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首页> 外文期刊>Journal of environmental psychology >Users' views of hospital environmental quality: Validation of the Perceived Hospital Environment Quality Indicators (PHEQIs)
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Users' views of hospital environmental quality: Validation of the Perceived Hospital Environment Quality Indicators (PHEQIs)

机译：用户对医院环境质量的看法：认可的医院环境质量指标（PHEQI）的验证

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摘要

Environmental Quality Perception (EQP) is an important construct used to help to understand the relationship between people and the hospital environment. From a patient-centered care perspective, it is important that hospital design take into account the patients' (and other users') point of view. This paper presents the adaptation and validation of a measure of hospital EQP, the Perceived Hospital Environment Quality Indicators (PHEQIs; Fornara, Bonaiuto, & Bonnes, 2006), and seeks to confirm the factor structure of this construct in a different cultural context. Three scales, two focusing on physical environments and one evaluating the social environment, were completed by 562 users of four orthopedic units in Portuguese hospitals, two older and two recently built or renovated. To assess criterion validity, hospital physical environments were also objectively evaluated by two architects. Using a confirmatory factor analysis the three validation procedures produced acceptable fit indices in the final measurement models. Overall reliability values were satisfactory, as was the evidence for criterion validity. PHEQIs scales and factors correlated with global evaluation of the environment, supporting concurrent criterion validity; and predictive criterion validity was demonstrated given that users of older and newer hospitals differed significantly on the perception of quality of hospital EQP, and that high congruence between users' and experts' evaluations was found. Discriminant construct validity was supported, and some difficulties in showing convergent validity are discussed in terms of item formulation adequacy. Implications for research and practice are described.
机译：环境质量感知（EQP）是用于帮助理解人与医院环境之间关系的重要构造。从以患者为中心的护理角度来看，医院设计必须考虑患者（和其他使用者）的观点，这一点很重要。本文介绍了医院EQP量度，感知医院环境质量指标（PHEQIs； Fornara，Bonaiuto和Bones，2006）的适应性和有效性，并试图在不同文化背景下确认这种结构的因素结构。葡萄牙医院的四个骨科单位的562名用户完成了三份量表，其中两份着重于物理环境，另一份评估了社会环境，其中两份是较老的，另两份是最近建造或翻新的。为了评估标准的有效性，两位建筑师还客观评估了医院的物理环境。使用验证性因子分析，这三种验证程序在最终测量模型中产生了可接受的拟合指数。总体可靠性值令人满意，标准有效性的证据也是如此。 PHEQI量表和与全球环境评估相关的因素，支持并发标准的有效性；鉴于旧医院和新医院的使用者对医院EQP质量的认识存在显着差异，并且在使用者和专家的评估之间具有高度一致性，因此证明了预测标准的有效性。支持判别构造效度，并且在项目制定的充分性方面讨论了显示收敛效度的一些困难。描述了对研究和实践的意义。

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