Analysis and recommendations for issues in scale-based research papers in the field of nursing

doi:10.3761/j.jssn.0254-1769.2024.03.006

Abstract

Abstract:

Scales are crucial instruments for measuring variables in the field of nursing research. Its development process needs to follow the basic procedures strictly. This paper describes the basic steps involved in nursing scale development，with a focus on ensuring accuracy and reliability at each stage where issues may arise. It also provides a comprehensive analysis of common problems found in current nursing scale development papers and offers suggestions and solutions. The aim is to provide a reference for nursing professionals engaged in scale-related research and to enhance the quality of nursing scale development papers.

Key words: Scales, Measurement, Nursing Research, Validity, Reliability

摘要：

量表是护理研究领域开展变量测量的重要工具，其研制过程需要严格遵循规范。该文对护理量表研制的基本步骤进行了描述，重点关注各个环节如何准确和可靠地开展工作，并逐一分析当前护理领域量表类论文的常见问题，并提出建议和解决方案，以期为促进护理人员开展量表相关研究、提高量表研制类论文质量提供参考。

关键词: 量表, 测量, 护理研究, 效度, 信度

WANG Kefang, XU Dongjuan, WANG Yaqi. Analysis and recommendations for issues in scale-based research papers in the field of nursing[J]. Chinese Journal of Nursing, 2024, 59(3): 287-291.

王克芳, 徐东娟, 王雅琦. 护理领域量表类论文问题分析及建议[J]. 中华护理杂志, 2024, 59(3): 287-291.

References 34

[1]	de Vellis RF, Thorpe CT. Scale development:theory and applications[M]. 5th ed. ThousandOaks, California: SAGE Publications Inc., 2022.
[2]	敖漫, 敖薪. 近8年我国护理量表的研制与应用现状文献分析[J]. 全科护理, 2018, 16(1):14-17.
	Ao M, Ao X. Literature analysis on the development and application of nursing scale in China in recent 8 years[J]. Chin Gen Pract Nur, 2018, 16(1):4.
[3]	崔潇文, 李翠翠, 赵亚瑞, 等. 系统性红斑狼疮患者自我管理测评量表的编制及信效度检验[J]. 中华护理杂志, 2023, 58(13):1603-1607. DOI
	Cui XW, Li CC, Zhao YR, et al. Development and psychometric test of a Self-Management Assessment Scale for patients with systemic lupus erythematosus[J]. Chin J Nurs, 2023, 58(13):1603-1607. DOI
[4]	曾思琳, 黄璞, 蔡智立, 等. 综合医院躯体形式障碍筛查量表的编制和初步应用[J]. 中国卒中杂志, 2020, 15(5):468-476.
	Zeng SL, Huang P, Cai ZL, et al. A novel self-report screening scale to predict somatoform disorders[J]. Clin J Stroke, 2020, 15(5):468-476.
[5]	曹霞, 杨斌芳, 林艳辉, 等. 2型糖尿病患者慢性肾脏病风险感知量表的编制及信效度检验[J]. 中华护理杂志, 2022, 57(15):1818-1825. DOI
	Cao X, Yang BF, Lin YH, et al. Development of the Perception of Risk of Chronic Kidney Disease Scale for Type 2 Diabetic Patients and the test of its reliability and validity[J]. Chin J Nurs, 2022, 57(15):1818-1825. DOI
[6]	岳岚, 许妍, 李珍, 等. 肿瘤患者医用粘胶相关性皮肤损伤风险评估量表的编制及信效度检验[J]. 中华护理杂志, 2022, 57(8):964-970. DOI
	Yue L, Xu Y, Li Z, et al. Development of the Medical Adhesive Related Skin Injury Risk Assessment Scale in Cancer Patients and the test of its reliability and validity[J]. Chin J Nurs, 2022, 57(8),964-970. DOI
[7]	孟菲, 周云平, 徐颜红, 等. 痛风患者症状群评估量表的编制及信效度检验[J]. 护理学杂志, 2023, 38(11):44-48.
	Meng F, Zhou YP, Xu YH, et al. Development and validation of Symptom Cluster Assessment Scale for Gout Patients[J]. J Nurs Sci, 2023, 38(11):44-48.
[8]	张仁静, 陈月梅, 蒋清华. 中晚期宫颈癌同步放化疗病人症状评估量表的编制及信效度检验[J]. 护理研究, 2022, 36(15):2660-2664.
	Zhang RJ, Chen YM, Jiang QH. Development and reliability and validity test of Symptom Assessment Scale for Patients with Advanced Cervical Cancer Undergoing Concurrent Chemora Diotherapy[J]. Chin Nurs Res, 2022, 36(15):2660-2664.
[9]	孙晓勉, 陆洋, 江艳. 孤独症谱系障碍康复疗效测评量表的编制及信效度初探[J]. 中国妇幼健康研究, 2023, 34(5):30-37.
	Sun XM, Lu Y, Jiang Y. Preliminary study of the reliability and validity of Autism Spectrum Disorder Rehabilitation Efficacy Assessment Scale[J]. Chin J Woman Child Health Res, 2023, 34(5):30-37.
[10]	冯晓瑜, 叶慧玲, 周玉兰, 等. 脑卒中吞咽障碍患者安全进食行为评价量表的编制及信效度检验[J]. 护理学杂志, 2020, 35(19):28-31.
	Feng XY, Ye HL, Zhou YL, et al. Development and validation of a Safe Feeding Assessment Scale for Stroke Patients with Dysphagia[J]. J Nurs Sci, 2020, 35(19):28-31.
[11]	Boateng GO, Neilands TB, Frongillo EA, et al. Best practices for developing and validating scales for health,social,and behavioral research:a primer[J]. Front Public Health, 2018, 6:149. DOI URL
[12]	刘可. 如何进行内容效度的检验[J]. 护士进修杂志, 2010, 25(1):37-39.
	Liu K. How to test the validity of content[J]. J Nurses Train, 2010, 25(1):37-39.
[13]	Twiss B. The Delphi method—techniques & applications[J]. Long Range Plann, 1976, 9:94-95.
[14]	Haynes SN, Richard DCS, Kubany ES. Content validity in psychological assessment:a functional approach to concepts and methods[J]. Psychol Assess, 1995, 7(3):238-247. DOI URL
[15]	Willis G. Cognitive interviewing:a tool for improving questionnaire design[M]. Thousand Oaks, Calif: Sage Publications, 2005.
[16]	方积乾, 郝元涛. 生存质量研究的设计与实施[J]. 中国肿瘤, 2001, 10(2):69-71.
	Fang JQ, Hao YT. Design and implementation for research on quality of life[J]. Chin Cancer, 10(2):69-71.
[17]	茅范贞, 韩耀风, 方亚. 量表条目的统计学筛选方法研究进展[J]. 现代预防医学, 2015, 42(1):67-70.
	Mao FZ, Han YF, Fang Y. A review of statistical methods on item selection for scales[J]. Mod Prev Med, 2015, 42(1):67-70.
[18]	Raykov T, Marcoulides GA. Introduction to psychometric theory[M]. New York: Routledge, 2011.
[19]	Nunnally JC. Psycometric theory[M]. New York, NY:McGraw-Hill,1978.
[20]	Zumbo BD, Gadermann AM, Zeisser C. Ordinal versions of coefficients alpha and theta for likert rating scales[J]. J Mod App Stat Meth, 2007, 6(1):21-29. DOI URL
[21]	刘钊, 刘志伟. 基于提高Cronbach α系数的问卷设计策略[J]. 当代教育实践与教学研究, 2016(4):173-174.
	Liu Z, Liu ZW. Questionnaire design strategy based on increasing Cronbach alpha coefficient[J]. Contemp Edu Res Teach Pract, 2016(4):173-174.
[22]	张虎, 田茂峰. 信度分析在调查问卷设计中的应用[J]. 统计与决策, 2007(21):25-27.
	Zhang H, Tian MF. Application of reliability analysis in questionnaire design[J]. Stat Decis, 2007(21):25-27.
[23]	蒋小花, 沈卓之, 张楠楠, 等. 问卷的信度和效度分析[J]. 现代预防医学, 2010, 37(3):429-431.
	Jiang XH, Shen ZZ, Zhang NN, et al. Reliability and validity analysis of questionnaire[J]. Mod Prev Med, 2010, 37(3):429-431.
[24]	唐云. 使用MTMM方法考察测验的构想效度[C]. 南京: 全国教育与心理统计测量学术年会, 2006.
	Tang Y. The construct validity of the test was examined by MTMM method[C]. Nanjing: National Annual Conference on Statistical Measurement of Education and Psychology, 2006.
[25]	Streiner DL, Norman GR, Cairney J. Health Measurement Scales:a practical guide to their development and use(5 ed)[M]. Londen: Oxford University Press, 2014.
[26]	Kline P. Handbook of psychological testing,second edition[M]. London:Routledge, Taylor & Francis Group, 2000.
[27]	Weiner I, Schinka J, Velicer W. Handbook of psychology:volume 2,research methods in psychology[M]. Hoboken, NJ: John Wiley & Sons, Inc., 2003.
[28]	Holden RR, Fekken GC, Jackson DN. Structured personality test item characteristics and validity[J]. J Res Pers, 1985, 19(4):386-394. DOI URL
[29]	Hawthorne G, Mouthaan J, Forbes D, et al. Response categories and anger measurement:do fewer categories result in poorer measurement? Development of the DAR5[J]. Soc Psychiatry Psychiatr Epidemiol, 2006, 41(2):164-172. DOI URL
[30]	Comrey AL. Factor-analytic methods of scale development in personality and clinical psychology[J]. J Consult Clin Psychol, 1988, 56(5):754-761. PMID
[31]	Guadagnoli E, Velicer WF. Relation of sample size to the stability of component patterns[J]. Psychol Bull, 1988, 103(2):265-275. DOI PMID
[32]	Comrey A L, Lee HB. A first course in factor analysis[M]. 2nd ed. Hillsdale,NJ: Lawrence Erlbaum Associates, Inc.,1973.
[33]	孟庆茂, 刘红云. α系数在使用中存在的问题[J]. 心理学探新, 2002, 22(3):42-47.
	Meng QM, Liu HY. The problem of using alpha coefficient[J]. Explor Psychol, 2002, 22(3):42-47.
[34]	Zhang C, Zhang H, Zhao MH, et al. Psychometric properties and modification of the 15-item geriatric depression scale among Chinese oldest-old and centenarians:a mixed-methods study[J]. BMC Geriatr, 2022, 22(1):144. DOI PMID