基于护士视角的护患关系量表开发与信效度检验

Development and validation of Nurse-Patient Relationship Scale from nurses′perspective

目的基于护士视角编制护患关系量表,并检验其信效度。方法以人性照护理论为理论基础,通过文献回顾、参考国内外相关量表,根据护士访谈结果,结合中国国情及专家访谈形成初始量表,预调查472名护士及正式调查379名护士对量表进行信效度检验,并请10名专家验证量表的内容效度。结果护患关系量表包含护患信任和以患者为中心的护理2个因子,共9个条目。量表各项指标值均达到拟合度标准,有较好的结构效度;量表水平的内容效度指数(S-CVI)为0.900;量表总体Cronbach′sα系数为0.873,护患信任和以患者为中心的护理2个因子的Cronbach′sα系数分别为0.900、0.883。结论开发的护患关系量表具有较好的信效度,可用于护士视角的护患关系测量。

Objective To develop Nurse-Patient Relationship Scale in China(NPRS-C)from nurses′perspective,and to test its reliability and validity.Methods Guided by the Human Caring Theory,the scale items were developed by literature and expert panel.The scale was first tested with a sample of 472 nurses respectively using exploratory factor analysis(EFA)and confirmatory factor analysis(CFA),then was validated with 10-member expert panel and empirically examined with a sample of 379 nurses.Results The NPRS-C has 9 items with two dimensions,"nurse-patient trust"and"patient-centered nursing".All indicators of the scale had a satisfactory goodness-of-fit and good structural validity.The scale-level content validity index(S-CVI)was 0.900.The NPRS-C′s internal consistency with Cronbach′s α of 0.873,0.900 and 0.883 for the overall scale,nurse-patient trust and patient-centered nursing dimension respectively.Conclusion The NPRS-C has satisfactory reliability and validity,which can be used to measure nurse-patient relationship in China from nurse′s perspective.