Adams Susan, Barron Sheila
Research Translation and Dissemination Core, Gerontological Nursinig Interventions Research Center, College of Nursing, University of Iowa, Iowa City, IA 52242, USA.
J Nurs Meas. 2010;18(1):3-25. doi: 10.1891/1061-3749.18.1.3.
Understanding the unique needs of school nurses is crucial for developing strategies to increase use of evidence-based health care practices in schools. This article describes the development and evaluation of an instrument designed to identify the needs of school nurses and variables associated with use of evidence-based practice in the school setting, that is, the School Nurse Evidence Based Practice Questionnaire (SN-EBP). After questions were drafted, reviewed, pilot-tested, and revised, data were collected from 386 school nurses for psychometric testing. The initial version consisted of 91 content items in five sections. Principal components analysis with promax rotation identified 17 factors in the five sections of the questionnaire, with Cronbach's alpha coefficients for the sections ranging from .62 to .89. The questionnaire showed good discrimination between known groups on key factors. The SN-EBP was reduced to 69 content items and demonstrated sufficient reliability and validity to warrant further use. It is the only scale available for use in identifying needs and variables associated with use of evidence-based practice in this population.
了解学校护士的独特需求对于制定策略以增加学校中循证医疗保健实践的应用至关重要。本文描述了一种工具的开发与评估，该工具旨在识别学校护士的需求以及与学校环境中循证实践应用相关的变量，即学校护士循证实践问卷（SN-EBP）。在问题起草、审查、预测试和修订之后，从386名学校护士收集数据进行心理测量测试。初始版本由五个部分的91个内容项目组成。采用斜交旋转的主成分分析在问卷的五个部分中识别出17个因子，各部分的克朗巴哈α系数范围为0.62至0.89。该问卷在关键因子上对已知组显示出良好的区分度。SN-EBP精简至69个内容项目，并表现出足够的信度和效度，值得进一步使用。它是唯一可用于识别该人群中与循证实践应用相关的需求和变量的量表。
