Development of a self-rating scale of nurses’ humanistic literacy and its reliability and validity test

doi:10.3761/j.issn.0254-1769.2022.09.014

Abstract

Abstract:

Objective To explore the constituent elements of nurses’ humanistic literacy,to construct the self-rating scale of nurses’ humanistic literacy and verify its reliability and validity. Methods From July to December 2020,on the basis of reviewing the latest literature,the initial item pool of the scale was formed through 2 rounds of expert consultation and pre-investigation. This scale was tested among 1 000 nurses in hospitals across the country. SPSS was used to analyze the reliability,and AMOS was used for confirmatory factor analysis. Results The self-rating scale of nurses’ humanistic literacy consisted of 6 dimensions and 54 items. The Cronbach’s α coefficient of the total scale was 0.982;the split-half reliability of the total scale was 0.962;the retest reliability of the total scale was 0.758. 6 common factors were extracted by exploratory factor analysis,which explained 68.089% of the total variance. The one-dimension/multi-factor model’s /df was 2.495;NFI was 0.800;modified standardized moderation index was 0.876;CFI was 0.922;TLI was 0.915,and RMSEA was 0.055. Conclusion This study determined the constituent elements of humanistic literacy of nurses in China. The scale with good reliability and validity can further provide support for the investigation of the humanistic literacy level of nurses in China. It can also provide a basis and reference for nursing management to develop interventions.

Key words: Nurses, Humanistic Literacy, Scale Development, Reliability, Validity, Nursing Administration Research

摘要：

目的了解护士人文素养的构成要素,构建护士人文素养自评量表并检验其信效度。方法 2020年8月—12月,通过文献回顾、半结构式访谈、2轮专家函询及预调查,形成量表初始条目,并在全国医院1 000名护士中进行测试。采用SPSS 26.0和AMOS软件对问卷进行信效度分析及验证性因子分析。结果构建的护士人文素养自评量表包括6个维度、54个条目。总量表的Cronbach’s α系数为0.982,分半信度为0.962,重测信度为0.758。探索性因子分析提取6个公因子,累计方差贡献率为68.089%。一阶多因子模型拟合度参数分别为：卡方/自由度为2.495,基于标准化适度指数为0.800,修正的基于标准化适度指数为0.876,比较拟合指数为0.922,Tucker-Lewis指标为0.915,近似误差平方根为0.055。结论该研究初步确定了我国护士人文素养的构成要素,构建的护士人文素养自评量表具有较好的信效度,可进一步为开展我国护士人文素养水平的现况调查提供工具,为护理管理层制订干预措施提供依据和参考。

关键词: 护士, 人文素养, 量表研制, 信度, 效度, 护理管理研究

ZHANG Yi, WANG Jianjian, DENG Yanhong, CHEN Zhangqun, LUO Jiang, PENG Dezhen, ZHAO Liping. Development of a self-rating scale of nurses’ humanistic literacy and its reliability and validity test[J]. Chinese Journal of Nursing, 2022, 57(9): 1120-1128.

张毅, 汪健健, 邓艳红, 陈章群, 罗姜, 彭德珍, 赵丽萍. 护士人文素养自评量表的研制及信效度检验[J]. 中华护理杂志, 2022, 57(9): 1120-1128.

Figures/Tables 3

References 34

[1]	Ha JY, Jeon SY, Cheon JW. Concept analysis of humanities knowledge:Nursing application[J]. Asia-Pac J Multimed Serv Convergent Art Humanit Sociol, 2017, 7(1):937-947.
[2]	王琳. 人文素养视域下高校思想政治教育研究[D]. 北京: 中国矿业大学(北京), 2018.
	Wang L. Study on ideological and political education in colleges and universities from the perspective of humanistic quality[D]. Beijing: China University of Mining & Technology, Beijing, 2018.
[3]	王锐, 摆玉慧. 肿瘤科护士人文素养培养的有效策略[J]. 中国医学伦理学, 2019, 32(10):1329-1332.
	Wang R, Bai YH. Effective strategy of humanistic literacy cultivation for oncology nurses[J]. Chin J Med Eth, 2019, 32(10):1329-1332.
[4]	习近平. 全社会都要理解和支持护士[N]. 人民日报(海外版), 2020-05-12(01).
	Xi JP. The whole society should understand and support nurses[N]. People’s Daily(Overseas Edition), 2020-05-12(01).
[5]	吴丽荣, 林婕. 以落实护理专业教学标准为契机推进高职护理教学改革[J]. 中华护理教育, 2021, 18(2):121-124.
	Wu LR, Lin J. Advancement of higher vocational teaching reform in nursing by taking the implementation of the teaching standards of nursing specialty as an opportunity[J]. Chin J Nurs Educ, 2021, 18(2):121-124.
[6]	卢冬梅. 南宁市高职护理专业学生人文关怀能力提升研究[D]. 桂林: 广西师范大学, 2020.
	Lu DM. Research on the improvement of humanistic care ability of nursing students from higher vocational colleges in Nanning[D]. Guilin,China: Guangxi Normal University, 2020.
[7]	王妍, 李秀娟, 林征, 等. 护理人文关怀研究热点的共词聚类分析[J]. 中华护理杂志, 2017, 52(5):627-631.
	Wang Y, Li XJ, Lin Z, et al. Coword clustering analysis for hot research areas of human caring based on PubMed[J]. Chin J Nurs, 2017, 52(5):627-631.
[8]	王贺芳. 构建护士人文执业能力测评工具的研究[D]. 新乡: 新乡医学院, 2014.
	Wang HF. The development of assessment tools of nurses’ humanistic practice ability[D]. Xinxiang,China: Xinxiang Medical University, 2014.
[9]	高翔, 段晓侠. 近10年我国护理人文关怀能力测评工具研究现状的文献计量学分析[J]. 全科护理, 2021, 19(5):577-581.
	Gao X, Duan XX. Bibliometric analysis of current research status of nursing humanistic caring ability assessment tools in China in the last 10 years[J]. Chin Gen Pract Nurs, 2021, 19(5):577-581.
[10]	Duncan C. Quantitative Data Analysis with IBM SPSS 17,18 & 19[M]. Routledge, 2011.
[11]	杨小平, 秦柳花, 王惠珍, 等. Delphi法确立临床护理专家的资格认证方法[J]. 现代护理, 2005(6):411-414,417.
	Yang XP, Qin LH, Wang HZ, et al. Study on the establishment of the evaluation index system of clinical nurse specialists[J]. Heilongjiang Nurs J, 2005(6):411-414,417.
[12]	邹翼霜. 基于循证和德尔菲法构建成人危重患者院内转运规范的研究[D]. 杭州: 浙江大学, 2017.
	Zou YS. Study on establishing the standard for intra-hospital transport of adult critically ill patients on the basis of evidence-based process and Delphi method[D]. Hangzhou: Zhejiang University, 2017.
[13]	Lynn MR. Determination and quantification of content validity[J]. Nurs Res, 1986, 35(6):382-385. PMID
[14]	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.
[15]	钟晓彤, 郝桂荣. 护患感知关怀行为差异现状及影响因素[J]. 中华行为医学与脑科学杂志, 2015, 24(6):560-562.
	Zhong XT, Hao GR. The status quo and influencing factors of the differences in nurse-patient perceived and caring behaviors[J]. Behavioral Medicine and Brain Science, 2015, 24(6):560-562.
[16]	Watson J. The philosophy and science of nursing[M]. Colorado: Colorado Associated University Press, 1985:27.
[17]	江佳婷. 护理人员人文关怀培养的现状分析与思考[J]. 当代护士(中旬刊), 2020, 27(1):181-183.
	Jiang JT. Analysis and thinking on the status quo of nursing staff’s humanistic care training[J]. Today Nurse, 2020, 27(1):181-183.
[18]	孙新红. 医科大学生人文关怀精神的培育研究[D]. 济南: 山东大学, 2017.
	Sun XH. Studies on cultivation of humanistic values in medical students[D]. Jinan: Shandong University, 2017.
[19]	卫生部. 中国护理事业发展规划纲要(2011-2015年)[J]. 中华护理杂志, 2012, 47(3):286-288.
	Ministry of Health of China. Outline of China’s nursing career development plan(2011-2015)[J]. Chin J Nurs, 2012, 47(3):286-288.
[20]	卫生部. 全国护理事业发展规划(2016-2020年)[J]. 中国护理管理, 2017, 17(1):1-5.
	Ministry of Health of China. China’s nursing career development plan(2016-2020)[J]. Chin Nurs Manag, 2017, 17(1):1-5.
[21]	李佳颖, 哈斯也提·艾力. 医务人员人文素养缺乏的原因及对策[J]. 神州, 2012(31):232.
	Li JY, Aili HSYT. Causes and countermeasures for the lack of humanistic quality of medical staff[J]. Divineland, 2012(31):232.
[22]	王焕焕, 曾娅. 护理人文关怀评价工具研究及应用现状[J]. 护理研究, 2019, 33(24):4280-4284.
	Wang HH, Zeng Y. Research and application status quo of eva-luation tools for nursing humanistic care[J]. Chin Nurs Res, 2019, 33(24):4280-4284.
[23]	吴冰. 关怀能力量表的本土化修订与评价[D]. 新乡: 新乡医学院, 2016.
	Wu B. The localized revision and evaluation on caring ability inventory[D]. Xinxiang,China: Xinxiang Medical University, 2016.
[24]	许莹, 江秀敏, 郑建盛. 人文关怀品质量表应用于妇幼专科医院护士的验证性因子分析[J]. 齐齐哈尔医学院学报, 2020, 41(12):1578-1580.
	Xu Y, Jiang XM, Zheng JS. Confirmatory factor analysis of application of humanistic care quality scale in nurses in maternal and child hospital[J]. J Qiqihar Med Univ, 2020, 41(12):1578-1580.
[25]	刘于皛, 姜安丽. 护士人文关怀品质测评量表的研制[J]. 解放军护理杂志, 2012, 29(16):19-21,25.
	Liu YX, Jiang AL. Development of Nurse’s Humane Care Quality Scale[J]. Nurs J Chin People’s Liberation Army, 2012, 29(16):19-21,25.
[26]	何雪梅, 翟惠敏, 颜海萍. 广东省三级甲等综合医院护士人文执业能力测评量表常模的研制[J]. 中华护理杂志, 2018, 53(8):978-982.
	He XM, Zhai HM, Yan HP. Establishment of norms for the Nurse Humanistic Practice Ability Scale in tertiary general hospitals in Guangdong Province[J]. Chin J Nurs, 2018, 53(8):978-982.
[27]	何雪梅, 翟惠敏, 颜海萍. 护士人文执业能力测评指标体系的科学性评价[J]. 护理学报, 2018, 25(3):11-15.
	He XM, Zhai HM, Yan HP. Scientificity of Nurse Humanistic Practice Ability Assessment Scale[J]. J Nurs China, 2018, 25(3):11-15.
[28]	颜海萍. 护士人文执业能力测评工具的构建研究[D]. 广州: 南方医科大学, 2016.
	Yan HP. The study on the construction of the assessment tool of the nurse humanistic practice ability[D]. Guangzhou: Southern Medical University, 2016.
[29]	王一妃, 陈亚楠, 林翠霞, 等. 临床护理教师人文关怀能力研究现状[J]. 护理研究, 2021, 35(15):2714-2717.
	Wang YF, Chen YN, Lin CX, et al. Status quo on the humanistic care ability of clinical nursing teachers[J]. Chin Nurs Res, 2021, 35(15):2714-2717.
[30]	陈芸. 带教老师关怀行为与手术室实习护士人文关怀能力的相关性[J]. 护理实践与研究, 2021, 18(8):1118-1121.
	Chen Y. Correlation between the caring behavior of clinical teachers and the humanistic caring ability of practice nurses in operating room[J]. Nurs Pract Res, 2021, 18(8):1118-1121.
[31]	汪晖, 张梦霞, 尹世玉, 等. 护士长变革型领导力自评量表的研制及信效度检验[J]. 中华护理杂志, 2020, 55(2):209-214.
	Wang H, Zhang MX, Yin SY, et al. The development of Head Nurse’s Transformational Leadership Self-rating Scale and the best of its reliability and validity[J]. Chin J Nurs, 2020, 55(2):209-214.
[32]	王晓彤, 卢天舒, 李雪华, 等. ICU护理人文关怀氛围评价量表的研制及信效度检验[J]. 中华护理杂志, 2018, 53(11):1367-1371.
	Wang XT, Lu TS, Li XH, et al. Development and psychometric testing of the ICU nursing atmosphere assessment scale for humanistic care[J]. Chin J Nurs, 2018, 53(11):1367-1371.
[33]	王小丽. 护理专业大学生人文素质评价指标体系的初步构建[D]. 广州: 南方医科大学, 2009.
	Wang XL. Preliminary construction of an evaluation system for nursing students’ humanistic quality[D]. Guangzhou: Southern Medical University, 2009.
[34]	黄弋冰. 护理专业大学生人文关怀能力评价的实证研究[D]. 福州: 福建医科大学, 2007.
	Huang YB. An empirical study on evaluation of humanistic caring ability of nursing undergraduates[D]. Fuzhou: Fujian Medical University, 2007.