Research on the construction and application of a communication skills assessment scale for newly employed nurses

Liu Yiqing; Zhang Yin; Qian Minjie; Qiu Yimin; Zhang Jing; Zhang Ting; Yang Jiequn; Wang Jiayu

doi:10.3760/cma.j.cn116021-20250124-02085

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Research on the construction and application of a communication skills assessment scale for newly employed nurses

Medical Simulation Education | 更新时间：2025-08-08

- Research on the construction and application of a communication skills assessment scale for newly employed nurses
- Chinese Journal of Medical Education Research Vol. 24, Issue 7, Pages: 878-884(2025)
- 作者机构：
  
  1.上海交通大学医学院附属瑞金医院护理部，上海 200025
  2.上海交通大学医学院附属瑞金医院灼伤整形科，上海 200025
  3.上海交通大学医学院附属瑞金医院骨科，上海 200025
  4.上海交通大学医学院附属瑞金医院妇科，上海 200025
  5.上海交通大学医学院附属瑞金医院皮肤科，上海 200025
  6.上海交通大学医学院附属瑞金医院医学教育处，上海 200025
- 作者简介：
  
  Wang Jiayu, Email: wjy30541@rjh.com.cn
- 基金信息：
- DOI：10.3760/cma.j.cn116021-20250124-02085
  CLC： R33
- Received：24 January 2025，
  
  Published：20 July 2025
- 稿件说明：
移动端阅览
刘怡青, 张寅, 钱旻婕, 等. 新入职护士沟通能力评价量表的构建及应用研究[J]. 中华医学教育探索杂志, 2025, 24(7): 878-884.

Liu Yiqing, Zhang Yin, Qian Minjie, et al. Research on the construction and application of a communication skills assessment scale for newly employed nurses[J]. Chinese journal of medical education research, 2025, 24(7): 878-884.
刘怡青, 张寅, 钱旻婕, 等. 新入职护士沟通能力评价量表的构建及应用研究[J]. 中华医学教育探索杂志, 2025, 24(7): 878-884. DOI： 10.3760/cma.j.cn116021-20250124-02085.

Liu Yiqing, Zhang Yin, Qian Minjie, et al. Research on the construction and application of a communication skills assessment scale for newly employed nurses[J]. Chinese journal of medical education research, 2025, 24(7): 878-884. DOI： 10.3760/cma.j.cn116021-20250124-02085.

摘要

目的

构建适用于新入职护士沟通能力的评价量表，并在模拟环境下检验其信度和效度，以期开发和构建一种有效且结构化的新入职护士沟通能力评价工具。

方法

通过改编中文版利物浦沟通技巧评价量表，并经过两轮专家咨询，形成新入职护士沟通能力评价量表。采用便利抽样法，选取2024年至2025年入职某三甲医院的新入职护士194人作为研究对象。研究采用教师他评法，在沟通情境模拟中通过对新入职护士的表现进行打分，收集数据，并进行量表的信度和效度分析。

结果

本研究形成的量表共有4个维度、11个条目，可应用于基于工作场所及模拟情境的评价。两轮专家权威系数（Cr）均大于0.70。量表在应用于基于工作场所的评价时，两轮函询的Kendall’s

协调系数分别为0.278和0.309；在应用于基于模拟情境的评价时，两轮Kendall’s

协调系数分别为0.256、0.295。在两个应用场景中的11个条目变异系数（coefficient of variation，CV）均小于0.250。本研究量表的总克朗巴赫（Cronbach’s

）系数为0.805，量表总折半信度系数为0.814。在两个应用场景中，以条目水平的内容效度指数（item-level content validity index，I-CVI）为0.769~1.000（均

0.750），以量表水平的内容效度指数（scale-level content validity index，S-CVI）在基于工作场所及模拟情境的评价中依次为0.916、0.909（

0.900）。探索性因子分析共提取4个公因子，4个因子的累积方差贡献率为69.09%，每个条目在其对应公因子上的载荷均

0.500。

结论

新入职护士沟通能力评价量表条目内容与数量适中且已经过验证。在基于模拟的评价中，该量表展现出良好的信度和效度，因此可作为评价新入职护士沟通能力的有效工具。

Abstract

Objective

To construct a communication skills assessment scale for newly employed nurses

verify the reliability and validity of the scale in a simulated setting

and develop and construct an effective and structured assessment tool for the communication skills of newly employed nurses.

Methods

The Chinese version of the Liverpool Communication Skills Assessment Scale was modified and two rounds of expert consultation were conducted to construct the communication skills assessment scale for newly employed nurses. A total of 194 newly employed nurses at a tertiary hospital between 2024 and 2025 were selected using convenience sampling. Data were collected using a teacher-based evaluation method during simulated communication scenarios. The performance of the nurses was scored

and the reliability and validity of the scale were analyzed.

Results

The final version of the scale consisted of 4 dimensions and 11 items

and can be used in both workplace-based and simulation-based evaluations. The expert authority coefficients of both rounds were greater than 0.70. The Kendall's

coordination coefficients for the two rounds of consultation were 0.278 and 0.309 for workplace-based evaluations and 0.256 and 0.295 for simulation-based evaluations. The coefficients of variation for the 11 items in both application scenarios were

0.250. The total Cronbach's alpha coefficient of the scale was 0.805 and the total split-half reliability coefficient was 0.814. In the two application scenarios

the item-level content validity index ranged from 0.769 to 1.000 (all

0.750). The scale-level content validity index was 0.916 and 0.909 (

0.900)

respectively

in the workplace-based and simulation-based evaluations. The exploratory factor analysis extracted a total of four common factors

with a cumulative variance

contribution of 69.09%

and all item loadings on their corresponding factors exceeded 0.500.

Conclusions

The communication skills assessment scale for newly employed nurses has moderate and validated content and number of items. The scale demonstrates high reliability and validity in simulation-based evaluations

and can be used as an effective tool for assessing the communication skills of newly employed nurses.

关键词

Keywords

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