证据应用障碍因素和促进因素评定量表的编制及信效度检验  

Development and validation of a rating scale for barriers to and facilitators of evidence-based nursing implementation

作　　者：付艳芬 王春青[1] 胡雁[1] 朱政[1] 杨中方[1] Fu Yanfen;Wang Chunqing;Hu Yan;Zhu Zheng;Yang Zhongfang(School of Nursing,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学护理学院,上海200032 [2]大理大学护理学院

出　　处：《护理学杂志》2022年第11期5-8,共4页Journal of Nursing Science

摘　　要：目的编制证据应用障碍因素和促进因素评定量表,并检验其信效度。方法通过对45项证据应用项目参与人员进行访谈形成测评框架和量表初稿,然后通过2轮专家函询形成初试量表,经过215名证据应用项目护理人员的初测形成正式测评量表,最终通过1604名护士的调查对评定量表信效度进行检验。结果证据应用障碍因素和促进因素评定量表包含6个维度共40个条目。总问卷的Cronbach′sα系数为0.931,各维度的Cronbach′sα系数为0.922~0.966,内容效度为0.904。探索性因子分析共提取6个公因子,累积方差贡献率为77.012%。验证性因子分析显示,模型拟合度良好。结论证据应用障碍因素和促进因素评定量表具有良好的信效度,可用于证据应用过程中的障碍因素和促进因素的分析和预测。Objective To develop a rating scale for barriers to and facilitators of evidence-based nursing(EBN)implementation and to test its reliability and validity.Methods A draft framework and scale were developed through interviews with participants of 45 EBN implementation projects,then a pre-test scale was generated after 2 rounds of expert consultations and was completed by 215 nurses involving in EBN implementation projects.At last,1,604 nurses were surveyed to test the reliability and validity of the scale.Results The rating scale was formed with 40 items and 6 dimensions.The overall Cronbach′sαcoefficient was 0.931 and the Cronbach′sαcoefficients for dimensions were between 0.922 and 0.966.The content validity index was 0.904.Exploratory factor analysis extracted 6 factors that accounted for 77.012%of the variance and confirmatory factor analysis showed a good fit to the proposed six-factor structure.Conclusion The rating scale for barriers to and facilitators of EBN implementation has good reliability and validity.

关 键 词：临床护理 证据应用 障碍因素 促进因素 量表编制 信度 效度 循证护理 

分 类 号：R47[医药卫生—护理学] G644[医药卫生—临床医学]