急诊科护理工作应激源量表的汉化及信效度检验

Chinese version of the stressor scale for emergency nurse: assessment of reliability and validity

目的对急诊科护理工作应激源量表(SSEN)进行汉化,并检验其信效度。方法根据Brislin模型对源量表进行翻译、回译,经过文化调适及预调查后,形成中文版SSEN。2021年10月至2022年1月采用便利抽样法选取青岛大学附属医院401名急诊科护士进行问卷调查,评价量表的信效度。结果中文版SSEN共27个条目,经探索性因子分析后提取4个公因子,累计方差贡献率为78.463%。验证性因子分析显示,卡方自由度比=2.280,比较适配指数=0.933,Tucker-Lewis指数=0.924,增值拟合指数=0.933,近似残差均方根=0.079,均在可接受范围;中文版SSEN条目水平的内容效度指数为0.80~1.00,量表水平的内容效度指数为0.97;与职业倦怠量表呈显著正相关,相关系数为0.456(P<0.001);总量表的Cronbachα系数为0.971,分半信度为0.877,重测信度为0.958。结论中文版SSEN具有良好的信效度,可用于我国背景下急诊科护士的工作应激源调查。

Objective To translate the Stressor Scale for Emergency Nurse(SSEN),and to test the reliability and validity of the Chinese version.Methods According to the Brislin model to translate and back-translate the orginal English version,the Chinese version of the scale was determined after cross-cultural adaptation and pretesting.From October 2021 to January 2022,401 emergency nurses in the Affiliated Hospital of Qingdao University were selected for a questionnaire survey to evaluate the reliability and validity of the translated Chinese scale.Results The Chinese version of the SSEN retains 27 items,4 common factors were extracted by exploratory factor analysis,and the factor cumulative variance contribution rate was 78.463%.Confirmatory factor analysis showed that χ^(2)/df=2.280,comparative fitness index=0.933,Tucker-Lewis index=0.924,incremental fit index=0.933,root mean square of approximate residual=0.079,all within the acceptable range.The item-level content validity index of the Chinese SSEN was 0.80-1.00;the scale-level content validity index was 0.97;it was positively correlated with the Maslach Burnout Inventory manual,and the correlation coefficient was 0.456(P<0.001);the Cronbachαcoefficient of the total table was 0.971,the split-half reliability was 0.877,and the test-retest reliability was 0.958.Conclusions The Chinese version of the SSEN has good reliability and validity,and it can be used to investgate the occupattional stressors for emergency nurses in the context of Chinese culture.