發(fā)布時間：2018-02-16 14:29

  本文關(guān)鍵詞： 護(hù)理人員 急救能力 信度 效度　出處：《山西醫(yī)科大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:研制適合我國護(hù)理管理者評估臨床護(hù)士核心急救能力的測評工具,既為護(hù)理管理者能科學(xué)評價臨床護(hù)士急救能力提供考核依據(jù),也為其能有目的性、方向性的培訓(xùn)臨床護(hù)士提供參考。方法:本研究運用了文獻(xiàn)回顧、德爾菲專家咨詢、數(shù)據(jù)統(tǒng)計分析等多種科研方法。具體步驟是在文獻(xiàn)回顧的基礎(chǔ)上,結(jié)合國內(nèi)外相關(guān)研究及小范圍專家論證,初步擬定量表維度及條目池;采用Delphi法對上述初步形成的量表維度及條目逐一修改;然后運用預(yù)測量表對山西省汾陽醫(yī)院的臨床護(hù)理人員進(jìn)行預(yù)測試,形成正式測評量表。之后再采用此量表對山西省三所三級甲等綜合醫(yī)院的臨床護(hù)理人員進(jìn)行大樣本測試、項目分析及信、效度檢驗,形成最終量表。研究對象分三部分:1.咨詢專家:應(yīng)具備1)權(quán)威性;2)專業(yè)代表性;3)地域代表性;4)較高的積極性,能有效完成多輪問卷咨詢等條件。2.預(yù)測對象:在山西省汾陽醫(yī)院以科室為單位整群抽取臨床護(hù)理人員作為預(yù)測對象。3.正式測評對象:在山西省三所三級甲等綜合醫(yī)院分別以科室為單位整群抽取臨床護(hù)理人員作為大樣本施測的對象。結(jié)果:1.專家咨詢結(jié)果:兩輪專家咨詢后問卷的有效回收率依次是89.47%及100%,表明其積極性較高;專家咨詢的權(quán)威系數(shù)(兩輪咨詢結(jié)果一致)Cr=(Ca+Cs)/2=(0.73+0.92)/2=0.83,以Cr≥0.70為衡量標(biāo)準(zhǔn),表明其具有一定的權(quán)威性;兩輪專家咨詢問卷中符合性賦值均數(shù)依次在3.29~5.00和4.06~5.00之間,標(biāo)準(zhǔn)差依次在0.25~1.09和0~0.30之間(均數(shù)、標(biāo)準(zhǔn)差分別以3.5與0.7為衡量標(biāo)準(zhǔn)),表明專家的意見越來越集中;兩輪專家咨詢的變異系數(shù)依次在0.10~0.18和0~0.12之間,以0.25為衡量標(biāo)準(zhǔn),表明專家意見相對趨于一致。并以此形成了具有8個維度34個條目池的預(yù)測工具。2.預(yù)調(diào)查結(jié)果:利用預(yù)測量表對170名臨床護(hù)理人員進(jìn)行預(yù)調(diào)查,通過條目篩選后,34個條目池的標(biāo)準(zhǔn)差均小于0.75,但其中條目27的決斷值CR=2.189(3);條目31的相關(guān)系數(shù)r=0.328(0.35),因此,刪除條目27與條目31,最終形成具有8個維度32個條目池的正式測評問卷。3.正式調(diào)查結(jié)果:利用正式測評工具對350名臨床護(hù)理人員進(jìn)行測試,結(jié)果在信度評價方面總量表的Cronbach’a系數(shù)是0.851,分半信度是0.744,重測信度是0.893。說明測評工具的內(nèi)部一致性良好。在效度評價方面經(jīng)EFA因子分析抽出8個公因子,它解釋的總方差為67.508%。每一條目的因子載荷均在0.4以上,且每一因子上的負(fù)荷均不同;經(jīng)CFA因子分析,結(jié)果顯示:X2/df=2.214,TLI=0.956,CFI=0.892,RMSEA=0.061,根據(jù)標(biāo)準(zhǔn)所得數(shù)值均達(dá)到了測量學(xué)要求。結(jié)論:編制的臨床護(hù)理人員核心急救能力測評工具信效度良好。既可為護(hù)理管理者科學(xué)評價臨床護(hù)士急救能力提供考核依據(jù),也可為其能有目的性、方向性的培訓(xùn)臨床護(hù)士提供參考。
[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，

本文編號：1515734