Shao Jing, Tang Leiwen, Ye Zhihong
Jing Shao, BSN, is PhD candidate, Nursing Department, Sir Run Run Shaw Hospital and Faculty of Nursing, School of Medicine, Zhejiang University, Hangzhou, China. Leiwen Tang, RN, MSN, is Supervising Nurse, Department of Nursing Education, Sir Run Run Shaw Hospital, Hangzhou, China. Zhihong Ye, RN, PhD, MBA, is Chief Nurse and the Vice President for Nursing, Sir Run Run Shaw Hospital, and Dean of the Faculty of Nursing, School of Medicine, Zhejiang University, Hangzhou, China.
Nurs Res. 2017 Jul/Aug;66(4):311-322. doi: 10.1097/NNR.0000000000000221.
For the stabilization of the nursing profession in mainland China, a valid and reliable nursing work environment instrument, grounded in China's context, should be developed to better provide rigorous evidence for policy makers.
The purpose of the current research was to further develop a scale that could capture the characteristics of the nursing work environment in mainland China.
A convenience sample of 542 nurses employed in a tertiary hospital of mainland China completed the 108-item Chinese Nursing Work Environment (C-NWE) Scale (1st ed.). Items that did not differentiate between respondents with the highest and lowest 27% of total scores and those that did not meet criteria for factor loadings were set aside. Exploratory factor analysis based on the maximum likelihood method was used to identify the structure of the scale. The chi-square test was used to evaluate model fit, and expert review was conducted to test content validity. Reliability was estimated using Cronbach's alpha coefficient.
The revised C-NWE Scale, which consists of nine subscales and 47 items, is a simplified version of the C-NWE (1st ed.). Using exploratory maximum likelihood factor analysis, the normed chi-square fit index for a nine-factor solution was 1.97. The content validity index for the total scale was 0.93; Cronbach's alpha was .94.
Initial evidence of the psychometric properties of C-NWE scores was presented. Further studies could be conducted in various settings to identify the C-NWE Scale's validity and reliability.
为稳定中国大陆的护理行业，应开发一种基于中国国情的有效且可靠的护理工作环境测评工具，以便为政策制定者提供更有力的证据。
本研究旨在进一步开发一种能够体现中国大陆护理工作环境特点的量表。
选取中国大陆一家三级医院的542名护士作为便利样本，完成108项的《中国护理工作环境量表》（第1版）。将总分最高和最低的27%的受访者之间无差异的项目以及不符合因子载荷标准的项目搁置。采用基于最大似然法的探索性因子分析来确定量表的结构。使用卡方检验评估模型拟合度，并进行专家评审以检验内容效度。使用克朗巴哈α系数估计信度。
修订后的《中国护理工作环境量表》由9个分量表和47个项目组成，是《中国护理工作环境量表》（第1版）的简化版。采用探索性最大似然因子分析，九因子解的标准化卡方拟合指数为1.97。总量表的内容效度指数为0.93；克朗巴哈α系数为0.94。
呈现了《中国护理工作环境量表》得分心理测量特性的初步证据。可在不同环境中开展进一步研究，以确定《中国护理工作环境量表》的效度和信度。
