护理中断应对资源问卷的编制及信效度检验  

Development and reliability and validity of a scale measuring the coping resources for nursing interruptions

作　　者：德宗 刘云访 林玲[3] 李素云 De Zong;Liu Yunfang;Lin Ling;Li Suyun(Department of Cardiology,Lhasa People′s Hospital,Lhasa 850000,China)

机构地区：[1]拉萨市人民医院心内科,西藏拉萨850000 [2]华中科技大学同济医学院附属协和医院胸外科 [3]华中科技大学同济医学院附属协和医院手外科 [4]华中科技大学同济医学院附属协和医院护理部

出　　处：《护理学杂志》2024年第23期52-56,共5页Journal of Nursing Science

摘　　要：目的编制护理中断应对资源问卷并检验其信效度,为护理中断应对资源研究及管理提供测评工具。方法以资源保存理论为基础提出的6种类型资源为理论基础,通过文献回顾、半结构式访谈、德尔菲专家函询和预调查形成问卷初稿。采用方便抽样法,选取湖北省和西藏自治区各1所三甲医院547名护理人员进行问卷调查,检验问卷的信效度。结果探索性因子分析提取5个公因子,累计方差贡献率为88.211%;验证性因子分析结果显示,修正后的模型拟合良好(χ^(2)/df=2.776、RMSEA=0.058、CFI=0.961、NFI=0.940、TLI=0.955)。最终形成的护理中断应对资源问卷包括关键资源、建设性资源、能量资源、宏观资源、社会支持5个维度,共26个条目。问卷总体内容效度指数0.980,各条目内容效度指数0.923~1.000。问卷总的Cronbach′sα系数0.985,重测信度为0.932。结论护理中断应对资源问卷信效度良好,可作为评价护理人员护理中断应对资源水平的工具。Objective To develop and test the reliability and validity of a scale measuring the coping resources for nursing interruptions.Methods Guided by six types of resources of the Conservation of Resources theory,a draft scale was developed through literature review,semi-structured interviews,Delphi consultation,and a pilot survey.Then a convenience sample of 547 nurses were selected from a tertiary hospital in Hubei Province and a tertiary hospital in Xizang Autonomous Region to test the reliability and validity of the scale.Results Five factors were identified through exploratory factor analysis,accounting for 88.211%of the total variance,and confirmatory factor analysis indicated a well-fitting model(χ^(2)/df=2.776,RMSEA=0.058,CFI=0.961,NFI=0.940,and TLI=0.955).The formal scale included 26 items contributing to 5 dimensions:key resources,constructive resources,energies resources,macro resources,and social support.The scale-level content validity index(CVI)was 0.980 and the item-level CVI ranged from 0.923 to 1.000.The overall Cronbach′sαcoefficient was 0.985 and the test-retest reliability was 0.932.Conclusion This scale is valid and reliable for measuring nurses′coping resources in the process of nursing interruptions.

关 键 词：护理人员 护理中断 应对资源 问卷 信度 效度 社会支持 护理管理 

分 类 号：R471[医药卫生—护理学]