精神科护士护理面谈能力培训体系的构建及信效度检验

doi:10.16460/j.issn1008-9969.2021.13.006

摘要/Abstract

摘要： 目的构建我国精神科护士护理面谈能力培训体系。方法通过文献回顾、参考相关指南的基础上,以德尔菲专家咨询法构建精神科护士护理面谈能力培训体系的内容和权重,以构建的培训体系为依据,编制自评式问卷,采用此问卷对120名精神科护士进行调查,以检验培训体系的信效度。结果构建的培训体系2轮专家咨询的积极性分别为90%、95%;第2轮专家权威系数0.976,一、二、三级指标的肯德尔和谐系数分别为0.436、0.223、0.320（均P<0.001）,最终确立了精神科护士护理面谈能力培训体系,包括一级指标6个、二级指标16个、三级指标53个,培训体系总体Cronbach α系数为0.955,2周重测信度为0.947。总体内容效度指数为0.942;因子分析提取6个公因子,其方差总体累积贡献率为75.612%。结论本研究构建的精神科护士护理面谈能力培训体系具有效好的信效度,可作为精神科护士护理面谈培训及考核的参考依据。

关键词: 精神科护士, 护理面谈能力, 培训体系, 信效度检验

Abstract: Objective To develop a training system for nursing interview ability of psychiatric nurses in my country. Methods Based on literature review and reference to relevant guidelines, the Delphi expert consultation method was used to construct the training system and its weight of each item was identified. A self-assessment questionnaire was developed based on the training system, and was used in 120 psychiatric nurses to test the reliability and validity of the training system. Results The enthusiasm of the two rounds of expert consultation was 90% and 95% respectively; the second round of expert authority coefficient 0.976, and the Kendall harmony coefficient of the first-, second-, and third- level indicators 0.436, 0.223, 0.320 (both P<0.001). The final training system consisted of 6 first-level, 16 second-level, and 53 third-level indicators. The overall Cronbach's α coefficient of the training system was 0.955, and the 2-week test-retest reliability 0.947. The overall content validity index was 0.942.Factor analysis extracted 6 common factors, and the overall cumulative contribution rate of variance was 75.612%. Conclusion The training system constructed in this study has good reliability and validity, and can be used as reference for the training and assessment of psychiatric nurses' nursing interview.

Key words: psychiatric nurse, nursing interview ability, training system, reliability and validity test

中图分类号:

G421

丁寒琴, 李立华, 何夏君. 精神科护士护理面谈能力培训体系的构建及信效度检验[J]. 护理学报, 2021, 28(13): 6-12.

DING Han-qin, LI Li-hua, HE Xia-jun. Construction of Training System for Nursing Interview Ability of Psychiatric Nurses and Its Reliability and Validity[J]. Journal of Nursing, 2021, 28(13): 6-12.

参考文献

[1] Nurcan K, Kerime B.Relationship Between Communication Skills and Care Behaviors of Nurses[J]. Perspect Psychiatr Care, 2019,55:624-631.DOI:10.1111/ppc.12381.
[2] Kanerval A, Kivinen T, Lammintakanen J.Communication Elements Supporting Patient Safety in Psychiatric Inpatient Care[J]. J Psychiatr Ment Health Nurs, 2015, 22(5):298-305.DOI:10.1111/jpm.12187.
[3] 张帮峰. 精神科护士遭受工作场所暴力与其共情能力及沟通能力的相关性研究[J].护理研究,2019,33(11):1897-1901.DOI:10.12102/j.issn.1009-6493.2019.11.017.
[4] Pestana-Santos A,Luís L,Vítor S,et al.Patients with Schizophrenia Assessing Psychiatrists'Communication Skills[J]. Psychiatry Res,2018,269:13-20.DOI:org/10.1016/j.psychres.2018.08.040.
[5] Ditton-Phare P, Sean H, Harsimarat S, et al.Communication Skills in Psychiatry Training[J].Australas Psychiatry, 2015,23(4):429-431. DOI:10.1177/1039856215590026.
[6] Keizer TB,Trangle MA.The Benefits of a Physician Assistant and/or Nurse Practitioner Psychiatric Postgraduate Training Program[J]. Acad Psychiatry,2015,39(6):691-694.DOI:10.10.1007/s40596-015-0331-z.
[7] Isobel S, Delgado C.Safe and Collaborative Communication Skills: A Step towards Mental Health Nurses Implementing Trauma Informed Care[J]. Arch Psychiatr Nurs, 2017,32(2):291-296. DOI:org/10.1016/j.apnu.2017.11.017.
[8] Smad Rev.The Psychiatric Nursing/Mental Health Education: Advances, Limitations and Challenges[J]. Eletronica Saude Mental Alcool Drog,2016,12(3):139-146.DOI:10.11606/issn.1806-6976.v12i3p139-146.
[9] Warshawski S, Barnoy S, Itzhaki M.Factors Associated with Nursing Student's Resilience:Communication Skills Course,Use of Social Media and Satisfaction with Clinical Placement[J].J Prof Nurs, 2017, 33(2):153-161. DOI:org/10.1016/j.profnurs.2016.08.006.
[10] Rachel K, Kenneth W, Jed D, et al.Enhancing Adult Therapeutic Intersonal Relationships in the Acute Health Care Setting: An Integrative Review[J]. J Multidiscip Healthc,2016,9:537-546.DOI:org/10.2147/JMDH.SII6957.
[11] 徐国建,冯飞,刘晓剑,等.精神疾病诊疗机构工作人员场所暴力发生状况及影响因素分析[J]. 中华疾病控制杂志,2016,20(11):1147-1150.DOI:10.16462/j.cnki.zhjbkz.2016.11.018.
[12] 庄海英,张平.住院精神病患者暴力行为的原因分析及护理进展[J].护理学报,2016,23(3):39-42.DOI:10.16460/j.issn1008-9969.2016.03.039.
[13] 秦春香,毛平,肖鹏,等.医护沟通的影响因素及沟通方式研究进展[J].护理学报,2014,21(1):25-28.DOI:10.16460/j.issn1008-9969.2014.01.010.
[14] Elif O,Fatma YK, Elif A.The Effect of Standardized Patient Simulation Prior to Mental Health Rotation on Nursing Students'Anxiety and Communication Skills[J].Issues Ment Health Nurs,2020,41(3):251-255.DOI:org/10.1080/01612 840.2019.1642427.
[15] Smith S.A Thematic Analysis of The Experience of UK Mental Health Nurses who have Trained in Solution Focused Brief Therapy[J]. J Psychiatr Ment Health Nurs,2017,24:105-113.DOI:10.1111/jpm.12365.
[16] Solrun BR, Stål B.The use of Clinical Role-play and Reflection in Learning Therapeutic Communication Skills in Mental Health Education: An Integrative Review[J]. Adv Med Educ Pract,2019,10:415-425.DOI:org/10.2147/AMEP.S202115.
[17] George P, Carolyn D, Bartosz K T,et al.A Survey on The Training Needs of Caregivers in Five European Countries[J]. J Nurs Manag,2020,28(2):385-398.DOI:10.1111/jonm.12940.
[18] Coad J, Smith J, Pontin D,et al.Consult,Negotiate,and Involve:Evaluation of an Advanced Communication Skills Program for Health Care Professionals[J]. J Pediatr Oncol Nurs,2018,35(4):296-307.DOI:org/10.1177/1043454218765136.
[19] Mohammed K, Nolan MB, Rajjo T, et al.Creating a Patient-centered Healthcare Delivery System: A Systematic Review of Health Care Quality from the Patient Perspective[J]. Am J Med Qual, 2016,31(1):12-21. DOI:org/10.1177/1062860614545124.
[20] 丁寒琴,侯彩兰,何夏君,等.综合医院精神科开放式病房新护士岗位胜任力考核评价指标的构建[J].护理学报,2020,27(5):9-13.DOI:10.16460/j.issn1008-9969.2020.05.009.
[21] Roger RO, Cristina AR, Juan DM,et al.Effectiveness of a Communication Skills Training Program for Medical Students to Identify Patients Communicative Clues[J]. Patient Educ and Couns, 2020, 103(11):2384-2387. DOI:org/10.1016/j.pec.2020.05.018.
[22] 施榕,郭爱民.全科医师科研方法[M].北京:人民卫生出版社,2017.
[23] Grudzen CR, Emlet LL, Kuntz J, et al.EM Talk: Communication Skills Training for Emergency Medicine Patients with Serious Illness[J]. BMJ Support Palliat Care, 2016,6(2):219-24.DOI:10.1136/bmjspcare-2015-000993.
[24] Laura M, Michael M, Linda C.Applying Art Observation Skills to Standardized Patients[J]. Appl Nurs Res,2019,48:8-12.DOI:org/10.1016/j.apnr.2019.05.004.
[25] Jihye L, Moonhee G, College of Nursing,et al.The Moderating Effect of Communication Behavior on Nurses'Care Burden Associated with Behavioral and Psychological Symptoms of Dementia[J].Issues Ment Health Nurs, 2020,41(2):132-137.DOI:org/10.1080/01612840.2018.1553005.
[26] Moore PM, Rivera S, Olivares C, et al.Communication Skills Training for Healthcare Professionals Working with People[J]. J Pediatr Oncol Nurs, 2018,35:296-307.DOI: org/10.1177/1043454218765136.

Metrics

Viewed

Full text

Abstract

Cited

Shared