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护士认知工作复杂性测评工具的汉化及初步应用分析 被引量:1

Analysis on Chinese Localization and Preliminary Application of Complexity Assessment and Monitoring to Ensure Optimal Outcomes
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摘要 目的汉化并改良护士认知工作复杂性测评工具(Complexity Assessment and Monitoring to Ensure Optimal Outcomes,CAMEOⅡ),验证其应用于我国成人ICU护理工作量评估中的有效性。方法研究团队在征得原作者同意后对CAMEOⅡ进行汉化与文化调试,通过专家咨询及预试验,最终形成16个维度、149个条目的中文版CAMEOⅡ。于2020年11—12月,在上海交通大学附属第一人民医院ICU内,由经过培训的10名护士分别运用中文版CAMEOⅡ与治疗干预评分系统(Therapeutic Intervention Scoring System-28,Tiss-28)对日班和夜班的护理工作量进行评估,比较这2种评估工具对护理人力资源需求评估的相关性。结果中文版CAMEOⅡ形成过程中,2轮德尔菲法的专家积极系数均为100%,专家权威系数为0.885,量表各条目的变异系数范围在0~0.097,肯德尔和谐系数为0.860,Cronbach’sα系数为0.798,量表各条目的内容效度指数为0.890~1.000,平均内容效度指数为0.960。在日班评估中,中文版CAMEOⅡ及Tiss-28的评估结果呈正相关(r=0.437,P<0.01);夜班评估中,中文版CAMEOⅡ及Tiss-28的评估结果呈正相关(r=0.296,P<0.01)。结论中文版CAMEOⅡ具有一定的实用性,能为我国ICU护理人力资源评估及配置提供参考。 Objective Ensure Optimal Outcomes(CAMEOⅡ)and make further improvement,verifying its effectiveness in evaluatingthe nursing workload in adult ICUs in China.MethodsAfter obtaining the consent of the original developer,our research team carried out Chinese localization and cultural adaptation of CAMEOⅡ.Through expertconsultation and a trial test,a Chinese version of CAMEOⅡwith 16 dimensions and 149 items was finallyformed.From November to December 2020,10 trained nurses used the Chinese version of CAMEOⅡandthe Therapeutic Intervention Scoring System-28(Tiss-28)to evaluate the nursing workload of day andnight shift respectively in the ICU of The First People’s Hospital Affiliated to Shanghai JiaotongUniversity,to compare the correlation between the 2 tools on the assessment of nursing human resource needs.ResultsDuring the formation of the Chinese version of CAMEOⅡ,the positive coefficient was 100%,theauthoritative coefficient was 0.892,the coefficient of variation for each item of the scale ranged 0~0.097,Kendall’s concordance coefficient was 0.860,Cronbach’sαcoefficient was 0.798,the content validity indexfor each item of the scale ranged 0.890~1.000,and for each item of the scale ranged 0.890~1.000,and the average content validity index was 0.960 in two rounds of Delphi expert consultation.For the assessment during the day shift,the assessment results of the Chinese version of CAMEOⅡand Tiss-28 were positively correlated(r=0.437,P<0.01);for the assessment during the night shift,the assessmentresults of the Chinese version of CAMEOⅡand Tiss-28 were positively correlated(r=0.296,P<0.01).ConclusionThe Chinese version of CAMEOⅡis fairly practical,providing a reference for the assessmentand allocation of ICU nursing human resources in China.
作者 邵蕾 陈兰 方芳 张琦 杨富 SHAO Lei;CHEN Lan;FANG Fang;ZHANG Qi;YANG Fu(The First People's Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200080)
出处 《上海护理》 2022年第3期6-10,共5页 Shanghai Nursing
基金 上海市卫生和健康委员会科研课题(201940074) 2020—2022年上海市加强公共卫生体系建设三年行动计划(GWV-5)。
关键词 重症监护病房 护理人力资源 治疗干预评分系统 护士认知工作复杂性测评工具 ICU Nursing human resources Therapeutic Intervention Scoring System-28 Complexity As-sessment and Monitoring to Ensure Optimal Outcomes
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