以质量求发展，以服务铸品牌

护理学报 ›› 2022, Vol. 29 ›› Issue (9): 47-51.doi: 10.16460/j.issn1008-9969.2022.09.047

• 调查研究 • 上一篇    下一篇

患者安全胜任力自评量表的汉化及其在实习护生中的信效度评价

李慧1, 潘玲2, 李博3, 刘晓辉4   

  1. 1.郑州卫生健康职业学院,河南 郑州 450199;
    2.郑州铁路职业技术学院,河南 郑州 450000;
    3.河南大学 护理与健康学院,河南 开封 475000;
    4.河南省中医药大学第二附属医院,河南 郑州 450000
  • 收稿日期:2021-11-30 出版日期:2022-05-10 发布日期:2022-06-09
  • 通讯作者: 李博（1977-）,男,河南焦作人,博士,副教授,硕士研究生导师。E-mail：10210022@vip.henu.edu.cn
  • 作者简介:李慧（1986-）,女,河南郑州人,硕士,讲师。
  • 基金资助:
    河南省医学教育研究项目（Wjlx2021128）; 河南省医学教育研究项目（Wjlx2020150）; 河南省中医药文化与管理研究项目（TCM 2019017）

Translation of Patient Safety Competency Self-rating Scale and Its Reliability and Validity

LI Hui1, PAN Ling2, LI Bo3, LIU Xiao-hui4   

  1. 1. Zhengzhou Health Vocational College, Zhengzhou 450199, China;
    2. Zhengzhou Railway Vocational & Technical College, Zhengzhou 450000, China;
    3. School of Nursing and Health, Henan University, Kaifeng 475000, China;
    4. The Second Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou 450000, China
  • Received:2021-11-30 Online:2022-05-10 Published:2022-06-09

PDF (PC)

390

赞

摘要： 目的 汉化患者安全胜任力自评量表,并在实习护生中应用以检验其信效度。方法 遵循 Brislin 翻译指南对量表进行汉化,采用德尔菲专家函询法进行跨文化调适,并于2020年9—11月采用便利抽样的方法选择河南省4家学校或医院501名实习的护生作为研究对象,采用中文版患者安全胜任力自评量表对其进行调查,评价量表的信度和效度。结果 探索性因子分析共提取出7个公因子,累计方差贡献率为69.813%。7个公因子分别命名为安全护理认知、不良事件报告与应对、不良事件沟通、信息与循证护理实践、安全护理实践、安全护理职责、不良事件报告态度,共40个条目。中文版患者安全胜任力自评量表的内容效度指数为0.980,量表总Cronbach α系数为0.948,各维度的Cronbach α系数为0.870~0.916。不同性别、培养层次、实习医院级别的实习护生,其患者安全胜任力总分比较,差异均有统计学意义（P<0.01）。结论 中文版患者安全胜任力自评量表具有良好的信度和效度,可作为评估实习护生患者安全胜任力的有效工具。

关键词: 患者安全, 胜任力, 信度, 效度

Abstract: Objective To translate patient safety competency self-rating scale (PSCSS) into Chinese and test its reliability and validity in nursing students. Methods We followed the Brislin translation guidelines to translate the scale and adopted the Delphi method to conduct cultural adjustment. From September to November 2020, 501 nursing students from 4 colleges or hospitals in Henan province were selected as the research objects to evaluate the reliability and validity of the scale. Results Seven common factors were extracted after exploratory factor analysis, which were named as safe nursing perception, adverse event reporting and response, adverse event communication, information and evidence-based nursing practice, safe nursing practice, safe nursing responsibility, and adverse event reporting attitude. The Chinese version of the scale consisted of 40 items, and the content validity index was 0.980. Exploratory factor analysis showed that the cumulative variance contribution rate was 69.813%; the Cronbach α coefficient of the total scale 0.948, and that of each dimension ranged from 0.870 to 0.916. There were statistically significant differences in the total scores of patient safety competency among trainee nursing students of different genders, training levels, and trainee hospital levels (P<0.01). Conclusion The Chinese version of PSCSS has good reliability and validity, and can be used as an effective tool to evaluate the patient safety competency of nursing students.

Key words: patient safety, competency, reliability, validity

中图分类号: 

  • R47
[1] WHO. 10 Facts on Patient Safety.Geneva: WHO Press, 2018[EB/OL].(2018-03-01)[2020-10-21].http://www.who.int/patientsafety/education/curriculum/en/index.html.
[2] 王青. 患者安全胜任力护士评价量表的编制[D]. 北京:北京协和医学院, 2018.
[3] 童晓菲,周璇,宗雨晴,等. 上海市三级甲等医院护理不良事件的调查[J]. 解放军护理杂志,2016,33(18):22-25. DOI:10.3969/j.issn.1008-9993.2016.18.006.
[4] García-Gámez M, Morales-Asencio JM, García-Mayor S, et al.Adverse Events Encountered During Clinical Placements by Undergraduate Nursing Students in Spain[J]. Nurse Educ Today, 2020, 91, 104480. DOI: 10.1016/j.nedt.2020.104480.[5] Stevanin S, Bressan V, Bulfone G, et al. Knowledge and Competence with Patient Safety as Perceived by Nursing Students: The Findings of a Aross-sectional Study[J]. Nurse Educ Today,2015, 35(8):926-934.DOI10.1016/j.nedt.2015.04.002.
[6] 陈洁,薄海欣,张蒙.低年资护士患者安全胜任力的现状调查及分析[J].中国实用护理杂志,2018,34(18):1411-1414. DOI:10.3760/cma.j.issn.1672-7088.2018.18.012.
[7] 卞薇,吴燕,周明芳,等.患者安全胜任力护理人员自评量表的编制及信效度评价[J].第三军医大学学报, 2016,38(7):776-780. DOI:10.16016/j.1000-5404.201508128.
[8] 郭颖达,姜安丽.护士患者安全胜任力框架的构建[J].解放军护理杂志, 2015, 32(7):64-67.DOI:10.3969/j.issn.1008-9993.2015.07.022.
[9] Lee NJ, An JY, Song TM, et al.Psychometric Evaluation of a Patient Safety Competency Self-evaluation Tool for Nursing Students[J]. J Nurs Educ, 2014,53(10):550-562. DOI:10.3928/01484834-20140922-01.
[10] Kim YM, Yoon YS, Hong HC, et al.Effects of a Patient Safety Course Using a Flipped Classroom Approach Among Undergraduate Nursing Students: A Quasi-experimental study[J]. Nurse Educ Today,2019,79:180-187.DOI:10.1016/j.nedt.2019.05.033.
[11] Lee SE, Lee MH, Peters AB, et al.Assessment of Patient Safety and Cultural Competencies among Senior Baccalaureate Nursing Students[J].Int J Environ Res Public Health, 2020,17(12):4225. DOI:10.3390/ijerph17124225.
[12] Brislin RW.Back-translation for Cross-cultural Research[J]. J Cross Cult Psychol,1970, 1(3):185-216.DOI:10.1177/135910457000100301.
[13] 中国医院协会. 中国医院质量安全管理[EB/OL]. (2018-05-01)[2020-12-05].http://www.cha.org.cn/uploads/soft/200625.pdf.
[14] 李峥,刘宇. 护理学研究方法[M]. 2版.北京:人民卫生出版社,2020.
[15] 徐涓萍,郑洁,周春华.中文版4条目NASA任务负荷量表在ICU护士中的应用与信效度评价[J].护理学报,2018,25(22):55-58.DOI:10.16460/j.issn1008-9969.2018.22.055.
[16] 胡鹏, 路红, 马子程.验证性因子分析中允许误差相关的可行性与条件性[J]. 统计与决策, 2018, 34(19):37-41.DOI:10.13546/j.Cnki.Tjyjc.2018.19.00.
[17] 朱红兵. 问卷调查及统计分析方法:基于SPSS[M].北京:电子工业出版社, 2019.
[18] 胡宇翔,李慧,孔祥萍,等. 实习护生患者安全态度和职业素养的调查[J]. 中国护理管理,2019,19(12):1854-1860. DOI:10.3969/j.issn.1672-1756.2019.12.019.
[19] Li H, Kong X, Sun L,et al.Major Educational Factors Associated with Nursing Adverse Events by Nursing Students Undergoing Clinical Practice: A Descriptive Study[J]. Nurse Educ Today, 2021, 98:104738. DOI:10.1016/j.nedt.2020.104738.
[20] 杜艳丽,王璐,廖雨风,等.临床情境模拟结合标准化病人教学法在培养护生压疮风险评估能力的应用[J].护理学报,2021, 28(15):10-14. DOI:10.16460/j.issn1008-9969.2021.15.010.
[21] 郭杰敏,林芳,王晓,等.基于标准化病人的情境模拟教学对本科护生非技术性技能的影响[J].护理学报,2019,26(16):9-12.DOI:10.16460/j.issn1008-9969.2019.16.009.
[22] Kuo SY, Wu JC, Chen HW, et al.Comparison of the Effects of Simulation Training and Problem-based Scenarios on the Improvement of Graduating Nursing Students to Speak up about Medication Errors: A Quasi-experimental Study[J]. Nurse Educ Today, 2020, 87:104359.DOI:10.1016/j.nedt.2020.104359.
[23] 王颖,尹世玉,郭晓贝,等.住院患者预防跌倒安全屏障的建立与实践[J].护理学报,2019, 26(15):14-17.DOI:10.16460/j.issn1008-9969.2019.15.014.
[1] 鹿笑寒, 宋洁, 王晋芳, 刘霖, 陈海雯, 姜倩倩. 置信职业行为在护理教育中的研究现状[J]. 护理学报, 2022, 29(3): 35-39.
[2] 张正敏, 左倩倩, 冯现刚, 梁素娟, 魏红云, 高钰琳. ICU护士职业死亡回避量表的编制及信效度检验[J]. 护理学报, 2022, 29(1): 53-57.
[3] 王琦, 李领侠, 和巾杰, 郑华东, 米晓芬, 胡艳粉. 医护人员低血糖症知信行问卷的编制及信效度检验[J]. 护理学报, 2021, 28(9): 9-13.
[4] 郑丹丹, 任静, 李艳, 徐倩. 母亲感知育儿自我效能量表的汉化及其在早产儿母亲中的信效度研究[J]. 护理学报, 2021, 28(9): 54-57.
[5] 严露培, 姚丽丽, 赵庆华, 肖明朝, 李跃荣. 基于柯氏模型对TeamSTEPPS应用于医疗人员培训后效果维持的系统评价[J]. 护理学报, 2021, 28(8): 17-22.
[6] 任黎, 赵秀芳. 基于洋葱模型的妇幼专科医院新护士岗位胜任力模型及指标体系构建[J]. 护理学报, 2021, 28(7): 21-25.
[7] 刘瑜, 周春兰, 周君桂, 邓水娟, 何任红. 神经源性膀胱患者自我管理量表的编制及信效度检验[J]. 护理学报, 2021, 28(7): 64-68.
[8] 信博, 赵秋利, 王楠楠, 马得欣, 邢慧, 吴燕妮, 于洋. 消化系统癌症高危人群预防主动行为测评量表的编制与信效度评价[J]. 护理学报, 2021, 28(5): 6-11.
[9] 夏杰, 段霞, 张佳男, 于婵, 王可可. 高危孕产妇病情预警评估表的构建及信效度检验[J]. 护理学报, 2021, 28(4): 67-72.
[10] 侯艳, 张云, 高蓉, 刘宝吉, 赵卿. 恶性肿瘤患者疼痛认知量表的汉化和信效度检验[J]. 护理学报, 2021, 28(4): 62-66.
[11] 李艳清, 张晓梅, 徐秀群. Skidmore焦虑病耻感量表的汉化及信效度检验[J]. 护理学报, 2021, 28(24): 17-21.
[12] 张珊珊, 李惠萍, 宋江艳, 周梦珂, 高杰, 李嘉欣. 乳腺癌患者家庭韧性评估量表的汉化及信效度研究[J]. 护理学报, 2021, 28(24): 1-5.
[13] 侯姗姗, 孙洪梅, 方晓风, 周洋, 曲桂玉. 基于双螺旋模型的医养结合岗位护士胜任力评价的量化指标研究[J]. 护理学报, 2021, 28(22): 25-29.
[14] 徐凌霞, 李爱仙. 自我调节疲劳量表用于腹膜透析患者的信度效度分析[J]. 护理学报, 2021, 28(20): 11-15.
[15] 刘晓黎, 吴晓舟, 李硕, 杨国艺, 王泠, 刘树佳. 基于岗位胜任力的护士长分层培训体系构建[J]. 护理学报, 2021, 28(2): 10-15.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!