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护士感知医护人际交换问卷的编制及信效度检验

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目的 编制护士感知医护人际交换问卷并检验其信效度。方法 以Baggs医护合作理论为基础,综合文献研究构建护士感知医护人际交换问卷条目池。对 16 名专家进行两轮专家函询形成预试问卷。采用便利抽样法对 245 名护士开展调查,进行项目分析和信效度检验。结果 正式问卷包括合作意愿、尊重、信任、有效沟通 4 个维度,共 18 个条目。问卷整体的Cronbach's α系数为 0。970,内容效度为 0。976,各条目内容效度为 0。857~1。000。验证性因子分析结果显示该问卷结构效度良好。结论 护士感知医护人际交换问卷具有良好的信度及效度,对从护士视角评价医护人员人际交换的水平有一定的应用价值。将社会交换理论具体应用于医护关系领域,丰富了社会交换理论的应用领域,也从实证的角度验证了Baggs理论中关于医护人际交换的结构构想,具有一定的理论意义。
The development and reliability and validity testing of a questionnaire on nurses'perception of interpersonal exchange commu-nication between medical staff and nurses
Objective To develop a questionnaire measuring nurses'perceptions of interpersonal exchange between nurses and physi-cians,and to test its reliability and validity.Methods Based on Baggs Nurse-Physician Collaboration Theory,item pool was formed through literature review.Then 16 experts participated consultation twice to form a pre-test questionnaire.A total of 245 nurses were recruited and in-vestigated,the item analysis and reliability and validity test were conducted to form final questionnaire.Results The final questionnaire con-tained 4 dimensions,namely willingness to collaborate,respect,trust and effective communication,with 18 items in total.The total Cronbach's α coefficient was 0.970.The scale-level content validity index was 0.976 and the item-level CVI was between 0.857 and 1.000.The confirma-tory factor analysis indicated that the questionnaire had a good construct validity.Conclusion The nurses'perceptions of nurse-physician in-terpersonal exchange questionnaire has good reliability and validity,which has certain application value to evaluate the level of nurse physician interpersonal exchange from the view of nurses.The study applies the social exchange theory to the field of nurse-physician relationship,which enrich the application of social exchange theory and verify the structural conception of interpersonal exchange between physicians and nurses in Baggs Nurse-physician Collaboration Theory from an empirical point of view,which also has certain theoretical significance.

nurse-physician relationshipnurses'perceptioninterpersonal exchangequestionnaire developmentreliabilityvalidity

王亚亚、郑晓燕、王燕、李赛男、尚少梅

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100039,北京市,国家开放大学 农林医药学院(乡村振兴学院)

050011,石家庄市,河北医科大学第四医院乳腺中心

100191,北京市,北京大学护理学院

医护关系 护士感知 人际交换 问卷编制 信度 效度

国家自然科学基金青年科学基金项目国家开放大学青年科研项目

82104255Q22I0023

2024

护理管理杂志
中国人民解放军北京军区总医院

护理管理杂志

CSTPCD
影响因子:2.38
ISSN:1671-315X
年,卷(期):2024.24(7)