van Leeuwen René, Tiesinga Lucas J, Middel Berrie, Post Doeke, Jochemsen Henk
Department of Nursing, Ede Christian University, Ede, The Netherlands.
J Clin Nurs. 2009 Oct;18(20):2857-69. doi: 10.1111/j.1365-2702.2008.02594.x. Epub 2009 Jan 30.
This study contributes to the development of a valid and reliable instrument, the spiritual care competence scale, as an instrument to assess nurses' competencies in providing spiritual care.
Measuring these competencies and their development is important and the construction of a reliable and valid instrument is recommended in the literature.
Survey.
The participants were students from Bachelor-level nursing schools in the Netherlands (n = 197) participating in a cross-sectional study. The items in the instrument were hypothesised from a competency profile regarding spiritual care. Construct validity was evaluated by factor analysis and internal consistency was estimated with Cronbach's alpha and the average inter-item correlation. In addition, the test-retest reliability of the instrument was determined at a two-week interval between baseline and follow-up (n = 109).
The spiritual care competence scale comprises six spiritual-care-related nursing competencies. These domains were labelled: 1 assessment and implementation of spiritual care (Cronbach's alpha 0.82) 2 professionalisation and improving the quality of spiritual care (Cronbach's alpha 0.82) 3 personal support and patient counseling (Cronbach's alpha 0.81) 4 referral to professionals (Cronbach's alpha 0.79) 5 attitude towards the patient's spirituality (Cronbach's alpha 0.56) 6 communication (Cronbach's alpha 0.71). These subscales showed good homogeneity with average inter-item correlations >0.25 and a good test-retest reliability.
This study conducted in a nursing-student population demonstrated valid and reliable scales for measuring spiritual care competencies. The psychometric quality of the instrument proved satisfactory. This study does have some methodological limitations that should be taken into account in any further development of the spiritual care competence scale.
The spiritual care competence scale can be used to assess the areas in which nurses need to receive training in spiritual care and can be used to assess whether nurses have developed competencies in providing spiritual care.
本研究致力于开发一种有效且可靠的工具——精神护理能力量表，作为评估护士提供精神护理能力的工具。
测量这些能力及其发展很重要，文献中建议构建一种可靠且有效的工具。
调查。
参与者为荷兰本科护理学校的学生（n = 197），参与一项横断面研究。该工具中的项目是根据关于精神护理的能力概况假设而来。通过因子分析评估结构效度，并用克朗巴哈系数和平均项目间相关性估计内部一致性。此外，在基线和随访之间间隔两周确定该工具的重测信度（n = 109）。
精神护理能力量表包括六项与精神护理相关的护理能力。这些领域被标记为：1. 精神护理的评估与实施（克朗巴哈系数0.82）；2. 精神护理的专业化与质量提升（克朗巴哈系数0.82）；3. 个人支持与患者咨询（克朗巴哈系数0.81）；4. 转介给专业人员（克朗巴哈系数0.79）；5. 对患者精神性的态度（克朗巴哈系数0.56）；6. 沟通（克朗巴哈系数0.71）。这些子量表显示出良好的同质性，平均项目间相关性>0.25，且重测信度良好。
在护理学生群体中进行的这项研究证明了用于测量精神护理能力的有效且可靠的量表。该工具的心理测量质量令人满意。本研究确实存在一些方法学上的局限性，在精神护理能力量表的任何进一步开发中都应予以考虑。
精神护理能力量表可用于评估护士在精神护理方面需要接受培训的领域，也可用于评估护士是否已发展出提供精神护理的能力。
