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目的 编制基于概念分析结果为框架的临床护士职业心理韧性量表,并检验其信效度。方法 采用概念分析法、文献回顾、半结构式访谈及专家函询法,构建临床护士职业心理韧性量表。于2023年9-11月,采用便利抽样法选取488名临床护士,并应用临床护士职业心理韧性量表进行评估,采用心理弹性量表(the connor-davidson resilience scale, CD-RISC-10)做效标关联效度,采用SPSS 25.0及AMOS 13.0软件对数据进行因子分析及信效度检验。结果 形成适应性、控制性、灵活性、坚韧性、主动性5个维度、23个条目的临床护士职业心理韧性量表。总量表的Cronbach′s α系数为0.966,5个维度的Cronbach′s α系数为0.936~0.985,分半信度为0.889,重测信度为0.714。总量表的内容效度为0.986(>0.800),各条目水平的内容效度为0.900~1.000(>0.780)。探索性因子分析测得5个公因子且累计方差贡献率达86.010%;验证性因子分析测得量表结构稳定。量表各维度得分及总分与CD-RISC-10总分的相关系数为(r)0.662~0.776(P<0.001)。结论 本研究编制的临床护士职业心理韧性测评量表具有良好的信效度,可用于评价临床护士职业心理韧性水平。
Abstract:Objective To develop a clinical nurse professional psychological resilience scale based on the results of conceptual analysis, and to test its reliability and validity. Methods The clinical nurse professional psychological resilience scale was constructed using conceptual analysis, literature review, semi-structured interviews, and expert consultation. A total of 488 clinical nurses were selected through convenience sampling from September to November 2023, and was assessed by the clinical nurse professional psychological resilience scale, and the connor davidson resilience scale(CD-RISC-10) was used as the criterion association validity, and the data were analyzed using SPSS 25.0 and AMOS 13.0 software for factor analysis and tests of reliability and validity.Results The clinical nurse professional psychological resilience scale with 23 items in 5 dimensions of adaptability, controllability, flexibility, tenacity, and proactiveness was developed. The Cronbach′s α coefficient for the overall scale was 0.966, and for 5 dimensions, it ranged from 0.936 to 0.985,with the split-half reliability of 0.889 and the test-retest reliability of 0.714.The content validity of the total scale was 0.862(>0.800), and the content validity of each item was 0.900-1.000(>0.780).Five common factors and the cumulative variance of 86.010% were revealed by exploratory factor analysis, and the stability of the scale structure was confirmed by confirmatory factor analysis.The correlation coefficient(r) between the scale dimension and the total score and CD-RISC-10 total score was 0.662-0.776(P<0.001). Conclusions The developed clinical nurse professional psychological resilience scale in this study has good reliability and validity, and can be used to assess the level of professional psychological resilience among clinical nurses.
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基本信息:
DOI:10.16821/j.cnki.hsjx.2024.20.002
中图分类号:R192.6
引用信息:
[1]蒋莹莹,吴桃峰,胡洁蔓等.临床护士职业心理韧性量表的编制及信效度检验[J].护士进修杂志,2024,39(20):2134-2139.DOI:10.16821/j.cnki.hsjx.2024.20.002.
基金信息:
江苏省医院管理协会医院管理创新研究课题项目(编号:JSYGY-3-2024-536); 苏州市医学重点扶持学科建设项目(编号:SZFCXK202101)