U.S., Sarsenbayeva G.Zh., Yelisinov A.M., Smailova D.S. Stimulation of professional development of nurses as a way to improve the quality of medical activity [Stimulirovanie professional'nogo razvitiya meditsinskikh sester kak sposob povysheniya kachestva meditsinskoi deyatel'nosti]. Nauka i Zdravookhranenie [Science and Healthcare]. 2021. No. 4. pp. 199-207. doi 10.34689/SH.2021.23.4.022 [in Russian]
8. Utepbergenova Zh.M., Kalmataeva Zh.A., Kalmakhanov Kondratova N.V. Novaya formatsiya professional'noi deyatel'nosti meditsinskikh sester pervichnogo zvena v Kazakhstane i mire. [New formation of professional activity of primary care nurses in Kazakhstan and the world]. Vestnik KAZNMU [Bulletin of KAZNMU]. 2016. No. 1. pp. 674-678. doi:10.12731/wsd-2016-5-2 [in Russian]
9. Tsygankov B.D., Malygin Ya.V. Podkhody k izucheniyu faktorov, vliyayushchikh na udovletvorennost' patsientov meditsinskoi pomoshch'yu (po dannym inostrannoi literatury) [Approaches to the study of factors affecting patient satisfaction with medical care (according to foreign literature)]. Problemy sotsial'noi gigieny, zdravookhraneniya i istorii meditsiny [Problems of social hygiene, health care and the history of medicine]. 2014. 22(4): 18-22. [in Russian]
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Dostanova Zh.A., Yermukhanova L.S., Baigozhina Z.A., Taushanova M.K., Sultanova G.D., Kurganbekova M.B., Yerezhepov B.E. Development and validation of a questionnaire for patients "Studying the opinion of patients' satisfaction with nurse independent appointment at the level of primary health care" // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 5, pp. 151-157. doi 10.34689/SH.2023.25.5.020Похожие публикации:
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