意大利语版护理管理者胜任力测评工具的信效度检验  

Reliability and validity of the Italian Version of the Chase Nurse Manager Competencies Scale

作　　者：Dhurata Ivziku Lucia Filomeno Daniela Forte Rosario Caruso Gianluca Conte Arianna Magon Raffaella Gualandi Marco Di Muzio Daniela Tartaglini 

机构地区：[1]Department of Health Professions,Fondazione Policlinico Universitario Campus Bio-Medico,Rome,Italy [2]Department of Biomedicine and Prevention,University of Rome Tor Vergata,Rome,Italy [3]Health Professions Research and Development Unit,IRCCS San Donato Hospital,Milan,Italy [4]Department of Biomedical Sciences for Health,University of Milan,Milan,Italy [5]Department of Clinical and Molecular Medicine,Sapienza University,Rome,Italy [6]Vice President Italian Society for the Direction and Management in Nursing(SIDMI),Rome,Italy

出　　处：《International Journal of Nursing Sciences》2024年第3期338-348,共11页国际护理科学（英文）

基　　金：supported by a grant(reference number 3.23.3)received by the Centre of Excellence for Nursing Scholarship(CECRI),Order of Nurses of Rome,Italy.

摘　　要：目的旨在翻译Chase护理管理者胜任力测评工具(the Chase Nurse Manager Competency Instrument,CNMCI)为意大利语,并对其进行信度和效度检验。方法对英文版CNMCI进行翻译,并通过横断面研究验证其信效度。采用预翻译(建立等效)、初始翻译、预测试、审查和管理5个步骤的问卷翻译方法,将英文版工具翻译为意大利语版。于2022年8月到2023年6月,选取意大利3个地区31所医疗机构349名护理管理者进行调查。采用内容效度、结构效度评估工具的效度;采用Cronbach'sα系数、重测信度评估工具的信度。结果意大利语版CNMCI,包括“知识理解”和“实施和/或使用能力”两个分量表,每个分量表包括53个条目。工具的条目内容效度指数(I-CVI)为0.83~1.00,两个分量表的内容效度指数(S-CVI)均为0.97。经验证性因子分析显示该工具各项拟合指数表现良好。工具中“知识理解”分量表的Cronbach'sα系数为0.978,“实施和/或使用能力”分量表的Cronbach'sα系数为0.976。各个维度之间的相关系数为0.494~0.908重测信度为0.820,表明工具的一致性较好。结论意大利语版CNMCI在测量护理管理者胜任力方面显示出良好的信度和效度,并支持该工具的多维度结构。此外,研究结果支持了这些因素的层次性质,进一步支持了该工具的有效性。Objectives:This study aimed to translate and test the psychometric properties of the Chase Nurse Manager Competency Instrument(CNMCI)among Italian nurse managers and to provide further support for the scale’s validity testing.Methods:An instrument translation and cross-sectional validation study was conducted.The English version was translated into Italian using the translation method,which included pre-translation(establishing equivalence),initial translation,pretesting,review,and administration.From August 2022 to June 2023,349 nurse managers were recruited through a web survey from 31 public and private healthcare organizations in North,Central,and Southern Italy.Validity assessments included content and structural validity.Reliability was evaluated using Cronbach’s a coefficient and test-retest reliability.Results:The content validity confirmed all the items of the CNMCI in the Italian version,including the two measurement sections,“knowledge and understand”and“ability to implement and/or use.”The instrument’s item-content validity index(I-CVI)ranged from 0.83 to 1.00,while the scale-level content validity index(S-CVI)for both instrument sections was 0.97.The confirmatory factor analysis showed an acceptable fit.In the“knowledge and understand”section,Cronbach’s a coefficient was 0.978,and in the“ability to implement and/or use”section,Cronbach’s a coefficient was 0.976.The correlation coefficient between each dimension was 0.494e0.908.The test-retest reliability score was 0.82,suggesting good instrument consistency.Conclusions:Overall,the Italian CNMCI demonstrates good reliability and validity for measuring nurse managers’core competencies and supports the construct’s multi-dimensionality.Also,our findings support the hierarchical nature of the factors,further supporting the validity of the instrument.

关 键 词：胜任力 护理管理者 信度 调查及问卷 效度 

分 类 号：R47[医药卫生—护理学]