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护理学报 ›› 2022, Vol. 29 ›› Issue (1): 53-57.doi: 10.16460/j.issn1008-9969.2022.01.053

• 调查研究 • 上一篇    下一篇

ICU护士职业死亡回避量表的编制及信效度检验

张正敏1a, 左倩倩1a, 冯现刚1b, 梁素娟2, 魏红云3, 高钰琳1a   

  1. 1.南方医科大学 a.护理学院;b.公共卫生学院,广东 广州510515;
    2.南方医科大学珠江医院,广东 广州510282;
    3.南方医科大学南方医院,广东 广州 510515
  • 收稿日期:2020-09-03 出版日期:2022-01-10 发布日期:2022-02-14
  • 通讯作者: 高钰琳（1974-）,女,江西南昌人,硕士,副教授,硕士研究生导师。E-mail：gyl@i.smu.edu.cn
  • 作者简介:张正敏（1995-）,女,四川会理人,本科学历,硕士研究生在读。
  • 基金资助:
    中华医学会医学教育分会和中国高等教育学会医学教育专业委员会2020年医学教育研究课题（20B0327）; 中国学位与研究生教育学会2020年面上课题（2020MSA385）

Development of Professional Death Avoidance Scale for ICU Nurses and Its Reliability and Validity

ZHANG Zheng-min1a, ZUO Qian-qian1a, FENG Xian-gang1b, LIANG Su-juan2, WEI Hong-yun3, GAO Yu-lin1a   

  1. 1a. School of Nursing; 1b. School of Public Health, Southern Medical University, Guangzhou 510515, China;
    2. Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China;
    3. Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
  • Received:2020-09-03 Online:2022-01-10 Published:2022-02-14

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摘要： 目的 编制符合我国文化和医疗背景的ICU护士职业死亡回避量表,并检验其信效度。方法 基于Papadatou等的医务人员职业死亡回避研究,结合半结构式访谈,通过文献研究和护士小组讨论,形成初始条目池。经专家评定、小样本预调查确定量表初稿。通过问卷星有效回收389份广东省 ICU 护士填答的问卷。结果 ICU护士职业死亡回避量表包含1个维度,共15个条目,累积方差贡献率为61.669%。验证性因子分析显示,量表的模型适配良好（χ2/df=2.884,RMSEA=0.099,CFI=0.929,TLI=0.914,IFI=0.929,NFI=0.896）。量表的平均方差抽取量为0.561,组合信度为0.950。量表的内容效度指数为0.933,条目内容效度指数为0.800~1.000。量表的Cronbach α系数为0.953,Spearman-Brown折半信度系数为0.963。结论 ICU护士职业死亡回避量表信效度良好,可用于测评ICU护士的职业死亡回避。

关键词: ICU护士, 职业死亡回避, 量表编制, 信度, 效度

Abstract: Objective To develop a professional death avoidance scale for ICU nurses in line with China's national condition, and test its reliability and validity. Methods Based on Papadatou's professional death avoidance research of medical staff, combined with semi-structured interviews, literature review and nurse group discussions, the initial item pool of the scale was formed; the draft of the scale was determined by expert evaluation and pre-investigation. A total of 389 valid questionnaires were collected from ICU nurses in Guangdong Province via Wenjuanxing platform. Results The professional death avoidance scale for ICU nurses consisted of 1 dimension and 15 items, with a cumulative variance contribution rate of 61.669%. Confirmatory factor analysis suggested that the model fitted well (χ2/df=2.884, RMSEA=0.099, CFI=0.929, TLI=0.914, IFI=0.929, NFI=0.896). The average variance extracted was 0.561, and composite reliability 0.950. Item-level content validity index ranged from 0.800 to 1.000, and the scale-level content validity index was 0.933. The Cronbach α coefficient of the scale was 0.953 and Spearman-Brown split-half reliability coefficient 0.963. Conclusion The professional death avoidance scale for ICU nurses (PDAS-IN) has good reliability and validity, which can be used to measure ICU nurses' professional death avoidance.

Key words: ICU nurse, professional death avoidance, scale development, reliability, validity

中图分类号: 

  • R471
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