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

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