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护理中断应对资源问卷的编制及信效度检验

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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(x2/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.
Development and reliability and validity of a scale measuring the coping resources for nursing interruptions
Objective To develop and test the reliability and validity of a scale measuring the coping resources for nursing interrup-tions.Methods Guided by six types of resources of the Conservation of Resources theory,a draft scale was developed through litera-ture review,semi-structured interviews,Delphi consultation,and a pilot survey.Then a convenience sample of 547 nurses were se-lected 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(x2/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.Conclu-sion This scale is valid and reliable for measuring nurses'coping resources in the process of nursing interruptions.

nursing staffnursing interruptionscoping resourcesquestionnairereliabilityvaliditysocial supportnursing management

德宗、刘云访、林玲、李素云

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拉萨市人民医院心内科(西藏拉萨,850000)

华中科技大学同济医学院附属协和医院胸外科

华中科技大学同济医学院附属协和医院手外科

华中科技大学同济医学院附属协和医院护理部

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护理人员 护理中断 应对资源 问卷 信度 效度 社会支持 护理管理

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(23)