护生疼痛护理胜任力评价问卷的编制与信效度检验  

Development and reliability and validity of the Questionnaire on Pain Nursing Competency evaluation of nursing students

作　　者：倪珂 童莺歌[1] 刘冬华[2] 潘祥 骆玲玲 黎晓艳 王苗玲 林莹 李怡萱 钱金伟 顾利慧 Ni Ke;Tong Yingge;Liu Donghua;Pan Xiang;Luo Lingling;Li Xiaoyan;Wang Miaoling;lin Ying;Li Yituan;Qian Jinwei;Gu Lihui(School of Nursing,Hangzhou Normal University,Hangzhou 311121,China;Department of Anesthesiology,Liaocheng People's Hospital,Liaocheng 252000,China;School of Nursing,Lishui University,Lishui 323000,China;Dean's Office Department,Hangzhou Cancer Hospital,Hangzhou 310002,China)

机构地区：[1]杭州师范大学护理学院,杭州311121 [2]聊城市人民医院麻醉科,聊城252000 [3]丽水学院护理学院,丽水323000 [4]杭州市肿瘤医院院部,杭州1310002

出　　处：《中国实用护理杂志》2025年第8期569-576,共8页Chinese Journal of Practical Nursing

基　　金：浙江省普通本科高校“十四五”教学改革项目(jg20220481);杭州市卫生科技计划重大项目(Z20210058);杭州师范大学教学建设与改革项目(HLXYJG202304)。

摘　　要：目的开发护理学专业学生(简称护生)疼痛护理胜任力评价问卷并检验其信效度,以为测量我国护生疼痛护理胜任力提供科学工具。方法通过文献回顾、半结构化访谈、小组讨论法、德尔菲专家咨询、预调查构建问卷。2023年9月至2024年1月采用便利抽样法选取杭州师范大学及丽水学院的250名护生以构建的问卷进行调查,对所构建的问卷进行信效度检验。随机选取30名护生间隔2周后重测。结果共函询10名专家.均为女性。护生疼痛护理胜任力评价问卷包括36个条目,经过探索性因子分析提取出疼痛健康教育、全面评估疼痛.疼痛的筛查与评估、镇痛干预措施、镇痛不良反应护理5个公因子(5个维度),共解释了61.695%的方差变异。问卷的内容效度指数为0.96,条目水平内容效度指数为0.90~1.000。问卷的总Cronbach α系数为0.924,5个维度的Cronbach α系数为0.856-0.915,重测信度为0.831。结论该研究编制的护生疼痛护理胜任力评价问卷具有良好的信效度,可作为评价护生疼痛护理胜任力的工具,并可为本科院校疼痛护理学课程及护生疼痛护理实习方案的设计及优化提供参考。Objeetive To develop and validate the Pain nursing Competency Evaluation Questionnaire for Nursing Students to provide an effective tool for measuring the pain management competency of nursing students in China.Methods The questionnaire was constructed through literature review,semi-structured interviews,focus group discussions,Delphi expert consultation,and a pre-survey.From September 2023 to January 2024,a convenience sampling method was used to select 250 nursing students from Hangzhou Normal University and Lishui University in Zhejiang Province for the survey.Reliability and validity of the developed questionnaire were tested.A random sample of 30 nursing students was selected for retesting after two weeks.Results A total of 10 female experts were consulted through correspondence.The Pain Care Competency Evaluation Questionnaire for nursing students consists of 36 items.Through exploratory factor analysis,five common factors were extracted:pain health education,comprehensive pain assessment,pain screening and assessment,analgesic interventions,and analgesie side ffcts nursing,which together explained 61.695%of the variance.The content validity of the questionnaire was 0.96,and the item-level content validity index ranged from 0.900 to 1.000.The overall Cronbach's α cofficient was 0.924,and the Cronbach's α cofficients for the five dimensions ranged from 0.856 to 0.915.The test-retest reliability was 0.831.Conclusions The Pain Care Competency Evaluation Questionnaire for nursing students developed in this study has good reliability and validity.It can be used as a tool to assess nursing students'competency in pain care and provides a reference for the design and optimization of pain care courses and clinical practice programs for nursing students in undergraduate institutions.

关 键 词：学生 护理 疼痛管理 临床能力 信度 效度 

分 类 号：R47[医药卫生—护理学]