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衡量护士基于证据的实践的价值、实施情况和知识:快速循证实践价值、实施与知识调查(Quick-EBP-VIK Survey)的进一步心理测量测试

Measuring Nurses' Value, Implementation, and Knowledge of Evidence-Based Practice: Further Psychometric Testing of the Quick-EBP-VIK Survey.

作者信息

Connor Linda, Paul Fiona, McCabe Margaret, Ziniel Sonja

机构信息

Staff Nurse III, Perioperative Program Surgical Services, Boston Children's Hospital, Boston, MA, USA.

Nurse Practitioner, GI Program Medical, Patient Services, Boston Children's Hospital, Boston, MA, USA.

出版信息

Worldviews Evid Based Nurs. 2017 Feb;14(1):10-21. doi: 10.1111/wvn.12190.

Abstract

BACKGROUND

The Quick-EBP-VIK is a new instrument for measuring nurses' value, implementation, and knowledge of EBP. Psychometric testing was conducted in two parts. Part 1 describes the tool development and validity testing which resulted in the development of a 25-item survey after receiving ≥0.80 Item-Level Content Validity Index for both clarity and relevance. Part 2 describes psychometric testing was necessary to assess additional types of validity and reliability.

AIM

The purpose of this paper is to further describe the psychometric testing of the Quick-EBP-VIK survey instrument.

METHODS

This descriptive study was designed to assess test-retest reliability, internal consistency and construct validity via a web-based survey. The survey instrument was e-mailed to all nurses at the study hospital. Nurses who responded to the first survey (Wave 1) received another e-mail invitation to complete the survey instrument again (Wave 2) for the purpose of assessing the test-retest reliability of the instrument.

RESULTS

A total of 1,177 deliverable e-mails were sent to all nursing staff at one free standing pediatric hospital with Magnet designation in the northeast. A total of 382 nurses returned completed surveys, indicating a 32.5% response rate for Wave 1. A total of 131 nurses responded to Wave 2 indicating a response rate of 34.3%. The intraclass correlation coefficients for the items included in the final instrument ranged from 0.43 to 0.80 and were deemed sufficient. These represent a sufficient intraclass correlation coefficient. The Cronbach's Alpha values for each of the three domains are all higher than 0.7 indicating that the items of each of the measurement dimension are internally consistent. However, the composite reliability of the third domain was slightly lower than 0.7 when using Raykov's Rho.

LINKING EVIDENCE TO ACTION

The Quick-EBP-VIK instrument has gone through rigorous comprehensive testing and has demonstrated good psychometric properties.

摘要

背景

快速循证实践价值、实施与知识量表(Quick-EBP-VIK)是一种用于衡量护士循证实践的价值、实施情况及知识水平的新工具。心理测量测试分两部分进行。第一部分描述了工具开发和效度测试,在清晰度和相关性方面的条目水平内容效度指数均≥0.80后,最终形成了一份包含25个条目的调查问卷。第二部分描述了进行心理测量测试以评估其他类型的效度和信度的必要性。

目的

本文旨在进一步描述快速循证实践价值、实施与知识量表(Quick-EBP-VIK)调查问卷的心理测量测试情况。

方法

本描述性研究旨在通过基于网络的调查评估重测信度、内部一致性和结构效度。调查问卷通过电子邮件发送给研究医院的所有护士。回复了第一次调查(第1波)的护士会收到另一封电子邮件邀请,再次完成调查问卷(第2波),以评估该工具的重测信度。

结果

在东北部一家获得磁体认证的独立儿科医院,共向所有护理人员发送了1177封可送达的电子邮件。共有382名护士返回了完整的调查问卷,第1波的回复率为32.5%。共有131名护士回复了第2波,回复率为34.3%。最终工具中各条目的组内相关系数在0.43至0.80之间,被认为是足够的。这些代表了足够的组内相关系数。三个领域各自的克朗巴哈系数均高于0.7,表明每个测量维度的条目在内部是一致的。然而,使用雷科夫系数时,第三个领域的组合信度略低于0.7。

将证据与行动联系起来

快速循证实践价值、实施与知识量表(Quick-EBP-VIK)工具已经历了严格的全面测试,并显示出良好的心理测量特性。

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