目的 汉化急诊护士压力源量表（Stressor Scale for Emergency Nurses,SSEN）并检验其信效度。方法 采用Brislin翻译法对英文版急诊护士压力源量表进行直译、回译及跨文化调适,形成中文版急诊护士压力源量表。选取30名急诊护士进行预调查,针对调查结果进行修改后,便利选取北京市8所三级综合医院317名急诊护士进行正式调查,评价量表的信效度。结果 中文版急诊护士压力源量表包含面临生与死的情况、患者和家属的行为及反应、技术和正规支持、冲突4个维度,共计24个条目。量表的内容效度为0.94,各条目内容效度为0.83~1.00;因子分析提取4个公因子,累积方差贡献率为76.730%;量表总的Cronbach's α系数为0.960,折半信度为0.840。结论 中文版急诊护士压力源量表在我国急诊护士中初步检验具有良好的信效度,可以用于中国文化背景下急诊护士压力源测定,有效评估急诊护士的压力状态,并为护理管理人员实施干预提供依据。
关键词：
急诊护士; 压力; 量表; 信度; 效度
Objective To translate and test the reliability and validity of the Chinese version of the Stressor Scale for Emergency Nurses（SSEN）. Methods The Brislin translation method was used to translate the SSEN scale literally,back-translate and cross-culturally adjust to the Chinese version of the SSEN. Thirty emergency nurses were selected for pre-survey,after modifying the survey results,the reliability and validity of the Chinese version of SSEN was tested among 317 emergency nurses by convenient sampling in several tertiary general hospitals in in Beijing. Results The Chinese version of SSEN includes life and death situation,patients' and families' actions and reactions,technical and formal support,conflicts,total 4 dimensions,24 items. The Scale-Content Validity Index（S-CVI）was 0.94,and Item-Content Validity Index（I-CVI）was 0.83 to 1.00. Four common factors were extracted by exploratory factor analysis,and the cumulative variance contribution rate was 76.730%. The Cronbach's α for the total scale was 0.960,and the split-half reliability was 0.840. Conclusion The Chinese version of SSEN has acceptable reliability and validity,It can be used to measure the pressure source of emergency nurses,effectively evaluate the pressure state of emergency nurses,and provide a basis for nursing managers to intervene.
[1] Pacák K,Palkovits M.Stressor specificity of central neuroendo-crine responses:implications for stress-related disorders[J]. Endocr Rev,2001,22(4):502-548.
[2] 张建霞,张梦杰,李宁,等. 基于马斯洛需求层次理论提升急诊科护士工作满意度的干预效果[J]. 中国护理管理,2022,22(3):430-434.
Zhang JX,Zhang MJ,Li N,et al.The effects of a comprehensive management program based on Maslow's hierarchy of needs theory on satisfaction with job of nurses in the emergency department[J]. Chin Nurs Manag,2022,22(3):430-434.
[3] 李换则,陈鸿芳,黄丽群,等. 急诊科护士临终照护体验质性研究的Meta整合[J]. 护理学报,2021,28(7):43-48.
Li HZ,Chen HF,Huang LQ,et al.Qualitative studies on experience of emergency nurses in hospice care:a Meta-synthesis[J]. J Nurs,2021,28(7):43-48.
[4] 张玉茹,李琳,王红艳,等. 急诊科护士专业心理支持求助态度现状调查[J]. 中国社会医学杂志,2021,38(6):656-661.
Zhang YR,Li L,Wang HY,et al.A survey of the status of nurses' professional psychological support and help seeking attitude in the emergency department[J]. Chin J Soc Med,2021,38(6):656-661.
[5] 王晓晔,胡珊珊,李争,等. 我国急诊科护士职业倦怠发生率及影响因素的系统评价[J]. 中华现代护理杂志,2020,26(10):1324-1330.
Wang XY,Hu SS,Li Z,et al.A systematic review of incidence and influencing factors of nurses' job burnout in emergency department in China[J]. Chin J Mod Nurs,2020,26(10):1324-1330.
[6] 任雁北,马冬冬,栾晓嵘. 急诊科护士心理负荷潜在类别及影响因素分析[J]. 护理管理杂志,2022,22(5):314-319.
Ren YB,Ma DD,Luan XR.Latent classes of mental workload and related factors among emergency nurses[J]. J Nurs Adm,2022,22(5):314-319.
[7] 柴宇霞,贾亚南,裴理辉,等. 急诊科护士职业紧张感与隐性缺勤的相关性研究[J]. 中华急危重症护理杂志,2020,1(5):389-394.
Chai YX,Jia YN,Pei LJ,et al.The relationship between occupational stress and presenteeismin among emergency nurses[J]. Chin J Emerg and Crit Care Nurs,2020,1(5):389-394.
[8] Barleycorn D.Awareness of secondary traumatic stress in emergency nursing[J]. Emerg Nurse,2019,27(5):19-22.
[9] Yuwanich N,Akhavan S,Nantsupawat W,et al.Development and psychometric properties of the stressor scale for emergency nurses[J]. Int Emerg Nurs,2018,39:77-88.
[10] Hancerlioglu S,Konakci G,Aykar F.Assessing psychometric properties of Turkish version of the stressor scale for emergency nurses[J]. Turk J Emerg Med,2020,20(2):69.
[11] 郭金玉,李峥. 量表引进的过程及评价标准[J]. 中华护理杂志,2012,47(3):283-285.
Guo JY,Li Z.Process and evaluation criteria of scale introduction[J]. Chin J Nurs,2012,47(3):283-285.
[12] 倪平,陈京立,刘娜. 护理研究中量性研究的样本量估计[J]. 中华护理杂志,2010,45(4):378-380.
Ni P,Chen JL,Liu N.The sample size estimation hi quantitative nursing research[J]. Chin J Nurs,2010,45(4):378-380.
[13] 吴明隆. 问卷统计分析实务:SPSS操作与应用[M]. 重庆:重庆大学出版社,2010.
Wu ML.Practice of questionnaire statistical analysis:SPSS operation and application[M]. Chongqing:Chongqing University Press,2010.
[14] 李小妹,刘彦君. 护士工作压力源及工作疲溃感的调查研究[J]. 中华护理杂志,2000,35(11):645-649.
Li XM,Liu YJ.Job stressors and burnout among staff nurses[J]. Chin J Nurs,2000,35(11):645-649.
[15] 林杰,魏薇萍,王国志,等. 上海市急诊科男护士心理韧性与工作压力及职业认同感的相关性分析[J]. 护士进修杂志,2022,37(20):1906-1910.
Lin J,Wei WP,Wang GZ,et al.Correlation analysis of psychological resilience,a male nurse in emergency department,with work stress and professional identity[J]. J Nurses Train,2022,37(20):1906-1910.
[16] 张伟,陈永惠,耿丽娟. 急诊科护士工作压力、应对方式及一般自我效能感的调查分析[J]. 中国实用护理杂志,2016,32(14):1041-1044.
Zhang W,Chen YH,Geng LJ.Survey and analysis on job stress,coping style and general self-efficacy of emergency nurses[J]. Chin J Pract Nurs,2016,32(14):1041-1044.
[17] 杨霞. 急诊护士创伤性和常规性压力原量表汉化及应用研究[D]. 天津:天津中医药大学,2022.
Yang X.Study on the localization and application of traumatic and routine stressors scale for emergency nurses[D]. Tianjin:Tianjin University of Traditional Chinese Medicine,2022.
