三级甲等医院临床护士护理成本管理知信行问卷的编制及信效度检验

Development and reliability and validity test of nursing cost management knowledge,attitude and practice questionnaire for clinical nurses in grade A tertiary hospitals

目的编制三级甲等医院临床护士护理成本管理知信行问卷,并检验其信效度。方法以知信行理论为指导,通过回顾文献、论著及德尔菲法专家函询、预调查形成问卷初稿。采用便利抽样法,选取大连市某三级甲等医院316名临床护士进行预调查,采用决断值法、相关系数法、探索性因子分析对条目进行筛选,采用Cronbach'sα系数、重测信度、分半信度、内容效度、结构效度对问卷进行信效度检验。结果三级甲等医院临床护士护理成本管理知信行问卷包括护理成本管理知识、态度、行为3个维度,共35个条目。问卷Cronbach'sα系数为0.954,重测信度为0.956,分半信度为0.964,内容效度为0.992;通过探索性因子分析法共提取了3个公因子,解释的累计方差贡献率为64.159%。结论临床护士护理成本管理知信行问卷具有良好的信效度,适用于评价三级甲等医院临床护士护理成本管理知信行现状水平。

Objective To develop a nursing cost management knowledge,attitude and practice questionnaire for clinical nurses in grade A tertiary hospitals,and to test its reliability and validity.Methods Guided by the theory of knowledge,attitude and practice,the first draft of the questionnaire was formed by reviewing the literature,original articles,Delphi expert consultation and pre-survey.The convenience sampling method was used to select 316 clinical nurses from a grade A tertiary hospital in Dalian for pre-survey.The items were screened by the decision value method,the correlation coefficient method,and the exploratory factor analysis.The Cronbach'sαcoefficient,test-retest reliability,split-half reliability,content validity,and structural validity were used to test the reliability and validity of the questionnaire.Results The nurs⁃ing cost management knowledge,attitude and practice questionnaire for clinical nurses in grade A tertiary hospitals included 35 items in three dimensions:knowledge,attitude and behavior of nursing cost management.The Cronbach'sαcoefficient of the questionnaire was 0.954,the re⁃test reliability was 0.956,the split-half reliability was 0.964,and the content validity was 0.992.Three common factors were extracted by ex⁃ploratory factor analysis,and the cumulative variance contribution rate was 64.159%.Conclusion The questionnaire of clinical nurses'knowledge,attitude and practice of nursing cost management has good reliability and validity,which is suitable for evaluating the current situa⁃tion of clinical nurses'knowledge,attitude and practice of nursing cost management in grade A tertiary hospitals.