临床护士职业心理韧性量表的编制及信效度检验  

Development of the clinical nurse professional psychological resilience scale and its tests of reliability and validation

作　　者：蒋莹莹 吴桃峰 胡洁蔓 蒋玲[2] 王敏丹 毛辰蓉 肖盼盼 高雅惠 许勤[1] JIANG Yingying;WU Taofeng;HU Jieman;JIANG Ling;WANG Mindan;MAO Chenrong;XIAO Panpan;GAO Yahui;XU Qin(School of Nursing,Nanjing Medical University,Nanjing 211162,Jiangsu,China;The Affiliated Suzhou Hospital of Nanjing Medical University,Suzhou 215000,Jiangsu,China;School of Nursing,Jiangsu University,Zhenjiang 212000,Jiangsu,China;Xiangya Nursing School,Central South University,Changsha 410013,Hunan,China)

机构地区：[1]南京医科大学护理学院,江苏南京211162 [2]南京医科大学附属苏州医院,江苏苏州215000 [3]江苏大学护理学院,江苏镇江212000 [4]中南大学湘雅护理学院,湖南长沙410013

出　　处：《护士进修杂志》2024年第20期2134-2139,共6页Journal of Nurses Training

基　　金：江苏省医院管理协会医院管理创新研究课题项目(编号:JSYGY-3-2024-536);苏州市医学重点扶持学科建设项目(编号:SZFCXK202101)。

摘　　要：目的编制基于概念分析结果为框架的临床护士职业心理韧性量表,并检验其信效度。方法采用概念分析法、文献回顾、半结构式访谈及专家函询法,构建临床护士职业心理韧性量表。于2023年9-11月,采用便利抽样法选取488名临床护士,并应用临床护士职业心理韧性量表进行评估,采用心理弹性量表(the connor-davidson resilience scale,CD-RISC-10)做效标关联效度,采用SPSS 25.0及AMOS 13.0软件对数据进行因子分析及信效度检验。结果形成适应性、控制性、灵活性、坚韧性、主动性5个维度、23个条目的临床护士职业心理韧性量表。总量表的Cronbach′sα系数为0.966,5个维度的Cronbach′sα系数为0.936~0.985,分半信度为0.889,重测信度为0.714。总量表的内容效度为0.986(>0.800),各条目水平的内容效度为0.900~1.000(>0.780)。探索性因子分析测得5个公因子且累计方差贡献率达86.010%;验证性因子分析测得量表结构稳定。量表各维度得分及总分与CD-RISC-10总分的相关系数为(r)0.662~0.776(P<0.001)。结论本研究编制的临床护士职业心理韧性测评量表具有良好的信效度,可用于评价临床护士职业心理韧性水平。Objective To develop a clinical nurse professional psychological resilience scale based on the results of conceptual analysis,and to test its reliability and validity.Methods The clinical nurse professional psychological resilience scale was constructed using conceptual analysis,literature review,semi-structured interviews,and expert consultation.A total of 488 clinical nurses were selected through convenience sampling from September to November 2023,and was assessed by the clinical nurse professional psychological resilience scale,and the connor davidson resilience scale(CD-RISC-10)was used as the criterion association validity,and the data were analyzed using SPSS 25.0 and AMOS 13.0 software for factor analysis and tests of reliability and validity.Results The clinical nurse professional psychological resilience scale with 23 items in 5 dimensions of adaptability,controllability,flexibility,tenacity,and proactiveness was developed.The Cronbach′sαcoefficient for the overall scale was 0.966,and for 5 dimensions,it ranged from 0.936 to 0.985,with the split-half reliability of 0.889 and the test-retest reliability of 0.714.The content validity of the total scale was 0.862(>0.800),and the content validity of each item was 0.900-1.000(>0.780).Five common factors and the cumulative variance of 86.010%were revealed by exploratory factor analysis,and the stability of the scale structure was confirmed by confirmatory factor analysis.The correlation coefficient(r)between the scale dimension and the total score and CD-RISC-10 total score was 0.662-0.776(P<0.001).Conclusions The developed clinical nurse professional psychological resilience scale in this study has good reliability and validity,and can be used to assess the level of professional psychological resilience among clinical nurses.

关 键 词：职业心理韧性 护士 信度 效度 量表编制 

分 类 号：R471[医药卫生—护理学]