护士交接班评价量表信效度的研究  

The validation of the Chinese version of Handoff Clinical Examination Exercise

作　　者：陈菲菲[1] 王春美[2] 王晓敏[3] 曹德燕[4] 叶国美[5] 王晓云[1] 林兴凤[1] Chen Feifei;Wang Chunmei;Wang Xiaomin;Cao Deyan;Ye Guomei;Wang Xiaoyun;Lin Xingfeng(Nursing Department,The Second Hospital of Shandong University,Ji′nan 250033,China;Gastroenterology Department,the Second Hospital of Shandong University,Ji′nan 250033,China;Cardiovascular Surgery Department,the Second Hospital of Shandong University,Ji′nan 250033,China;Neurology Department,the Second Hospital of Shandong University,Ji′nan 250033,China;Urological Department,the Second Hospital of Shandong University,Ji′nan 250033,China)

机构地区：[1]山东大学第二医院护理部,济南250033 [2]山东大学第二医院胃肠外科,济南250033 [3]山东大学第二医院心血管外科,济南250033 [4]山东大学第二医院神经内科,济南250033 [5]山东大学第二医院泌尿外科,济南250033

出　　处：《中国实用护理杂志》2020年第6期462-466,共5页Chinese Journal of Practical Nursing

摘　　要：目的对护士交接班评价量表(Handoff CEX)进行翻译,并检测其信度和效度。方法中文版护士交接班评价量表包括两部分,分别是对交班护士和接班护士的评价。采用便利抽样方法观察了80次护理交接班,进行信度和效度检测。在交接班过程中,观察者评估参与交接班的护士的交接班能力,同时,两位参与者互相评价对方。结果共获得320份对护理交接班的评价。交班者评价量表总的Cronbachα系数是0.85,接班者评价量表总的Cronbachα系数是0.80。对交班护士评价的评分者间信度系数加权Kappa值为0.31~0.52,对接班护士评价的评分者间信度系数加权Kappa值为0.35~0.55。护士交接班评估量表的各维度间的相关系数是0.23~0.62,各维度与总体交接班能力的相关系数是0.33~0.64,均具有统计学意义(P<0.05)。除组织效能和人文关怀维度外,工作经验相对丰富的护士(工作年限>5年)在护理交班环境、沟通技巧、内容、临床判断和总体交班能力方面显著高于工作经验相对不丰富的护士(工作年限≤5年)(P<0.05)。结论中文版护士交接班评价量表(Handoff CEX)具有良好的信效度,可作为评估护士交接班质量的一个有效工具,为临床护士、带教老师和管理者提供培训、持续评估交接班和给予反馈的工具,以改进交接班质量。Objective To test the reliability and validity of the Chinese version of the Handoff Clinical Examination Exercise(Handoff CEX).Methods The Chinese version of the Handoff CEX was composed of two parts,one to assess the nurse providing the handoff and another to assess the nurse receiving the handoff.A total of 80 handoffs was evaluated to test the reliability and validity of the Chinese version of the Handoff CEX.Results A total of 320 evaluations of handoff was obtained.The Cronbachαcoefficient was 0.85 for the handoff provider,and that was 0.80 for the handoff recipient.Weighted kappa scores for provider evaluations ranged from 0.31-0.52,and that for recipient evaluations ranged from 0.35-0.55.The correlation coefficients between each factor ranged from 0.23 to 0.62,and that between each factor and the total scale ranged from 0.33 to 0.64(P<0.05).Experienced nurses(>5 years)received significantly higher mean scores than inexperienced nurses(≤5 years)in all domains except organizational efficiency and professionalism(P<0.05).Conclusion The Chinese version of the Handoff CEX is a reliable and valid tool to assess the nursing handoff,which is useful for educators,supervisors and clinical nurses to provide training,ongoing assessment and feedback to improve the quality of handoff.

关 键 词：交接班 信度 效度 护士 

分 类 号：R47[医药卫生—护理学]