护理人员传染病突发事件防控能力问卷编制及信效度检验

doi:10.3761/j.issn.0254-1769.2023.05.004

摘要/Abstract

摘要：

目的编制护理人员传染病突发事件防控能力问卷并检验其信效度。方法以前期课题组汉化的感染预防协会能力框架为理论基础，通过文献回顾、德尔菲专家函询和预调查形成问卷初稿。采用方便抽样法，2022年6月选取湖北省某三级甲等综合医院303名护理人员作为调查对象，对问卷进行项目分析、探索性因子分析和信度检验；2022年7月另取湖北省3所三级甲等综合医院561名护理人员作为调查对象，对问卷进行验证性因子分析。结果最终形成的护理人员传染病突发事件防控能力问卷包括临床实践能力、学习与教育能力、领导与管理能力、质量改进与研究能力、职业道德素养5个维度，共35个条目。探索性因子分析提取5个公因子，累计方差贡献率为74.587%；验证性因子分析结果显示，模型拟合良好，问卷因子结构稳定。问卷总体内容效度和各条目内容效度均为1.00。问卷总的Cronbach’s α系数为0.975，分半信度为0.874，重测信度为0.877。结论护理人员传染病突发事件防控能力问卷信效度良好，可作为评价护理人员传染病突发事件防控能力的工具。

关键词: 护理人员, 传染病, 突发事件, 问卷, 信度, 效度

Abstract:

Objective To develop and test the reliability and validity of the Questionnaire on Prevention and Control Competence of Nursing Staff for Infectious Disease Emergencies. Methods Guided by translated Infection Prevention Society Competency Framework，a questionnaire draft was constructed through the literature review，Delphi expert consultation，and a pilot survey. By convenience sampling method，303 nursing staff were investigated for item analysis，exploratory factor analysis，and reliability analysis of the pre-test questionnaire from a tertiary A hospital in Hubei in June 2022；another 561 nurses were selected for confirmatory factor analysis from 3 tertiary A hospitals in Hubei in July 2022. Results The formal questionnaire included 35 items in 5 dimensions（clinical practice，learning and education，leadership and management，quality improvement and research，and professional ethics）. Exploratory factor analysis extracted 5 common factors，and the cumulative variance contribution rate was 74.587%. Confirmatory factor analysis showed that the model fit well and the questionnaire’s factor structure was stable. The scale-level content validity index of the questionnaire and the item-level content validity index of each item were 1.00. The overall Cronbach’s α coefficient was 0.975. The overall split-half reliability was 0.874. The overall retest reliability was 0.877. Conclusion The Questionnaire on Prevention and Control Competence of Nursing Staff for Infectious Disease Emergencies has good reliability and validity，which could be used to assess nurses’ competence in infectious disease emergencies prevention and control.

Key words: Nursing Staff, Infectious Disease, Emergencies, Questionnaire, Reliability, Validity

万雅莉, 刘云访, 陈怿, 李素云. 护理人员传染病突发事件防控能力问卷编制及信效度检验[J]. 中华护理杂志, 2023, 58(5): 536-543.

WAN Yali, LIU Yunfang, CHEN Yi, LI Suyun. Development and reliability and validity tests of Questionnaire on Prevention and Control Competence of Nursing Staff for Infectious Disease Emergencies[J]. Chinese Journal of Nursing, 2023, 58(5): 536-543.

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参考文献 24

[1]	马雪梅, 吴晓云. 重大突发公共卫生事件背景下应急思想政治教育研究[J]. 中国卫生事业管理, 2021, 38(5):382-385.
	Ma XM, Wu XY. Studying on the emergent ideological and political education in the context of major public health emergencies[J]. Chin Heal Serv Manag, 2021, 38(5):382-385.
[2]	熊琨, 王佳园, 李柯楠, 等. 上海市非传染病专科医院医务人员传染病突发事件应对能力、救援意愿和培训需求调查[J]. 中国卫生资源, 2021, 24(6):783-786.
	Xiong K, Wang JY, Li KN, et al. Investigation on infectious disease emergency response ability,rescue willingness and training demand of medical staff in infectious diseases specialist hospitals in Shanghai[J]. Chin Heal Resour, 2021, 24(6):783-786.
[3]	李小妹, 冯先琼. 护理学导论[M]. 4版. 北京: 人民卫生出版社, 2017.
	Li XM, Feng XQ. Nursing introduction[M]. 4th ed. Beijing: Peoples’ Medical Publishing House,2017.
[4]	王喜益, 方琼, 胡静超, 等. 突发公共卫生事件应急处置“护理预备队”胜任力指标体系的构建[J]. 中国卫生资源, 2022, 25(3): 332-338.
	Wang XY, Fang Q, Hu JC, et al. Construction of competency index system of nurse reserve in public health emergencies response[J]. Chin Heal Resour, 2022, 25(3): 332-338.
[5]	阚庭. 医护人员传染病突发事件应对能力培训项目的开发与评价[D]. 上海: 海军军医大学, 2018.
	Kan T. Development and evaluation of training program for infectious disease emergencies response competence of healthcare workers[D]. Shanghai: Naval Medical University, 2018.
[6]	李红, 古满平, 杨旭红. 综合医院护士重大传染病疫情应急能力及影响因素调查分析[J]. 护理学杂志, 2021, 36(4):58-61.
	Li H, Gu MP, Yang XH. Level and determinants of preparedness for infectious disease outbreak among general hospital nurses[J]. J Nurs Sci, 2021, 36(4):58-61.
[7]	Song S, Li X, Bell SA, et al. Emergency response:a cross-sectional study of core competencies for nurses regarding major infectious disease outbreaks[J]. J Emerg Nurs, 2021, 47(6):902-913. DOI URL
[8]	万雅莉, 李素云, 刘云访, 等. 感染预防协会能力框架的汉化与调适[J]. 护理学杂志, 2022, 37(20):103-105.
	Wan YL, Li SY, Liu YF, et al. Translation and adaptation of infection prevention society competency framework[J]. J Nurs Sci, 2022, 37(20):103-105.
[9]	Infection Prevention Society(IPS). Competency framework for infection prevention & control practitioners[EB/OL]. (2019-11-06)[2022-08-15]. https://www.ips.uk.net/resources/view/IPS-R-QMVNQ2HHNX3P9L6.
[10]	Murphy DM, Hanchett M, Olmsted RN, et al. Competency in infection prevention:a conceptual approach to guide current and future practice[J]. Am J Infect Control, 2012, 40(4):296-303. DOI URL
[11]	Burnett E, Curran E, Loveday HP, et al. The outcome competency framework for practitioners in infection prevention and control:use of the outcome logic model for evaluation[J]. J Infect Prev, 2014, 15(1):14-21. DOI URL
[12]	Denton A, Fry C, O’Connor H, et al. Revised Infection Prevention Society(IPS) competences 2018[J]. J Infect Prev, 2019, 20(1):18-24. DOI URL
[13]	赵诗雨, 喻姣花, 汪欢, 等. 基于循证构建肠内营养护理质量敏感指标体系[J]. 中华护理杂志, 2019, 54(3):344-349. DOI
	Zhao SY, Yu JH, Wang H, et al. Construction of nursing-sensitive quality indicators system of enteral nutrition on the basis of evidence-based approach[J]. Chin J Nurs, 2019, 54(3):344-349. DOI
[14]	康婷婷, 郑蔚, 谷文燕, 等. 癌症患者养育忧虑问卷的汉化及信效度检验[J]. 解放军护理杂志, 2021, 38(11):33-36,80.
	Kang TT, Zheng W, Gu WY, et al. Chinese version of Parenting Concerns Questionnaire among cancer patients: translation,validity and reliability[J]. Nurs J Chin PLA, 2021, 38(11):33-36,80.
[15]	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.
	Wu ML. Structural equation model:AMOS operation and application[M]. Chongqing: Chongqing University Press, 2010.
[16]	盛楷迪, 于桂玲, 李智慧, 等. 1型糖尿病患儿照顾者照护能力量表的编制及信效度检验[J]. 中华护理杂志, 2022, 57(14): 1730-1736. DOI
	Sheng KD, Yu GL, Li ZH, et al. Development and reliability and validity tests of Caring Ability Assessment Scale of Caregivers of Children with Type 1 Diabetes Mellitus[J]. Chin J Nurs, 2022, 57(14):1730-1736. DOI
[17]	胡雁, 王志稳. 护理研究[M]. 北京: 人民卫生出版社, 2017.
	Hu Y, Wang ZW. Nursing research[M]. Beijing: People’s Medical Publishing House, 2017.
[18]	吴明隆. 问卷统计分析实务——SPSS操作与应用[M]. 重庆: 重庆大学出版社, 2010.
	Wu ML. Questionnaire statistical analysis practice:SPSS operation and application[M]. Chongqing: Chongqing University Press, 2010.
[19]	许昱菲, 商临萍, 潘玮, 等. 临床护士参与抗菌药物管理知信行问卷的编制及信效度检验[J]. 护理研究, 2021, 35(11):1925-1930.
	Xu YF, Shang LP, Pan W, et al. Development and reliability and validity test of Participating in Antimicrobial Stewardship of Knowledge,Attitude,and Practice Scale in clinical nurses[J]. Chin Nurs Res, 2021, 35(11):1925-1930.
[20]	赖九兰, 巴正玲, 周甜, 等. 双相障碍患者自我管理量表的研制和信效度检验[J]. 中华护理杂志, 2022, 57(18):2186-2191.
	Lai JL, Ba ZL, Zhou T, et al. Development and test of reliability and validity of Self-Management Scale for Patients with Bipolar Disorder[J]. Chin J Nurs, 2022, 57(18):2186-2191.
[21]	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):49-52.
	Shi JC, Mo XK, Sun ZQ. Content validity index in scale development[J]. J Central South Univ Med Sci, 2012, 37(2): 49-52.
[22]	Houghton C, Meskell P, Delaney H, et al. Barriers and facilitators to healthcare workers’ adherence with infection prevention and control(IPC) guidelines for respiratory infectious diseases:a rapid qualitative evidence synthesis[J]. Cochrane Data-base Syst Rev, 2020, 4:CD013582.
[23]	刘世华, 马乐龙, 印爱珍, 等. 多学科协作在儿童多重耐药菌医院感染防控中的应用[J]. 中国感染控制杂志, 2021, 20(6): 550-556.
	Liu SH, Ma LL, Yin AZ, et al. Application of multi-disciplinary team in the prevention and control of multidrug-resistant organism healthcare-associated infection in children[J]. Chin J Infect Control, 2021, 20(6):550-556.
[24]	胡雁, 郝玉芳. 循证护理学[M]. 2版. 北京: 人民卫生出版社, 2018.
	Hu Y, Hao YF. Evidence-based nursing[M]. 2nd ed. Beijing: People’s Medical Publishing House,2018.