护士人文执业能力评价工具的信效度分析  

Analysis on reliability and validity of measurement instrument of nurses＇ humanistic practice ability

作　　者：王贺芳[1] 赵遇辉[2] 张金华[1] 刘丽[1] 陈艳[1] 

机构地区：[1]新乡医学院,453003 [2]新乡医学院第三附属医院

出　　处：《中国实用护理杂志》2014年第20期24-27,共4页Chinese Journal of Practical Nursing

基　　金：基金项目：河南省教育厅科学技术研究重点资助项目（12A320019）;新乡医学院2012年度科研创新支持计划（YJSCX201226Y）

摘　　要：目的探讨护士人文执业能力评价工具（MIHPA）的信效度。方法通过文献分析、专家访谈以及对17名副主任护师以上职称的专家进行的2轮专家咨询，初步形成37个条目的评价问卷。采用方便抽样法抽取680名三级甲等医院工作5年以上的临床一线在职护士进行护理人文执业能力问卷调查。2周后，对其中的50名护士进行重测。所得数据进行探索性因素分析、验证性因素分析及信度检验。结果探索性因素分析提取5个公因子，保留23个条目，累计方差贡献率为65．137％；验证性因素分析拟合指标：x2／df=2．158，CFI=0．952，NFI=0．915，RFI=0．901，IFI=0．953，TLI=0．944；评价工具总体的Cronbaehα为0．933，各维度Cronbaeh α为0,782～0．867，总体重测信度为0．822，各维度重测信度为0．782—0．848。结论5个维度23个条目的护士人文执业能力评价工具具有较好的信度和效度。Objective To assess the reliability and validity of measurement instrument of nurses＇ humanistic practice ability （MIHPA）. Methods By means of literature analysis, interviewing with experts and two rounds of Delphi with 17 nursing management and nursing education experts, we got preliminary evaluation questionnaire. 680 nurses from three level of first-class hospital were selected by convenient sampling, who took part in the survey on nurses＇ humanistic practice ability. After two weeks, we re-measured 50 nurses. Such methods as exploratory factor analysis, confirmatory factor analysis and reliability analysis were used to screen and assess the questionnaire entries. Results The exploratory factor analysis indicated that the measurement instrument of nurses＇ humanistic practice ability was composed of five principal components, the five principal components could explain 65.137% of the total variance. Confirmatory factor analysis showed x2/df=2.158, CFI=0.952, NFI=0.915, RFI=0.901, IFI=0.953, TLI=0.944. Cronbach＇s α of the total scale was 0.933 and retest reliability was 0.822. Reliability of each subscales was 0.782~0.867 and retest reliability was 0.782-0.848. Conclusions The measurement instrument of nurses＇ humanistic practice ability, which contained 5 dimensions and 23 items, has good reliability and validity.

关 键 词：护士 人文执业能力 评价工具 信度 效度 

分 类 号：R47[医药卫生—护理学]