医院磁性要素量表的汉化及信效度检验
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摘要
目的翻译医院磁性要素量表,并检验该量表的信效度。方法遵循Brislin模型对量表进行翻译,用中文版医院磁性要素量表对青岛市某三级甲等综合性医院的1 389名临床护士进行测试,检测其信效度。结果中文版医院磁性要素量表经过因子分析方差最大正交旋转法,共提取7个因子,45个条目,累计贡献率为72.328%,总量表的Cronbach'sα系数为0.980,折半信度为0.919,重测信度为0.889。结论中文版医院磁性要素量表的信度、效度良好,可用于评价我国医院护理工作环境的磁性水平。
Objective To translate the Essentials of Magnetism Scale(EOM) into Chinese,and test the reliability and validity of the scale for initially establishing a Chinese version of the Essentials of Magnetism Scale. Methods A total of 1 389 clinical nurses were tested from a tertiary comprehensive hospital in Qingdao using the Chinese version of EOM which was developed through the process of translation,back-translation and cultural adaptation to verify its reliability and validity according to Brislin model. Results The Chinese version scale was extracted for 7 factors and 45 items by the factor analysis using the maximum orthogonal rotation,the cumulative contribution rate was 72.328%. Cronbach's alpha coefficient for the overall scale was 0.980,the split-half reliability coefficient was 0.919 and the test-retest reliability coefficient was 0.889. Conclusion The Chinese version of the Essentials of Magnetism Scale has been proved to be reliable and valid which can be used to objectively evaluate the magnetic level and health status of nursing work environment in China.
Objective To translate the Essentials of Magnetism Scale(EOM) into Chinese,and test the reliability and validity of the scale for initially establishing a Chinese version of the Essentials of Magnetism Scale. Methods A total of 1 389 clinical nurses were tested from a tertiary comprehensive hospital in Qingdao using the Chinese version of EOM which was developed through the process of translation,back-translation and cultural adaptation to verify its reliability and validity according to Brislin model. Results The Chinese version scale was extracted for 7 factors and 45 items by the factor analysis using the maximum orthogonal rotation,the cumulative contribution rate was 72.328%. Cronbach's alpha coefficient for the overall scale was 0.980,the split-half reliability coefficient was 0.919 and the test-retest reliability coefficient was 0.889. Conclusion The Chinese version of the Essentials of Magnetism Scale has been proved to be reliable and valid which can be used to objectively evaluate the magnetic level and health status of nursing work environment in China.
引文
[1]全国护理事业发展规划(2016-2020年)[J].中国护理管理,2017,17(1):1-5.
[2]季红,袁越.走进磁性医院感受吸引护理[J].护理管理杂志,2016,16(3):226-228.
[3]Friese CR,Xia R,Ghaferi A,et al.Hospitals in‘Magnet'program show better patient outcomes on mortality measures compared to non-‘Magnet'hospitals[J].Health Aff(Millwood),2015,34(6):986-992.
[4]Kramer M,Brewer BB,Halfer D,et al.Impact of professional nursing practices on patient/nurse outcomes:testing the essential professional nursing practices instrument[J].J Nurs Adm,2017,47(5):278-288.
[5]Kutney-Lee A,Stimpfel AW,Sloane DM,et al.Changes in patient and nurse outcomes associated with magnet hospital recognition[J].Med Care,2015,53(6):550-557.
[6]Park SH,Gass S,Boyle DK.Comparison of reasons for nurse turnover in Magnet(R)and non-Magnet hospitals[J].J Nurs Adm,2016,46(5):284-290.
[7]Petit Dit Dariel O,Regnaux JP.Do Magnet(R)-accredited hospitals show improvements in nurse and patient outcomes compared to non-Magnet hospitals:a systematic review[J].JBI Data-base System Rev Implement Rep,2015,13(6):168-219.
[8]曹熙,李继平.基于文献计量学的国外磁性医院护理管理研究热点分析[J].中国实用护理杂志,2016,32(1):69-73.
[9]顾李妍,张玲娟.磁性医院护理工作环境测评工具的研究进展[J].中华护理杂志,2014,49(5):602-605.
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[13]AACN.Standards for establishing and sustaining healthy work environments:a journey to excellence[J].Am J Crit Care,2005,14(3):187-197.
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[15]Kramer M,Schmalenberg C.Development and evaluation of essentials of magnetism tool[J].J Nurs Adm,2004,34(7/8):365-378.
[16]Kramer M,Maguire P,Schmalenberg C,et al.Nurse manager support:what is it?Structures and practices that promote it[J].Nurs Adm Q,2007,31(4):325-340.
[17]Kramer M,Schmalenberg C.Revising the Essentials of Magnetism tool:there is more to adequate staffing than numbers[J].J Nurs Adm,2005,35(4):188-198.
[18]Kramer M,Schmalenberg C,Maguire P,et al.Structures and practices enabling staff nurses to control their practice[J].West J Nurs Res,2008,30(5):539-559.
[19]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.
[20]王丽,李乐之.中文版护理工作环境量表的信效度研究[J].中华护理杂志,2011,46(2):121-123.
[21]Hayes B,Fitzgerald D,Doherty S,et al.Quality care,public perception and quick-fix service management:a Delphi study on stressors of hospital doctors in Ireland[J].BMJ Open,2015,5(12):e009564.
[22]朱琴,颜巧元.患者参与患者安全质量评价指标体系的构建[J].中华护理杂志,2018,53(5):587-591.
[23]李洪兴,罗庆,张荣,等.肯德尔和谐系数W检验及程序实现[J].中国医院统计,2013,20(3):170-173.
[24]邓艳红,赵丽萍,郭亮,等.静脉治疗专科护士核心能力评价指标体系的构建[J].中华护理杂志,2018,53(4):467-472.
[25]余卓文,张玉侠,M.Latour J,等.中文版儿童重症监护室父母满意度测评量表的信效度研究[J].中华护理杂志,2015,50(10):1261-1265.
[26]王俊平,陈长英,张阳,等.中文版护理实践环境量表的信效度研究[J].护理研究,2015,29(25):3112-3115.
[27]Ducharme MP,Bernhardt JM,Padula CA,et al.Leader influence,the professional practice environment,and nurse engagement in essential nursing practice[J].J Nurs Adm,2017,47(7/8):367-375.
[28]张洪福,刘彦慧,杨洋,等.在职护士离职倾向相关因素分析[J].中华护理杂志,2015,50(2):155-160.
[29]赵新爽,张洛灵,李转珍.癌症患者综合需求评估量表的汉化及信效度检验[J].中华护理杂志,2017,52(1):34-39.
[30]杨慧,孙丹丹,李尊柱,等.中文版理查兹-坎贝尔睡眠量表应用于ICU患者的信效度研究[J].中国护理管理,2017,17(5):601-604.
[2]季红,袁越.走进磁性医院感受吸引护理[J].护理管理杂志,2016,16(3):226-228.
[3]Friese CR,Xia R,Ghaferi A,et al.Hospitals in‘Magnet'program show better patient outcomes on mortality measures compared to non-‘Magnet'hospitals[J].Health Aff(Millwood),2015,34(6):986-992.
[4]Kramer M,Brewer BB,Halfer D,et al.Impact of professional nursing practices on patient/nurse outcomes:testing the essential professional nursing practices instrument[J].J Nurs Adm,2017,47(5):278-288.
[5]Kutney-Lee A,Stimpfel AW,Sloane DM,et al.Changes in patient and nurse outcomes associated with magnet hospital recognition[J].Med Care,2015,53(6):550-557.
[6]Park SH,Gass S,Boyle DK.Comparison of reasons for nurse turnover in Magnet(R)and non-Magnet hospitals[J].J Nurs Adm,2016,46(5):284-290.
[7]Petit Dit Dariel O,Regnaux JP.Do Magnet(R)-accredited hospitals show improvements in nurse and patient outcomes compared to non-Magnet hospitals:a systematic review[J].JBI Data-base System Rev Implement Rep,2015,13(6):168-219.
[8]曹熙,李继平.基于文献计量学的国外磁性医院护理管理研究热点分析[J].中国实用护理杂志,2016,32(1):69-73.
[9]顾李妍,张玲娟.磁性医院护理工作环境测评工具的研究进展[J].中华护理杂志,2014,49(5):602-605.
[10]Schmalenberg C,Kramer M.Essentials of a productive nurse work environment[J].Nurs Res,2008,57(1):2-13.
[11]Donabedian A.Evaluating the quality of medical care.1966[J].Milbank Quarterly,2005,83(4):691-729.
[12]范家莉,夏哲远,殷婷婷,等.磁性要素量表及其在护理中的应用研究进展[J].护理管理杂志,2015,15(4):263-264.
[13]AACN.Standards for establishing and sustaining healthy work environments:a journey to excellence[J].Am J Crit Care,2005,14(3):187-197.
[14]Kramer M,Brewer BB,Halfer D,et al.The evolution and development of an instrument to measure essential professional nursing practices[J].J Nurs Adm,2014,44(11):569-576.
[15]Kramer M,Schmalenberg C.Development and evaluation of essentials of magnetism tool[J].J Nurs Adm,2004,34(7/8):365-378.
[16]Kramer M,Maguire P,Schmalenberg C,et al.Nurse manager support:what is it?Structures and practices that promote it[J].Nurs Adm Q,2007,31(4):325-340.
[17]Kramer M,Schmalenberg C.Revising the Essentials of Magnetism tool:there is more to adequate staffing than numbers[J].J Nurs Adm,2005,35(4):188-198.
[18]Kramer M,Schmalenberg C,Maguire P,et al.Structures and practices enabling staff nurses to control their practice[J].West J Nurs Res,2008,30(5):539-559.
[19]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.
[20]王丽,李乐之.中文版护理工作环境量表的信效度研究[J].中华护理杂志,2011,46(2):121-123.
[21]Hayes B,Fitzgerald D,Doherty S,et al.Quality care,public perception and quick-fix service management:a Delphi study on stressors of hospital doctors in Ireland[J].BMJ Open,2015,5(12):e009564.
[22]朱琴,颜巧元.患者参与患者安全质量评价指标体系的构建[J].中华护理杂志,2018,53(5):587-591.
[23]李洪兴,罗庆,张荣,等.肯德尔和谐系数W检验及程序实现[J].中国医院统计,2013,20(3):170-173.
[24]邓艳红,赵丽萍,郭亮,等.静脉治疗专科护士核心能力评价指标体系的构建[J].中华护理杂志,2018,53(4):467-472.
[25]余卓文,张玉侠,M.Latour J,等.中文版儿童重症监护室父母满意度测评量表的信效度研究[J].中华护理杂志,2015,50(10):1261-1265.
[26]王俊平,陈长英,张阳,等.中文版护理实践环境量表的信效度研究[J].护理研究,2015,29(25):3112-3115.
[27]Ducharme MP,Bernhardt JM,Padula CA,et al.Leader influence,the professional practice environment,and nurse engagement in essential nursing practice[J].J Nurs Adm,2017,47(7/8):367-375.
[28]张洪福,刘彦慧,杨洋,等.在职护士离职倾向相关因素分析[J].中华护理杂志,2015,50(2):155-160.
[29]赵新爽,张洛灵,李转珍.癌症患者综合需求评估量表的汉化及信效度检验[J].中华护理杂志,2017,52(1):34-39.
[30]杨慧,孙丹丹,李尊柱,等.中文版理查兹-坎贝尔睡眠量表应用于ICU患者的信效度研究[J].中国护理管理,2017,17(5):601-604.