临床护士额外任务负荷量表的编制及信效度检验  

Development of the Clinical Nurse Extra Task Load Scale and its reliability and validity

作　　者：杨卫红[1] 李雪 刘晶[2] 赵佳[1] 张全英[3] 贾冠华 Yang Weihong;Li Xue;Liu Jing;Zhao Jia;Zhang Quanying;Jia Guanhua(Nursing Department,The First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,China;Second Ward of Oncology Department,The First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,China;Outpatient Department,The First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,China)

机构地区：[1]新乡医学院第一附属医院护理部,新乡453100 [2]新乡医学院第一附属医院肿瘤内科二病区,新乡453100 [3]新乡医学院第一附属医院门诊部,新乡453100

出　　处：《中华现代护理杂志》2024年第20期2731-2736,共6页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划项目(LHGJ20230495);河南省医学教育研究项目(Wjlx2021347;Wjlx2022094)。

摘　　要：目的:编制临床护士额外任务负荷量表并检验其信效度。方法:基于工作需求-控制模型,在文献检索与质性访谈的基础上,通过德尔菲专家函询、预调查形成初量表。于2023年9月选取新乡医学院第一附属医院和新乡市中心医院的813名临床护士调查,用于进行信效度检验。2023年10月选取新乡医学院第一附属医院和新乡市中心医院的1 050名临床护士进行调查,并检验量表的信效度水平。结果:最终形成的临床护士额外任务负荷量表包括2个维度,共12个条目。条目水平的内容效度指数为0.86~1.00,量表水平的内容效度指数为0.84;探索式因子分析共提取出2个公因子,累计方差贡献率为74.55%。验证性因子分析结果显示,χ ^(2)/ df为1.613, GFI为0.928, CFI为0.971, NFI为0.928, IFI为0.971, RMSEA为0.024;工作环境需求维度Cronbach's α系数为0.897,个体行为限制Cronbach's α系数为0.955,总量表Cronbach's α系数为0.950,分半信度为0.850。 结论:本研究所编制的临床护士额外任务负荷量表具有良好的信效度水平,可用于评估和量化临床护士额外任务负荷的程度。ObjectiveTo develop the Clinical Nurse Extra Task Load Scale and test its reliability and validity.MethodsBased on the job demand-control model,a primary scale was formed through literature search and qualitative interviews,as well as Delphi consultation and pre-survey.In September 2023,813 clinical nurses from First Affiliated Hospital of Xinxiang Medical University and Xinxiang Central Hospital were selected for reliability and validity testing.In October 2023,1050 clinical nurses from First Affiliated Hospital of Xinxiang Medical University and Xinxiang Central Hospital were selected for investigation,and the reliability and validity of the scale were tested.ResultsThe final Clinical Nurse Extra Task Load Scale included two dimensions and a total of 12 items.The item-level content validity index was 0.86 to 1.00,and the scale-level content validity index was 0.84.Exploratory factor analysis extracted two common factors,with a cumulative variance contribution rate of 74.55%.Confirmatory factor analysis showed thatχ^(2)/df was 1.613,GFI was 0.928,CFI was 0.971,NFI was 0.928,IFI was 0.971,and RMSEA was 0.024.Cronbach'sαcoefficient of the work environment demand dimension was 0.897,Cronbach'sαcoefficient of individual behavior restriction was 0.955,Cronbach'sαcoefficient of the total scale was 0.950,and the split-half reliability was 0.850.ConclusionsThe Clinical Nurse Extra Task Load Scale developed has a good reliability and validity,and can be used to evaluate and quantify the extra task load for clinical nurses.

关 键 词：护士 额外任务负荷 量表编制 心理健康 护理 

分 类 号：R47[医药卫生—护理学]