重大传染病突发事件中护士伦理困境量表的研制及信效度检验  

Development of Ethical Dilemma Scale for Nurses in major infectious disease emergencies and its reliability and validity

作　　者：张钰琳 朱向伟 洪慧芳 卢根娣[1] ZHANG Yu-lin;ZHU Xiang-wei;HONG Hui-fang;LU Gen-di(Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属曙光医院,上海201203

出　　处：《护理学报》2024年第4期1-6,共6页Journal of Nursing（China）

基　　金：国家社会科学基金一般项目(22BZX024)。

摘　　要：目的 编制重大传染病突发事件中护士伦理困境量表,并检验其信度效度。方法 基于护理伦理原则,通过文献研究法、访谈法、专家咨询法形成初版量表。对全国6个省市大型三级综合医院842名参与重大传染病突发事件的一线护士进行调查,检验其信效度。结果 重大传染病突发事件中护士伦理困境量表共包括4个维度27个条目。量表总体的内容效度为0.914,各条目的内容效度为0.833~1.000;探索性因子分析共提取4个公因子,累积方差贡献率69.636%;量表总Cronbach α系数为0.929,折半信度为0.866;各维度的Cronbach α系数为0.800~0.907之间,量表整体的重测信度为0.943。结论 重大传染病突发事件中护士伦理困境量表具有良好的信度效度,可有效评估重大传染病突发事件中护士的伦理困境水平。Objective To develop a scale of ethical dilemma for nurses in major infectious disease emergencies and test its reliability and validity.Methods Based on the principles of nursing ethics,the initial scale was formed by literature review,interview and expert consultation.A total of 842 nurses involved in major infectious disease emergencies in tertiary general hospitals in 6 provinces and cities were investigated for reliability and validity test.Results The ethical dilemma scale for nurses in major infectious disease emergencies consisted of 27 items in 4 dimensions.The overall content validity of the scale was 0.914,and the content validity of each item ranged from 0.833 to 1.000.Four common factors were extracted by exploratory factor analysis,and the cumulative variance contribution rate was 69.636%.The total Cronbach α coefficient of the scale was 0.929,and the half-folded reliability was 0.866.The Cronbach α coefficient of each dimension ranged from 0.800 to 0.907,and the overall test-retest reliability of the scale was 0.943.Conclusion The scale has good reliability and validity,and can effectively evaluate the level of nurses ' ethical dilemma in major infectious disease emergencies.

关 键 词：重大传染病突发事件 一线护士 伦理困境 信度 效度 

分 类 号：R473.51[医药卫生—护理学]