护士遭遇不文明行为量表的汉化及信度效度检验  

Reliability and validity of the Chinese version of Nursing Incivility Scale

作　　者：王介文 孙艳侠[2] 严谨[4] WANG Jiewen;SUN Yanxia;YAN Jin(Medical Intensive Care Unit,Zaozhuang Municipal Hospital,Zaozhuang,Shandong province,277100,China)

机构地区：[1]枣庄市立医院重症医学科内科区,山东省枣庄市277100 [2]枣庄市立医院麻醉与围术期医学科,山东省枣庄市277100 [3]中南大学湘雅护理学院 [4]中南大学湘雅三医院护理部

出　　处：《中国护理管理》2022年第12期1798-1804,共7页Chinese Nursing Management

基　　金：护理学湖南省重点实验室项目(2017TP1004)。

摘　　要：目的:汉化护士遭遇不文明行为量表(NursingIncivilityScale,NIS)并检验其信度和效度。方法:采用Brislin翻译模型对量表进行直译、回译、文化调试,形成中文版NIS。采用便利抽样法对枣庄市和长沙市3所三级甲等医院的473名护士进行问卷调查,检验量表的信度和效度。结果:中文版NIS包括5个维度和43个条目。项目分析显示,各条目CR值均>3.0,条目与量表总分相关系数为0.357~0.805(P<0.01);探索性因子分析提取了7个公因子,累计方差贡献率为76.881%;验证性因子分析显示,χ^(2)/df=1.656,RMSEA=0.054,RMR=0.063,CFI=0.942,TLI=0.936,IFI=0.942,SRMR=0.051。总量表的内容效度指数为0.969,条目内容效度指数为0.778~1.000;总量表的Cronbach’sα系数为0.972,各维度Cronbach’sα系数为0.885~0.962,重测信度为0.933,折半信度为0.909。结论:中文版NIS具有良好的信度和效度,可以用来评估护士在工作场所遭遇的不文明行为。Objective:To translate the Nursing Incivility Scale(NIS)into Chinese,and test its reliability and validity.Methods:Based on the Brislin translation model,NIS was localized through the process of forward and backward translation,cultural adjustment and preliminary investigation.Totally 473 clinical nurses from 3 tertiary grade A hospitals in Zaozhuang and Changsha were investigated through convenience sampling for test the reliability and validity of Chinese version of NIS.Results:The Chinese version of NIS consisted of 5 dimensions and 43 items.The items analysis indicated that the critical ratio was more than 3.0 and the correlation coefficients between the items and the total score were 0.357-0.805(P<0.01).Seven common factors were extracted by exploratory factor analysis,and the cumulative variance contribution rate was 76.881%.The confirmatory factor analysis showed thatχ^(2)/df=1.656,RMSEA=0.054,RMR=0.063,CFI=0.942,TLI=0.936,IFI=0.942 and SRMR=0.051.The average content validity of the Chinese version of NIS was 0.969,the content validity of each item ranged from 0.778 to 1.000.The Cronbach’s alpha coefficient for the overall scale was 0.972,with ranging from 0.885-0.962 for each dimension.The test-retest reliability was 0.933,and the split-half reliability was 0.909.Conclusion:The Chinese version of NIS is a good reliable and valid tool to measure workplace incivility experienced in Chinese nurses.

关 键 词：护士 不文明行为 量表 信度 效度 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]