医护人员医学叙事能力量表的编制及信效度检验  

Development of the Narrative Competence Scale and its test of reliability and validity

作　　者：马婉贞 顾平[1] 张晶晶 易怀秀 MA Wanzhen;GU Ping;ZHANG Jingjing;YI Huaixiu

机构地区：[1]南京医科大学护理学院,南京市210029

出　　处：《中华护理杂志》2020年第4期578-583,共6页Chinese Journal of Nursing

基　　金：“十三五”江苏省重点学科(苏教办研〔2016〕9号)。

摘　　要：目的开发适用于医护人员的医学叙事能力量表(Narrative Competence Scale,NCS),并检验其信效度。方法以叙事理论、故事理论、诺丁斯关怀理论为指导,结合文献分析和对17名叙事医学/叙事护理实践型医护人员的访谈结果,构建医护人员医学叙事能力量表的条目池。通过德尔菲法、预调查、项目分析形成初版量表,并对607名医护人员进行问卷调查,检验量表的信效度。结果 NCS包括27个条目,划分为3个维度(累积方差贡献率为65.02%),总量表的Cronbach’sα系数为0.950,折半信度为0.935,1个月后重测信度为0.717(P<0.01),内容效度指数为0.89,NCS与杰斐逊共情量表、人文关怀能力量表总分及各维度均呈正相关(P<0.01)。结论该研究形成的NCS具有良好的信效度,适用于中国医护人员医学叙事能力水平的测评。Objective To develop an instrument for measuring narrative competence of medical staff and to test its reliability and validity.Methods The research was completed under the guidance of the Storytelling/Narrative Theory,the Story Theory as well as Nodding's Care Theory.Combined with literature analysis and interviews with 17 narrative medicine/narrative nursing staff,the Narrative Competence Scale was constructed.The items were formed by Delphi technique and pilot survey,and 607 medical staff were surveyed to test the reliability and validity of the scale.Results The Narrative Competence Scale consisted of 27 items with 3 dimensions(accumulated variance contribution rate of 65.02%),The total scale's Cronbach'sαcoefficient was 0.950,the split-half reliability was 0.935,the one month test-retest reliability was 0.717(P<0.01),the content validity index was 0.89.The Narrative Competence Scale was positively correlated with JSE-HP,CAI(P<0.01).Conclusion The Narrative Competence Scale has good reliability and validity,which is suitable for the evaluation of medical narrative ability of medical staff in China.

关 键 词：叙事医学 叙事护理 医学叙事能力 量表开发 信效度检验 

分 类 号：R47[医药卫生—护理学]