张晓茹, 童宇平, 刘嘉珍, 杜娟, 王子秀, 张永俊. 急诊护士突发公共卫生事件应急能力问卷的编制及信效度检验[J]. 职业卫生与应急救援, 2020, 38(1): 20-25, 43. DOI: 10.16369/j.oher.issn.1007-1326.2020.01.005
引用本文: 张晓茹, 童宇平, 刘嘉珍, 杜娟, 王子秀, 张永俊. 急诊护士突发公共卫生事件应急能力问卷的编制及信效度检验[J]. 职业卫生与应急救援, 2020, 38(1): 20-25, 43. DOI: 10.16369/j.oher.issn.1007-1326.2020.01.005
ZHANG Xiaoru, TONG Yuping, LIU Jiazhen, DU Juan, WANG Zixiu, ZHANG Yongjun. Designing questionnaire on public health emergency response capabilities for emergency nurse and its validity testing[J]. Occupational Health and Emergency Rescue, 2020, 38(1): 20-25, 43. DOI: 10.16369/j.oher.issn.1007-1326.2020.01.005
Citation: ZHANG Xiaoru, TONG Yuping, LIU Jiazhen, DU Juan, WANG Zixiu, ZHANG Yongjun. Designing questionnaire on public health emergency response capabilities for emergency nurse and its validity testing[J]. Occupational Health and Emergency Rescue, 2020, 38(1): 20-25, 43. DOI: 10.16369/j.oher.issn.1007-1326.2020.01.005

急诊护士突发公共卫生事件应急能力问卷的编制及信效度检验

Designing questionnaire on public health emergency response capabilities for emergency nurse and its validity testing

  • 摘要:
    目的 编制评价急诊护士突发公共卫生事件应急能力的问卷,并检验其信度和效度。
    方法 在查阅文献基础上,结合急诊科8名护士的访谈结果,通过德尔菲法确定初始问卷,并通过对228名急诊护士应急能力的调查,验证其信度和效度,形成最终问卷。
    结果 问卷共包含应急知识、抢救能力、评判性思维能力、沟通能力、组织与协调能力、职业道德和专业发展7个维度,37个条目。两轮咨询专家的有效回收率为100%和95%,专家权威系数为0.85和0.86,协调系数为0.337和0.340;问卷条目内容效度指数(I-CVI值)为0.789~1.000,问卷内容效度指数(S-CVI值)为0.960。探索性因子分析共提取7个公因子,根据条目内容将7个公因子分别命名为应急知识、评判性思维能力、抢救能力、职业道德、沟通能力、专业发展和组织与协调能力,累积贡献率为81.625%,每个条目在各公因子上的载荷均>0.4。问卷总Cronbach's α系数为0.879,各维度Cronbach's α系数为0.828~0.857,折半信度为0.818,各维度的折半信度为0.803~0.831。
    结论 编制的问卷具有良好的信效度,可作为急诊护士突发公共卫生事件应急能力的调查工具。

     

    Abstract:
    Objective In order to evaluate the public health emergency response capabilities of emergency nurses, a questionnaire was prepared and its reliability and validity were tested.
    Methods Based on the literature review, combined with the interview results of 8 nurses in the emergency department, the preliminary questionnaire was determined by Delphi method, then this questionnaire was used to survey the capabilities of 228 emergency nurses, furthermore to verify its reliability and validity, and finally a complete questionnaire was formed.
    Results The questionnaire included 7 items, including emergency knowledge, rescue ability, critical thinking ability, communication ability, organization and coordination ability, professional ethics and professional development, and 37 items. The effective recovery rate of the two rounds of consulting experts was 100% and 95%, respectively. The experts' authoritative coefficient was 0.85 and 0.86, and the coordination coefficient was 0.337 and 0.340, respectively. The item level content validity index (I-CVI) ranged from 0.789 to 1.000, and the scale level (S-CVI) was 0.960. Exploratory factor analysis extracted a total of 7 common factors, namely emergency knowledge, critical thinking ability, rescue ability, professional ethics, communication ability, professional development and organization and coordination ability. Their cumulative contribution rate was 81.625%. The load on each item of all 7 common factors was higher than 0.4. The total Cronbach's α coefficient of the questionnaire was 0.879 and that of each dimension varied from 0.828 to 0.857. The half-fold reliability was 0.818 and that of each dimension varied from 0.803 to 0.831.
    Conclusion The prepared questionnaire had good reliability and validity and can be used as an investigation tool to survey the public health emergency response ability among emergency nurses.

     

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