神经系统评估能力量表的汉化及在神经科护士中的信效度检验  

Translation and validation of Neurological Assessment Competency Scale in neurology nurses

作　　者：王雪琪 荆晓雷 徐昊[1] 庄红霞 李娟[1] 刘贤清 WANG Xueqi;JING Xiaolei;XU Hao;ZHUANG Hongxia;LI Juan;LIU Xianqing

机构地区：[1]中国科学技术大学附属第一医院(安徽省立医院)神经外科,合肥市230001

出　　处：《中华护理教育》2023年第3期323-327,共5页Chinese Journal of Nursing Education

基　　金：中国科学技术大学校级质量工程项目(2021xjyxm137)。

摘　　要：目的汉化神经系统评估能力量表(Neurological Assessment Competency Scale,NACS)并在神经科护士群体中检验其信效度。方法对原始量表进行汉化及跨文化调试,并选取30名神经科护士进行预调查。2021年8月—12月,采取便利抽样法选取合肥市三级甲等医院神经内外科250名护士作为研究对象,使用中文版NACS进行调查。2周后采用便利抽样法从中选取50名护士进行再次测量;邀请10名专家对中文版量表的内容效度进行评定。并对量表的内部一致性、结构效度、内容效度进行检验。结果探索性因子分析共提取了7项公共因子,33个条目,累计贡献率为86.08%;中文版NACS的S-CVI值为0.918,各条目I-CVI值为0.811~1.000;总量表的Cronbach'sα系数为0.926;重测信度为0.908。结论中文版神经系统评估能力量表的信度、效度良好,可用于评估神经科临床护士的神经系统评估能力。Objective To translate and test the reliability and validity of the Chinese version of Neurological Assessment Competency Scale(NACS)among neurology nurses.Methods The original scale was translated into Chinese and adjusted culturally.Afterward,30 neurology nurses were selected for pre experiment.From August to December 2021,250 nurses from the department of neurology and surgery in a gradeⅢ,class A hospital in Hefei were selected as the participants through convenience sampling to validate the Chinese version of NACS.After two weeks,50 of the participated nurses were recruited again for measurement of the second time.Meanwhile,ten experts were invited to evaluate the content validity of the scale.The reliability and validity were evaluated from internal consistency,construct validity,and content validity.Results After exploratory factor analysis,the maximum variance orthogonal rotation method extracted seven common factors,33 items,and the cumulative contribution rate was 86.08%.The S-CVI value of the Chinese version of NACS was 0.918,and the I-CVI value of each entry was 0.811~1.000.The Cronbach'sαof the scale was 0.926.The retest reliability was 0.908.Conclusion The reliability and validity of the Chinese version of the Neurological Assessment Competency Scale are satisfied,which can be used to assess the neurological assessment capacity of clinical front-line neurological nurses.

关 键 词：护士 护理评估 问卷调查 神经系统评估能力 信度 效度 

分 类 号：R47[医药卫生—护理学]