中华护理杂志 ›› 2024, Vol. 59 ›› Issue (11): 1376-1381.DOI: 10.3761/j.issn.0254-1769.2024.11.013

• 护理管理 • 上一篇    下一篇

护理领导者伦理决策信心量表的汉化及信效度检验

赵蓉蓉(), 庄一渝()   

  1. 310016 杭州市 浙江大学医学院附属邵逸夫医院护理部
  • 收稿日期:2023-06-08 出版日期:2024-06-10 发布日期:2024-06-07
  • 通讯作者: 庄一渝,E-mail:zhuangyy@zju.edu.cn
  • 作者简介:赵蓉蓉:女,本科(硕士在读),E-mail:zhaorr@zju.edu.cn

Sinicization of the Ethical Decision-Making Confidence Scale for nurse leaders and the test of its reliability and validity

ZHAO Rongrong(), ZHUANG Yiyu()   

  • Received:2023-06-08 Online:2024-06-10 Published:2024-06-07

摘要:

目的 汉化伦理决策信心量表(Ethical Decision-Making Confidence Scale,EDMC),并检验其在护理领导者中的信效度。方法 按照Brislin翻译模型对EDMC进行直译和回译,经原作者审核、文化调试和预调查形成EDMC中文测试版。2023年4月—5月,采用便利抽样法,选取浙江省某三级甲等医院228名护理领导者进行调查,并抽取20名于调查2周后收集其重测问卷资料,评价量表的信效度。结果 中文版EDMC包括专业技能相关信心(9个条目)和行动相关信心(6个条目)2个维度,共15个条目。该量表条目水平的内容效度指数为0.833~1.000,平均量表水平的内容效度指数为0.967。探索性因子分析共提取出2个公因子,累计方差贡献率为65.449%。各条目在其所属因子上的载荷值为0.546~0.828。量表总的Cronbach’s α系数为0.947,各维度的Cronbach’s α系数为0.911~0.919;量表总的折半信度为0.882,重测信度为0.752。结论 中文版EDMC具有良好的信效度,可较为全面地评价护理领导者的伦理决策信心水平,为管理者制订培训计划及针对性干预措施提供依据。

关键词: 护理领导者, 伦理学, 决策, 量表, 护理管理研究

Abstract:

Objective The Ethical Decision-Making Confidence Scale(EDMC) was translated into Chinese,and its reliability and validity were tested. Methods The English version of EDMC was translated into Chinese and back-translated according to the Brislin model. After being reviewed by the original authors,cultural adjustments were made,and a pretest was conducted to finalize the Chinese version of the scale. To test the reliability and validity of the scale,228 nurse leaders were investigated using a convenience sampling method in a tertiary hospital in Zhejiang from April to May 2023. Additionally,20 nurse leaders were selected to provide test-retest data 2 weeks after the survey. Results The Chinese version of EDMC contained 2 dimensions,namely skill-related confidence(9 items) and behavior-related confidence(6 items). The I-CVI ranged from 0.833 to 1.000,and the S-CVI/Ave was 0.967. Exploratory factor analysis extracted 2 common factors with factor loadings ranging from 0.546 to 0.828 for each item,contributing to a cumulative variance rate of 65.449%. The Cronbach’s α coefficient of the overall scale was 0.947,and the Cronbach’s α coefficient for each dimension ranged from 0.911 to 0.919. The split-half reliability of the total scale was 0.882,and the test-retest reliability was 0.752. Conclusion The Chinese version of EDMC demonstrated good reliability and validity,making it suitable for a comprehensive evaluation of the ethical decision-making confidence of nurse leaders. It can provide corresponding bases for medical administrators to make educational plans and targeted intervention strategies.

Key words: Nurse Leaders, Ethics, Decision Making, Scale, Nursing Administration Research