ICU护理缺失量表的编制及信效度检验

doi:10.3761/j.issn.2096-7446.2024.02.015

摘要/Abstract

摘要： 目的编制ICU护理缺失量表并检验其信效度。方法以护理缺失理论模型为框架,通过文献分析、质性访谈和专家咨询编制量表初稿。于2021年9月—10月选取湖南省某三级甲等医院的219名ICU护士进行调查,分析量表的信度及效度;于2021年11月—2022年1月选取湖南省3所医院的203名ICU护士进行调查,用于验证性因子分析。结果 ICU护理缺失量表共分为2部分,ICU护理缺失量表（A部分）和ICU护理缺失原因量表（B部分）。A部分共37个条目,不进行维度划分,B部分包含护理人员绝对不足、护理人员相对不足、物质资源因素、沟通交流因素、组织管理因素5个维度,共25个条目。通过探索性因子分析共提取5个公因子,累计方差贡献率为66.938%,验证性因子分析提示模型拟合较好（χ²/df=2.029,近似误差均方根=0.071,增值拟合指数=0.923,比较拟合指数=0.922）。量表两部分内容效度分别为0.89和0.84。量表A、B部分的Cronbach' s α系数分别为0.963和0.946,B部分各维度的Cronbach's α系数为0.708~0.904。结论重症监护病房护理缺失量表具有较好的信效度,适用于我国ICU内护理缺失现状的调查。

关键词: 重症监护病房, 护理缺失, 患者安全, 量表编制, 护理管理研究

Abstract: Objective To develop the ICU Missed Nursing Care Survey （MNC-ICU survey）,and test the validity and reliability. Methods The development of this survey was based on Missed Nursing Care Model,the draft scale was formulated by referring literature,the results of qualitative interview and expert consultation. 219 ICU nurses from a tertiary hospital in Hunan Province were investigated with the survey during September to October in 2021,and the reliability and validity of the scale were analyzed. 203 ICU nurses from 3 hospitals in Hunan Province were surveyed during November 2021 to January 2022,and the data was used for confirmatory factor analysis. Results The MNC-ICU survey included two parts,the missed nursing care in ICU（part A） and the reasons for missed nursing care in ICU（part B）. Part A included 37 items,which is not suitable for dividing dimensions. Part B included 25 items,which is divided into 5 dimensions：absolute shortage of nursing staff,relative shortage of nursing staff,material resources factor,communication and cooperation factor and organizational management factor. Through the exploratory factor analysis,5 common factors were extracted,which could explain 66.938% of the total variation. The confirmatory factor analysis showed that the model fit of part B of the scale was good（χ²/df=2.029,RMSEA=0.071,IFI=0.923,CFI=0.922）. The content validity of two parts of the survey were 0.89 and 0.84. The Cronbach's α of two parts of the survey were 0.963 and 0.964,and the Cronbach's α of each dimension of Part B was 0.708~0.904. Conclusion The MNC-ICU survey has good reliability and validity,which is suitable to evaluate the situation of missed nursing care in ICU.

Key words: Intensive Care Units, Missed Nursing Care, Patient Safety, Scale Development, Nursing Administration Research

刘雨安, 李乐之, 王惠平. ICU护理缺失量表的编制及信效度检验[J]. 中华急危重症护理杂志, 2024, 5(2): 165-171.

LIU Yu'an, LI Lezhi, WANG Huiping. Development and reliability and validity testing of the ICU Missed Nursing Care Survey[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(2): 165-171.

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