儿科护理缺失量表的编制及信效度检验

Development and reliability and validity test of the Pediatric Nursing Care Deficiency Scale

目的构建儿科护理缺失量表并对其进行信效度检验。方法基于护理缺失相关理论结合儿科护理特点,按照量表编制程序与原则,通过半结构式访谈、专家评议、预调查与大样本调查等方法,形成正式版量表。结果构建的儿科护理缺失量表包含4个维度,25个条目。量表水平的内容效度指数为0.937,条目水平的内容效度指数为0.857~1.000。探索性因子分析结果显示各条目在因子上的载荷值均>0.5,4个因子的累积方差贡献率为66.456%;验证性因子分析结果显示最终量表的模型拟合较好。量表总的Cronbach'sα系数为0.917,各因子的Cronbach'sα系数分别为0.861、0.923、0.881、0.909。结论构建的儿科护理缺失量表信效度良好,可为测量儿科护理缺失并制定干预策略提供一定的参考与借鉴。

Objective To develop a Pediatric Nursing Care Deficiency Scale(PNCDS)and evaluate its reliability and validity.Methods Based on theories of nursing care deficiency and considering pediatric nursing characteristics,the scale was developed following standard procedures and principles.This included semi-structured interviews,expert evaluations,a pilot survey,and a large-scale survey to finalize the scale.Results The final version of the PNCDS comprised four dimensions with 25 items.The content validity index(CVI)of the overall scale was 0.937,with item-level CVIs ranging from 0.857 to 1.000.Exploratory factor analysis revealed that the factor loadings for all items were greater than 0.5,and the four factors accounted for a cumulative variance of 66.456%.Confirmatory factor analysis indicated a good model fit for the final scale.The overall Cronbach'sαcoefficient for the scale was 0.917,while the Cronbach'sαcoefficients for the four dimensions were 0.861,0.923,0.881,and 0.909,respectively.Conclusions The PNCDS demonstrated good reliability and validity and provides a useful tool for assessing pediatric nursing care deficiencies and aiding in the development of intervention strategies.