学习者反思能力提升评价工具的汉化及信效度检验

Reliability and validity of the Reflection Evaluation for Learners’Enhanced Competencies Tool

目的形成中文版学习者反思能力提升评价工具并进行信效度检验。方法对英文版学习者反思能力提升评价工具进行翻译、回译和文化调试;选取6名专家进行3轮函询并评价工具的内容效度;选取50篇以“护理职业角色转变”为主题的新护士的反思日记,由3名评价者用中文版学习者反思能力提升评价工具对这些反思日记进行评价,用评价数据检验工具的鉴别度、同质性和信度。结果中文版学习者反思能力提升评价工具所有条目的高低分组得分差异均有统计学意义(t=4.210~9.121,P<0.001),共同性值为0.318~0.718,因素负荷量为0.564~0.847;各条目内容效度系数为0.83~1;工具的Cronbach’sα系数为0.833,重测信度为0.618(P<0.01),3名评价者组内相关系数为0.681(P<0.05)。结论中文版学习者反思能力提升评价工具具有较好鉴别度、同质性和信效度,能有效测量新护士的反思能力,可为临床护理者反思培训效果评价和个性化反馈提供依据。

Objective To translate the Reflection Evaluation for Learners’Enhanced Competencies Tool(REFLECT)into Chinese and to test its reliability and validity.Methods The REFLECT was translated forward and backward after which cultural adaptation was completed.Then the Chinese version(C-REFLECT)was reviewed by six experts with relevant expertise to test its content validity.Fifty diaries from the new graduate nurses were evaluated by three individuals using the C-REFLECT to verify its reliability.Results Statistical significance was shown between the high score group and the low score group evaluated by the C-REFLECT(t=4.210~9.121,P<0.001).The commonality scores ranged from 0.318 to 0.718 while factor loadings were from 0.564 to 0.847.Content validity coefficients were from 0.83 to 1.Cronbach’sαcoefficient was 0.833 and test-retest reliability was 0.618(P<0.01).Interrater reliability among three individuals was 0.681(P<0.05).Conclusion The C-REFLECT was valid and reliable as an analytical tool for reflective diary evaluation.It can be used to assess the reflection ability of new nurses.Besides,it can provide reference for reflection training and individual feedbacks.