综合医院护理岗位评价要素体系的建立及信度、效度分析  

The establishment of nurse-related job evaluation element system for general hospitals and its reliability and validity analyses

作　　者：王旸[1] 张丹[2] 许树强[1,3] 张铁山[3] 

机构地区：[1]吉林大学公共卫生学院社会医学与卫生事业管理教研室,长春市130021 [2]清华大学医院管理研究院 [3]中日友好医院

出　　处：《中国护理管理》2015年第3期272-276,共5页Chinese Nursing Management

基　　金：国家自然科学基金项目资助课题(71373289)

摘　　要：目的:了解综合医院护理人员认可度较高的岗位评价要素,建立综合医院护理岗位评价要素体系并进行信度、效度分析。方法:对北京6家综合医院710名护士进行问卷调查。通过因子分析法提取主因子作为评价维度,通过最大方差正交旋转法确定评价要素。通过Cronbach’sα系数对该要素体系进行信度检验,通过结构方程模型进行效度检验。结果:提取3个因子作为评价维度,保留23个评价要素,构建了综合医院护理岗位评价要素体系。3个维度Cronbach’sα系数均在0.8以上。评价模型拟合度的几个主要指标均接近0.9。结论:建立了具有较好信度和效度的综合医院护理岗位评价要素体系。这一体系可以更有针对性地反映综合医院护理岗位的特点,为医院护理人员内部的二次分配提供参考依据。Objective： To investigate the highly-recognized job evaluation elements among nurses from general hospitals in an attempt to establish a nurse-related job evaluation element system for general hospitals followed with reliability and validity analyses. Methods： 710 nurses from six general hospitals in Beijing were selected by stratified random sampling for the questionnaire. Evaluation dimensions were obtained by the element analysis and elements were defined through Varimax. A reliability analysis by calculating Cronbach＇s α coefficient and a validity analysis with structural equation modeling were sequentially conducted on the system. Results： Three elements were extracted as evaluation dimensions and 23 elements were retained, upon which the nurse-related job evaluation element system for general hospitals were established. The internal consistency of the dimensions was high based on the calculation of Cronbach＇s α; with related coefficients all above 0.8. Conclusion： A nurse-oriented job evaluation element system for general hospitals was established with a reasonable reliability and validity. The system might reveal the characteristics of nursing positions more pertinently and thus provide reference for the second distribution among nurses in general hospitals.

关 键 词：综合医院 岗位评价要素 护理人员 信度 效度 

分 类 号：R47[医药卫生—护理学]