Francisco Mary Ann
Center for Nursing Professional Practice and Research, University of Chicago Medical Center, Chicago, Illinois 60637, USA.
J Nurs Meas. 2013;21(1):137-52. doi: 10.1891/1061-3749.21.1.137.
Diabetes mellitus is an increasingly prevalent disease among hospitalized patients. Educators are challenged to build evidence-based programs for nurses based on sound nursing needs assessments using valid and reliable measures. The purpose of this integrative review is to examine instruments that measure nurses' knowledge about diabetes.
The Databases PubMed (MEDLINE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Cochrane Database of Systematic Reviews were searched for articles published between 1983 and 2012 using the keywords: diabetes knowledge; diabetes mellitus; diabetes self-management, nurse, and nursing knowledge. Fifteen articles reflecting the psychometric properties of 7 published instruments were reviewed.
The most commonly used instruments are the Diabetes Basic Knowledge Test (DBKT) and Diabetes Self-Report Test (DSRT). Several replication studies using the DBKT and DSRT did not consistently report reliability and validity measures. Five additional investigator-developed tools also lack strong validity and reliability measures.
The findings suggest the need for continued development and psychometric testing of instruments to measure nurses' knowledge about diabetes.
糖尿病在住院患者中日益普遍。教育工作者面临着挑战，需要基于合理的护理需求评估，运用有效且可靠的方法，为护士建立循证项目。本整合性综述的目的是审视用于衡量护士糖尿病知识的工具。
在数据库PubMed（MEDLINE）、护理及相关健康文献累积索引（CINAHL）和Cochrane系统评价数据库中，使用关键词“糖尿病知识；糖尿病；糖尿病自我管理、护士和护理知识”搜索1983年至2012年间发表的文章。对15篇反映7种已发表工具心理测量特性的文章进行了综述。
最常用的工具是糖尿病基础知识测试（DBKT）和糖尿病自我报告测试（DSRT）。几项使用DBKT和DSRT的重复研究并未始终如一地报告信度和效度指标。另外五项由研究者开发的工具也缺乏强有力的效度和信度指标。
研究结果表明，需要持续开发并对衡量护士糖尿病知识的工具进行心理测量测试。
