Inpatient Dignity Scale: Mandarin translation and psychometric characteristics evaluation.
Yao Huang, Ying Zhou, Thomas Kwok Shing Wong and 4 others
PMID 34612614WHAT IT FOUND
Chinese inpatients reported dignity expectations and satisfaction on a translated hospital scale.
Staff politeness, privacy, and treatment choices were central. The tool is exploratory and not yet a proven way to guide care.
Key findings
01The Mandarin Inpatient Dignity Scale was tested with 736 inpatients in five tertiary hospitals in Guangzhou.
02After item and factor analysis, the expectation subscale had 12 items in three dimensions and the satisfaction subscale had 15 items in two dimensions.
03Patients with higher satisfaction scores also reported less dignity loss on the Patient Dignity Inventory.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was a convenience sample from five tertiary hospitals in Guangzhou, so results may not apply to other hospitals, regions, or patient groups. The authors describe the Mandarin scale as exploratory and say it still needs further improvement, item evaluation, and a domestic norm. The factor structure changed from the original scale after items were deleted and dimensions were merged. The study reports scale scores and psychometric properties, not whether using the scale improves dignity, satisfaction, recovery, or nurse-patient relationships. The investigators were nursing postgraduate students and sometimes recorded answers for patients, which may affect responses. Some known-groups hypotheses were not fully supported, including no significant difference by number of hospitalizations.
Declared interests
The authors declared no conflict of interest.
The easy way to misread this
Do not read the reliability and validity results as proof that using this scale improves patient dignity. The study is a cross-sectional survey of 736 inpatients, the authors call the scale exploratory, and it reports scale scores rather than patient outcomes.