To test if the 5-item compassion measure (a tool previously validated in the outpatient setting to measure patient assessment of clinician compassion) is a valid and reliable tool to quantify a distinct construct (i.e. clinical compassion) among patients evaluated in the emergency department (ED). Cross-sectional study conducted in three academic emergency departments in the U.S. between November 2018 and April 2019. We enrolled adult patients who were evaluated in the EDs of the participating institutions and administered the 5-item compassion measure after completion of care in the ED. Validity testing was performed using confirmatory factor analysis. Cronbach’s alpha was used to test reliability. Convergent validity with patient assessment of overall satisfaction questions was tested using Spearman correlation coefficients and we tested if the 5-item compassion measure assessed a construct distinct from overall patient satisfaction using confirmatory factor analysis. We analyzed 866 patient responses. Confirmatory factor analysis found all five items loaded well on a single construct and our model was found to have good fit. Reliability was excellent (Cronbach’s alpha = 0.93) among the entire cohort. These results remained consistent on sub-analyses stratified by individual institutions. The 5-item compassion measure had moderate correlation with overall patient satisfaction (r = 0.66) and patient recommendation of the ED to friends and family (r = 0.57), but reflected a patient experience domain (i.e. compassionate care) distinctly different from patient satisfaction. The 5-item compassion measure is a valid and reliable tool to measure patient assessment of clinical compassion in the ED.

中文翻译：

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验证用于评估急诊室临床医生同情心的患者评估的5件工具

测试5项同情措施（一种先前在门诊环境中经过验证的工具，可用来评估对临床医生的同情心的患者评估）是否是一种有效且可靠的工具，可以量化急诊科评估的患者中不同的构造（即临床同情心）（ ED）。在2018年11月至2019年4月期间在美国三个学术急诊科中进行了横断面研究。我们招募了在参与机构的急诊室接受评估的成年患者，并在急诊室完成护理后实施了5项同情措施。使用验证性因素分析进行​​有效性测试。克朗巴赫（Cronbach）的alpha用于测试可靠性。使用Spearman相关系数测试了患者对总体满意度问题的评估的收敛效度，并且我们使用验证性因子分析测试了5项同情措施是否评估了与总体患者满意度不同的结构。我们分析了866位患者的反应。验证性因素分析发现，所有五个项目均在单个构造上加载良好，并且我们的模型具有良好的拟合度。在整个队列中，可靠性非常好（Cronbach's alpha = 0.93）。这些结果在按单个机构分层的子分析中保持一致。5项同情心测度与患者总体满意度（r = 0.66）和急诊室对亲朋好友的推荐（r = 0.57）具有中等相关性，但反映了患者的体验范围（即 富有同情心的护理）与患者的满意度明显不同。五项同情措施是一种有效且可靠的工具，可用于评估急诊室中患者对临床同情的评估。