临床护理人员核心急救能力测评工具的研究

发布时间：2018-02-16 14:29

  本文关键词： 护理人员 急救能力 信度 效度　出处：《山西医科大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:研制适合我国护理管理者评估临床护士核心急救能力的测评工具,既为护理管理者能科学评价临床护士急救能力提供考核依据,也为其能有目的性、方向性的培训临床护士提供参考。方法:本研究运用了文献回顾、德尔菲专家咨询、数据统计分析等多种科研方法。具体步骤是在文献回顾的基础上,结合国内外相关研究及小范围专家论证,初步拟定量表维度及条目池;采用Delphi法对上述初步形成的量表维度及条目逐一修改;然后运用预测量表对山西省汾阳医院的临床护理人员进行预测试,形成正式测评量表。之后再采用此量表对山西省三所三级甲等综合医院的临床护理人员进行大样本测试、项目分析及信、效度检验,形成最终量表。研究对象分三部分:1.咨询专家:应具备1)权威性;2)专业代表性;3)地域代表性;4)较高的积极性,能有效完成多轮问卷咨询等条件。2.预测对象:在山西省汾阳医院以科室为单位整群抽取临床护理人员作为预测对象。3.正式测评对象:在山西省三所三级甲等综合医院分别以科室为单位整群抽取临床护理人员作为大样本施测的对象。结果:1.专家咨询结果:两轮专家咨询后问卷的有效回收率依次是89.47%及100%,表明其积极性较高;专家咨询的权威系数(两轮咨询结果一致)Cr=(Ca+Cs)/2=(0.73+0.92)/2=0.83,以Cr≥0.70为衡量标准,表明其具有一定的权威性;两轮专家咨询问卷中符合性赋值均数依次在3.29~5.00和4.06~5.00之间,标准差依次在0.25~1.09和0~0.30之间(均数、标准差分别以3.5与0.7为衡量标准),表明专家的意见越来越集中;两轮专家咨询的变异系数依次在0.10~0.18和0~0.12之间,以0.25为衡量标准,表明专家意见相对趋于一致。并以此形成了具有8个维度34个条目池的预测工具。2.预调查结果:利用预测量表对170名临床护理人员进行预调查,通过条目筛选后,34个条目池的标准差均小于0.75,但其中条目27的决断值CR=2.189(3);条目31的相关系数r=0.328(0.35),因此,删除条目27与条目31,最终形成具有8个维度32个条目池的正式测评问卷。3.正式调查结果:利用正式测评工具对350名临床护理人员进行测试,结果在信度评价方面总量表的Cronbach’a系数是0.851,分半信度是0.744,重测信度是0.893。说明测评工具的内部一致性良好。在效度评价方面经EFA因子分析抽出8个公因子,它解释的总方差为67.508%。每一条目的因子载荷均在0.4以上,且每一因子上的负荷均不同;经CFA因子分析,结果显示:X2/df=2.214,TLI=0.956,CFI=0.892,RMSEA=0.061,根据标准所得数值均达到了测量学要求。结论:编制的临床护理人员核心急救能力测评工具信效度良好。既可为护理管理者科学评价临床护士急救能力提供考核依据,也可为其能有目的性、方向性的培训临床护士提供参考。
[Abstract]:Objective: to develop a tool for evaluating the core first-aid ability of clinical nurses in China, which not only provides a scientific basis for nursing managers to evaluate the ability of clinical nurses, but also has a purpose for them. Methods: literature review, Delphi expert consultation, data statistical analysis and other scientific research methods were used in this study. The specific steps were based on literature review. The scale dimension and item pool were preliminarily developed with the combination of domestic and foreign relevant research and small scale expert argumentation, and the scale dimensions and items were modified one by one by Delphi method. Then the clinical nursing staff of Fenyang Hospital in Shanxi Province were pre-tested with the prediction scale, and a formal scale was formed. Then, the scale was used to test the clinical nursing staff of three Grade 3A general hospitals in Shanxi Province with a large sample. Item analysis, letter, validity test, to form the final scale. The subjects of the study were divided into three parts: 1. Consulting experts: should have 1) authoritative 2) professional representativeness 3) geographical representation 4) high enthusiasm, Can effectively complete multiple rounds of questionnaire consultation and other conditions .2.Predictive object: in Fenyang Hospital of Shanxi Province, selected clinical nursing staff as prediction object. 3. Formal evaluation object: Grade 3A comprehensive in three Shanxi Province. The clinical nursing staff were selected as the objects of large sample. Results: 1. The result of expert consultation: the effective recovery rate of the questionnaire after two rounds of expert consultation was 89.47% and 100 respectively, which indicated that its enthusiasm was high; The authority coefficient of expert consultation (the results of two rounds of consultation are consistent with each other: 0.92 / 20.83), taking Cr 鈮，

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