护理中断应对资源问卷的编制及信效度检验
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女,硕士,护师

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Development and reliability and validity of a scale measuring the coping resources for nursing interruptions
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    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(χ2/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′s α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。

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    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 (χ2/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′s α coefficient 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.

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德宗,刘云访,林玲,李素云.护理中断应对资源问卷的编制及信效度检验[J].护理学杂志,2024,39(23):52-56

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  • 收稿日期:2024-07-09
  • 最后修改日期:2024-09-21
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  • 在线发布日期: 2025-01-09