Systematic review of measurement properties of instruments assessing nurses’ attitudes towards the importance of involving families in their clinical practice

Aims To identify, appraise and describe the characteristics and measurement properties of instruments assessing nurses’ attitudes towards the importance of involving families in their clinical practice. Design Psychometric systematic review. Data Sources The PubMed, CINAHL, PsycINFO, Web of Science, and Cochrane Library databases were searched from their time of inception to June 2018. Review Methods Two reviewers independently assessed the eligibility of studies, extracted data, and appraised the methodological quality of the studies using the COSMIN checklist. Results A total of 19 studies representing 5 instruments were included. Two instruments—a revised version of the Families’ Importance in Nursing Care: Nurses’ Attitudes scale (FINC‐NA‐R) and the Family Nurse Practice Scale (FNPS)—obtained higher scores for most of their properties. The instruments used in the remaining eight studies require further assessment of their psychometric properties. Conclusion This psychometric review offers a synthesis of the quality of the available instruments and gives a better understanding of nursing theory‐based tools. The FNPS and FINC‐NA‐R instruments seem to be the most suitable measures of nurses’ attitudes towards the importance of involving families in their clinical practice. Impact The growing emphasis on improving nurse–family relationships and the quality of care provided makes it necessary to have valid and reliable instruments for assessing nurses’ attitudes towards the importance of involving families in their clinical practice. This paper provides evidence that will help clinicians and researchers make decisions about the most suitable instrument based on a critical appraisal and comparison of the measurement properties according to a rigorous methodology. 目的 在于确定、评价和描述评估护士对参与家庭临床实践重要性态度的手段特征和手段测量属性 设计 心理测量系统综述。 资料来源 从收录到2018年6月,搜索了PubMed、CINAHL、PsycINFO、Web of Science和Cochrane Library 数据库。 综述方法 两名审查员独立评估了研究的合格性,提取数据,并使用COSMIN检查清单评估研究的方法学质量。 结果 共纳入了陈述5种手段的19项研究。两种手段——《家庭在护理中的重要性:护士态度量表(简称为FINC‐NA‐R)》和《家庭护士实践量表(FNPS)》的修订版——在它们的大部分属性上获得了更高的分数。其余八项研究中所使用的手段需要进一步评估其心理测量属性。 结论 这项心理测量综述综合了现有手段的质量,并对基于护理理论的工具有了更好的理解。FNPS和 FINC‐NA‐R手段似乎是衡量护士对参与家庭临床实践重要性态度的不二之选。 影响 日益强调改善护士与家庭的关系和其提供的护理质量,这就需要有效和可靠的手段来评估护士对参与家庭临床实践重要性的态度。本文提供的证据将有助于临床医生和研究人员根据严谨的方法学对测量属性进行严格的评估和比较,从而做出最为合适的相关手段决策。