摘要
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(χ^(2)/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′sα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。
Objective To develop and test the reliability and validity of a scale measuring the coping resources for nursing interruptions.Methods Guided by six types of resources of the Conservation of Resources theory,a draft scale was developed through literature review,semi-structured interviews,Delphi consultation,and a pilot survey.Then a convenience sample of 547 nurses were selected 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(χ^(2)/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′sαcoefficient was 0.985 and the test-retest reliability was 0.932.Conclusion This scale is valid and reliable for measuring nurses′coping resources in the process of nursing interruptions.
作者
德宗
刘云访
林玲
李素云
De Zong;Liu Yunfang;Lin Ling;Li Suyun(Department of Cardiology,Lhasa People′s Hospital,Lhasa 850000,China)
出处
《护理学杂志》
CSCD
北大核心
2024年第23期52-56,共5页
Journal of Nursing Science
关键词
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
nursing staff
nursing interruptions
coping resources
questionnaire
reliability
validity
social support
nursing management
作者简介
德宗:女,硕士,护师,1586095375@qq.com;通信作者:李素云,lisuyun0503@163.com。
