Abstract:

Objective To develop a scale for measuring geriatric nursing competence of Chinese clinical nurses and to test its reliability and validity.Methods Based on TEMA model of geriatric care competence,through literature analysis and Delphi method combined with small sample pilot test,the geriatric nursing competence scale for clinical nurses was preliminarily developed. A total of 500 nurses were recruited for pilot investigation to screen items,and 1,567 nurses were selected for formal investigation to test the reliability and validity.Results The Geriatric Nursing Competence Scale for Clinical Nurses consisted of 3 first-level items,10 second-level items,and 43 third-level items. Exploratory factor analysis extracted three factors that explained 66.828% of the total variance. The Cronbach’s alpha coefficient,the split-half reliability coefficient,the test-retest coefficient and the content validity index were 0.978,0.902,0.802 and 0.980,respectively. Confirmatory factor analysis showed the scale had good construct validity.Conclusion The Geriatric Nursing Competence Scale for Clinical Nurses has good validity and reliability. It can be used as a tool to measure geriatric nursing competence in Chinese clinical nurses.

Key words: Geriatric Nursing, Clinical Nursing Competence, Reliability, Validity, Nursing Administration Research

摘要：

目的 编制临床护士老年护理能力评价量表并对其进行信效度检验。方法 将德国以技术为导向的老年护理行为能力评估模型作为理论框架,通过文献分析、德尔菲专家函询及小样本预试验形成量表初稿。选取2 067名护理人员进行预调查,其中500名护理人员的预调查数据用于项目分析,筛选量表条目,1 567名护理人员的预调查数据用于对正式版量表的信效度检验。结果 形成的临床护士老年护理能力评价量表包括3个一级条目,10个二级条目和43个三级条目。通过探索性因子分析提取3个公因子,累计方差贡献率为66.828%,总量表的Cronbach’s α系数为0.978,折半信度为0.902,重测信度为0.802,内容效度为0.980,验证性因子分析显示,该量表具有较好的结构效度。结论 临床护士老年护理能力评价量表具有良好的信效度,可作为评价我国临床护士老年护理能力的工具。

关键词: 老年护理学, 临床护理能力, 信度, 效度, 护理管理研究