"网约护士"核心能力评价指标体系的构建及信效度检验

Construction of the evaluation index system for core competence of network nurses and its reliability and validity

目的:构建科学、有效、规范、实用的"网约护士"核心能力评价指标体系。方法:2019年12月—2020年11月通过文献研究、半结构式访谈法、专家函询、层次分析法构建"网约护士"核心能力评价指标体系,并以该指标体系为依据,对山东省4所"互联网+护理服务"试点医院的300名"网约护士"进行调查,以检验其信效度。结果:最终形成的"网约护士"核心能力评价指标体系包含6项一级指标、19项二级指标、54项三级指标。指标体系的总体Cronbach'sα系数为0.976,分半信度为0.895,内容效度指数为0.974;6个公因子方差累计贡献率达65.626%;各维度与总问卷的相关系数为0.795~0.883,各维度间的相关系数为0.526~0.727。结论:本研究构建的"网约护士"核心能力评价指标体系具有较好的信效度,可为后续"网约护士"的遴选任用、培训考核提供有效测量工具。

Objective To construct a scientific,effective,standardized,and practical evaluation index system for the core competence of network nurses.Methods From December 2019 to November 2020,the evaluation index system for the core competence of network nurses was constructed through literature research,semi-structured interview methods,expert letter inquiries,and analytic hierarchy process.Based on the index system,the self-evaluation survey of 300 network nurses in four"Internet+nursing services"pilot hospitals in Shandong Province was conducted to test the reliability and validity of the index system.Results The final evaluation index system for the core competence of network nurses included 6 first-level indicators,19 second-level indicators,and 54 third-level indicators.The overall Cronbach'sαcoefficient of the index system was 0.976,the split-half reliability was 0.895,and the content validity index was 0.974.The cumulative contribution rate of the variance of the 6 common factors reached 65.626%.The correlation coefficient between each dimension and the total questionnaire was from 0.795 to 0.883,and the correlation coefficient among each dimension was from 0.526 to 0.727.Conclusions The evaluation index system for the core competence of network nurses constructed in this study has good reliability and validity,which can provide an effective measurement tool for the subsequent selection,appointment,training and assessment of network nurses.