首页|急危重症传染病护理决策能力评价量表的编制及信效度检验

急危重症传染病护理决策能力评价量表的编制及信效度检验

Development and Reliability and Validity Test of the Nursing Decision-Making Ability Scale for Acute and Critical Infectious Diseases

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目的 编制急危重症传染病护理决策能力评价量表,并进行信效度检验.方法 以Tanner临床判断模式为框架,通过文献分析、半结构访谈、德尔菲法和预调查形成量表终稿.于 2023 年 3 月-4 月选取陕西省 5 家医院参与过急危重症传染病救治的 434 名护士进行调查,运用SPSS 26.0 和AMOS 26.0 软件对调查数据进行项目分析、效度分析和信度分析.结果 急危重症传染病护理决策能力评价量表包括 4 个维度共 27 个条目.探索性因子分析共提取 4个公因子,累计方差贡献率为 72.537%;验证性因子分析结果显示,模型拟合度良好.量表水平内容效度指数为 0.926,条目水平内容效度指数为 0.810~1.000;总量表Cronbach'sα系数为 0.958,各维度Cronbach'sα系数在 0.856~0.945 之间;量表总折半信度为 0.842,各维度折半信度在 0.767~0.902 之间.结论 急危重症传染病护理决策能力评价量表信效度良好,可用于评估护士急危重症传染病护理决策能力.
Objective To develop the evaluation scale of nursing decision-making ability for acute and critical in-fectious diseases,and to test its reliability and validity.Methods Based on the Tanner clinical judgment mode,the fi-nal draft of the scale was formed through literature analysis,semi-structured interview,Delphi method and pre-sur-vey.From March to April 2023,434 nurses who had participated in the treatment of acute and severe infectious diseases in 5 hospitals in Shaanxi Province were selected for investigation.SPSS 26.0 and AMOS 26.0 software were used for pro-ject analysis,validity analysis and reliability analysis of the survey data.Results The nursing decision-making ability scale for acute and critical infectious diseases with 4 dimensions and 27 items was formed.4 common factors were extrac-ted from exploratory factor analysis,and the cumulative variance contribution rate was 72.537%.The results of confirm-atory factor analysis showed that the overall fit of the scale model was good.The level content validity index of the scale was 0.926,and the level content validity index of the item was 0.810~1.000.The Cronbach'sαcoefficient of the scale was 0.958,the Cronbach's α coefficient of each dimension was 0.856~0.945,and the broken half reliability was 0.842,the broken half reliability of each dimension was 0.767~0.902.Conclusion The nursing decision-making ability scale for acute and critical infectious diseases has good reliability and validity,and it could be used as a valid tool to assess nurses'decision-making ability of acute and severe infectious diseases.

Infectious DiseaseAcute and Critical ConditionNursing Decision-MakingScaleReliabilityValidity

贺世喆、陈唱唱、吾超、李沛、党肖、张岚、武靖、郎红娟

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空军军医大学 陕西 西安 710032

空军军医大学第二附属医院 陕西 西安 710038

传染病 急危重症 护理决策 量表 信度 效度

空军生物安全防御训练基地建设项目

145AHQ080005002X

2024

中国卫生质量管理
中国医院协会,陕西省人民医院

中国卫生质量管理

CSTPCD
影响因子:1.091
ISSN:1006-7515
年,卷(期):2024.31(2)
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