基于服务质量差距模型的手术室手术配合质量评价量表的编制及信效度检验  

Compilation and reliability and validity test of the Operating Room Operation Cooperation Quality Evaluation Scale based on the Service Quality Model

作　　者：王静[1] 孔娜[1] 张聚[1] 韩艳[1] Wang Jing;Kong Na;Zhang Ju;Han Yan(Operating Room,the Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]青岛大学附属医院手术室,青岛266000

出　　处：《中华现代护理杂志》2021年第15期1998-2003,共6页Chinese Journal of Modern Nursing

摘　　要：目的基于服务质量差距模型研制科学、客观、可量化的手术室手术配合质量评价量表,旨在持续改进手术配合质量。方法通过文献检索编制初始条目池,采用德尔菲法对全国20名专家进行2轮函询,最终形成手术室手术配合质量评价量表。采用便利抽样法,于2020年1月对青岛市某三级甲等医院的280名手术医生进行调查,对量表进行信效度检验。共发放问卷280份,回收有效问卷263份,有效回收率为93.9%。结果手术室手术配合质量评价量表分为期望量表和感知量表,包括5个一级指标、16个二级指标和51个三级指标。期望、感知量表提取的5个公因子的累计方差贡献率分别为73.22%、72.87%。量表条目水平的内容效度指数为0.900~1.000,量表水平的内容效度指数为0.824,量表水平平均内容效度指数为0.990。期望、感知量表的重测信度分别是0.952、0.949,Cronbach'sα系数分别为0.892、0.905,各维度的Cronbach'sα系数均>0.800。结论基于服务质量差距模型的手术室手术配合质量评价量表科学、客观、可量化,具有较好的信效度,可以用于手术室手术配合质量的评价。Objective To develop a scientific,objective and quantifiable operating room operation cooperation quality evaluation scale based on the Service Quality Model,so as to continuously improve the quality of surgical cooperation.Methods The initial item pool was compiled through a literature search.The Delphi method was used to conduct 2 rounds of letter consultation among 20 experts in China,and finally the Operating Room Operation Cooperation Quality Evaluation Scale was formed.Using the convenient sampling method,a survey of 280 surgeons in a ClassⅢGrade A hospital in Qingdao was conducted in January 2020,and the reliability and validity of the scale were tested.A total of 280 questionnaires were issued and 263 valid questionnaires were returned.The effective recovery rate was 93.9%.Results The Operating Room Operation Cooperation Quality Evaluation Scale was divided into the Expectation Scale and the Perception Scale,which included 5 first-level indicators,16 second-level indicators and 51 third-level indicators.The cumulative variance contribution rates of the 5 common factors extracted from the Expectation Scale and the Perception Scale were 73.22%and 72.87%,respectively.The content validity index at the item level was 0.900 to 1.000,the content validity index at the scale level was 0.824,and the average content validity index at the scale level was 0.990.The test-retest reliability of the Expectation Scale and Perception Scale were respectively 0.952 and 0.949,the Cronbach'sαcoefficients were respectively 0.892 and 0.905,and Cronbach'sαcoefficients of each dimension were all greater than 0.800.Conclusions The Operating Room Operation Cooperation Quality Evaluation Scale based on the Service Quality Model is scientific,objective and quantifiable,which has good reliability and validity and can be used to evaluate the Operating Room cooperation quality.

关 键 词：手术室 服务质量差距模型 手术配合 质量评价 德尔菲法 信度 效度 

分 类 号：R472.3[医药卫生—护理学]