养老机构护士文化能力评估量表的编制及信效度检验

Development and reliability and validity test of cultural competence assessment scale for nurse innursing home

目的:构建适合我国养老机构护理工作特点的护士文化能力评估量表,并对该量表的可行性、信度、效度进行验证。方法:采用文献回顾、半结构式访谈及德尔菲专家函询法构建量表,通过项目分析及信效度检验进一步完善量表,检验量表效能。结果:养老机构护士文化能力评估量表包含文化意识、文化知识、文化技能、文化遭遇和文化渴望5个主维度,11个次维度,共36个条目,量表总Cronbach'sα系数为0.937,重测信度为0.936。条目水平的内容效度指数为0.800~1.000,问卷水平的内容效度指数为0.912。问卷KMO值为0.894,探索性因子分析共提取出5个公因子,累计方差贡献率为50.024%。结论:该量表具有良好的信效度,可有效测评养老机构护士的文化能力。

Objective:To construct a cultural competence assessment scale suitable for the characteristics of nursing work of nurses in nursing homes in China,and to verify its feasibility,reliability,and validity.Methods:The scale was constructed through literature review,semi structured interview,and Delphi method.Further improved and evaluated the efficacy of the scale through item analysis and reliability and validity test.Results:The final questionnaire consisted of 36 items,11 secondary dimensions from 5 main dimensions of cultural awareness,cultural knowledge,cultural skills,cultural experience,and cultural desire,with a total Cronbach'sαcoefficient of 0.937 and a retest reliability of 0.936.Item level I⁃CVI was 0.800⁃1.000,and questionnaire level S⁃CVI was 0.912.The KMO value of the questionnaire was 0.894,and five common factors were extracted by exploratory factor analysis,and the cumulative variance contribution rate was 50.024%.Conclusions:The scale has good reliability and validity,which could be used to evaluate the cultural competence of nurses in nursing homes.