护理人员对患者自杀风险感知量表的编制及信效度检验

Development and validation of nurses'perception scale of patients'suicide risk

目的:编制护理人员对患者自杀风险感知量表并检验其信效度,为管理者制订护理人员自杀守门人培训策略提供依据。方法:本研究为横断面研究。基于认知-经验自我理论,在回顾国内外文献和半结构式访谈的基础上,形成量表条目池,经过专家咨询法、预调查形成初始量表;于2022年9月采用便利抽样法对山东省济南市、德州市共3所三级综合医院与肿瘤专科医院459名护理人员进行横断面调查,采用SPSS 25.0和AMOS 23.0软件对量表进行项目分析和信效度检验。结果:正式量表包括3个维度,即认知判断、情感评价、关切,共15个条目。探索性因子分析共提取3个公因子,累计方差贡献率为67.845%;验证性因子分析结果显示,正式量表模型适配度各检验量均在可接受范围内,15个条目在相应因子的载荷均>0.45;量表S-CVI为0.972,总量表Cronbachα系数为0.907,折半信度系数为0.814。结论:护理人员对患者自杀风险感知量表具有良好的信效度,可用于评估护理人员对患者自杀风险感知水平。

Objective To develop the nursing staff's perception scale of patients′suicide risk and test its reliability and validity,so as to provide basis for managers to formulate training strategies for nurses'suicide gatekeepers.MethodsThis was a cross-sectional study.Based on cognitive-experiential self-theory,and on the basis of literature review and semi-structured interviews at home and abroad,a scale item pool was formed,and an initial scale was formed through expert inquiry and pre-investigation.In September,2022,a cross-sectional survey was conducted among 459 nurses from three tertiary general hospitals and oncology hospitals by convenience sampling method in Jinan and Dezhou,Shandong Province.SPSS25.0 and AMOS23.0 software were used to analyze the items and test the reliability and validity of the scale.ResultsThe formal scale included three dimensions,namely,cognitive judgment,emotional evaluation,and concern,with 15 items in total.Exploratory factor analysis extracted three common factors,and the cumulative variance contribution rate was 67.845%.The results of confirmatory factor analysis showed that each test quantity of the fitness of the formal scale model is within the acceptable range and loads of 15 items in the corresponding factors were all>0.45;the content validity index S-CVI of the scale was 0.972,Cronbach′sαcoefficient of the total scale was 0.907,and the half reliability was 0.814.ConclusionThe scale of nurses′perception of patients′suicide risk has good reliability and validity,and it can be used to evaluate nurses′perceptions of patients′suicide risk.