Vrbnjak Dominika, Pahor Dušica, Nelson John W, Pajnkihar Majda
University of Maribor Faculty of Health Sciences, Maribor, Slovenia.
University of Maribor Faculty of Medicine, University Clinical Centre Maribor, Maribor, Slovenia.
Scand J Caring Sci. 2017 Jun;31(2):395-404. doi: 10.1111/scs.12338. Epub 2016 Jun 21.
Caring relationships are important for developing a caring culture. It is important that care provider's relationships with patients, co-workers and managers are caring relationships. However, in the Slovene language, there is a lack of psychometrically sound instruments to measure these caring relationships.
To explore the psychometric properties of the Slovenian version of the Caring Factor Survey (CFS) for care providers, the care given by co-workers and managers as judged by the providers, by evaluating its content validity, face validity and internal consistency.
In the process of our instrument, we used translation and back translation and validation based on experts' agreement. Content validity was quantified by the content validity index (CVI) and a modified Cohen's kappa index. Face validity was evaluated by ten nurses who reviewed the instruments. In the process of psychometric testing based on survey data, we used a cross-sectional research design with a convenience sample of 91 caregivers working in internal or surgical wards in two health care institutions. Cronbach's alpha and corrected item-total correlations were used to test internal consistency.
All items in all three versions of the CFS had a CVI score higher than 0.78 and excellent modified Cohen's kappa index, showing excellent content validity. The average content validity indices were 0.990, 0.975 and 0.963. The face validity was good with no major remarks given. Cronbach's alpha was 0.941, 0.962 and 0.970. The item-total correlations reached a criterion of 0.2 < r < 0.3 for all items.
All three versions of the CFS showed an acceptable content validity, face validity and internal consistency; however, due to some methodological shortcomings, results should be interpreted with caution. Further psychometric testing is needed.
关爱关系对于培育关爱文化至关重要。护理人员与患者、同事及管理人员之间的关系是关爱关系，这一点很重要。然而，斯洛文尼亚语中缺乏从心理测量学角度来说可靠的工具来衡量这些关爱关系。
通过评估其内容效度、表面效度和内部一致性，探索针对护理人员的斯洛文尼亚语版关爱因素调查（CFS）的心理测量特性，以及护理人员对同事和管理人员所给予关爱的评判。
在我们的工具开发过程中，我们采用了翻译、回译以及基于专家共识的验证方法。内容效度通过内容效度指数（CVI）和修正的科恩kappa指数进行量化。表面效度由十位护士对工具进行审查来评估。在基于调查数据的心理测量测试过程中，我们采用横断面研究设计，以两个医疗机构内科或外科病房的91名护理人员作为便利样本。使用克朗巴哈系数和修正的项目-总分相关系数来测试内部一致性。
CFS三个版本中的所有项目CVI得分均高于0.78，且修正的科恩kappa指数极佳，显示出出色的内容效度。平均内容效度指数分别为0.990、0.975和0.963。表面效度良好，未提出重大意见。克朗巴哈系数分别为0.941、0.962和0.970。所有项目的项目-总分相关系数均达到0.2 < r < 0.3的标准。
CFS的三个版本均显示出可接受的内容效度、表面效度和内部一致性；然而，由于一些方法上的缺陷，结果应谨慎解读。需要进一步进行心理测量测试。
