Bai Jinbing, Hsu Lily, Zhang Qing
School of Nursing, Tianjin Medical University, Tianjin, China; School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Nurs Crit Care. 2015 May;20(3):134-45. doi: 10.1111/nicc.12041. Epub 2013 Oct 7.
To translate and evaluate the psychometric properties of the Essentials of Magnetism II tool (EOM II) for Chinese nurses in critical care settings.
The EOM II is a reliable and valid scale for measuring the healthy work environment (HWE) for nurses in Western countries, however, it has not been validated among Chinese nurses.
The translation of the EOM II followed internationally recognized guidelines. The Chinese version of the Essentials of Magnetism II tool (C-EOM II) was reviewed by an expert panel for culturally semantic equivalence and content validity. Then, 706 nurses from 28 intensive care units (ICUs) affiliated with 14 tertiary hospitals participated in this study. The reliability of the C-EOM II was assessed using the Cronbach's alpha coefficient; the content validity of this scale was assessed using the content validity index (CVI); and the construct validity was assessed using the confirmatory factor analysis (CFA).
The C-EOM II showed excellent content validity with a CVI of 0·92. All the subscales of the C-EOM II were significantly correlated with overall nurse job satisfaction and nurse-assessed quality of care. The CFA showed that the C-EOM II was composed of 45 items with nine factors, accounting for 46·51% of the total variance. Cronbach's alpha coefficients for these factors ranged from 0·56 to 0·89.
The C-EOM II is a promising scale to assess the HWE for Chinese ICU nurses.
Nursing administrators and health care policy-makers can use the C-EOM II to evaluate clinical work environment so that a healthier work environment can be created and sustained for staff nurses.
翻译并评估适用于中国重症监护病房护士的磁性要素II工具（EOM II）的心理测量特性。
EOM II是用于测量西方国家护士健康工作环境（HWE）的可靠且有效的量表，然而，它尚未在中国护士中得到验证。
EOM II的翻译遵循国际认可的指南。磁性要素II工具中文版（C-EOM II）由专家小组进行审查，以确保文化语义等效性和内容效度。然后，来自14家三级医院附属的28个重症监护病房（ICU）的706名护士参与了本研究。使用Cronbach's alpha系数评估C-EOM II的信度；使用内容效度指数（CVI）评估该量表的内容效度；使用验证性因素分析（CFA）评估结构效度。
C-EOM II显示出出色的内容效度，CVI为0.92。C-EOM II的所有子量表均与护士总体工作满意度和护士评估的护理质量显著相关。CFA表明，C-EOM II由45个项目组成，有九个因素，占总方差的46.51%。这些因素的Cronbach's alpha系数范围为0.56至0.89。
C-EOM II是评估中国ICU护士健康工作环境的一个有前景的量表。
护理管理人员和医疗保健政策制定者可以使用C-EOM II来评估临床工作环境，以便为护士创造并维持更健康的工作环境。
