新护士长工作准备度量表的研制及信效度检验

doi:10.3761/j.issn.0254-1769.2022.03.012

摘要/Abstract

摘要：

目的基于能力素质模型,编制新护士长工作准备度量表并检验其信效度。方法采用文献查阅法,基于能力素质模型概念框架,通过头脑风暴法、现场观察法、半结构式深入访谈法、专家咨询法构建量表初稿,于2021年9月采取目的抽样法对2019年5月—2021年8月上任的武汉市三级甲等医院189名新护士长进行问卷调查,检验量表的信效度。结果新护士长工作准备度量表包含4个一级指标、6个二级指标、29个条目。探索性因子分析共提取6个公因子,解释了总变量的86.90%。量表的内容效度指数为0.974,各条目内容效度指数为0.712~1.000。量表的Cronbach’s α系数为0.965,6个因子的Cronbach’s α系数为0.808~0.971,分半信度为0.827,重测信度为0.749。结论基于能力素质模型编制的新护士长工作准备度量表信效度良好,可为临床新护士长进行工作准备提供指导。

关键词: 新护士长, 工作准备度, 量表, 信度, 效度, 护理管理研究

Abstract:

Objective To develop a New Nurse Leaders’ Job Readiness Scale based on the competency quality model,and to test its reliability and validity. Methods Based on the conceptual framework of competency quality model,we employed the literature review method,brainstorming method,on-site observation method,semi-structured in-depth interview method,and expert consultation method to construct the first draft of the scale. 189 new nurse leaders in Wuhan tertiary hospitals were surveyed from May 2019 to August 2021 to test the reliability and validity of the scale. Results The scale contained 4 primary indicators,6 secondary indicators and 29 entries. 6 common factors were extracted by exploratory factor analysis,which explained 86.90% of the total variables. The content validity index of the scale was 0.974,and the content validity index of each entry ranged from 0.712 to 1.000. The Cronbach’s α coefficient of the scale was 0.965,and the Cronbach’s α coefficient of the 6 factors ranged from 0.808 to 0.971,with a split-half reliability of 0.827 and a retest reliability of 0.749. Conclusion The reliability and validity of the New Nurse Leaders’ Job Readiness Scale are good,and it can provide the guidance for new nurse leaders to prepare for their job.

Key words: New Nurse Leaders, Job Readiness, Scale, Reliability, Validity, Nursing Administration Research

梁宇涵, 马敬东. 新护士长工作准备度量表的研制及信效度检验[J]. 中华护理杂志, 2022, 57(3): 325-330.

LIANG Yuhan, MA Jingdong. Development and reliability and validity test of New Nurse Leaders’ Job Readiness Scale[J]. Chinese Journal of Nursing, 2022, 57(3): 325-330.

图/表 2

参考文献 13

[1]	国家发展和改革委员会. 全国护理事业发展规划(2016-2020年)[EB/OL].(2017-07-20)[2021-11-14]. https://www.ndrc.gov.cn/fggz/fzzlgh/gjjzxgh/201707/t20170720_1196854.html?code=&st-ate=123.
	National Development and Reform Commission. National Nursing Development Plan(2016-2020)[EB/OL].(2017-07-20)[2021-11-14]. https://www.ndrc.gov.cn/fggz/fzzlgh/gjjzxgh/201707/t20170720_1196854.html?code=&st-ate=123.
[2]	宋晗, 田君叶, 邱慧, 等. 基于扎根理论的需求驱动下新任护士长培训模型的构建[J]. 中华现代护理杂志, 2021,27(7):911-917.
	Song H, Tian JY, Qiu H, et al. The construction of training model of new head nurse based on demands:a grounded theory research[J]. Chin J Mod Nurs, 2021,27(7):911-917.
[3]	马莉, 王清, 陈雁. 护理管理者胜任力模型在新护士长培训中的应用与效果评价[J]. 中国护理管理, 2017,17(12):1635-1639.
	Ma L, Wang Q, Chen Y. Application and effect evaluation of cli-nical nursing leadership competency model in the training of new headnurses[J]. Chin Nurs Manag, 2017,17(12):1635-1639.
[4]	薛婷, 姜文彬, 马梦迪, 等. 新护士长领导力提升的体验式管理培训[J]. 护理学杂志, 2020,35(16):1-4.
	Xue T, Jiang WB, Ma MD, et al. Experiential management training aiming at improving leadership skills of new head nurses[J]. J Nurs Sci, 2020,35(16):1-4.
[5]	Lawson C. Strengthening new nurse manager leadership skills through a transition-to-practice program[J]. J Nurs Adm, 2020,50(12):618-622. DOI URL
[6]	Dewald G, Reddy N. Becoming a successful nurse manager[J]. Nephrol Nurs J, 2020,47(3):259-265. PMID
[7]	Carusone N, Pittman R, Shoss M. Sometimes it’s personal:diffe-rential outcomes of person vs. job at risk threats to job security[J]. Int J Environ Res Public Health, 2021,18(14):7379. DOI URL
[8]	Walker A, Storey KM, Costa BM, et al. Refinement and validation of the Work Readiness Scale for graduate nurses[J]. Nurs Outlook, 2015,63(6):632-638. DOI URL
[9]	McClelland DC. Testing for competence rather than for “intelligence”[J]. Am Psychol, 1973,28(1):1-14. PMID
[10]	吴明隆. 问卷统计分析实务[M]. 重庆: 重庆大学出版社, 2010: 207.
	Wu ML. Practice of questionnaire statistical analysis[M]. Chong-qing: Chongqing University Press, 2010: 207.
[11]	汪晖, 张梦霞, 尹世玉, 等. 护士长变革型领导力自评量表的研制及信效度检验[J]. 中华护理杂志, 2020,55(2):209-214.
	Wang H, Zhang MX, Yin SY, et al. The development of Head Nurse’s Transformational Leadership Self-rating Scale and the test of its reliability and validity[J]. Chin J Nurs, 2020,55(2):209-214.
[12]	黄春美, 冯志仙, 黄莺. 护士长领导力测评指标体系的构建[J]. 中华护理杂志, 2016,51(7):781-786.
	Huang CM, Feng ZX, Huang Y. Development of nurse managers’ leadership indicator system[J]. Chin J Nurs, 2016,51(7):781-786.
[13]	杜娟, 齐亚宾, 焦琳琳. 基于胜任力模型的护士长岗位培训大纲的构建[J]. 中华护理教育, 2018,15(9):645-649.
	Du J, Qi YB, Jiao LL. The development of training framework based on competency model for head nurses[J]. Chin J Nurs Educ, 2018,15(9):645-649.

[1]	谭小雪, 徐敏, 王燕. 浙江省公立中医医疗机构中医护理门诊开展情况的调查研究[J]. 中华护理杂志, 2022, 57(3): 312-317.
[2]	王爱美, 王晓虹, 杜红霞, 于成丽, 栾晓嵘. 新入职护士安全行为现状及影响因素的路径分析[J]. 中华护理杂志, 2022, 57(3): 318-324.
[3]	李漫春, 王梅杰, 姚卓娅, 耿军辉, 詹朦, 王俊锋, 丁丽娜. 河南省238所医院消毒供应中心灭菌人员岗位胜任力的调查研究[J]. 中华护理杂志, 2022, 57(3): 331-336.
[4]	刘璐, 张娟, 张晓瑜, 黄锐娜, 张美红, 晏晓琨. 鼻饲患者误吸风险评估量表的编制及信效度检验[J]. 中华护理杂志, 2022, 57(3): 337-342.
[5]	支婷婷, 王艳波. 认知性访谈在创伤知情照护相关态度量表文化调适中的应用[J]. 中华护理杂志, 2022, 57(3): 343-347.
[6]	孙尔鸿, 高宇, 叶旭春. 技术焦虑量表的汉化及其在老年群体中的信效度检验[J]. 中华护理杂志, 2022, 57(3): 380-384.
[7]	龚蓓, 李立华, 邵华, 李惠平, 黄红友. 精神科护士夜班经历创伤事件后成长体验的质性研究[J]. 中华护理杂志, 2022, 57(2): 165-169.
[8]	胡慧秀, 孙超, 张洁, 崔玲玲, 果迪. 老年患者出院准备服务需求程度评估表的构建及信效度检验[J]. 中华护理杂志, 2022, 57(2): 188-192.
[9]	陈潇, 张玉侠. 认知性访谈在患者护理服务体验量表编制中的应用[J]. 中华护理杂志, 2022, 57(1): 83-88.
[10]	朱淑榕, 魏碧蓉, 郭胜斌, 林颖. 硬膜外分娩镇痛产妇护理支持需求问卷的研制及信效度检验[J]. 中华护理杂志, 2021, 56(9): 1318-1324.
[11]	陈虹秀, 杨莘, 胡秀英, 邓宝凤, 马红梅, 张艾灵, 方海云, 石泽亚, 丁福, 王传霞, 亓恒美, 黄沂, 张俊梅, 马秀花, 鲁丽萍, 王申, 沙丽艳, 曹军华. 我国30个省份老年专科护士队伍培养与工作现状调查研究[J]. 中华护理杂志, 2021, 56(9): 1363-1368.
[12]	季子涵, 张玉侠, 陈潇. 类风湿关节炎患者疼痛评估量表的汉化与信效度检验[J]. 中华护理杂志, 2021, 56(9): 1435-1440.
[13]	辛晨,郭小靖,任师远,王伟,孙会亭,盖玉彪. 体外心肺复苏院内急救流程的优化及效果评价[J]. 中华护理杂志, 2021, 56(8): 1138-1144.
[14]	林音,祝雪花,陈英. 社区护士应对突发公共卫生事件救援能力评价指标的构建[J]. 中华护理杂志, 2021, 56(8): 1158-1164.
[15]	钟竹青,秦宁,高学琴,康晓凤,丁四清,刘亚平,李庆印. 临床护士输注血管活性药物的现状调查[J]. 中华护理杂志, 2021, 56(8): 1208-1215.