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护士职业应对自我效能简短问卷的编制与验证

Development and validation of a brief Occupational Coping Self-Efficacy Questionnaire for Nurses.

作者信息

Pisanti Renato, Lombardo Caterina, Lucidi Fabio, Lazzari David, Bertini Mario

机构信息

Department of Psychology, Faculty of Psychology, Sapieza University of Rome, Italy.

出版信息

J Adv Nurs. 2008 Apr;62(2):238-47. doi: 10.1111/j.1365-2648.2007.04582.x.

Abstract

AIM

This paper is a report of a study to develop and test the psychometric properties of the Occupational Coping Self-Efficacy for Nurses Scale.

BACKGROUND

Coping self-efficacy beliefs are defined as self-appraisals of capabilities to cope with environmental demands. People with higher levels of coping self-efficacy beliefs tend to approach challenging situations in an active and persistent way, whereas those with lower levels of coping self-efficacy beliefs tend to direct greater energy to managing increasing emotional distress.

METHOD

In 2006, 1383 nurses completed the following measures: Occupational Coping Self-Efficacy Questionnaire for Nurses, Coping Inventory for Stressful Situations Short Form and Maslach Burnout Inventory. Based on a randomized split of the data, we conducted exploratory factor analysis on group 1 data (n = 691) and confirmatory factor analysis within the framework of structural equation modelling on group 2 data (n = 692).

FINDINGS

The exploratory results revealed two factors: Coping Self-Efficacy to cope with the occupational burden (Cronbach alpha = 0.77) and Coping Self-Efficacy to cope with the relational burden (alpha = 0.79). In the confirmatory group, the two-factor structure was tested against an alternative one-factor structure and confirmed as the best solution. Correlation patterns between the Occupational Coping Self-Efficacy for Nurses Scales, and both coping and burnout variables, supported the criterion-related validity of the Occupational Coping Self-Efficacy for Nurses dimensions.

CONCLUSION

Nurses can have two basic and distinct coping self-efficacy beliefs: beliefs about occupational burden and beliefs about relational difficulties in the workplace. Research is needed into how efficacy evaluations shift as a result of specific stress management interventions.

摘要

目的

本文报告一项关于开发和测试护士职业应对自我效能量表心理测量特性的研究。

背景

应对自我效能信念被定义为对应对环境需求能力的自我评估。应对自我效能信念水平较高的人倾向于以积极和持续的方式应对具有挑战性的情况,而应对自我效能信念水平较低的人则倾向于将更多精力用于管理不断增加的情绪困扰。

方法

2006年,1383名护士完成了以下测量:护士职业应对自我效能量表、应激情境应对量表简表和马氏倦怠量表。基于数据的随机拆分,我们对第1组数据(n = 691)进行探索性因素分析,并在结构方程模型框架内对第2组数据(n = 692)进行验证性因素分析。

结果

探索性结果揭示了两个因素:应对职业负担的应对自我效能(克朗巴赫α系数 = 0.77)和应对关系负担的应对自我效能(α系数 = 0.79)。在验证组中,对两因素结构与替代的单因素结构进行了测试,并确认为最佳解决方案。护士职业应对自我效能量表与应对及倦怠变量之间的相关模式,支持了护士职业应对自我效能维度与标准相关的效度。

结论

护士可以有两种基本且不同的应对自我效能信念:关于职业负担的信念和关于工作场所关系困难的信念。需要研究特定压力管理干预措施如何导致效能评估的变化。

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