中文版医疗团队合作认知和态度量表的信效度分析  

Reliability and validity analysis of Chinese versions of TeamSTEPPS medical teamwork perceptions questionnaire and TeamSTEPPS medical teamwork attitudes questionnaire

作　　者：黄颉 俞海萍[2] 张梅英[3] 杨杏静[3] 巩师文[4] 杨静怡 施辉 顾艳芬 王吟雨 Huang Jie;Yu Haiping;Zhang Meiying;Yang Xingjing;Gong Shiwen;Yang Jingyi;Shi Hui;Gu Yanfen;Wang Yinyu(Tongji University School of Medicine,Shanghai 200120,China;Nursing Department,Shanghai East Hospital,Shanghai 200120,China;Emergency Department,Shanghai East Hospital,Shanghai 200120,China;Emergency Intensive Care Unit,Shanghai Yangpu District Central Hospital,Shanghai 200090,China;Emergency Department,Shanghai Tenth People's Hospital,Shanghai 200072,China;Emergency Department,Zhongshan Hospital Affiliated to Fudan University,Shanghai 200032,China;Special Care Ward,Shanghai East Hospital,Shanghai 200120,China)

机构地区：[1]同济大学医学院,上海200120 [2]上海市东方医院护理部,200120 [3]上海市东方医院急诊科,200120 [4]上海市杨浦区中心医院急诊监护室,200090 [5]上海市第十人民医院急诊科,200072 [6]复旦大学附属中山医院急诊科,上海200032 [7]上海市东方医院特需病房,200120

出　　处：《中华现代护理杂志》2020年第21期2817-2823,共7页Chinese Journal of Modern Nursing

基　　金：2017年度上海市护理学会科研课题项目(2017MS-B02);上海市浦东新区卫生和计划生育委员会重要薄弱学科课题(PWZzb-2017-13)。

摘　　要：目的对中文版医疗团队合作认知量表与团队合作态度量表进行信效度检验,评价其是否适用于评估我国医疗团队合作的现况。方法采用中文版医疗团队合作认知量表和团队合作态度量表于2019年1—4月采用整群抽样法对上海市9家三甲医院的900名急诊科工作人员进行测评,对量表的信度和效度进行分析评价。本研究共发放问卷900份,回收问卷870份,有效问卷861份,有效回收率为96%。结果对中文版医疗团队合作认知量表和团队合作态度量表进行探索性因子分析,提取出团队结构、领导力、情境监控、互助及沟通5个维度,累积方差贡献率为71.248%和71.010%。另外对量表进行验证性因子分析,卡方自由度比(χ2/df)为2.870和2.214,规范拟合指数(NFI)为0.861和0.906,非规范拟合指数(TLI)为0.896和0.940,递增拟合指数(IFI)为0.905和0.946,比较拟合指数(CFI)为0.904和0.946,近似误差均方根(RMSEA)为0.066和0.053。拟合值均达到判断标准,2个量表结构效度良好;内容效度指数(CVI)良好,分别0.94和0.95。中文版团队合作认知量表及团队合作态度量表问卷的总体Cronbach'sα系数分别为0.949和0.938,折半信度分别为0.848和0.959,重测信度分别为0.959和0.964。结论中文版医疗团队合作认知量表与团队合作态度量表有良好的信度和效度,适用性较高,可用于测量我国医疗团队合作的态度和认知情况。Objective To conduct reliability and validity test of Chinese versions of TeamSTEPPS medical teamwork perceptions questionnaire and TeamSTEPPS medical teamwork attitudes questionnaire so as to evaluate whether they are applicable to the current situation of medical teamwork in China.Methods From January to April 2019,the Chinese versions of TeamSTEPPS teamwork perceptions questionnaire and TeamSTEPPS teamwork attitudes questionnaire were used to evaluate 900 emergency department workers in 9 ClassⅢGrade A hospitals in Shanghai by cluster sampling,and reliability and validity of the questionnaires were analyzed and evaluated.In this study,a total of 900 questionnaires were issued,870 were recovered and 861 were valid,with an effective recovery rate of 96%.Results The exploratory factor analysis of the Chinese versions of Chinese versions of TeamSTEPPS medical teamwork perceptions questionnaire and TeamSTEPPS medical teamwork attitudes questionnaire was carried out to extract the five dimensions of team structure,leadership,situation monitoring,mutual assistance and communication.The cumulative variance contribution rates were respectively 71.248%and 71.010%.In addition,a confirmatory factor analysis was performed on the questionnaires.The Chi-square degrees of freedom ratio(χ2/df)values were 2.870 and 2.214,normed fitting index(NFI)values were 0.861 and 0.906,Tucker-Lewis index values were 0.896 and 0.940,incremental fit index(IFI)values were 0.905 and 0.946,comparative fit index(CFI)values were 0.904 and 0.946,and root mean square error of approximation(RMSEA)values were 0.066 and 0.053.The fitting values all reached the judgment standard,and the structural validity of the two questionnaires was good.The content validity indexes were good and they were respectively 0.94 and 0.95.The overall Cronbach'sαcoefficients of TeamSTEPPS medical teamwork perceptions questionnaire and TeamSTEPPS medical teamwork attitudes questionnaire were respectively 0.949 and 0.938,the split-half reliability was respectively 0.848 a

关 键 词：医务人员 团队合作认知量表 团队合作态度量表 信度 效度 

分 类 号：R197.3[医药卫生—卫生事业管理]