
浏览全部资源
扫码关注微信
1.重庆医科大学附属第一医院护理部,重庆 400016
2.重庆医科大学附属第一医院教务处,重庆 400016
李娟,Email:1005945635@qq.com
收稿:2025-10-15,
网络首发:2026-07-31,
移动端阅览
李瑶, 胡洋洋, 张梓萱, 等. 认知性访谈在实习护生工作场所暴力求助动机量表编制中的应用[J/OL]. 中华医学教育探索杂志, 2026,1-6.
Li Yao, Hu Yangyang, Zhang Zixuan, et al. Application of cognitive interviewing in developing a Workplace Violence Help-Seeking Motivation Scale for Nursing Interns[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-6.
李瑶, 胡洋洋, 张梓萱, 等. 认知性访谈在实习护生工作场所暴力求助动机量表编制中的应用[J/OL]. 中华医学教育探索杂志, 2026,1-6. DOI: 10.3760/cma.j.cn116021-20251015-02293.
Li Yao, Hu Yangyang, Zhang Zixuan, et al. Application of cognitive interviewing in developing a Workplace Violence Help-Seeking Motivation Scale for Nursing Interns[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-6. DOI: 10.3760/cma.j.cn116021-20251015-02293.
目的
2
应用认知性访谈对实习护生工作场所暴力求助动机量表条目进行修订。
方法
2
2025年8月至9月,采用目的抽样法选取重庆市某三甲医院的30名实习护生,进行3轮认知性访谈。依据问题评估系统(QAS-99)对访谈资料进行编码,结合研究小组讨论与专家意见修订条目。
结果
2
第1轮访谈中,受访者对6个条目提出疑义,主要涉及“模糊”、“措辞”和“敏感性”问题;第2轮访谈中,仅1个条目有疑义,经讨论后保留原条目;第3轮访谈中,受访者均认为条目表述清晰,无需修改,访谈停止。
结论
2
认知性访谈能有效发现并修正实习护生工作场所暴力求助动机量表中的理解偏差,提高量表的适用性与科学性。
Objective
2
To revise the items of the Workplace Violence Help-Seeking Motivation Scale for Nursing Interns using cognitive interviewing.
Methods
2
From August to September 2025
30 nursing interns from a tertiary Grade A hospital in Chongqing were recruited using purposive sampling to participate in three rounds of cognitive interviews. The interview data were coded using the Question Appraisal System (QAS-99)
and item revisions were made based on research team discussions and expert feedback.
Results
2
In the first round of interviews
participants raised concerns about six items
mainly involving issues of ambiguity
wording
and sensitivity. In the second round of interviews
only one item was questioned and this item was retained after discussion. In the third round of interviews
all participants agreed that the item wording was clear and no further revisions were required
and the interview process was terminated.
Conclusions
2
Cognitive interviewing can effectively identify and correct comprehension biases in the Workplace Violence Help-Seeking Motivation Scale for Nursing Interns
thus improving the applicability and scientific rigor of the scale.
Al-Qadi MM . Workplace violence in nursing: a concept analysis [J ] . J Occup Health , 2021 , 63 ( 1 ): e12226 . DOI: 10.1002/1348-9585.12226 http://dx.doi.org/10.1002/1348-9585.12226 .
Johnston S , Fox A , Patterson S , et al . Australian nursing students' experiences of workplace violence during clinical placement: a cross-sectional study [J ] . J Adv Nurs , 2024 , 80 ( 12 ): 4933 - 4945 . DOI: 10.1111/jan.16189 http://dx.doi.org/10.1111/jan.16189 .
周媛媛 , 姚倩 , 李望 , 等 . 实习护生工作场所暴力发生率及影响因素的Meta分析 [J ] . 护理实践与研究 , 2023 , 20 ( 22 ): 3413 - 3420 . DOI: 10.3969/j.issn.1672-9676.2023.22.017 http://dx.doi.org/10.3969/j.issn.1672-9676.2023.22.017 .
Dafny HA , McCloud C , Pearson V , et al . Nursing students' experience of workplace violence in clinical practice: a qualitative systematic review [J ] . J Clin Nurs , 2023 , 32 ( 17/18 ): 6136 - 6164 . DOI: 10.1111/jocn.16746 http://dx.doi.org/10.1111/jocn.16746 .
孟宇辰 , 王光娅 , 刘晓怡 , 等 . 实习护生工作场所暴力真实体验的Meta整合 [J ] . 护理学杂志 , 2024 , 39 ( 6 ): 73 - 77 . DOI: 10.3870/j.issn.1001-4152.2024.06.073 http://dx.doi.org/10.3870/j.issn.1001-4152.2024.06.073 .
Yu Z , Kong D , Li Y , et al . Psychological workplace violence and its influence on professional commitment among nursing interns in China: a multicenter cross-sectional study [J ] . Front Public Health , 2023 , 11 : 1148105 . DOI: 10.3389/fpubh.2023.1148105 http://dx.doi.org/10.3389/fpubh.2023.1148105 .
Qian M , Zhu P , Wu Q , et al . Experience of verbal violence among Chinese nursing students in clinical practice: a qualitative study [J ] . BMC Med Educ , 2023 , 23 ( 1 ): 768 . DOI: 10.1186/s12909-023-04741-z http://dx.doi.org/10.1186/s12909-023-04741-z .
Boyle M , McKenna L . Paramedic student exposure to workplace violence during clinical placements: a cross-sectional study [J ] . Nurse Educ Pract , 2017 , 22 : 93 - 97 . DOI: 10.1016/j.nepr.2017.01.001 http://dx.doi.org/10.1016/j.nepr.2017.01.001 .
Bosnjak M , Ajzen I , Schmidt P . The theory of planned behavior: Selected recent advances and applications [J ] . Eur J Psychol , 2020 , 16 ( 3 ): 352 - 356 . DOI: 10.5964/ejop.v16i3.3107 http://dx.doi.org/10.5964/ejop.v16i3.3107 .
Gard DE , Sanchez AH , Starr J , et al . Using self-determination theory to understand motivation deficits in schizophrenia: the ‘why’ of motivated behavior [J ] . Schizophr Res , 2014 , 156 ( 2/3 ): 217 - 222 . DOI: 10.1016/j.schres.2014.04.027 http://dx.doi.org/10.1016/j.schres.2014.04.027 .
马锐 , 王宇 , 李玉鑫 , 等 . 认知性访谈在精神分裂症患者求助动机量表编制中的应用 [J ] . 中国全科医学 , 2023 , 26 ( 23 ): 2907 - 2911 . DOI: 10.12114/j.issn.1007-9572.2022.0739 http://dx.doi.org/10.12114/j.issn.1007-9572.2022.0739 .
Balza JS , Cusatis R , McDonnell SM , et al . Effective questionnaire design: How to use cognitive interviews to refine questionnaire items [J ] . J Neonatal Perinatal Med , 2022 , 15 ( 2 ): 345 - 349 . DOI: 10.3233/NPM-210848 http://dx.doi.org/10.3233/NPM-210848 .
Egger-Rainer A . Enhancing validity through cognitive interviewing. A methodological example using the Epilepsy Monitoring Unit Comfort Questionnaire [J ] . J Adv Nurs , 2019 , 75 ( 1 ): 224 - 233 . DOI: 10.1111/jan.13867 http://dx.doi.org/10.1111/jan.13867 .
McColl E . Cognitive interviewing. a tool for improving questionnaire design [J ] . Qual Life Res , 2006 , 15 ( 3 ): 571 - 573 . DOI: 10.1007/s11136-005-5263-8 http://dx.doi.org/10.1007/s11136-005-5263-8 .
Blair J , Conrad FG . Sample size for cognitive interview pretesting [J ] . Public Opin Q , 2011 , 75 ( 4 ): 636 - 658 .
郑瑞双 , 郭巧红 . 认知性访谈概述应用及对护理调查问卷设计的启示 [J ] . 护理学报 , 2019 , 26 ( 21 ): 36 - 40 . DOI: 10.16460/j.issn1008-9969.2019.21.036 http://dx.doi.org/10.16460/j.issn1008-9969.2019.21.036 .
Scott K , Ummer O , LeFevre AE . The devil is in the detail: reflections on the value and application of cognitive interviewing to strengthen quantitative surveys in global health [J ] . Health Policy Plan , 2021 , 36 ( 6 ): 982 - 995 . DOI: 10.1093/heapol/czab048 http://dx.doi.org/10.1093/heapol/czab048 .
Willis GB , Lessler JT . Question appraisal system QAS 99 [EB/OL ] . [ 2020-05-14 ] . https://www.researchgate.net/publication/267938670 https://www.researchgate.net/publication/267938670 .
孔羽 , 王晓君 , 侯赛宁 , 等 . 实习护生知觉压力对生涯适应力的影响: 自我复原力的中介效应分析 [J ] . 临床医学研究与实践 , 2025 , 10 ( 32 ): 9 - 12 . DOI: 10.19347/j.cnki.2096-1413.202532003 http://dx.doi.org/10.19347/j.cnki.2096-1413.202532003 .
王媛媛 . 医学量表的编制与评价: 理论、方法与实例操作 [M ] . 北京 : 北京大学医学出版社 , 2020 .
安培 , 王慧 , 丁焱 , 等 . 基于认知性访谈的年轻乳腺癌患者生育力保存决策辅助工具的文化调试 [J ] . 护士进修杂志 , 2025 , 40 ( 3 ): 243 - 248 . DOI: 10.16821/j.cnki.hsjx.2025.03.004 http://dx.doi.org/10.16821/j.cnki.hsjx.2025.03.004 .
王雪 , 李家琳 , 邓翠玉 , 等 . 认知性访谈在膀胱效用症状量表汉化中的应用 [J ] . 护士进修杂志 , 2021 , 36 ( 7 ): 630 - 632 . DOI: 10.16821/j.cnki.hsjx.2021.07.012 http://dx.doi.org/10.16821/j.cnki.hsjx.2021.07.012 .
徐敏 , 胥晨逸 , 李孝红 , 等 . 认知性访谈在再生障碍性贫血患者生存质量量表研制中的应用 [J ] . 护理与康复 , 2023 , 22 ( 6 ): 11 - 15 . DOI: 10.3969/j.issn.1671-9875.2023.06.003 http://dx.doi.org/10.3969/j.issn.1671-9875.2023.06.003 .
孔凡飞 , 杨淇雯 . 中国优秀传统文化中助人思想对社会工作本土化的启示 [J ] . 现代营销 , 2024 ( 30 ): 98 - 100 . DOI: 10.19932/j.cnki.22-1256/F.2024.10.098 http://dx.doi.org/10.19932/j.cnki.22-1256/F.2024.10.098 .
张丽媛 , 卞静如 , 沈傲梅 , 等 . 认知性访谈在乳腺癌相关淋巴水肿患者支持性照护需求量表编制中的应用 [J ] . 护理实践与研究 , 2024 , 21 ( 12 ): 1786 - 1793 . DOI: 10.3969/j.issn.1672-9676.2024.12.008 http://dx.doi.org/10.3969/j.issn.1672-9676.2024.12.008 .
Buki LP , Rivera-Ramos ZA , Kanagui-Muñoz M , et al . “ I never heard anything about it”: Knowledge and psychosocial needs of Latina breast cancer survivors with lymphedema [J ] . Womens Health (Lond Engl) , 2021 , 17 : 17455065211002488 . DOI: 10.1177/17455065211002488 http://dx.doi.org/10.1177/17455065211002488 .
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621