摘要
目的编制本科实习护生临床实践能力测评量表并进行信效度检验,为本科实习护生临床实践能力提供有效测评工具。方法以实践能力理论为框架,采用文献回顾法、半结构访谈、德尔菲专家函询法形成初始量表。采用便利性抽样法,选取山东省某三级甲等综合医院的100名本科实习护生进行项目分析、探索性因子分析,进一步进行条目筛选,并选取山东省12所三级甲等综合医院的1715名本科实习护生进行调查,对量表的信度和效度进行检测。结果最终形成正式量表,包括临床护理、沟通协调、健康教育、科研创新、应急配合、人文关怀和临床教学7个维度共44个条目,累计方差贡献率为82.547%,总量表的Cronbach′sα系数为0.923,折半信度为0.847;总量表内容效度为0.895,各条目的内容效度为0.850~1.000;各维度与量表总分的相关系数为0.859~0.921,各维度之间的相关系数为0.651~0.879。结论本科实习护生临床实践能力测评量表具有良好的信效度,可作为评价本科实习护生临床实践能力水平的测评工具。
Objective To develop a scale for assessment of clinical competence of undergraduate nursing students and to test its reliability and validity,thus to provide effective assessment tool for nursing educators.Methods Using the practical competence theory as theoretical framework,literature review,semi-structured interview,and Delphi expert consultation were conducted to form the initial scale,then 100 undergraduate nursing students during clinical practice in a tertiary hospital in Shandong province were selected using convenience sampling and completed the scale.Items were selected through such statistics as t test,Pearson′s correlation coefficient and exploratory factor analysis.At last,1715 undergraduate nursing students practicing in 12 comprehensive ter-tiary hospitals in Shandong province filled out the scale to test the reliability and validity.Results The final version of the scale included 44 items that assess seven dimensions of clinical competence:clinical nursing,communication and coordination,health education,scientific research and innovation,emergency cooperation,humanistic care and clinical teaching,which could explain 82.547%of the total variance.The total Cronbach′s alpha coefficient was 0.923 and the split-half reliability was 0.847.The content validity index for the scale was 0.895 and for each item ranged from 0.850 to 1.000.The correlation coefficients between dimensions and the total scale were 0.859-0.921,and those among dimensions ranged from 0.651 to 0.879.Conclusion The clinical competence scale for undergraduate nursing students has good validity and reliability for clinical use.
作者
姚萍萍
王璞琳
杨春玲
袁玮
黄金枢
杨琳琳
Yao Pingping;Wang Pulin;Yang Chunling;Yuan Wei;Huang Jinshu;Yang Linlin(Nursing Department of Liaocheng People′s Hospital,Liaocheng 252000,China)
出处
《护理学杂志》
CSCD
北大核心
2020年第17期65-68,共4页
Journal of Nursing Science
基金
泰山医学院教育教学重点资助课题(XZ2018015)。
关键词
护理教育
本科生
实习护生
临床实践能力
量表
信度
效度
nursing education
undergraduate
student during internship
clinical competence
scale
reliability
validity
