The Development and Preliminary Validation of Chinese Nurses’ Workplace Stressor Scale-30 (CNWSS-30)

摘要

Objective: The purpose of this study was to develop a concise and widely applicable Chinese nurse workplace stressor scale (CNWSS). Methods: 3895 Nurses were investigated by a questionnaire including 159 candidate items of nurse work stressors. The Automatic Thoughts Questionnaire (ATQ-30) and Scale of Medical Staff Resilience (SMSR) were used as validity criterion. 162 samples were further selected for the test-retest after 4 weeks. Results: By means of exploratory factor analysis (EFA), 30 items were finally extracted for CNWSS (CNWSS-30), including 6 subscales, namely, organizational role adaptability, workload, nurse-patient relationship, income and respect, self-efficacy, and responsibility. Moreover, confirmatory factor analysis (CFA) showed good fitness (GIF = 0.90, AGFI = 0.89, CFI = 0.91, RMSEA = 0.06). The results also found strong positive correlations among six subscales of CNWSS-30 with ATQ-30 (r = 0.15 - 0.34, p < 0.01), and negative correlations with SMSR (r = -0.26 - -0.06, p < 0.05). The internal consistency reliability coefficients showed high reliability (the total scale was 0.93, subscales ranged from 0.66 to 0.91, p < 0.01), and the result of test-retest reliability (the total scale was 0.77, subscales ranged from 0.60 to 0.76, p < 0.01) also revealed high stability. Conclusion: Generally, CNWSS-30 is reliable and valid, and can be used as a tool for measuring the Chinese nurse stressors at workplace.