Development of a basic palliative care competency assessment scale for generalist nurse and evaluation of its reliability and validity

Yuqi WU; Lei LEI; Huijuan MA; Pengyu WANG; Yu LUO

doi:10.16016/j.2097-0927.202401023

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Development of a basic palliative care competency assessment scale for generalist nurse and evaluation of its reliability and validity

Clinical Medicine | 更新时间：2026-01-09

- Development of a basic palliative care competency assessment scale for generalist nurse and evaluation of its reliability and validity
- Journal of Army Medical University Vol. 46, Issue 20, Pages: 2337-2345(2024)
- 作者机构：
  
  1.400038 重庆，陆军军医大学(第三军医大学)护理系
  2.400042 重庆，陆军军医大学(第三军医大学)陆军特色医学中心胸外科
  3.400038 重庆，陆军军医大学(第三军医大学)军事预防医学系军队卫生统计学教研室
- 作者简介：
- 基金信息：
  
  the Project for Western Region of National Social Science Foundation of China in 2019(19XRK001)
- DOI：10.16016/j.2097-0927.202401023
  CLC： R192.6;R195.1;R473.1
- Received：05 January 2024，
  
  Revised：2024-06-24，
  
  Published：30 October 2024
- 稿件说明：
移动端阅览
Yuqi WU, Lei LEI, Huijuan MA, et al. Development of a basic palliative care competency assessment scale for generalist nurse and evaluation of its reliability and validity[J]. Journal of Army Medical University, 2024, 46(20): 2337-2345.
DOI：

Yuqi WU, Lei LEI, Huijuan MA, et al. Development of a basic palliative care competency assessment scale for generalist nurse and evaluation of its reliability and validity[J]. Journal of Army Medical University, 2024, 46(20): 2337-2345. DOI： 10.16016/j.2097-0927.202401023.

摘要

目的

研制普通病房护士安宁疗护基本能力量表，并检测其信效度。

方法

通过文献回顾、小组讨论、专家咨询、小样本预调查等方法募集、筛选条目初步形成测试量表；于2021年1-3月用该量表对1 000名来自各内科、各外科、急诊科、妇产科及重症监护室等科室的护士进行调查；使用SPSS和AMOS软件对数据进行项目分析、探索性因子分析和验证性因子分析，以验证量表的信效度，最终形成正式量表。

结果

经因子分析提取5个公因子，37个条目，累计方差贡献率71.031%，量表整体Cronbach’s α系数为0.953，折半信度为0.772，重测信度为0.963，验证性因子分析模型拟合良好，

/df=2.57，近似误差均方根(root mean square error of approximation，RMSEA)=0.059，比较拟合指数(comparative fit index，CFI)=0.909，增量拟合指数(incremental fit index，IFI)=0.910，非规范拟合指数(Tucker-Lewis index，TLI)=0.901。

结论

本研究构建的普通病房护士安宁疗护基本能力评估量表信效度良好，可以用于评价普通病房护士安宁疗护基本能力。

Abstract

Objective

To develop a basic competency assessment scale for generalist nurse in palliative care and test its reliability and validity.

Methods

The pre-test scale items pool was formed after literature review

internal discussion in the group

consultation with experts and small sample pre-survey. From January to March 2021

the pre-test scale was used to investigate 1 000 nurses in various wards including internal medicine

surgery

emergency

obstetrics and gynaecology

and intensive care units. The results were analyzed by SPSS software and AMOS software to undertake item analysis

exploratory factor analysis and confirmatory factor analysis to develop the final scale.

Results

The pre-test scale items pool was formed after literature review

internal discussion in the group

consultation with experts and small sample pre-survey. From January to March 2021

the pre-test scale was used to investigate 1 000 nurses in various wards including internal medicine

surgery

emergency

obstetrics and gynaecology

and intensive care units. The results were analyzed by SPSS software and AMOS software to undertake item analysis

exploratory factor analysis and confirmatory factor analysis to develop the final scale.

Conclusion

Our developed basic competency assessment scale for generalist nurse in palliative care has good reliability and validity

and can be used to evaluate the basic competency of palliative care for generalist nurses.

关键词

Keywords

references

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