急危重症传染病护理决策能力评价量表的编制及信效度检验

Development and Reliability and Validity Test of the Nursing Decision-Making Ability Scale for Acute and Critical Infectious Diseases

目的编制急危重症传染病护理决策能力评价量表,并进行信效度检验。方法以Tanner临床判断模式为框架,通过文献分析、半结构访谈、德尔菲法和预调查形成量表终稿。于2023年3月-4月选取陕西省5家医院参与过急危重症传染病救治的434名护士进行调查,运用SPSS 26.0和AMOS 26.0软件对调查数据进行项目分析、效度分析和信度分析。结果急危重症传染病护理决策能力评价量表包括4个维度共27个条目。探索性因子分析共提取4个公因子,累计方差贡献率为72.537%;验证性因子分析结果显示,模型拟合度良好。量表水平内容效度指数为0.926,条目水平内容效度指数为0.810~1.000;总量表Cronbach’sα系数为0.958,各维度Cronbach’sα系数在0.856~0.945之间;量表总折半信度为0.842,各维度折半信度在0.767~0.902之间。结论急危重症传染病护理决策能力评价量表信效度良好,可用于评估护士急危重症传染病护理决策能力。

Objective To develop the evaluation scale of nursing decision-making ability for acute and critical infectious diseases,and to test its reliability and validity.Methods Based on the Tanner clinical judgment mode,the final draft of the scale was formed through literature analysis,semi-structured interview,Delphi method and pre-survey.From March to April 2023,434 nurses who had participated in the treatment of acute and severe infectious diseases in 5 hospitals in Shaanxi Province were selected for investigation.SPSS 26.0 and AMOS 26.0 software were used for project analysis,validity analysis and reliability analysis of the survey data.Results The nursing decision-making ability scale for acute and critical infectious diseases with 4 dimensions and 27 items was formed.4 common factors were extracted from exploratory factor analysis,and the cumulative variance contribution rate was 72.537%.The results of confirmatory factor analysis showed that the overall fit of the scale model was good.The level content validity index of the scale was 0.926,and the level content validity index of the item was 0.810~1.000.The Cronbach'sαcoefficient of the scale was 0.958,the Cronbach'sαcoefficient of each dimension was 0.856~0.945,and the broken half reliability was 0.842,the broken half reliability of each dimension was 0.767~0.902.Conclusion The nursing decision-making ability scale for acute and critical infectious diseases has good reliability and validity,and it could be used as a valid tool to assess nurses'decision-making ability of acute and severe infectious diseases.