护士循证决策能力量表的汉化及信效度检验

doi:10.3761/j.issn.0254-1769.2025.06.015

摘要/Abstract

摘要：

目的汉化护士循证决策能力量表并检验其在国内护士群体中的信效度。方法成立研究小组，使用Brislin翻译模型对原量表进行直译、回译、跨文化调适、预调查及认知性访谈，最终形成中文版护士循证决策能力量表。采用便利抽样法，于2024年4月，选取北京市、湖北省、湖南省、新疆维吾尔自治区7所三级甲等医院的1 247名护士进行调查，检验量表的信效度。结果回收有效问卷1 026份，有效问卷回收率为82.28%。中文版护士循证决策能力量表包括知识技能、信念、行为3个维度，共25个条目。探索性因子分析共提取3个公因子，累计方差贡献率为91.725%，量表条目水平的内容效度指数为0.830~1.000，量表水平的内容效度指数为0.988，效标关联效度为0.496，量表总的Cronbach’s α系数为0.992，分半信度为0.930，重测信度为0.927。结论中文版护士循证决策能力量表具有较好的信效度和实用性，可用于评估国内护士的循证决策能力，为推动循证护理实践及循证决策提供依据。

关键词: 循证决策, 循证护理学, 量表, 信度, 效度, 护理管理研究

Abstract:

Objective To translate Evidence-Informed Decision-Making Competence Measure for Chinese nurses and test its validity and reliability. Methods A research group was set up to use the Brislin translation model to translate the original scale into Chinese，and the back translation，cross-cultural adaptation，pre-experiment and cognitive interview were conducted to finally form the Chinese version of the Evidence-Informed Decision-Making Competence Measure for nurses. A total of 1 247 nurses from 7 tertiary A hospitals in Beijing，Hubei，Hunan and Xinjiang were selected by convenience sampling method in April 2024 to test its reliability and validity. Results 1 026 effective question-naires were collected，with an effective recovery rate of 82.28%. The Chinese version of the Evidence-Informed Decision-Making Competence Measure included 25 items，including knowledge/skill，attitude and behavior. A total of 3 common factors were extracted from exploratory factor analysis，and the cumulative variance contribution rate was 91.725%. The content validity index at the item level was 0.83-1.00；the content validity index at the scale level was 0.988；the calibration association validity was 0.496. The Cronbach’s α coefficient of the whole scale was 0.992；the half-point reliability was 0.930；the retest reliability was 0.927. Conclusion The Chinese version of Evidence-Informed Decision-Making Competence Measure for nurses has good reliability and validity，and it can be used to evaluate the evidence-informed decision-making competence of Chinese nurses，provide references for promoting evidence-based nursing practice and evidence-informed decision-making.

Key words: Evidence-Informed Decision-Making, Evidence-Based Nursing, Scale, Reliability, Validity, Nursing Administration Research

魏永婷, 田书梅, 杨娇, 余良欢, 倪福, 范雨晴, 肖瑶, 席祖洋, 沙菊艳, 刘聪. 护士循证决策能力量表的汉化及信效度检验[J]. 中华护理杂志, 2025, 60(6): 736-742.

WEI Yongting, TIAN Shumei, YANG Jiao, YU Lianghuan, NI Fu, FAN Yuqing, XIAO Yao, XI Zuyang, SHA Juyan, LIU Cong. Sinicization of Evidence-Informed Decision-Making Competence Measure for nurses and its reliability and validity test[J]. Chinese Journal of Nursing, 2025, 60(6): 736-742.

图/表 2

参考文献 25

[1]	Listl S, Baltussen R, Carrasco-Labra A, et al. Evidence-informed oral health policy making:opportunities and challenges[J]. J Dent Res, 2023, 102(12):1293-1302.
[2]	王丽竹, 陈媛儿, 李茜, 等. ICU患者眼部并发症预防及护理的循证实践[J]. 中华护理杂志, 2024, 59(7):781-788. DOI
	Wang LZ, Chen YE, Li Q, et al. Evidence-based practice for the prevention and care of ocular complications in ICU patients[J]. Chin J Nurs, 2024, 59(7):781-788. DOI
[3]	刘建萍, 郭卫婷, 高伟, 等. 心脏康复患者运动恐惧体验质性研究的Meta整合[J]. 中华护理杂志, 2024, 59(4):474-481. DOI
	Liu JP, Guo WT, Gao W, et al. Meta-synthesis of qualitative research on the experience of kinesiophobia in patients with cardiac rehabilitation[J]. Chin J Nurs, 2024, 59(4):474-481. DOI
[4]	邢思思, 段晓侠, 袁玥, 等. 三甲医院护士循证护理实践知信行现状及影响因素研究[J]. 中华全科医学, 2024, 22(3):522-525, 529.
	Xing SS, Duan XX, Yuan Y, et al. A study on the current situation and influencing factors of evidence-based nursing practice knowledge-attitude-practice among nurses in third Class A hospitals[J]. Chin J Gen Pract, 2024, 22(3):522-525, 529.
[5]	傅唯佳, 顾莺, 杨玉霞, 等. 先天性心脏病患儿营养风险筛查及评估循证决策支持系统的构建与应用[J]. 中华护理杂志, 2023, 58(17):2059-2066. DOI
	Fu WJ, Gu Y, Yang YX, et al. The construction and evaluation of an evidence-based decision support system for the nutrition risk screening of congenital heart disease children[J]. Chin J Nurs, 2023, 58(17):2059-2066. DOI
[6]	Rasooly A, Ben-Sheleg E, Davidovitch N, et al. Rethinking the path from evidence to decision-making[J]. Isr J Health Policy Res, 2023, 12(1):10.
[7]	Ervin AM, Solomon SD, Shoge RY. Access to eye care in the United States:evidence-informed decision-making is key to improving access for underserved populations[J]. Ophthalmology, 2022, 129(10):1079-1080.
[8]	Franco JVA, Dwan K, Garegnani LI, et al. Advocating for evi-dence-informed decisions to make healthcare fit for each per-son[J]. BMJ Evid Based Med, 2022, 27(2):65-66.
[9]	王旖磊, 胡雁, 周英凤, 等. 循证护理能力评定量表的建立与信效度研究[J]. 护理学杂志, 2017, 32(2):49-52,59.
	Wang YL, Hu Y, Zhou YF, et al. Development and validation of the Evidence-Based Nursing Competence Scale[J]. J Nurs Sci, 2017, 32(2):49-52,59.
[10]	钱超, 彭幼清, 王婷, 等. 健康循证实践量表的汉化及信效度检验[J]. 护理学杂志, 2023, 38(19):109-112.
	Qian C, Peng YQ, Wang T, et al. Translation and validation of Chinese version of Health Sciences Evidence-Based Practice Questionnaire[J]. J Nurs Sci, 2023, 38(19):109-112.
[11]	Belita E, Yost J, Squires JE, et al. Measures assessing attri-butes of Evidence-Informed Decision-Making(EIDM) compe-tence among nurses:a systematic review protocol[J]. Syst Rev, 2018, 7(1):181. DOI PMID
[12]	Belita E, Fisher K, Yost J, et al. Validity,reliability,and acce-ptability of the Evidence-Informed Decision-Making(EIDM) competence measure[J]. PLoS One, 2022, 17(8):e0272699.
[13]	Yu QM, Wei R, Wei YT, et al. Psychometric evaluation of the Perceived Perioperative Competence Scale-revised among the Chinese operating room nurses:a methodological research[J]. BMC Nurs, 2022, 21(1):79.
[14]	李丽君, 段应龙, 刘翔宇, 等. 癌症患者同伴支持量表的汉化及信效度检验[J]. 中华护理杂志, 2023, 58(3):374-379. DOI
	Li LJ, Duan YL, Liu XY, et al. Sinicization of the Cancer Peer Support Scale and the test of its reliability and validity[J]. Chin J Nurs, 2023, 58(3):374-379. DOI
[15]	史静琤, 莫显昆, 孙振球. 量表编制中内容效度指数的应用[J]. 中南大学学报(医学版), 2012, 37(2):152-155.
	Shi JC, Mo XK, Sun ZQ. Content validity index in scale development[J]. J Cent South Univ Med Sci, 2012, 37(2):152-155.
[16]	王洋, 孙爱峰. 测验效标关联效度大小的统计学估计[J]. 中国医药指南, 2011, 9(31):234-235.
	Wang Y, Sun AF. Statistical estimation of relevance validity of test criterion[J]. Guide China Med, 2011, 9(31):234-235.
[17]	李琛, 郑福雪, 陈飞, 等. 护理人际关系量表的汉化及信效度检验[J]. 中华护理杂志, 2023, 58(16):2043-2048. DOI
	Li C, Zheng FX, Chen F, et al. Sinicization of Nursing Care Interpersonal Relationship Questionnaire and the test of its reliability and validity[J]. Chin J Nurs, 2023, 58(16):2043-2048. DOI
[18]	王红莲, 谢文娟, 黄慧, 等. 癌症患者适应能力指数的汉化及信效度检验[J]. 中华护理教育, 2024, 21(2):218-223.
	Wang HL, Xie WJ, Huang H, et al. Translation and validation of the Adaptive Capacity Index for Advanced Cancer Patients[J]. Chin J Nurs Educ, 2024, 21(2):218-223.
[19]	王克芳, 徐东娟, 王雅琦. 护理领域量表类论文问题分析及建议[J]. 中华护理杂志, 2024, 59(3):287-291. DOI
	Wang KF, Xu DJ, Wang YQ. Analysis and recommendations for issues in scale-based research papers in the field of nursing[J]. Chin J Nurs, 2024, 59(3):287-291. DOI
[20]	Belita E, Squires JE, Yost J, et al. Measures of evidence-infor-med decision-making competence attributes:a psychometric systematic review[J]. BMC Nurs, 2020, 19:44. DOI PMID
[21]	许丽媛, 杨心雨, 沈意娜, 等. 疼痛科护士对糖尿病周围神经病变延续护理知信行的现况调查[J]. 中国护理管理, 2024, 24(2):272-276.
	Xu LY, Yang XY, Shen YN, et al. Investigation on the knowledge,attitude and practice in continuous nursing of patients with diabetic peripheral neuropathy among nurses in pain department[J]. Chin Nurs Manag, 2024, 24(2):272-276.
[22]	国家卫生健康委员会. 全国护理事业发展规划(2021-2025年)[EB/OL].(2022-05-07)[2024-04-22]. http://www.nhc.gov.cn/yzy-gj/s7653pd/202205/441f75ad347b4ed68a7d2f2972f78e67.shtml.
	National Health Commission of the People’s Republic of China. National nursing development plan(2021-2025)[EB/OL].(2022-05-07)[2024-04-22]. http://www.nhc.gov.cn/yzygj/s7653-pd/202205/441f75ad347b4ed68a7d2f2972f78e67.shtml.
[23]	周雪, 毛荟妍, 王雪梅, 等. 新质生产力驱动卫生系统重塑的当前表现与潜在挑战[J]. 中国医院管理, 2024, 44(5):17-21.
	Zhou X, Mao HY, Wang XM, et al. Current manifestations and potential challenges of health system reshaping driven by new quality productivity[J]. Chin Hosp Manag, 2024, 44(5):17-21.
[24]	Landsverk NG, Olsen NR, Brovold T. Instruments measuring evi-dence-based practice behavior,attitudes,and self-efficacy among healthcare professionals:a systematic review of measurement properties[J]. Implement Sci, 2023, 18(1):42. DOI PMID
[25]	陈佳茵, 刘宁, 杨琳. 知识转化理论模式研究进展的范围综述[J]. 护理研究, 2022, 36(17):3077-3084.
	Chen JY, Liu N, Yang L. Research progress on knowledge tran-slation theory models:a scoping review[J]. Chin Nurs Res, 2022, 36(17):3077-3084.

编辑推荐 0

Metrics

阅读次数

全文

HTML			PDF

最新录用	在线预览	正式出版	最新录用	在线预览	正式出版
0	0	0	0	0	6

	来源	本网站

	次数	6
	比例	100%

摘要

277

最新录用	在线预览	正式出版

0	0	277

	来源	本网站

	次数	277
	比例	100%