护士-护士合作量表。

The nurse-nurse collaboration scale.

机构信息

Office of Academic Affiliations, Veterans Health Administration 1800 G St NW, Suite, 870, Washington, DC 20006, USA.

出版信息

J Nurs Adm. 2010 Jan;40(1):17-25. doi: 10.1097/NNA.0b013e3181c47cd6.

DOI:10.1097/NNA.0b013e3181c47cd6

PMID:20010373

Abstract

OBJECTIVE

To develop and examine the reliability and validity of a new instrument, the nurse-nurse collaboration (NNC) scale.

BACKGROUND

Nurse-nurse collaboration (NNC) is recommended to reduce medical errors and improve patient care and nurses' job satisfaction. While instruments are available to measure nurse-physician collaboration, an instrument to measure NNC was not available in the literature. Because collaboration is necessary for optimal patient care, a valid and reliable instrument would make it possible to measure the level of collaboration among nurses.

METHODS

A comprehensive literature review was conducted to develop a definition and define relevant domains of NNC and identify instruments with acceptable psychometrics that included items measuring NNC. Instrument items to develop the Nurse-Nurse Collaboration Scale (NNC Scale) were adapted from previously published tools or developed based on domains identified in the literature. Five domains were identified: problem solving, communication, coordination, shared process, and professionalism. Psychometric testing of the NNC Scale included pilot testing for content and construct validity and field testing among 76 staff nurses working in 4 ICUs in a large tertiary-care academic medical center in the northeast United States. Psychometric tests assessing reliability and convergent validity correlations were conducted.

RESULTS

The overall Cronbach alpha for the scale was .89. Convergent validity correlations, however, were low to moderate, indicating minimal shared variance among the subscales. Therefore, the instrument did not measure a global concept but rather 5 separate domains of collaboration. Internal consistency testing of the 5 subscales produced acceptable results ranging from .66 to .91.

CONCLUSION

The NNC Scale demonstrated acceptable reliability and validity for measuring the level of NNC in intensive care nurses. Further psychometric testing and a factor analysis with a larger-sample, more diverse groups of nurses are necessary to further characterize the generalizability of the NNC Scale.

摘要

目的

开发和检验一种新工具，即护士间协作（NNC）量表的信度和效度。

背景

建议护士间协作（NNC）以减少医疗差错，改善患者护理和护士工作满意度。虽然有测量护士与医师协作的工具，但文献中没有用于测量护士间协作的工具。因为协作是提供最佳患者护理的必要条件，所以有效的工具将能够衡量护士之间的协作程度。

方法

进行了全面的文献回顾，以制定 NNC 的定义和定义相关领域，并确定具有可接受心理测量学的工具，其中包括用于测量 NNC 的项目。开发护士间协作量表（NNC Scale）的工具项目改编自先前发表的工具，或根据文献中确定的领域开发。确定了五个领域：解决问题、沟通、协调、共享流程和专业精神。NNC Scale 的心理测试包括内容和结构有效性的试点测试，以及在美国东北部的一家大型三级保健学术医疗中心的 4 个 ICU 中对 76 名在职护士进行的现场测试。进行了评估可靠性和收敛有效性相关性的心理测试。