浏览全部资源
扫码关注微信
普通病房护士安宁疗护基本能力评估量表的研制及信效度检验
Development of a basic palliative care competency assessment scale for generalist nurse and evaluation of its reliability and validity
- 陆军军医大学学报 2024年46卷第20期 页码：2337-2345
- 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：
[罗羽，E-mail: luoyuhlgl@tmmu.edu.cn LUO Yu, E-mail: luoyuhlgl@tmmu.edu.cn
- 基金信息：2019年度国家社会科学基金西部项目(19XRK001)
DOI：10.16016/j.2097-0927.202401023
中图分类号： R192.6;R195.1;R473.1收稿：2024-01-05，
修回：2024-06-24，
纸质出版：2024-10-30
- 稿件说明：
移动端阅览
吴昱齐, 雷蕾, 马会娟, 等. 普通病房护士安宁疗护基本能力评估量表的研制及信效度检验[J]. 陆军军医大学学报, 2024,46(20):2337-2345.
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.
吴昱齐, 雷蕾, 马会娟, 等. 普通病房护士安宁疗护基本能力评估量表的研制及信效度检验[J]. 陆军军医大学学报, 2024,46(20):2337-2345. DOI： 10.16016/j.2097-0927.202401023.
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
2
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
2
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
2
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，
χ
2
/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
2
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
2
To develop a basic competency assessment scale for generalist nurse in palliative care and test its reliability and validity.
Methods
2
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
2
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
2
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
国务院. 国务院关于印发"十四五"国家老龄事业发展和养老服务体系规划的通知(国发〔2021〕35号)[EB/OL]. (2022-02-22)[2023-12-16]. http://www.gov.cn/zhengce/zhengceku/2022-02/21/content_5674844.htm.
The State Council. The State Council issued the national plan for the development of undertakings for the aged and the elderly care service system during the 14th Five Year Plan period[EB/OL]. (2022-02-22)[2023-12-16]. http://www.gov.cn/zhengce/zhengceku/2022-02/21/content_5674844.htm.
WHO. Declaration of Astana[EB/OL]. (2018-10-25)[2023-12-16]. https://apps.who.int/iris/rest/bitstreams/1251618/retrieve.
国家卫生健康委. 国家卫生健康委关于印发《全国护理事业发展规划(2021-2025年)》的通知[EB/OL]. (2022-04-29)[2023-12-16]. http://www.gov.cn/zhengce/zhengceku/2022-05/09/content_5689354.htm.
National Health Commission. Notice on the issuance of the national nursing development plan(2021-2025)[EB/OL]. (2022-04-29)[2023-12-16]. http://www.gov.cn/zhengce/zhengceku/2022-05/09/content_5689354.htm.
伊若男, 马文元, 武江华. 社区居家老年人安宁疗护知识知晓现状及需求调查[J]. 当代护士(上旬刊), 2023, 30 (1): 32-34. DOI: 10.19791/j.cnki.1006-6411.2023.01.008.
YI R N, MA W Y, WU J H. Investigation on knowledge awareness and needs of hospice care for the elderly at home in community[J]. Mod Nurse, 2023, 30(1): 32-34. DOI: 10.19791/j.cnki.1006-6411.2023.01.008.
HÖKKÄ M, MELENDER H L, LEHTO J T, et al . Palliative nur sing competencies required for different levels of palliative care provision: a qualitative analysis of health care professionals' perspectives[J ] . J Palliat Med, 2021, 24(10): 1516-1524. DOI: 10.1089/jpm.2020.0632.
吴曼琪, 孟依凡, 安明扬, 等. 2017—2020年某三甲综合医院住院患者死亡病例分析[J]. 中国病案, 2022, 23(11): 72-74. DOI: 10.3969/j.issn.1672-2566.2022.11.024.
WU M Q, MENG Y F, AN M Y, et al . Death cases analysis of inpatients from a tertiary general hospital from 2017 to 2020[J ] . Chin Med Rec, 2022, 23(11): 72-74. DOI: 10.3969/j.issn.1672-2566.2022.11.024.
周娟, 朱海静, 程菲, 等. 6117例住院死亡病例构成帕累托图分析[J]. 中国病案, 2023, 24(2): 72-74. DOI: 10.3969/j.issn.1672-2566.2023.02.024.
ZHOU J, ZHU H J, CHENG F, et al . Pareto chart analysis of 6117 hospitalized death cases in a hospital[J ] . Chin Med Rec, 2023, 24(2): 72-74. DOI: 10.3969/j.issn.1672-2566.2023.02.024.
裴文晔, 姜桂春. 肿瘤科护士安宁疗护核心能力问卷的编制及信度效度检验[J]. 中国护理管理, 2021, 21(5): 679-685. DOI: 10.3969/j.issn.1672-1756.2021.05.010.
PEI W Y, JIANG G C. Development and validation of core competence questionnaire for oncology nurses in hospice care[J]. Chin Nurs Manag, 2021, 21(5): 679-685. DOI: 10.3969/j.issn.1672-1756.2021.05.010.
赵艺媛, 陆宇晗, 王云, 等. 安宁疗护高级实践护士核心能力指标体系的构建[J]. 中国护理管理, 2021, 21(2): 268-273. DOI: 10.3969/j.issn.1672-1756.2021.02.022.
ZHAO Y Y, LU Y H, WANG Y, et al . The research in core competencies of hospice advanced practice nurse[J ] . Chin Nurs Manag, 2021, 21(2): 268-273. DOI: 10.3969/j.issn.1672-1756.2021.02.022.
谌永毅, 刘翔宇. 安宁疗护专科护理[M]. 北京: 人民卫生出版社, 2020: 285-368.
CHEN Y Y, LIU X Y. Hospice specialist nursing[M]. Beijing: People's Medical Publishing House, 2020: 285-368.
医政医管局. 国家卫生计生委办公厅关于印发安宁疗护实践指南(试行)的通知[EB/OL]. (2017-02-08)[2023-12-16]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=3ec857f8c4a244e69b233ce2f5f270b3.
Medical Authority. Circular of the General Office of National Health and Family Planning Commission on issuing practical guidelines on hospice care (trial)[EB/OL]. (2017-02-08)[2023-12-16]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=3ec857f8c4a244e69b233ce2f5f270b3.
AAHPM. Essential practices in hospice and palliative medicine[EB/OL]. (2023-03-16)[2023-12-16]. https://aahpm.org/self-study/essentials.
HNZ. Standards for palliative care 2019[EB/OL]. (2019)[2023-12-16]. https://www.hospice.org.nz/wp-content/uploads/2019/04/HNZ-Standards-2019-full-copy-interactiveFINAL-.pdf.
史静琤, 莫显昆, 孙振球. 量表编制中内容效度指数的应用[J]. 中南大学学报(医学版), 2012, 37(2): 152-155. DOI: 10.3969/j.issn.1672-7347.2012.02.007.
SHI J C, MO X K, SUN Z Q. Content validity index in scale development[J]. J Cent South Univ Med Sci, 2012, 37(2): 152-155. DOI: 10.3969/j.issn.1672-7347.2012.02.007.
吴明隆. 问卷统计分析实务--SPSS操作与应用[M]. 重庆: 重庆大学出版社, 2010: 158-296.
WU M L. Practice of questionnaire statistical analysis: SPSS operation and application[M]. Chongqing: Chongqing University Press, 2010: 158-296.
BROWN T A. Confirmatory factor analysis for applied research[M]. New York: The Guilford Press, 2015.
SCHREIBER J B, NORA A, STAGE F K, et al . Reporting structural equation modeling and confirmatory factor analysis results: a review[J ] . J Educ Res, 2010, 99(6): 323-338.
吴明隆. 结构方程模型: Amos实务进阶[M]. 重庆: 重庆大学出版社, 2010: 212-260.
WU M L. Structural equation model: operation and application of AMOS[M]. Chongqing: Chongqing University Press, 2010: 212-260.
中共中央国务院. 《国家积极应对人口老龄化中长期规划》[EB/OL]. (2019-11-21)[2023-12-16]. https://www.gov.cn/zhengce/2019-11/21/content_5454347.htm.
The State Council. Medium-and long-term plan for the country to actively respond to population aging[EB/OL]. (2019-11-21)[2023-12-16]. http://www.gov.cn/zhengce/2019-11/21/content_5454347.htm.
孙洪梅, 林程. 济南市某三甲医院护士安宁疗护知识掌握现状及其影响因素分析[J]. 齐鲁护理杂志, 2022, 28(13): 56-59. DOI: 10.3969/j.issn.1006-7256.2022.13.017.
SUN H M, LIN C. Analysis on the current situation and influencing factors of nurses' knowledge of hospice care in a third class hospital in Jinan City[J]. J Qilu Nurs, 2022, 28(13): 56-59. DOI: 10.3969/j.issn.1006-7256.2022.13.017.
许湘华, 李旭英, 沈波涌, 等. 安宁疗护专科护士培训的实践[J]. 中国护理管理, 2019, 19(10): 1513-1517. DOI: 10.3969/j.issn.1672-1756.2019.10.017.
XU X H, LI X Y, SHEN B Y, et al . The practice and prospection of palliative care nurse specialist training[J ] . Chin Nurs Manag, 2019, 19(10): 1513-1517. DOI: 10.3969/j.issn.1672-1756.2019.10.017.
韩鸽鸽, 张泽涛, 王盼盼, 等. 安宁疗护护士核心能力问卷的编制及信效度检验[J]. 护理研究, 2020, 34(24): 4384-4388. DOI: 10.12102/j.issn.1009-6493.2020.24.013.
HAN G G, ZHANG Z T, WANG P P, et al . Development and reliability and validity test of the core competence questionnaire for hospice nurses[J ] . Chin Nurs Res, 2020, 34(24): 4384-4388. DOI: 10.12102/j.issn.1009-6493.2020.24.013.
ARAHATA T, MIYASHITA M, TAKENOUCHI S, et al . Development of an instrument for evaluating nurses' knowledge and attitude toward end-of-life care: end-of-life nursing education consortium-Japan core quiz[J ] . J Hosp Palliat Nurs, 2018, 20(1): 55-62. DOI: 10.1097/NJH.0000000000000393.
ROSS M M, MCDONALD B, MCGUINNESS J. The palliative care quiz for nursing (PCQN): the development of an instrument to measure nurses' knowledge of palliative care[J]. J Adv Nurs, 1996, 23(1): 126-137. DOI: 10.1111/j.1365-2648.1996.tb03106.x.
ALEXANDER M F, RUNCIMAN P J. ICN framework of competencies for the generalist nurse: report of the development process and consultation[M]. Geneva: International Council of Nurses, 2003.
JUNTASOPEEPUN P, TURALE S, KAWABATA H, et al . Psychometric evaluation of the Nurse Competence Scale: a cross-sectional study[J ] . Nurs Health Sci, 2019, 21(4): 487-493. DOI: 10.1111/nhs.12627.
PASTRANA T, WENK R, LIMA L D. Consensus-based palliative care competencies for undergraduate nurses and physicians: a demonstrative process with Colombian universities[J]. J Palliat Med, 2016, 19(1): 76-82. DOI: 10.1089/jpm.2015.0202.
GAMONDI C, LARKIN P, PAYNE S. Core competencies in palliative care: an EAPC white paper on palliative care education -Part 1[J]. Eur J Palliat Care, 2013, 20(2): 86-91.
0
浏览量
481
下载量
0
CSCD
- 网络PDF下载
- Meta-XML下载
- BibTeX下载
- Endnote下载
- RefMan 下载
- NoteExpress下载
- NoteFirst下载
关联资源
相关文章
相关作者
相关机构
- 技术支持由北京北大方正电子有限公司提供 京ICP备09064830号-19
京公网安备11010802024621 - 本系统建议在Chrome、 IE9+ 以上版本浏览器阅读本站内容，360浏览器请切换至极速模式
- Cookies帮助我们提供服务并提供个性化体验。使用本网站，即表示您同意我们使用Cookies
