临床科室护理风险评估问卷的编制及信效度检验

Development of Nursing Risk Assessment Questionnaire for Clinical Departments:testing of reliability and validity

目的编制临床科室护理风险评估问卷并检验其信效度。方法以集对分析理论为指导,通过文献分析法、小组讨论法及专家咨询法形成问卷初稿,对武汉市某三级甲等医院的349名护士进行问卷调查,测定问卷的信效度。结果临床科室护理风险评估问卷包含4个维度共52个条目。探索性因子分析提取4个公因子,累积方差贡献率为50.302%;问卷内容效度指数为0.980,各条目内容效度指数为0.850~1.000;总问卷Cronbach′sα系数为0.945,折半信度为0.903,重测信度为0.831。结论所编制的临床科室护理风险评估问卷具有良好的信效度,可用于临床科室护理风险现状的评估。

Objective To develop a Nursing Risk Assessment Questionnaire for Clinical Departments,and to test its reliability and validity.Methods Guided by set pair analysis theory,a preliminary questionnaire was formulated through literature review,group discussion and expert consultation.Then a total of 349 nurses in a tertiary hospital in Wuhan were selected for investigation to examine the reliability and validity of the questionnaire.Results The Nursing Risk Assessment Questionnaire for Clinical Departments consisted of 4 dimensions and 52 items.Exploratory factor analysis identified four principal factors,which explained 50.302%of total variance.The scale-level content validity index was 0.980,and the item-level content validity index ranged from 0.850 to 1.000.Cronbach′s α coefficient of the questionnaire was 0.945,the split half reliability was 0.903,and the test-retest reliability was 0.831.Conclusion The questionnaire enjoys good reliability and validity,and it can be used to evaluate nursing risk in clinical departments.