【摘要】：研究目的:構(gòu)建護理管理者的非權(quán)力影響力評價指標體系,提高護理管理質(zhì)量、護理服務(wù)水平,促進醫(yī)院整體發(fā)展。研究方法:(1)文獻回顧法、深度訪談法、開放式問卷調(diào)查法:初步擬定護理管理者非權(quán)力影響力評價指標體系基本框架。(2)德爾菲專家咨詢法:通過兩輪專家咨詢,基本確定護理管理者非權(quán)力影響力評價指標體系。(3)問卷調(diào)查法:根據(jù)構(gòu)建的護理管理者非權(quán)力影響力評價指標體系編制調(diào)查問卷,對某三甲醫(yī)院的護理管理者進行實測,檢驗指標體系的信效度。研究結(jié)果:1.兩輪專家咨詢統(tǒng)計結(jié)果顯示,問卷的有效回收率均為96.67%,專家參與課題研究的積極性高;專家的群體權(quán)威程度系數(shù)為0.878,專家有良好的權(quán)威性;兩輪專家咨詢一級指標協(xié)調(diào)系數(shù)分別是0.162、0.249(P0.05),二級指標協(xié)調(diào)系數(shù)分別是0.161、0.248(P0.05),三級指標協(xié)調(diào)系數(shù)分別為0.191、0.205(P0.05),可見第二輪咨詢專家協(xié)調(diào)系數(shù)均高于第一輪,且研究結(jié)果可靠,說明專家意見一致性較高。初步構(gòu)建的護理管理者非權(quán)力影響力評價指標體系包含3個一級指標、6個二級指標、27個三級指標。2.確定了各級指標的權(quán)重,一級指標:品質(zhì)0.6232,能力0.1373,情感0.2395。二級指標:品德0.3116,素質(zhì)0.3116,人際交往能力0.1030,護理管理能力0.0340,關(guān)懷體恤下屬0.1916,建立和諧關(guān)系0.0479。部分三級指標:誠信0.0464,正直0.0352,公正0.0602,寬容0.0602,責(zé)任心0.0830。3.對護理管理者非權(quán)力影響力評價指標體系進行實測,SPSS17.0軟件分析結(jié)果顯示,評價指標整體的克朗巴赫α系數(shù)為0.959,一級指標的克朗巴赫α系數(shù)介于0.830~0.950之間,二級指標的克朗巴赫α系數(shù)介于0.737~0.938,說明指標體系信度較高;量表水平的內(nèi)容效度指數(shù)(S-CVI)為0.87,條目水平的內(nèi)容效度指數(shù)(I-CVI)介于0.62~1;探索性因子分析得到6個因子,KMO值為0.823,x2=3209.954,P=0.000,各因子的載荷范圍是0.53~0.87,指標體系內(nèi)容效度,結(jié)構(gòu)效度良好。研究結(jié)論:1.初步構(gòu)建了護理管理者非權(quán)力影響力評價指標體系,包含3個一級指標、6個二級指標以及27個三級指標,確定了各級指標的權(quán)重及具體的指標內(nèi)涵。2.經(jīng)過驗證性問卷調(diào)查,研究結(jié)果顯示該評價指標體系信效度良好,較可靠。
[Abstract]:Objective: to construct the evaluation index system of non-power influence of nursing managers, improve the quality of nursing management, nursing service level, and promote the overall development of hospitals. Methods: (1) Literature review method, in-depth interview method, open questionnaire survey method: the basic framework of evaluation index system of nursing managers' non-power influence was drawn up preliminarily. (2) Delphi expert consultation method: through two rounds of expert consultation. (3) questionnaire survey method: according to the established evaluation index system of non-power influence of nursing managers, the questionnaire was compiled, and the nursing managers in a third class hospital were measured. Test the reliability and validity of the index system. The result of the study was: 1. The results of two rounds of expert consultation statistics show that the effective recovery rate of the questionnaire is 96.67, the enthusiasm of experts to participate in the research is high, the group authority coefficient of experts is 0.878, and the experts have good authority. The coordination coefficient of two rounds of expert consultation was 0.162 ~ 0.249 (P0.05), the coordination coefficient of second-level index was 0.161 ~ 0.248 (P0.05), and the coordination coefficient of third-level index was 0.191 ~ 0.205 (P0.05), respectively. The coordination coefficient of the second round of expert consultation was higher than that of the first round, and the results of the study were reliable. Explain expert opinion consistency is high. The evaluation index system of non-power influence of nursing managers consists of 3 primary indexes, 6 secondary indexes and 27 third-level indexes. Determined the weight of indicators at all levels, the first level of indicators: quality 0.6232, ability 0.1373, emotion 0.2395. The second grade index: moral character 0.3116, quality 0.3116, interpersonal ability 0.1030, nursing management ability 0.0340, caring compassionate subordinates 0.1916, establishing harmonious relationship 0.0479. Some tertiary indicators: good faith 0.0464, integrity 0.0352, justice 0.0602, tolerance 0.0602, responsibility 0.0830.3. The results of SPSS 17.0 software analysis on the evaluation index system of non-power influence of nursing managers showed that the overall Cronbach 偽 coefficient of the evaluation index was 0.959, and the Cronbach 偽 coefficient of the first grade index was between 0.830 and 0.950. The 偽 coefficient of the second class index was between 0.737 and 0.938, which indicated that the reliability of the index system was high. The content validity index (S-CVI) of the scale level was 0.87, and the content validity index (I-CVI) of the item level was between 0.62 and 1, and the exploratory factor analysis showed that the six factors were 0.823 X 2C320 9.954P0. 000, and the load range of each factor was 0.53 ~ 0.87. The content validity and structural validity of the index system were good. Conclusion: 1. The evaluation index system of non-power influence of nursing managers was preliminarily constructed, including 3 first-grade indexes, 6 second-class indexes and 27 third-level indexes. The weight of each level index and the specific index connotation were determined. 2. The results showed that the reliability and validity of the evaluation index system was good and reliable.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R47

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