护士心理韧性相关执业环境因素评估量表的构建及信效度检验

doi:10.16460/j.issn1008-9969.2023.01.053

摘要/Abstract

摘要： 目的编制护士心理韧性相关执业环境因素评估量表,并评价其信效度。方法基于护士心理韧性相关执业环境模型框架,结合文献检索、半结构式访谈、小组讨论构架量表条目池,通过2轮德尔菲专家函询及小样本预调查确定量表初稿。采用便利抽样抽取北京市某三级甲等医院280名护士进行调查,通过项目分析进行条目筛选。采用便利抽样抽取北京市某三级甲等医院694名护士进行正式调查,对量表进行信度分析、探索性因子分析,最终通过验证性因子分析对量表拟合度进行检验,形成正式版量表。结果护士心理韧性相关执业环境因素评估量表包括职业支持与发展、实践支持与发展以及个人支持与发展3个维度、共32个条目,累计方差贡献率为73.376%。验证性因子分析结果显示,量表的模型适配良好。总量表的Cronbach α系数为0.980,2周后的重测信度为0.940,折半信度为0.931,总量表内容效度指数为0.980。结论护士心理韧性相关执业环境因素评估量表具有较好的信效度,可用于评估护士执业环境中影响心理韧性的相关因素。

关键词: 护士, 心理韧性, 执业环境, 信度, 效度

Abstract: Objective To develop a nurse resilience-related practice environment factor assessment scale and to test its reliability and validity. Methods Based on the Health Services Workplace Environmental Resilience Model (HSWERM), combined with literature retrieval, semi-structured interview and group discussion, the item pool of the scale was constructed. The scale was modified by two rounds of expert letter consultation using Delphi method. Convenience sampling was used to select 280 nurses in a tertiary grade-A hospital in Beijing for the first investigation, and items were screened through item analysis. Convenience sampling was used to select 694 nurses in a tertiary grade-A hospital in Beijing for the second investigation. Reliability analysis and exploratory factor analysis, and confirmatory factor analysis were conducted to construct the formal scale. Results The nurse resilience-related practice environment factor assessment scale included three dimensions of career support and development, practical support and development, and personal support and development. The scale consisted of 32 items, and the cumulative variance contribution rate was 73.376%. The model fit of the scale was good. The Cronbach’s α coefficient of internal consistency of the total table was 0.980; retest reliability 0.940; half-fold reliability 0.931; and content validity index of the total table 0.980. Conclusion The nurse resilience-related practice environment factor assessment scale has good reliability and validity, and can be used to evaluate the factors affecting mental toughness in nurses’ practice environment.

Key words: nurse, resilience, practice environment, reliability, validity

中图分类号:

张慧鑫, 蔡卫新, 邢娅娜, 王翠雪, 尹志科, 张俊丽, 典慧娟, 林笑女. 护士心理韧性相关执业环境因素评估量表的构建及信效度检验[J]. 护理学报, 2023, 30(1): 53-59.

ZHANG Hui-xin,CAI Wei-xin, XING Ya-na, WANG Cui-xue, YIN Zhi-ke, ZHANG Jun-li, DIAN Hui-juan, LIN Xiao-nv. Development and sychometric testing of Nurse Resilience-related Practice Environment Factor Assessment Scale[J]. Journal of Nursing, 2023, 30(1): 53-59.

参考文献

[1] 尚思远,邢唯杰,邓寒羽,等. 我国抗击新冠肺炎疫情期间新闻媒体关于护士报道的内容分析[J]. 中国护理管理, 2021, 21(7):997-1002.DOI:10.3969/j.issn.1672-1756.2021.07.009.
[2] Chen SH,Liu JE,Bai XY,et al.Providing targeted psychological support to frontline nurses involved in the management of COVID-19: an action research[J]. J Nurs Manag,2021,29(5):1169-1179.DOI:10.1111/jonm.13255.
[3] 陈飞杰,付洋洋. 突发公共卫生事件下护理人员心理韧性的研究及思考[J]. 中国当代医药,2020,27(35):29-32.
[4] 林琳,何国平. 国外关于护士心理韧性的研究进展[J]. 解放军护理杂志,2018,35(17):41-44.
[5] Pehlivan T, Güner P.Effect of a compassion fatigue resiliency program on nurses’ professional quality of life, perceived stress, resilience: a randomized controlled trial[J]. J ADV NURS, 2020, 76(12):3584-3596. DOI:10.1111/jan.14568.
[6] Foster K, Cuzzillo C, Furness T.Strengthening mental health nurses’ resilience through a workplace resilience programme: a qualitative inquiry[J]. J Psychiatr Ment Health Nurs, 2018, 25(5/6):338-348. DOI:10.1111/jpm.12467.
[7] Chesak SS,Bhagra A,Cutshall S, et al.Authentic connections groups: a pilot test of an intervention aimed at enhancing resilience among nurse leader mothers[J]. Worldviews Evid Based Nurs, 2020, 17(1):39-48.DOI:10.1111/wvn.12420.
[8] Cusack L, Smith M, Hegney D, et al.Exploring environmental factors in nursing workplaces that promote psychological resilience: constructing a unified theoretical model[J]. Frontiers in Psychology, 2016, 5(7):601-608.DOI:10.3389/fpsyg.2016.00600.
[9] Hsieh H, Huang I, Liu Y, et al.The effects of biofeedback training and smartphone-delivered biofeedback training on resilience, occupational stress, and depressive symptoms among abused psychiatric nurses[J].Int J Environ Res Public Health, 2020, 17(8):2905.DOI:10.3390/ijerph17082905.
[10] Gandhi S, Sahu M, Govindan R, et al.Psychological preparedness for pandemic(COVID-19) management: perceptions of nurses and nursing students in India[J]. PLoS One,2021,16(8):e255772.DOI:10.1371/journal.pone.0255772.
[11] 林思婷,罗梦娜,李泽楷.护士心理韧性量表的编制及其信效度检验[J]. 解放军护理杂志,2020,37(8):44-47.DOI:10.3969/J.ISSN.1008-9993.2020.08.011.
[12] 徐佳慧,沈明,陈娟,等.国内护理人员心理弹性研究现状[J]. 解放军医院管理杂志,2020,27(4):392-396.
[13] 何宇,杨小丽. 基于德尔菲法的精神卫生服务可及性评价指标体系研究[J].中国全科医学, 2018, 21(3):322-329.DOI:10.3969/j.issn.1007-9572.2017.00.091.
[14] 张昊,尚磊. 医学量表编制中的统计学方法进展[J]. 实用预防医学,2019, 26(3):381-385.DOI:10.3969/j.Issn.1006-3110.2019.03.037.
[15] 刘瑜,周春兰,周君桂,等. 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.DOI:10.16460/j.issn1008-9969.2021.07.064.
[16] 赵秋利. 护理测评工具的开发与应用[M].北京:人民卫生出版社,2014:8-18.
[17] 张海燕,吴志军,梁俊卿,等.护士执业环境测评量表的修订与信度效度评价[J].中国护理管理,2019,19(3):388-393.DOI:10.3969/j.issn.1672-1756.2019.03.013.
[18] 何红艳,周体,曾登芬,等. 临床护理教师胜任力评价量表的研制及信效度检验[J].护理学报,2020,27(24):11-14.DOI:10.16460/j.issn1008-9969.2020.24.011.
[19] 陈潇,张玉侠,俞静娴. 肝移植受者症状体验量表的构建及信效度检验[J].中华护理杂志,2020,55(11):1630-1635.DOI:10.3761/j.issn.0254-1769.2020.011.005.
[20] 杨丽潇,周春兰,屠燕,等.老年慢性病患者健康赋能需求评估量表的研制及信效度检验[J].护理学报,2022,29(3):67-71. DOI:10.16460/j.issn1008-9969.2022.03.067.
[21] 吴明隆. 结构方程模型-AMOS 的操作与应用[M].重庆:重庆大学出版社,2010:37-62.
[22] Henshall C, Davey Z, Jackson D.Nursing resilience interventions-a way forward in challenging healthcare territories[J].J Clin Nurs,2020, 29(19-20):3597-3599.DOI:10.1111/jocn.15276.
[23] 涂加园,刘云,孙琳,等.创伤患者低体温风险评估量表的编制及信效度检验[J].中华护理杂志, 2020, 55(12):1813-1818.DOI:DOI10.3761/j.issn.0254-1769.2020.12.010.

Metrics

Viewed

Full text

Abstract

Cited

Shared