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

Abstract

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

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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References 13

[1]	郑晓明, 郭一蓉, 刘争光. 危机领导力的理论模型构建:基于中国机长刘传健案例的质性研究[J]. 管理学报, 2021, 18(1):12-21.
	Zheng XM, Guo YR, Liu ZG. Constructing the conceptual model of crisis leadership:a qualitative study based on the case of Chinese flight captain LIU Chuanjian[J]. Chin J Manag, 2021, 18(1):12-21.
[2]	Sriharan A, Hertelendy AJ, Banaszak-Holl J, et al. Public health and health sector crisis leadership during pandemics:a review of the medical and business literature[J]. Med Care Res Rev, 2022, 79(4):475-486.
[3]	龙瑶, 魏瑶玲, 叶群, 等. 护士领导力测评工具的范围综述[J]. 护理学杂志, 2023, 38(15):120-126.
	Long Y, Wei YL, Ye Q, et al. Leader-ship assessment tools for nurses:a sco-ping review[J]. J Nurs Sci, 2023, 38(15):120-126.
[4]	李全, 万巧琴, 杨悦. 临床领导力量表的汉化及信度效度检验[J]. 中国护理管理, 2021, 21(2):186-190.
	Li Q, Wan QQ, Yang Y. Reliability and validity of the Chinese version of the clinical leadership survey[J]. Chin Nurs Manag, 2021, 21(2):186-190.
[5]	Zhu W, Zhang JZ, Yang LY, et al. Com-petency in responding to infectious disease outbreaks among nurses in primary health-care institutions:a quantitative,cross-sectional multicentre study[J]. Front Public Health, 2024,12:1406400.
[6]	陈唱唱, 胡雪军, 蒋玮, 等. 传染病突发公共卫生事件护理危机领导力特征要素的质性研究[J]. 护理学杂志, 2023, 38(16):77-81.
	Chen CC, Hu XJ, Jiang W, et al. Characteristic elements of nursing crisis leadership in infectious public health emer-gencies:a qualitative study[J]. J Nurs Sci, 2023, 38(16):77-81.
[7]	景城阳, 刘瑞雪, 褚红玲, 等. 医学研究领域德尔菲法实施和报告标准(CREDES)解读[J]. 中国循证医学杂志, 2023, 23(2):233-239.
	Jing CY, Liu RX, Chu HL, et al. Interpretation of standards for conducting and reporting Delphi studies(CREDES) in heal-thcare research[J]. Chin J Evid Based Med, 2023, 23(2):233-239.
[8]	李洁. 护士卫生应急素养测评量表的编制及应用[D]. 青岛: 青岛大学, 2022.
	Li J. Development and application of nurses’ health emergency literacy assessment scale[D]. Qingdao: Qingdao University, 2022.
[9]	Patrick A, Spence Laschinger HK, Wong C, et al. Developing and testing a new measure of staff nurse clinical leadership:the clinical leadership survey[J]. J Nurs Manag, 2011, 19(4):449-460.
[10]	史静琤, 莫显昆, 孙振球. 量表编制中内容效度指数的应用[J]. 中南大学学报(医学版), 2012, 37(2):49-52.
	Shi JC, Mo XK, Sun ZQ. Content validity index in scale development[J]. J Cent South Univ Med Sci, 2012, 37(2):49-52.
[11]	王孟成. 潜变量建模与Mplus应用-基础篇[M]. 重庆: 重庆大学出版社, 2014.
	Wang MC. Latent variable modeling using mplus[M]. Chong-qing: Chongqing University Press, 2014.
[12]	Joniaková Z, Jankelová N, Blštáková J, et al. Cognitive diver-sity as the quality of leadership in crisis:team performance in health service during the COVID-19 pandemic[J]. Health-care, 2021, 9(3):313.
[13]	Hadley CN, Pittinsky TL, Sommer SA, et al. Measuring the effi-cacy of leaders to assess information and make decisions in a crisis:The C-LEAD scale[J]. Leadersh Q, 2011, 22(4):633-648.

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

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