护士感知医护人际交换问卷的编制及信效度检验

The development and reliability and validity testing of a questionnaire on nurses'perception of interpersonal exchange communication between medical staff and nurses

目的编制护士感知医护人际交换问卷并检验其信效度。方法以Baggs医护合作理论为基础,综合文献研究构建护士感知医护人际交换问卷条目池。对16名专家进行两轮专家函询形成预试问卷。采用便利抽样法对245名护士开展调查,进行项目分析和信效度检验。结果正式问卷包括合作意愿、尊重、信任、有效沟通4个维度,共18个条目。问卷整体的Cronbach'sα系数为0.970,内容效度为0.976,各条目内容效度为0.857~1.000。验证性因子分析结果显示该问卷结构效度良好。结论护士感知医护人际交换问卷具有良好的信度及效度,对从护士视角评价医护人员人际交换的水平有一定的应用价值。将社会交换理论具体应用于医护关系领域,丰富了社会交换理论的应用领域,也从实证的角度验证了Baggs理论中关于医护人际交换的结构构想,具有一定的理论意义。

Objective To develop a questionnaire measuring nurses'perceptions of interpersonal exchange between nurses and physicians,and to test its reliability and validity.Methods Based on Baggs Nurse-Physician Collaboration Theory,item pool was formed through literature review.Then 16 experts participated consultation twice to form a pre-test questionnaire.A total of 245 nurses were recruited and investigated,the item analysis and reliability and validity test were conducted to form final questionnaire.Results The final questionnaire contained 4 dimensions,namely willingness to collaborate,respect,trust and effective communication,with 18 items in total.The total Cronbach'sαcoefficient was 0.970.The scale-level content validity index was 0.976 and the item-level CVI was between 0.857 and 1.000.The confirmatory factor analysis indicated that the questionnaire had a good construct validity.Conclusion The nurses'perceptions of nurse-physician interpersonal exchange questionnaire has good reliability and validity,which has certain application value to evaluate the level of nurse physician interpersonal exchange from the view of nurses.The study applies the social exchange theory to the field of nurse-physician relationship,which enrich the application of social exchange theory and verify the structural conception of interpersonal exchange between physicians and nurses in Baggs Nurse-physician Collaboration Theory from an empirical point of view,which also has certain theoretical significance.