高级护理实践区分量表的汉化及信效度检验  

Chinese version of the Advanced Practice Nursing Self⁃Appraisal Tool and its reliability and validity test

作　　者：赵文娟[1] 朱政[2] 沈志云[3] 来小彬 杨瑒[1] 张玉侠 ZHAO Wenjuan;ZHU Zheng;SHEN Zhiyun;LAI Xiaobin;YANG Yang;ZHANG Yuxia(Fudan University Shanghai Cancer Center,Shanghai 200032 China;School of Nursing,Fudan University;Zhongshan Hospital of Fudan University)

机构地区：[1]复旦大学附属肿瘤医院,上海200032 [2]复旦大学护理学院 [3]复旦大学附属中山医院

出　　处：《护理研究》2024年第24期4378-4386,共9页Chinese Nursing Research

基　　金：中国卫生人才培养项目护理研究子项目,编号:2018-HLYJ-013;复旦大学2018年度医院管理建设项目,编号:FDYGC20180201。

摘　　要：目的:将高级护理实践区分量表汉化并进行信效度检验。方法:采用Brislin直译-回译法翻译英文版高级护理实践区分量表,采用专家咨询法和认知性访谈进行调适。采用调适后的中文版量表对上海市17所医院的1224名护士进行调查,进行信效度检验。结果:修订完成的中文版量表包括5个维度、37个条目。总量表Cronbach'sα系数为0.889,重测信度系数为0.982。条目水平的内容效度指数(I-CVI)为0.8~1.0,平均量表内容效度指数(S-CVI/Ave)为0.97,全体一致性量表内容效度指数(S-CVI/UA)为0.86。验证性因子分析显示模型拟合较好。不同职位的护士在所有维度的得分差异均有统计学意义(P<0.05)。各维度反应度的效应值(ES)和标准化反应均数(SRM)均>0.8。结论:中文版高级护理实践区分量表信效度好,反应度好且具有良好的文化适配性,可用于测量我国护士的实践水平,作为区分不同护理实践水平的重要参考依据。Objective:To translate the Advanced Practice Nursing Self⁃Appraisal Tool into Chinese,and to test its reliability and validity.Methods:Brislin transliteration⁃translation method was used to translate the Australian Advanced Practice Nursing Self⁃Appraisal Tool,and expert consultation method and cognitive interview were used for cross⁃cultural adaptation.A total of 1224 nurses from 17 hospitals in Shanghai were selected by convenience sampling method to test the reliability and validity.Results:The Chinese version of Advanced Practice Nursing Self⁃Appraisal Tool had 5 dimensions and 37 items.The Cronbach's alpha coefficient of the total scale was 0.889,the test⁃retest reliability coefficient was 0.982.The item⁃level content validity index(I⁃CVI)ranged from 0.8 to 1.0.The average scale⁃level content validity index(S⁃CVI/Ave)was 0.97,and the universal agreement of scale⁃level content validity index(S⁃CVI/UA)was 0.86.Confirmatory factor analysis showed that the model fit well.There were statistically significant differences in scores of nurses in different positions(P<0.05).Effect size(ES)and standardised response mean(SRM)for each dimension were>0.8.Conclusions:The Chinese version of the Advanced Practice Nursing Self⁃Appraisal Tool has good reliability,validity,responsiveness and good cultural appropriateness.It can be used to measure the practice level of nurses in China and provide important evidences for distinguishing different nursing practice levels.

关 键 词：高级护理实践 量表 信度 效度 

分 类 号：R47[医药卫生—护理学]