医护康多学科团队信息传递与沟通评价量表的编制及信效度检验

Development and reliability and validity test of the Information Transfer and Communication of Physician-nurse-therapist Multidisciplinary Team Evaluation Scale

目的编制医护康多学科团队信息传递与沟通评价量表,并检验其信效度,为测评医护康多学科团队日常工作中的信息传递与沟通过程提供有效工具,为医护康多学科团队的管理提供依据。方法以输入-过程-输出模型为理论框架,通过文献分析、专家咨询和预调查形成量表初版。采用便利抽样法,选取2020年12月—2021年2月北京市4家综合医院的324名医生、护士、康复师进行调查,形成正式量表并检验其信效度。结果探索性因子分析提取3个公因子,累计方差贡献率为73.117%。量表条目水平的内容效度指数为0.846~1.000,量表水平的内容效度指数为0.800,量表水平的平均内容效度指数为0.981。各维度与量表的相关系数为0.860~0.967。量表的Cronbach'sα系数为0.974,分半信度为0.948,重测信度为0.756。最终形成的量表包括3个维度20个条目。结论医护康多学科团队信息传递与沟通评价量表有良好的信效度,为今后测量医护康多学科团队信息传递与沟通提供了科学的测量工具,为团队成员制订个性化提高信息传递与沟通水平的改进方案提供依据。

Objective To develop the Information Transfer and Communication of Physiciannurse-therapist Multidisciplinary Team Evaluation Scale and test its reliability and validity,so as to provide effective tools for the evaluation of the information transmission and communication process in the daily work of physician-nurse-therapist multidisciplinary team and provide a basis for management of physiciannurse-therapist multidisciplinary team.Methods Taking the input-process-output model as the theoretical framework,the first version of the scale was formed through literature analysis,expert consultation and presurvey.Using the convenient sampling method,a total of 324 doctors,nurses,and rehabilitation practitioners from 4 general hospitals in Beijing from December 2020 to February 2021 were selected to conduct a survey to form a formal scale and test its reliability and validity.Results Exploratory factor analysis extracted 3 common factors and the cumulative variance contribution rate was 73.117%.The content validity index at the item level of the scale was 0.846 to 1.000,the content validity index at the scale level was 0.800,and the average content validity index at the scale level was 0.981.The correlation coefficient between each dimension and the scale was 0.860-0.967.The Cronbach'sαcoefficient of the scale was 0.974,the split reliability was 0.948 and the retest reliability was 0.756.The final scale consisted of 3 dimensions and 20 items.Conclusions The Information Transfer and Communication of Physician-nurse-therapist Multidisciplinary Team Evaluation Scale has good reliability and validity,which provides a scientific measurement tool for measuring the information transmission and communication in the physician-nurse-therapist multidisciplinary team in the future and provides a basis for team members to formulate personalized improvement plans to improve the level of information transmission and communication.