普通病房护士安宁疗护基本能力评估量表的研制及信效度检验  

Development of a basic palliative care competency assessment scale for generalist nurse and evaluation of its reliability and validity

作　　者：吴昱齐 雷蕾 马会娟 王鹏宇 罗羽[1] WU Yuqi;LEI Lei;MA Huijuan;WANG Pengyu;LUO Yu(School of Nursing,Faculty of Military Preventive Medicine,Army Medical University(Third Military Medical University),Chongqing,400038;Department of Thoracic Surgery,Army Medical Center of PLA,Army Medical University(Third Military Medical University),Chongqing,400042,China;Department of Health Statistics,Faculty of Military Preventive Medicine,Army Medical University(Third Military Medical University),Chongqing,400038)

机构地区：[1]陆军军医大学(第三军医大学)护理系,重庆400038 [2]陆军军医大学(第三军医大学)陆军特色医学中心胸外科,重庆400042 [3]陆军军医大学(第三军医大学)军事预防医学系军队卫生统计学教研室,重庆400038

出　　处：《陆军军医大学学报》2024年第20期2337-2345,共9页Journal of Army Medical University

基　　金：2019年度国家社会科学基金西部项目(19XRK001)。

摘　　要：目的研制普通病房护士安宁疗护基本能力量表,并检测其信效度。方法通过文献回顾、小组讨论、专家咨询、小样本预调查等方法募集、筛选条目初步形成测试量表;于2021年1-3月用该量表对1000名来自各内科、各外科、急诊科、妇产科及重症监护室等科室的护士进行调查;使用SPSS和AMOS软件对数据进行项目分析、探索性因子分析和验证性因子分析,以验证量表的信效度,最终形成正式量表。结果经因子分析提取5个公因子,37个条目,累计方差贡献率71.031%,量表整体Cronbach’sα系数为0.953,折半信度为0.772,重测信度为0.963,验证性因子分析模型拟合良好,χ^(2)/df=2.57,近似误差均方根(root mean square error of approximation,RMSEA)=0.059,比较拟合指数(comparative fit index,CFI)=0.909,增量拟合指数(incremental fit index,IFI)=0.910,非规范拟合指数(Tucker-Lewis index,TLI)=0.901。结论本研究构建的普通病房护士安宁疗护基本能力评估量表信效度良好,可以用于评价普通病房护士安宁疗护基本能力。ObjectiveTo develop a basic competency assessment scale for generalist nurse in palliative care and test its reliability and validity.MethodsThe pre-test scale items pool was formed after literature review,internal discussion in the group,consultation with experts and small sample pre-survey.From January to March 2021,the pre-test scale was used to investigate 1000 nurses in various wards including internal medicine,surgery,emergency,obstetrics and gynaecology,and intensive care units.The results were analyzed by SPSS software and AMOS software to undertake item analysis,exploratory factor analysis and confirmatory factor analysis to develop the final scale.Results Five common factors and 37 entries were identified by factor analysis and explained 71.031%of the total variance.The Cronbach’sαcoefficient of the scale was 0.953,the split-half reliability and the test-retest reliability of the scale was 0.772 and 0.963.The confirmatory factor analysis model fitted well,withχ^(2)/df=2.57,root mean square error of approximation(RMSEA)=0.059,comparative fit index(CFI)=0.909,incremental fit index(IFI)=0.910,and Tucker-Lewis index(TLI)=0.901.ConclusionOur developed basic competency assessment scale for generalist nurse in palliative care has good reliability and validity,and can be used to evaluate the basic competency of palliative care for generalist nurses.

关 键 词：普通病房护士 安宁疗护 基本能力 量表研制 信度 效度 

分 类 号：R192.6[医药卫生—卫生事业管理] R195.1[医药卫生—公共卫生与预防医学] R473.1