Abstract:

Objective To develop a Knowledge-Attitude-Practice Questionnaire for Nursing Assistants on Humanistic Care and test its reliability and validity，in order to provide a valid tool for evaluating their humanistic care competence. Methods Based on the theory of knowledge，attitude and practice，the first draft of the questionnaire was developed through literature review，semi-structured interviews，2 rounds of Delphi expert consultation，and pre-surveys. All nursing assistants from 4 tertiary hospitals in Hubei Province were investigated by convenient sample，and the reliability and validity were tested from May to July，2024. Results 412 questionnaires were distributed and 399 valid questionnaires were recovered，with a valid questionnaire recovery rate of 96.84%. The final knowledge-attitude-practice questionnaire include 3 dimensions of knowledge，attitude and practice，with a total of 24 items and cumulative contribution rate was 65.338%. The CVI of each item in the questionnaire ranged from 0.800 to 1.000，with an average of 0.981. The confirmatory factor analysis showed that the scale model had a good fit. The total Cronbach’s α coefficient of the questionnaire was 0.941，and the test-retest reliability coefficient of the questionnaire after 2 weeks was 0.923. Conclusion The knowledge-attitude-practice questionnaire has good reliability and validity，and it can be used as a valid tool for evaluating the competence of humanistic care of nursing assistants.

Key words: Nursing Assistants, Humanistic Care, Questionnaire Development, Reliability, Validity, Nursing Care

摘要：

目的 编制医疗护理员人文关怀知信行问卷并检验其信效度，为评价其人文关怀能力提供有效工具。 方法 以知信行理论为指导，通过文献回顾、半结构式访谈、2轮专家函询和预调查，形成问卷初稿。采用便利抽样法，于2024年5月—7月选取湖北省4所三级甲等医院的医疗护理员进行问卷调查，并进行信效度检验。结果 发放问卷412份，回收有效问卷399份，有效问卷回收率为96.84%。最终形成的医疗护理员人文关怀知信行问卷包括知识、态度、行为3个维度，共24个条目，累计方差贡献率为65.338%。问卷条目水平的内容效度指数为0.800~1.000，平均问卷水平的内容效度指数为0.981。验证性因子分析结果显示，模型拟合指标均在可接受范围内。问卷总的Cronbach’s α系数为0.941，2周后问卷的重测信度为0.923。结论 医疗护理员人文关怀知信行问卷具有良好的信度和效度，可作为评价医疗护理员人文关怀能力的有效工具。

关键词: 医疗护理员, 人文关怀, 问卷编制, 信度, 效度, 护理