重大传染病疫情下护理人员危机领导力量表的编制及信效度检验

doi:10.3761/j.issn.2096-7446.2025.05.017

摘要/Abstract

摘要：

目的编制重大传染病疫情下护理人员危机领导力量表（Crisis Leadership Scale for Nursing Staff，CLS-NS），并检验其信效度。方法以危机领导力六力模型为理论基础，结合文献分析和质性访谈结果构建护理人员危机领导力概念模型，通过文献分析、质性研究、Delphi专家函询和2轮预调查编制量表初稿。2023年7月，便利选取陕西省3所三级甲等综合医院的646名护理人员进行测试，分析量表的信效度。结果 CLS-NS包含5个维度，36个条目。探索性因子分析和碎石图结果提示提取5个公因子，即预警力、担当力、驾驭力、凝聚力、成长力，其累计方差贡献率为88.063%；验证性因子结果表明，模型拟合良好，问卷结构因子稳定，量表内容效度（S-CVI）和各条目内容效度（I-CVI）均为1.00。量表总Cronbach’s α系数为0.973，折半信度为0.930，重测信度为0.795。结论 CLS-NS信效度良好，可作为重大传染病疫情下护理人员危机领导力的评价工具。

关键词: 护理人员, 危机领导力, 危机, 重大传染病疫情, 量表, 信度, 效度

Abstract:

Objective To develop the Crisis Leadership Scale for Nursing Staff（CLS-NS） under major infectious diseases epidemics and test its reliability and validity. Methods A conceptual model of nursing crisis leadership was constructed based on the six-aspect model of crisis leadership combined with literature analysis and qualitative interviews. We initially constructed the scale，primarily through literature review，qualitative interviews，Delphi questionnaire and two-round pre-surveys. 646 nursing staff from three tertiary general hospitals in Shanaxi Province were selected as respondents in July 2023 to assess the scale’s reliability and validity. Results The CLS-NS included 36 entries in 5 dimensions. We extracted 5 common factors via the exploratory factor analysis，namely early warning ability，loading the responsibility，control power，cohesiveness，and growing power，with a cumulative variance contribution of 88.063%. Validation factor analysis results revealed a well-fitted model and stable structural factors of the questionnaire. S-CVI and I-CVI were both 1.00. The Cronbach’s α coefficient of the total scale was 0.973，the odd-even split reliability was 0.930，and the re-measurement reliability was 0.795. Conclusion The CLS-NS has shown favorable reliability and validity and can be used as an instrument to assess crisis leadership of nursing staff.

Key words: Nursing Staff, Crisis Leadership, Crisis, Major Infectious Diseases Epidemics, Scale, Reliability, Validity

陈唱唱, 穆赫孜, 贺世喆, 杨倩, 郎红娟. 重大传染病疫情下护理人员危机领导力量表的编制及信效度检验[J]. 中华急危重症护理杂志, 2025, 6(5): 596-602.

CHEN Changchang, MU Hezi, HE Shizhe, YANG Qian, LANG Hongjuan. Development and validation of the Crisis Leadership Scale for Nursing Staff under major infectious disease epidemics[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 596-602.

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