实习护生职业情感结构与评价工具的研究

Structure and evaluation tools for practice nurses＇ career emotion

目的探讨实习护生的职业情感结构，编制实习护生职业情感问卷。方法随机选取大连医科大学附属医院实习护生为被试，通过开放式问卷调查和访谈，探索性和验证性因素分析获得职业情感结构，编制问卷。结果对预测样本有效被试数据结果进行项目分析，删除总相关或多重相关的平方小于0．30的项目，共删除14个项目，对剩下的33个题目重新随机编排，形成实习护士生职业情感问卷。探索性闪素分析结果，KMO值为0．919，Bartlett球形检验的X2值达到显著性水平，适合进行因素分析。采用极大似然法，选择方差最大值旋转，根据因素分析的原则，删去因素载荷在两个以上因素的值接近的题目、因素载荷小于0．30的题目以及一个因素下只有一个题目的因素，然后重新探索，最后保留25道题目，共抽取特征根大于1的因素3个，累计解释率为51．220％，各因素的变异解释率分别为：27．238％，13．034％，8．946％。采用Amos7．0软件进行验证性因素分析，X2／df为1．715，小于2；RMR为0．095，RMSEA为0．059，在可以接受的范围；CFI、IFI的值都大于0．90，拟合良好，AGFI、GFI均大于0．80，可以接受。实习护士生职业情感问卷同质性信度在0．771～0．927，分半信度在0．621～0．928，重测信度在0．719～0．844，问卷具有良好的信度指标，各维度和问卷总分、3个维度之间的相关系数均达到了显著性水平（P〈0．01），实习护士生职业情感问卷具有较好的内容效度。结论（1）实习护生职业情感问卷包括工作责任心、情绪体验和职业动机3个维度；（2）实习护生职业情感问卷具有良好的信度、效度指标，可以用于实习护生职业情感的测量。

Objective To study the practice nurses＇ emotional structure so as to develope questionnaire of practice nurses＇ emotion. Methods Subjects were randomly selected in hospitals in Dalian, Through open questionnaires and interviews, the exploratory factor analysis, and confirmatory factor analysis, we established professional nurses students emotional structure and designed the questionnaire. Results Effectively predicted sample test data results, item analysis, deleted the title or the multiple correlation squared less than 0.30, then 33 questions were randomly re - arrangement and formated the Practical Nurse Health Professional Sensibility Questionnaire. Exploratory factor analysis results showed that the test of sphericity reached significant level ,and suitable for factor analysis. The variance of the maximum rotation was used, deleted some items according to the principle of factor analysis, and finally retain 25 items, among which, 3 root factors were taken, and the cumulative explain rate was 51. 220% , variation explained of the factors were 27. 238% , 13. 034%, 8. 946%, respectively. Amos 7.0 software confirmatory factor analysis, ~2/df was 1.715, less than 2; of RMR was 0. 095, RMSEA of 0. 059, in the acceptable range; CFI, of IFI value of greater than 0.90, the proposed together well, AGFI, GFI greater than 0.80. Practice Nurses Health Professional Sensibility Questionnaire that homogeneity reliability was between O. 771 - 0. 927, split-half reliability between 0. 621 - 0. 928, test-retest reliability between 0. 719 -0. 844, so the questionnaire had good reliability indicators, each dimension and the scores of the correlation coefficient between the three dimensions reached significant level （ P 〈0. 01 ）, practice nurses, students professional sensibility questionnaire had good content validity. Conclusions （1） Practice nurse professional emotion includes three dimensions, those are sense of responsibility, emotional experience and career motivation. （2） Practice nurse professional emotion questionnaire has good reliability, validity indicators, and can be used to measure nrofessional uursing students emotion.