基于岗位胜任力的中西医结合医院临床护士培训评价体系的实证研究

An empirical study on the evaluation system of clinical nurse training in hospitals of traditional Chinese and Western medicine based on post competency

目的评价前期构建的基于岗位胜任力的中西医结合医院临床护士培训评价体系的区分度、信度和效度。方法于2018年8月至2019年1月,采用方便抽样法抽取某三甲医院临床护士271人,应用个案追踪法现场考核临床护士胜任力;考核结果采用项目分析、Cronbach’sα系数、验证性因子分析分别检验评价体系的区分度、信度和效度。结果评价体系具有较好的区分度、信度和效度,所有题项高分组评分和低分组评分差异有统计学意义(P<0.05)。量表各维度的Cronbach’sα系数为0.769~0.898;建立四个结构方程模型图,量表各维度平均方差抽取量(average variance extracted,AVE)为0.51~0.74,因素负荷量为0.53~0.93,组合信度(composite reliability,C.R.)为0.79~0.91,区分效度达标。结论前期构建的基于岗位胜任力的中西医结合医院临床护士培训评价体系为建立科学、客观、可测量、同质化的培训评价工具提供了参考。

Objective To evaluate the discrimination,reliability and validity of the evaluation system of clinical nurse training based on post competency in hospitals of traditional Chinese and Western medicine.Methods From August 2018 to January 2019,271 clinical nurses from a three-A hospital were selected by convenient sampling method.The competency of clinical nurses was assessed on the spot by case tracking method.The discrimination,reliability and validity of the evaluation system were tested by item analysis,Cronbach'sαcoefficient and confirmatory factor analysis.Results The evaluation system had good discrimination,reliability and validity.Among the four scales of the evaluation system,there were significant differences in the high score and the low score of all items(P<0.05).The Cronbach'sαcoefficient of each dimension of the four scales was 0.769-0.898.Four structural equation model diagrams were established,the AVE(average variance extracted)of each dimension was 0.51-0.74,factor load was 0.53-0.93,C.R.(composite reliability)was 0.79-0.91,and the discrimination validity was up to the standard.Conclusion This system provides a reference for the establishment of scientific,objective,measurable and homogeneous clinical nurse training evaluation tools.