护士安宁疗护知信行及培训需求调查问卷的编制及信效度检验

Construction and test of questionnaire on knowledge,attitude,practice and training needs of nurses in hospice care

目的编制护士对安宁疗护相关知识、态度、行为以及培训需求的调查问卷,并检验其信度、效度。方法通过参考相关文献及教材、专家访谈、护士沟通及德尔菲两轮专家咨询法,形成最初版护士安宁疗护知信行及培训需求调查问卷。采用便利抽样法选取204名临床护士进行调查,采用区分度分析法、相关系数法、因子分析法对条目进行分析与筛选,并运用内部一致性分析、分半信度和重测信度检验问卷信度,用内容效度、结构效度评估问卷效度,形成最终调查问卷。结果量表由4个维度组成,包括护理知识类4个条目、态度类6个条目、行为类9个条目、培训需求类10个条目。量表Cronbach’sα系数为0.938,分半信度为0.703,重测信度为0.868。量表水平内容效度(S-CVI)为0.919;探索性因子分析提取4个公因子,累计方差贡献率为72.335%。结论编制的护士安宁疗护知信行及培训需求调查问卷具有较好的信度和效度,可用于评价护理人员安宁疗护知信行的水平以及培训需求。

Objective To develop a questionnaire about the knowledge,attitude,practice(KAP)and training needs of clinical nurses on palliative care,and to test its reliability and validity.Methods Through referring to relevant literature and teaching materials,expert interviews,nurse communication and two rounds of Delphi expert consultation,the first version of clinical nurses’KAP and training needs questionnaire on palliative care was formed.A total of 204 clinical nurses were selected for survey by convenient sampling method.The items were analyzed and screened by the method of division analysis,correlation coefficient and factor analysis.The reliability of the questionnaire was tested by internal consistency analysis,split-half reliability and retest reliability.The validity of the questionnaire was evaluated by content validity and structure validity,and the final questionnaire was formed.Results The questionnaire consisted of four dimensions,with four items in nursing knowledge dimension,six items in attitude dimension,nine items in behavior dimension and ten items in training needs dimension.The Cronbach’sαcoefficient of total questionnaire was 0.938,and its split-half reliability and test-retest reliability of the questionnaire was 0.703 and 0.868,respectively.The content validity of the questionnaire was 0.919.Four common factors were extracted by exploratory factor analysis,and the cumulative variance contribution rate was 72.335%.Conclusions The questionnaire has good reliability and validity,and can be used to evaluate the level of KAP of hospice care and training needs of the nurses.