AACN健康工作环境评估量表的汉化及信度效度检验
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摘要
目的 :汉化美国重症护理协会(AACN)健康工作环境评估量表并在ICU护士中进行信度、效度检验。方法 :采用Brislin双向翻译模型对量表进行汉化,经专家委员会进行文化调试及预实验后形成中文版量表。抽取杭州市6家三级甲等医院425名ICU护士进行调查,以检验中文版量表的信度、效度。结果 :中文版AACN健康工作环境评估量表包括6个维度,共18个条目,累计方差贡献率为75.884%。总量表的Cronbach’sα系数为0.908,各维度的Cronbach’sα系数为0.734～0.871,重测信度为0.870。中文版量表各维度与总量表的相关系数为0.572～0.817(P<0.01)。条目水平的内容效度指数(I-CVI)的范围为0.830～1.000,量表水平的内容效度指数(S-CVI/Ave)为0.991。结论 :中文版AACN健康工作环境评估量表具有较好的信度、效度,适用于ICU护理健康工作环境的测评。
Objective: To translate the AACN Healthy Work Environment Assessment Tool into Chinese, and test the reliability and validity of the Chinese version. Methods: The English version of the tool was translated and back-translated according to Brislin translation model. After modifying the tool according to Chinese culture, the reliability and validity of the Chinese version of the tool was tested among a sample of 425 ICU nurses in Hangzhou. Results: The Chinese version of the tool included 6 dimensions and 18 items. 6 factors were extracted by principal component analysis, which could explain 75.884% of the total variance. The Cronbach's α for the tool was 0.908, and the Cronbach's α for six dimensions was among the range from 0.734 to 0.871.The test-retest reliability was 0.870. The correlation coefficient between each dimension and the tool ranged from 0.572 to 0.817(P<0.01). The range of item-level content validity index(I-CVI) was from 0.830 to 1.000. The average of scale-level content validity index(S-CVI/Ave) was 0.991. Conclusion: The Chinese version of the tool is reliable and valid, and is an effective tool to assess the nursing healthy work environment of ICU.
Objective: To translate the AACN Healthy Work Environment Assessment Tool into Chinese, and test the reliability and validity of the Chinese version. Methods: The English version of the tool was translated and back-translated according to Brislin translation model. After modifying the tool according to Chinese culture, the reliability and validity of the Chinese version of the tool was tested among a sample of 425 ICU nurses in Hangzhou. Results: The Chinese version of the tool included 6 dimensions and 18 items. 6 factors were extracted by principal component analysis, which could explain 75.884% of the total variance. The Cronbach's α for the tool was 0.908, and the Cronbach's α for six dimensions was among the range from 0.734 to 0.871.The test-retest reliability was 0.870. The correlation coefficient between each dimension and the tool ranged from 0.572 to 0.817(P<0.01). The range of item-level content validity index(I-CVI) was from 0.830 to 1.000. The average of scale-level content validity index(S-CVI/Ave) was 0.991. Conclusion: The Chinese version of the tool is reliable and valid, and is an effective tool to assess the nursing healthy work environment of ICU.
引文
[1]American Association of Critical-Care Nurses.AACN standards for establishing and sustaining healthy work environments:a journey to excellence.American Journal of Critical Care,2005,14(3):187-197.
[2]Boyle DK,Miller PA,Gajeski BJ,et al.Unit type differences in RN workgroup job satisfaction.Western Journal of Nursing Research,2006,8(6):622-646.
[3]Aiken LH,Sermeus W,Van den Heede K,et al.Patient safety,satisfaction and quality of hospital care:cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.British Medical Journal,2012(344):e1717.
[4]Aiken LH,Clarke SP,Sloane DM,et al.Effects of hospital care environment on patient mortality and nurse outcomes.Journal of Nurses Administration,2008,38(5):223-229.
[5]倪敏,何平.工作环境对ICU护士离职意愿的影响研究.中西医结合护理,2017,3(7):45-48.Ni M,He P.Impact of work environment on turnover intention of ICU nurses.Nursing of Integrated Traditional Chinese and Western Medicine,2017,3(7):45-48.
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[8]Ulrich BT,Lavandero R,Hart KA,et al.Critical care nurses'work environments:a baseline status report.Critical Care Nurse,2006,26(5):46-57.
[9]Ulrich BT,Lavandero R,Hart KA,et al.Critical care nurses'work environments 2008:a follow-up report.Critical Care Nurse,2009,29(2):93-102.
[10]Ulrich BT,Lavandero R,Woods D,et al.Critical care nurse work environments 2013:a status report.Critical Care Nurse,2014,34(4):64-79.
[11]郭金玉,李峥.量表引进的过程及评价标准.中华护理杂志,2012,47(3):283-285.Guo JY,Li Z.Process and evaluation criteria of scale introduction.Chinese Journal of Nursing,2012,47(3):283-285.
[12]郭金玉,李峥,康晓凤.心力衰竭自我护理指数量表的汉化及信效度检测.中华护理杂志,2012,47(7):653-655.Guo JY,Li Z,Kang XF.Renability and validity of the Chinese version of Self-Care of Heart Failure Index.Chinese Journal of Nursing,2012,47(7):653-655.
[13]林燕平,邱金花,林宁,等.护士交接班评估量表的汉化及信效度检测.中华护理杂志,2015,50(4):404-407.Lin YP,Qiu JH,Lin N,et al.Reliability and validity of the Chinese version of Nursing Assessment of Shift Report.Chinese Journal of Nursing,2015,50(4):404-407.
[14]Huddleston P,Gray J.Measuring nurse leaders'and direct care nurses'perceptions of a healthy work environment in an acute care setting,part 1:a pilot study.Journal of Nursing Administration,2016,46(7-8):373.
[15]吴明隆.问卷统计分析实务--SPSS操作与应用.重庆:重庆大学出版社,2017:158-193.Wu ML.Questionnaire statistical analysis practice-SPSS operation and application.Chongqing:Chongqing University Press,2017:158-193.
[16]胡雁.护理研究.4版.北京:人民卫生出版社,2013:116-117.Hu Y.Nursing studies.4th ed.Beijing:People's Health Publishing House,2013:116-117.
[17]史静琤,莫显昆,孙振球.量表编制中内容效度指数的应用.中南大学学报(医学版),2012,37(2):152-155.Shi JC,Mo XK,Sun ZQ.Content validity index in scale development.J Cent South Univ(Med Sci),2012,37(2):152-155.
[18]黄春美,冯志仙,杨静雯,等.护士长领导力测评问卷的信度效度检验.中国护理管理,2017,17(10):1335-1339.Huang CM,Feng ZX,Yang JW,et al.The reliability and validity of the evaluation questionnaire of head nurses leadership.Chinese Nursing Management,2017,17(10):1335-1339.
[19]黄敬英,庄一渝,陈香萍,等.ICU患者肠内喂养障碍问卷的汉化及信效度检验.中国护理管理,2017,17(5):592-597.Huang J Y,Zhuang Y Y,Chen X P,et al.Reliability and validity of Chinese version of Barriers to Enteral Feeding Critically Ill Patients Questionnaire.Chinese Nursing Management,2017,17(5):592-597.
[20]李世杰,杨燕妮,黄丽,等.中文版简易罗伊应对适应量表的信度效度研究.中国护理管理,2018,18(6):766-770.Li SJ,Yang YN,Huang L,et al.Reliability and validity of the Chinese version of the short form Coping and Adaption Processing Scale on Roy Model.Chinese Nursing Management,2018,18(6):766-770.
[21]李灿,辛玲.调查问卷的信度与效度的评价方法研究.中国卫生统计,2008,25(5):541-544.Li C,Xin L.Evaluation method of reliability and validity of questionnaire.Chinese Health Statistics,2008,25(5):541-544.
[22]陈静,张贤,张振香,等.医护合作量表的汉化及信效度检验.中华护理杂志,2014,49(2):236-240.Chen J,Zhang X,Zhang ZX,et al.Reliability and Validity of Chinese Version of Nurse-Physician Collaboration Scale.Chinese Journal of Nursing,2014,49(2):236-240.
[2]Boyle DK,Miller PA,Gajeski BJ,et al.Unit type differences in RN workgroup job satisfaction.Western Journal of Nursing Research,2006,8(6):622-646.
[3]Aiken LH,Sermeus W,Van den Heede K,et al.Patient safety,satisfaction and quality of hospital care:cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.British Medical Journal,2012(344):e1717.
[4]Aiken LH,Clarke SP,Sloane DM,et al.Effects of hospital care environment on patient mortality and nurse outcomes.Journal of Nurses Administration,2008,38(5):223-229.
[5]倪敏,何平.工作环境对ICU护士离职意愿的影响研究.中西医结合护理,2017,3(7):45-48.Ni M,He P.Impact of work environment on turnover intention of ICU nurses.Nursing of Integrated Traditional Chinese and Western Medicine,2017,3(7):45-48.
[6]American Association of Critical-Care Nurses.AACN's free new healthy work environment assessment tool.(2018).https://www.aacn.org/nursing-excellence/healthy-work-environments/aacn-healthy-work-environment-assessment-tool.
[7]American Association of Critical-Care Nurses.AACN standards for establishing and sustaining healthy work environments:a journey to excellence,2nd edition.(2016).https://www.aacn.org/~/media/aacn-website/nursing-excellence/healthy-work-environment/execsum.pdf?la=en.
[8]Ulrich BT,Lavandero R,Hart KA,et al.Critical care nurses'work environments:a baseline status report.Critical Care Nurse,2006,26(5):46-57.
[9]Ulrich BT,Lavandero R,Hart KA,et al.Critical care nurses'work environments 2008:a follow-up report.Critical Care Nurse,2009,29(2):93-102.
[10]Ulrich BT,Lavandero R,Woods D,et al.Critical care nurse work environments 2013:a status report.Critical Care Nurse,2014,34(4):64-79.
[11]郭金玉,李峥.量表引进的过程及评价标准.中华护理杂志,2012,47(3):283-285.Guo JY,Li Z.Process and evaluation criteria of scale introduction.Chinese Journal of Nursing,2012,47(3):283-285.
[12]郭金玉,李峥,康晓凤.心力衰竭自我护理指数量表的汉化及信效度检测.中华护理杂志,2012,47(7):653-655.Guo JY,Li Z,Kang XF.Renability and validity of the Chinese version of Self-Care of Heart Failure Index.Chinese Journal of Nursing,2012,47(7):653-655.
[13]林燕平,邱金花,林宁,等.护士交接班评估量表的汉化及信效度检测.中华护理杂志,2015,50(4):404-407.Lin YP,Qiu JH,Lin N,et al.Reliability and validity of the Chinese version of Nursing Assessment of Shift Report.Chinese Journal of Nursing,2015,50(4):404-407.
[14]Huddleston P,Gray J.Measuring nurse leaders'and direct care nurses'perceptions of a healthy work environment in an acute care setting,part 1:a pilot study.Journal of Nursing Administration,2016,46(7-8):373.
[15]吴明隆.问卷统计分析实务--SPSS操作与应用.重庆:重庆大学出版社,2017:158-193.Wu ML.Questionnaire statistical analysis practice-SPSS operation and application.Chongqing:Chongqing University Press,2017:158-193.
[16]胡雁.护理研究.4版.北京:人民卫生出版社,2013:116-117.Hu Y.Nursing studies.4th ed.Beijing:People's Health Publishing House,2013:116-117.
[17]史静琤,莫显昆,孙振球.量表编制中内容效度指数的应用.中南大学学报(医学版),2012,37(2):152-155.Shi JC,Mo XK,Sun ZQ.Content validity index in scale development.J Cent South Univ(Med Sci),2012,37(2):152-155.
[18]黄春美,冯志仙,杨静雯,等.护士长领导力测评问卷的信度效度检验.中国护理管理,2017,17(10):1335-1339.Huang CM,Feng ZX,Yang JW,et al.The reliability and validity of the evaluation questionnaire of head nurses leadership.Chinese Nursing Management,2017,17(10):1335-1339.
[19]黄敬英,庄一渝,陈香萍,等.ICU患者肠内喂养障碍问卷的汉化及信效度检验.中国护理管理,2017,17(5):592-597.Huang J Y,Zhuang Y Y,Chen X P,et al.Reliability and validity of Chinese version of Barriers to Enteral Feeding Critically Ill Patients Questionnaire.Chinese Nursing Management,2017,17(5):592-597.
[20]李世杰,杨燕妮,黄丽,等.中文版简易罗伊应对适应量表的信度效度研究.中国护理管理,2018,18(6):766-770.Li SJ,Yang YN,Huang L,et al.Reliability and validity of the Chinese version of the short form Coping and Adaption Processing Scale on Roy Model.Chinese Nursing Management,2018,18(6):766-770.
[21]李灿,辛玲.调查问卷的信度与效度的评价方法研究.中国卫生统计,2008,25(5):541-544.Li C,Xin L.Evaluation method of reliability and validity of questionnaire.Chinese Health Statistics,2008,25(5):541-544.
[22]陈静,张贤,张振香,等.医护合作量表的汉化及信效度检验.中华护理杂志,2014,49(2):236-240.Chen J,Zhang X,Zhang ZX,et al.Reliability and Validity of Chinese Version of Nurse-Physician Collaboration Scale.Chinese Journal of Nursing,2014,49(2):236-240.