Benoliel J Q, McCorkle R, Georgiadou F, Denton T, Spitzer A
Community Health Care Systems Department, University of Washington, Seattle.
Cancer Nurs. 1990 Aug;13(4):221-8. doi: 10.1097/00002820-199008000-00003.
The Nurse Stress Checklist was developed to measure stress in clinical nursing as a multidimensional construct. The instrument was formulated within a transactional model of stress. The items were derived from five domains thought to contribute to nurse stress in clinical settings and were organized into a questionnaire. Holmes Schedule of Recent Events was included as a validity measure. The instrument was tested on 104 staff nurses working in three institutions in an urban community. Exploratory factor analysis was applied to the 74 items presented to subjects in Likert-type format. Five factors were derived and subjected to psychometric evaluation. Internal consistency reliability for the five factors was good, ranging from 0.80 to 0.91. Means and measures of dispersion supported the potential of the five subscales to discriminate among respondents on the attributes being measured. Intercorrelations of the factors provided evidence of the distinctiveness of the five components of stress, although factor loadings showed some overlap between Personal Reactions and Work Concerns and Work Concerns and Work Completion Concerns. Validity of the factors also was supported by correlations with Holmes' Schedule of Recent Events. Content validity was supported by comparison of these results with findings of other investigators. Limitations of the results are discussed, and recommendations for future work on the instrument are offered.
护士压力清单旨在将临床护理中的压力作为一个多维结构进行测量。该工具是在压力的交互作用模型内制定的。这些条目源自被认为会导致临床环境中护士压力的五个领域，并被组织成一份问卷。包含霍尔姆斯近期事件量表作为效度测量工具。该工具在城市社区三个机构工作的104名护士中进行了测试。对以李克特式格式呈现给受试者的74个条目应用探索性因素分析。得出了五个因素并进行了心理测量评估。这五个因素的内部一致性信度良好，范围从0.80到0.91。均值和离散度测量结果支持五个分量表在区分被测量属性的受访者方面的潜力。尽管因素负荷显示个人反应与工作担忧以及工作担忧与工作完成担忧之间存在一些重叠，但各因素的相互关系提供了压力五个组成部分独特性的证据。这些因素的效度也得到了与霍尔姆斯近期事件量表相关性的支持。将这些结果与其他研究者的发现进行比较，支持了内容效度。讨论了结果的局限性，并为该工具未来的研究工作提出了建议。
