摘要
目的旨在翻译和验证印尼语版护理工作环境指数量表(the Practice Environment Scale of the Nursing Work Index,PES-NWI)在护士中应用的信效度。方法对PES-NWI进行翻译,并通过横断面研究验证其信效度。采用正向翻译、对比译文、反向翻译、对比译文,及采用二分量表进行初步测试5个步骤将英语版本问卷翻译为印尼语。30名住院部护士参与了量表可读性和可理解性检查。于2022年8—10月在印度尼西亚的17所医院选取350名护理人员参与调查。采用结构效度和收敛效度来评估量表的效度。采用Cronbach's α系数、项目总相关系数和组合信度指数来评估量表的信度。结果验证性因子分析显示,PES-NWI具有良好的拟合度,量表因子结构稳定。各维度的相关系数为0.70~0.88,条目的载荷值都高于0.6。量表维度的收敛效度为0.61~0.74。Cronbach's α系数为0.97,修正后的项目总相关系数0.62~0.85,各个维度的组合信度指数均高于0.89。结论印尼版PES-NWI具有良好的同质性和结构效度,护理管理人员可以使用它来衡量工作环境。
Objectives:This study aimed to translate and validate the Practice Environment Scale-Nursing Work Index(PES-NWI)among nurses in Indonesia.Methods:A scale translation and cross-sectional validation study was conducted.The English version was translated into Indonesian,which involved five steps:forward translation,compare the translation,backward translation,compare the translation,and pilot testing with a dichotomous scale(clear or unclear).Thirty inpatient department nurses were involved in checking readability and understandability.A cross-sectional study was conducted from August to October 2022 at 17 hospitals across Indonesia,involving 350 nursing professionals.The validity test included structural validity and convergent validity.The internal consistency reliability was tested by Cronbach’s a coefficient,item-total correlation,and composite reliability.Results:Confirmatory factor analysis(CFA)showed an acceptable fit.The correlation of all dimensions was between 0.70 and 0.88,and all items had item loading higher than 0.6.Convergent validity of each dimension ranged from 0.61 to 0.74,internal consistencies with Cronbach’s a coefficient was 0.97,corrected item-to-total correlation ranged from 0.62 to 0.85,and composite reliability of each dimension was higher than 0.89.Conclusions:Good homogeneity and construct validity have been demonstrated for the Indonesian version of the PES-NWI,nursing management can use it to measure the work environment.
基金
supported by the Second Century Fund(C2F)
90th Anniversary of Chulalongkorn University,Rachadapisek Sompote Fund.