多维度护理代际特征问卷的汉化及信效度检验

The reliability and validity of the Chinese version of Multidimensional Nursing Generations Questionnaire

目的汉化多维度护理代际特征问卷(Multidimensional Nursing Generations Questionnaire,MNGQ),并检验中文版MNGQ信效度。方法取得源问卷开发者授权后,依据Brislin经典模型对MNGQ进行正译、回译,经跨文化调试、预调查,形成中文版MNGQ。2023年1月—3月,采用便利抽样法,选取来自山东省7所三级甲等综合医院的492名临床护士作为调查对象,采用一般资料调查表、中文版MNGQ对其进行调查,并从中便利抽取30名护士,于其初次接受调查2周后,再次对其进行调查,评价中文版MNGQ的信效度。结果中文版MNGQ由代际冲突、患者安全观、代代关系、多代合作、方向改变和工作倾向6个维度组成,共45个条目;问卷的Cronbach’sα系数为0.943,重测信度系数为0.764;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0.91。经探索性因子分析提取6个公因子,累计方差贡献率为64.977%。验证性因子分析结果显示,χ^(2)/df=2.552,渐进残差均方和平方根(RMSEA)=0.045,标准化均方根残差(SRMR)=0.046,比较拟合指数(CFI)=0.934,非归准适配指数(TLI)=0.929,递增拟合指数(IFI)=0.934。各维度的平均提取方差值(AVE)均>0.500,各维度的组合信度值均>0.700;各维度AVE的平方根值均大于该维度与其他维度间的相关系数。结论中文版MNGQ具有良好的信效度,可作为评估我国工作场所中不同代护士特征的工具。

Objective To translate the Multidimensional Nursing Generations Questionnaire(MNGQ)into Chinese and assess its reliability and validity.Methods After obtaining authorization from the original author,the MNGQ got translated and back-translated according to the Brislin classic model.Following cross-cultural adjustments and a pre-survey,the Chinese version of the MNGQ was formed.From January to March 2023,492 clinical registered nurses from seven tertiary comprehensive hospitals in Shandong Province were selected as research participants through convenience sampling.They were surveyed using a general information questionnaire and the Chinese version of the MNGQ and thirty nurses were invited for retest two weeks after the first survey to evaluate its reliability and validity.Results The Chinese version of the MNGQ consisted of six dimensions,namely conflicts between generations,patient safety view,relationships issues between generations,multi-generation teamwork,orientation to change and work propensity,with a total of 45 items.The Cronbach's α coefficient index of the questionnaire was 0.943,and the test-retest reliability was 0.764.The item-level content validity index ranged from 0.80 to 1.00,and the scale-level content validity index was 0.91.Exploratory factor analysis extracted six common factors with a cumulative variance contribution rate of 64.977%.The results of confirmatory factor analysis showed good fit,with indicator of χ^(2)/df=2.552,RMSEA=0.045,SRMR=0.046,CFI=0.934,TLI=0.929,and IFI=0.934.The average variance extracted(AVE)for each dimension was greater than 0.500,and the composite reliability(CR)values for each dimension were greater than 0.700.The square roots of the AVE for each dimension were greater than the correlation coefficients between that dimension and other dimensions.Conclusion The MNGQ exhibits good reliability and validity,which can be deemed as an important tool for understanding the perspectives and beliefs of nurses from different generations in China for assessing their characteristic differences.