护士人文素养自评量表的研制及信效度检验

Development of a self-rating scale of nurses’humanistic literacy and its reliability and validity test

目的了解护士人文素养的构成要素,构建护士人文素养自评量表并检验其信效度。方法2020年8月—12月,通过文献回顾、半结构式访谈、2轮专家函询及预调查,形成量表初始条目,并在全国医院1000名护士中进行测试。采用SPSS 26.0和AMOS软件对问卷进行信效度分析及验证性因子分析。结果构建的护士人文素养自评量表包括6个维度、54个条目。总量表的Cronbach’sα系数为0.982,分半信度为0.962,重测信度为0.758。探索性因子分析提取6个公因子,累计方差贡献率为68.089%。一阶多因子模型拟合度参数分别为:卡方/自由度为2.495,基于标准化适度指数为0.800,修正的基于标准化适度指数为0.876,比较拟合指数为0.922,Tucker-Lewis指标为0.915,近似误差平方根为0.055。结论该研究初步确定了我国护士人文素养的构成要素,构建的护士人文素养自评量表具有较好的信效度,可进一步为开展我国护士人文素养水平的现况调查提供工具,为护理管理层制订干预措施提供依据和参考。

Objective To explore the constituent elements of nurses’humanistic literacy,to construct the self-rating scale of nurses’humanistic literacy and verify its reliability and validity.Methods From July to December 2020,on the basis of reviewing the latest literature,the initial item pool of the scale was formed through 2 rounds of expert consultation and pre-investigation.This scale was tested among 1000 nurses in hospitals across the country.SPSS was used to analyze the reliability,and AMOS was used for confirmatory factor analysis.Results The self-rating scale of nurses’humanistic literacy consisted of 6 dimensions and 54 items.The Cronbach’sαcoefficient of the total scale was 0.982;the split-half reliability of the total scale was 0.962;the retest reliability of the total scale was 0.758.6 common factors were extracted by exploratory factor analysis,which explained 68.089%of the total variance.The one-dimension/multi-factor model’s/df was 2.495;NFI was 0.800;modified standardized moderation index was 0.876;CFI was 0.922;TLI was 0.915,and RMSEA was 0.055.Conclusion This study determined the constituent elements of humanistic literacy of nurses in China.The scale with good reliability and validity can further provide support for the investigation of the humanistic literacy level of nurses in China.It can also provide a basis and reference for nursing management to develop interventions.