Evaluación de la percepción de pacientes sobre el comportamiento de comunicación del personal de enfermería: diseño y validación en población mexicana.

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Bibliographic Details
Title: Evaluación de la percepción de pacientes sobre el comportamiento de comunicación del personal de enfermería: diseño y validación en población mexicana.
Alternate Title: Evaluation of the patient's perception on the communication behavior of the nursing personnel: design and validation in the Mexican population.
Authors: Müggenburg, Cristina1 cmuggenb@yahoo.com.mx, Robles, Rebeca2, Valencia, Alejandra3, Hernández Guillén, María del Carmen1, Olvera, Sandra4, Riveros Rosas, Angélica5
Source: Salud Mental. jul/ago2015, Vol. 38 Issue 4, p273-280. 8p. 1 Diagram, 2 Charts.
Subjects: NURSE-patient relationships, HOSPITAL patients, MEDICAL communication, MEDICAL care, MEDICAL personnel, SENSORY perception, ATTITUDE (Psychology)
Abstract (English): Background Nurse-patient communication has been established as a key component of professional healthcare. The present study examined the patients' perception of the verbal and non-verbal communication skills of nurses. Although the Caring Assessment Tool (CAT) stands among the instruments available to evaluate these communication skills, cultural and schooling characteristics limit its direct applicability to the Mexican context. Objective The aim of this study was to design and validate an instrument on the patient-recorded Nurse Communication Behavior (CECOP, for its acronym in Spanish) based on the Mexican patient's experience. Method Based on exploratory interviews with 29 patients, a first draft of the CECOP was designed. The instrument was validated by independent expert judges and after the elimination of two items it was used with 150 patients. The validity was assessed by a factor analysis extraction through Principal Component Analysis and Varimax Rotation. Convergence validity was established between the CAT and the CECOP and between the CECOP and numeric scales that evaluate empathy and patient satisfaction. Results Construct Validity reduced the CECOP to 10 items in two factors (empathy and respect) with statistically significant KMO (Kaiser-Meyer- Olkin) and Bartlett's Test (p≤.001). The explained variation was 54.58%. The correlation between the CECOP score (10 items) and the CAT was .459. Between the CECOP and the empathy scale and between the CECOP and the satisfaction scale the correlations were .419 and .495, respectively. All correlations were statistically significant (p≤.001). Discussion and conclusion The CECOP can be used to evaluate professional care in its human dimension from the patient's perspective and to suggest improvements in the nurses communication. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Antecedentes La comunicacion enfermera-paciente es fundamental para la aplicacion de los cuidados en salud. El presente estudio aborda la percepcion de pacientes sobre la comunicacion verbal y no verbal con sus enfermeras. Entre los instrumentos para su evaluacion destaca la Herramienta para la Evaluacion del Cuidado (CAT por sus siglas en ingles), pero diferencias culturales y educativas de la poblacion Mexicana limitan su aplicabilidad en nuestro contexto. Objetivo Disenar y validar un instrumento sobre la percepcion de los pacientes sobre el comportamiento de comunicacion de enfermeras (denominado CECOP), en funcion de lo que observan pacientes mexicanos. Método Con base en una entrevista exploratoria a 29 pacientes, se diseno el CECOP con 25 reactivos, se establecio validez de contenido con jueces expertos (eliminando dos reactivos) y se aplico a 150 pacientes. Se empleo analisis factorial con metodo de extraccion de analisis de componentes principales y rotacion Varimax. Se establecio la validez convergente entre el CECOP y el CAT y entre el CECOP y escalas numericas que valoraron comprension empatica y satisfaccion del paciente. Resultados La validez de constructo lo redujo a diez reactivos en dos factores (empatia y respeto); con Kaiser-Meyer-Olkin (KMO) y prueba de Bartlett estadisticamente significativas (p≤.001). La varianza explicada fue de 54.58%. La correlacion entre los puntajes totales del CECOP (10 reactivos) y el CAT fue .459, el CECOP y la escala de comprension fue .419; el CECOP y la escala de satisfaccion, .495; todas, estadisticamente significativas (p≤.001). Discusión y conclusion El CECOP permite evaluar los cuidados profesionales en su dimension humana, desde la percepcion de los pacientes, y sugerir propuestas para mejorar la comunicacion de las enfermeras. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Background Nurse-patient communication has been established as a key component of professional healthcare. The present study examined the patients' perception of the verbal and non-verbal communication skills of nurses. Although the Caring Assessment Tool (CAT) stands among the instruments available to evaluate these communication skills, cultural and schooling characteristics limit its direct applicability to the Mexican context. Objective The aim of this study was to design and validate an instrument on the patient-recorded Nurse Communication Behavior (CECOP, for its acronym in Spanish) based on the Mexican patient's experience. Method Based on exploratory interviews with 29 patients, a first draft of the CECOP was designed. The instrument was validated by independent expert judges and after the elimination of two items it was used with 150 patients. The validity was assessed by a factor analysis extraction through Principal Component Analysis and Varimax Rotation. Convergence validity was established between the CAT and the CECOP and between the CECOP and numeric scales that evaluate empathy and patient satisfaction. Results Construct Validity reduced the CECOP to 10 items in two factors (empathy and respect) with statistically significant KMO (Kaiser-Meyer- Olkin) and Bartlett's Test (p≤.001). The explained variation was 54.58%. The correlation between the CECOP score (10 items) and the CAT was .459. Between the CECOP and the empathy scale and between the CECOP and the satisfaction scale the correlations were .419 and .495, respectively. All correlations were statistically significant (p≤.001). Discussion and conclusion The CECOP can be used to evaluate professional care in its human dimension from the patient's perspective and to suggest improvements in the nurses communication. [ABSTRACT FROM AUTHOR]
ISSN:01853325
DOI:10.17711/SM.0185-3325.2015.037