Reliability and validity test of a Post Competency Assessment Scale for nurses in central sterile service departments

doi:10.3761/j.issn.0254-1769.2022.14.011

Abstract

Abstract:

Objective To test the reliability and validity of Post Competency Assessment Scale for nurses in central sterile service departments（CSSD）. Methods According to the Iceberg Competency Model,an evaluation index framework for the competency of nurses including 4 first-level indexes and 58 second-level indexes was formed through Delphi consultation in previous research. The members of the research group further transformed the indexes to a 60-item post competency assessment scale for nurses in CSSD. 6 experts assessed the content validity of the scale;from May to June 2021,34 nurses in CSSD from 3 hospitals in Beijing were selected for preliminary survey;from September to October 2021,630 nurses from 2 provinces were selected for formal investigation,so as to test the reliability and validity of scale. Results The scale contained 4 factors,including theoretical knowledge,operational skills,comprehensive ability and personal characteristics,with a total of 60 items. The content validity of the total scale was 0.970,and the scale-level content validity index/average were 0.830~1.000;4 factors were identified by exploratory factor analysis,accounting for 71.51% of the total variance. The overall Cronbach’s α coefficient was 0.989. The overall split‐half reliability was 0.951. The test-retest reliability was 0.840. Conclusion The Post Competency Assessment Scale for nurses in CSSD has good reliability and validity. It can be used as a tool to assess the post competency for nurses in CSSD,and a reference for hospitals to make training plans and annual assessment.

Key words: Central Supply Department,Hospital, Post Competency, Scale, Reliability, Validity, Nursing Administration Research

摘要：

目的编制消毒供应中心护士岗位胜任力评价量表并检验其信效度。方法研究组将前期构建的消毒供应中心护士岗位胜任力评价指标（4个一级指标、58个二级指标）进行指标转换,形成消毒供应中心护士岗位胜任力评价量表。选取6名专家评定量表内容效度。2021年5月—6月,便利选取北京市3所三级甲等综合医院消毒供应中心34名护士进行预调查;2021年9月—10月,便利选取2个省市630名消毒供应中心护士正式调查并进行信效度分析。结果消毒供应中心护士岗位胜任力评价量表包括理论知识、操作技能、综合能力及个人特质4个维度,共60个条目,量表的内容效度指数为0.970,各条目的内容效度指数为0.830~1.000;探索性因子分析提取4个公因子,累计方差贡献率为71.51%。量表总的Cronbach’s α系数为0.989,折半信度为0.951,重测信度为0.840。结论构建的消毒供应中心护士岗位胜任力评价量表具有良好的信效度,可作为消毒供应中心护士岗位胜任力的评价工具,为制订相关培训与考核提供参考。

关键词: 中心供应室,医院, 岗位胜任力, 量表, 信度, 效度, 护理管理研究

KANG Jie, ZHANG Qing, YANG Hong, DU Heying, WU Keping, QIAO Anyu, XU Mingze. Reliability and validity test of a Post Competency Assessment Scale for nurses in central sterile service departments[J]. Chinese Journal of Nursing, 2022, 57(14): 1737-1743.

康洁, 张青, 杨红, 杜合英, 吴可萍, 乔安宇, 徐铭泽. 消毒供应中心护士岗位胜任力评价量表的编制及信效度检验[J]. 中华护理杂志, 2022, 57(14): 1737-1743.

Figures/Tables 2

References 22

[1]	国家卫生和计划生育委员会. 医院消毒供应中心第1部分:管理规范WS 310-2016[S]. 北京: 中国标准出版社, 2017.
	National Health and Family Planning Commission of People’s Republic of China. Central sterile supply department(CSSD) Part 1:management standard WS 310-2016[S]. Beijing: Standards Press of China, 2017.
[2]	国家卫生健康委员会. 医疗消毒供应中心等三类医疗机构基本标准和管理规范(试行)[EB/OL].(2018-06-11)[2021-12-01]. http://www.gov.cn/gongbao/content/2018/content_5338245.htm.
	National Health Commission. Basic standards and management specifications for three types of medical institutions such as medical disinfection supply center(Trial)[EB/OL].(2018-06-11)[2021-12-01]. http://www.gov.cn/gongbao/content/2018/content_5338245.htm.
[3]	McClelland DC. Testing for competence rather than for “intelligence”[J]. Am Psychol, 1973, 28(1):1-14. PMID
[4]	王卫星, 杨芸, 杨筠松. 护士长岗位胜任力研究与实践[J]. 护理研究, 2007, 21(23):2141-2142.
	Wang WX, Yang Y, Yang JS. A study on competence ability of head nurse’s post and its practice[J]. Chin Nurs Res, 2007, 21(23):2141-2142.
[5]	刘会玲, 赵滨, 刘捷, 等. 三级医院护士长岗位胜任力评价量表的信效度检验[J]. 护理研究, 2019, 33(10):1644-1649.
	Liu HL, Zhao B, Liu J, et al. Reliability and validity test of Post Competency Assessment Scale for head nurses in tertiary hospitals[J]. Nurs Res China, 2019, 33(10):1644-1649.
[6]	常玉兰, 郭舒婕, 杨巧芳, 等. 心血管专科护士岗位胜任力模型的构建[J]. 中华护理教育, 2020, 17(12):1110-1114.
	Chang YL, Guo SJ, Yang QF, et al. The development of a competence model for cardiovascular specialty nurses[J]. Chin J Nurs Educ, 2020, 17(12):1110-1114.
[7]	杨光静, 马晓林, 胥媛媛, 等. 基于岗位胜任力的重庆市中医外科专科护士培训指标体系的构建[J]. 护理研究, 2019, 33(23):4100-4104.
	Yang GJ, Ma XL, Xu YY, et al. Construction of post competency - based training index system among specialist nurses in TCM surgery in Chongqing[J]. Nurs Res China, 2019, 33(23):4100-4104.
[8]	卢春伟, 冯惠芝. 基于岗位胜任力的分层培训在消毒供应中心人员中的应用及效果[J]. 浙江医学教育, 2020, 19(5):25-27.
	Lu CW, Feng HZ. Application and effect of hierarchical training based on post competence in central supply and sterile departments[J]. Zhejiang Med Educ, 2020, 19(5):25-27.
[9]	康洁, 张青, 杨红, 等. 消毒供应中心护士岗位胜任力评价指标的构建[J]. 中华护理杂志, 2021, 56(6):893-898. DOI
	Kang J, Zhang Q, Yang H, et al. Development of post competency index system for nurses in central sterile service department[J]. Chin J Nurs, 2021, 56(6):893-898.
[10]	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, 2009:207-208.
	Wu ML. Questionnaire statistical analysis practice[M]. Chong-qing: Chongqing University Press, 2009:207-208.
[11]	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, 2007:212-260.
	Wu ML. Structural equation model[M]. Chongqing: Chongqing University Press, 2007:212-260.
[12]	张小燕, 高玲玲, 杜合英, 等. 广东省三级甲等综合医院消毒供应中心护士岗位胜任力现状调查[J]. 中国消毒学杂志, 2021, 38(12):905-908.
	Zhang XY, Gao LL, Du HY, et al. Investigation on competency of nurses in central sterile supply department of tertiary hospitals in Guangdong Province[J]. Chin J Disinfect, 2021, 38(12):905-908.
[13]	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.
[14]	吴明隆. 问卷统计分析实务[M]. 重庆: 重庆大学出版社, 2010:158-263.
	Wu ML. Questionnaire statistical analysis practice[M]. Chong-qing: Chongqing University Press, 2010:158-263.
[15]	裴文晔, 姜桂春. 肿瘤科护士安宁疗护核心能力问卷的编制及信度效度检验[J]. 中国护理管理, 2021, 21(5):679-685.
	Pei WY, Jiang GC. Development and validation of Core Competence Questionnaire for Oncology Nurses in Hospice Care[J]. Chin Nurs Manag, 2021, 21(5):679-685.
[16]	林蓓蕾, 张振香, 郭云飞, 等. 脑卒中患者复发风险感知评估量表的编制及信效度检验[J]. 中华护理杂志, 2021, 56(11):1666-1671. DOI
	Lin BL, Zhang ZX, Guo YF, et al. Development and psychometric Test of Recurrence Risk Perception Scale for Patients with Stroke[J]. Chin J Nurs, 2021, 56(11):1666-1671.
[17]	李灿, 辛玲. 调查问卷的信度与效度的评价方法研究[J]. 中国卫生统计, 2008, 25(5):541-544.
	Li C, Xin L. Study on the reliability and validity of questionnaire[J]. Chin J Heal Stat, 2008, 25(5):541-544.
[18]	孙振球. 医学统计学[M]. 北京: 人民卫生出版社, 2018:490.
	Sun ZQ. Medical statistics[M]. Beijing: People’s Medical Publishing House, 2018:490.
[19]	Obamiro KO, Chalmers L, Bereznicki LRE. Development and validation of an oral anticoagulation knowledge tool(AKT)[J]. PLoS One, 2016, 11(6):e0158071. DOI URL
[20]	孙晶, 郑秀利, 杨支兰, 等. 痴呆患者居家老年照顾者生活质量评估量表的汉化和信效度检验[J]. 中华护理杂志, 2021, 56(12):1901-1906.
	Sun J, Zheng XL, Yang ZL, et al. Sinicization of the Dementia Quality of Life Scale for Older Family Carers of Patients and the test of its reliability and validity[J]. Chin J Nurs, 2021, 56 (12):1901-1906.
[21]	侯梦晓, 王飞杰, 黄丽洁, 等. 护士压力性损伤管理自我效能感量表的汉化及信效度检验[J]. 中华护理教育, 2021, 18(9):840-843.
	Hou MX, Wang FJ, Huang LJ, et al. Reliability and validity of the Chinese version of the Pressure Ulcer Management Self-Efficacy Scale for Nurses[J]. Chin J Nurs Educ, 2021, 18(9):840-843.
[22]	Hasson F, Keeney S, McKenna H. Research guidelines for the Delphi survey technique[J]. J Adv Nurs, 2000, 32(4):1008-1015. PMID