首页> 中文期刊> 《护理学报》 >PICC专科护士临床相关能力评估量表的编制及信效度分析

PICC专科护士临床相关能力评估量表的编制及信效度分析

             

摘要

Objective To establish and test the reliability and validity of Clinical Related Competency Scale for PICC Specialized Nurse. Methods The item pool was formulated through literature review and experts ’ advice. After the consultation from 19 experts through two-round Delphi method, the initial questionnaire was established and used to investigate 106 PICC specialized nurses from a comprehensive hospital through cluster sampling. Cronbach ’s α coefficient, split-half reliability, test-retest reliability, content validity and construct validity of the scale were analyzed. Results There were 4 dimensions and 25 items including interpersonal communication, education and scientific research, legal ethics and document record in the scale. Cronbach ’s α coefficient, split-half reliability and test-retest reliability of the scale was 0.998, 0.904 and 0.963 respectively. The content validity index universal agreement (S-CVI/UA) was 0.920 and content validity index average (S-CVI/Ave) 0.996. Four factors in exploratory factor analysis explained for 80.14% of the variances and each dimension was closely related with the total score of the scale. The correlation analysis indicated statistical significance (P<0.01). Conclusion Clinical Related Competency Scale for PICC Specialized Nurse has good reliability and validity, and it can be popularized to evaluate the core competency of PICC specialized nurses.%目的:编制PICC专科护士临床相关能力评估量表,并对该量表进行信效度检验。方法基于查阅国内外相关文献及PICC门诊专家讨论,形成条目池。应用德尔菲邀请19名PICC领域相关专家对PICC专科护士临床相关能力评估量表分别进行2轮专家咨询,完成初始量表编制。然后选取某三级甲等医院106名 PICC专科护士进行调查,利用收集数据对量表的Cronbach’sα信度系数、分半信度、重测信度、内容效度、结构效度进行检验。结果 PICC专科护士临床相关能力评估量表包括人际交流、教育科研、法律伦理、文书记录4个维度,共25个条目。该量表的Cronbach’sα信度系数为0.998,分半信度为0.904,重测信度为0.963。该量表的条目水平内容效度指数为0.947~1.000,全体一致性内容效度指数为0.920。结构效度,探索性因子分析中4个因子可解释的变异为80.14%。内部一致性信度,各维度与量表总分的相关系数均>0.800,呈密切相关,各维度与量表总分相关性分析结果均具有统计学意义(P<0.01)。结论 PICC专科护士临床相关能力评估量表具有良好的信度、效度,适合作为 PICC专科护士临床相关能力的测评工具。

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