ISSN 2097-6046(网络)
ISSN 2096-7446(印刷)
CN 10-1655/R
主管:中国科学技术协会
主办:中华护理学会
护士职业发展

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

  • 陈唱唱 ,
  • 穆赫孜 ,
  • 贺世喆 ,
  • 杨倩 ,
  • 郎红娟
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  • 710032 西安市 空军军医大学护理系
陈唱唱:女,本科(博士在读),护士,E-mail:766603958@qq.com
郎红娟,E-mail:langhj@fmme.edu.cn

收稿日期: 2024-10-09

  网络出版日期: 2025-04-28

基金资助

陕西省重点研发计划(2024SF-YBXM-666);军队护理创新与培育专项(2023HL008);军事医学与航空医学重大问题科技攻关项目(2023JSYX19)

Development and validation of the Crisis Leadership Scale for Nursing Staff under major infectious disease epidemics

  • CHEN Changchang ,
  • MU Hezi ,
  • HE Shizhe ,
  • YANG Qian ,
  • LANG Hongjuan
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Received date: 2024-10-09

  Online published: 2025-04-28

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。

本文引用格式

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 . DOI: 10.3761/j.issn.2096-7446.2025.05.017

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.

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