Paediatric Intensive Care Unit, Royal Children's Hospital, Herston, Brisbane, Australia; NHMRC Centre for Research Excellence in Nursing (NCREN), Centre for Health Practice Innovation, Griffith Health Institute, Griffith University, Nathan, Brisbane, Australia.
J Adv Nurs. 2014 Mar;70(3):698-708. doi: 10.1111/jan.12241. Epub 2013 Sep 11.
To develop and psychometrically test the Paediatric Intensive Care Unit-Nursing Knowledge and Skills Test - a multiple-choice test for measuring the key nursing knowledge and skills required for safe, competent practice.
Intensive care graduate nurse residency or orientation programmes are key strategies in the development of safe and competent practitioners. Essential to these programmes is an evaluation of knowledge and skills. Multiple-choice examinations provide a valuable way of evaluating broad knowledge and skills; however, there has been limited work in this area to date.
Psychometric evaluation.
The instrument was administered to 79 nurses from four paediatric intensive care units in Australia and New Zealand over 18 months between 2008-2010. Internal consistency using Kuder-Richardson 20, item analysis and construct validity using the 'known groups' technique were explored.
Kuder-Richardson 20 reliability estimate for the 109-item test was 0·85. Instrument scores were significantly higher amongst nurses with postgraduate education and more years of paediatric intensive care experience. Item difficulty indices ranged from 0·08 to 1, with a mean item difficulty of 0·66. Item discrimination ranged from 0·2-0·8.
Testing of the instrument demonstrated encouraging psychometric properties. With additional refinement, this tool could provide educators and managers with an instrument to assist in the assessment of knowledge and skill acquisition. The instrument requires further testing in different samples of paediatric intensive care nurses to enable validation in other settings and cross-cultural comparisons.
研制并对儿科重症监护病房护理知识与技能测试-多选择题测试进行心理测量学检验，以衡量安全、胜任实践所需的关键护理知识和技能。
重症监护毕业护士住院医师培训或入职培训计划是培养安全、有能力的从业者的关键策略。这些计划的关键是评估知识和技能。多项选择题考试为评估广泛的知识和技能提供了一种有价值的方法；然而，迄今为止，这方面的工作有限。
心理测量评估。
该工具于 2008-2010 年间在澳大利亚和新西兰的四个儿科重症监护病房对 79 名护士进行了 18 个月的测试。使用 Kuder-Richardson 20 进行内部一致性检验、项目分析和使用“已知群体”技术进行结构有效性检验。
109 项测试的 Kuder-Richardson 20 可靠性估计值为 0.85。具有研究生学历和更多儿科重症监护经验的护士的仪器评分明显更高。项目难度指数范围为 0.08 至 1，平均项目难度为 0.66。项目区分度范围为 0.2-0.8。
对该仪器的测试显示出令人鼓舞的心理测量特性。经过进一步改进，该工具可以为教育者和管理者提供一种工具，以帮助评估知识和技能的获取。该仪器需要在不同的儿科重症监护护士样本中进行进一步测试，以便在其他环境和跨文化比较中进行验证。
