医院护士工作幸福感问卷的初步编制及信、效度检验

Initial establishment and reliability and validity testing for nurses occupational well-being questionnaire

目的：初步编制适用于我国临床护理人员的工作幸福感测评问卷。方法通过查阅文献、发放开放式问卷并结合半结构访谈形成问卷初稿，然后经专家咨询及预调查进行修改，于2014年9月—2015年6月随机选取武汉市某三级甲等医院的460名护理人员施测，采用探索性因子主成分分析、验证性因子分析极大似然估计法、Cronbach′s α分析检验问卷的信度和效度。结果临床护理人员的工作幸福感测评问卷由福利待遇、工作价值、人际间、管理者、工作特征5个维度构成，共19个条目。问卷 Cronbach′s α系数为0．914，各维度的 Cronbach′s α系数为0．753～0．862；各条目与总分的相关系数为0．487～0．729，各条目与所属维度的相关系数为0．709～0．883。因子分析提取5个因子的累积贡献率为71．105％。结论临床护理人员的工作幸福感测评问卷具有较好的信、效度，可用于评价临床护理人员的工作幸福感。

Objective To initially establish an occupational well-being questionnaire for Chinese clinical nursing staffs.Methods The draft questionnaire,including open-ended questions and semi-structured interview,was established according to literature review and revised after expert′s consultation and pilot survey. Then,the questionnaire was tested by 460 nurses who randomly selected from a Class Ⅲ Grade Ⅰ hospital in Wuhan province from September 201 4 to June 201 5.The reliability and validity of the questionnaire were examined by exploratory factor principal component analysis,confirmatory factor analysis of maximum likelihood estimation method,and the Cronbach′s αanalysis.Results The questionnaire contained 1 9 items belonging to 5 dimensions that included welfare,value,interpersonal relationship,leaders and characteristics.The Cronbach′sαcoefficient for the questionnaire and each dimensions were 0.91 4 and 0.753-0.862.The correlation coefficients between each items and the total score as well as its related dimension were 0.487-0.729 and 0.709-0.883.The accumulative contribution rate of the five factors was 71 .1 05%.Conclusions The nurses′occupational well-being questionnaire is a reliable and valid instrument to assess the occupational well-being for clinical nursing staffs.