Tiew Lay Hwa, Koh Catherine S L, Creedy Debra K, Tam W S W
National University Hospital, Singapore; Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore.
National University Hospital, Singapore.
Nurse Educ Today. 2017 Jul;54:77-82. doi: 10.1016/j.nedt.2017.04.016. Epub 2017 Apr 29.
Develop and test an instrument to measure graduate-nurses' perceptions of a structured mentorship program.
New graduate nurses may experience difficulties in the transition from student to practitioner. Mentoring is commonly used to support graduates. However, there is a lack of published tools measuring graduate nurses' perceptions of mentorship. As mentoring is resource intensive, development and testing of a validated tool are important to assist in determining program effectiveness.
A pretest-posttest interventional design was used. Following a critical review of literature and content experts' input, the 10-item National University Hospital Mentorship Evaluation (NUH ME) instrument was tested with a convenience sample of 83 graduate nurses. Psychometric tests included internal reliability, stability, content validity, and factor analysis. Changed scores were evaluated using paired samples t-test.
Seventy-three graduates (88%) out of a possible 83 completed the pre-and post-program survey. Internal reliability was excellent with a Cronbach's alpha of 0.92. Test-retest reliability was stable over time (ICC=0.81). Exploratory factor analysis supported a 1-factor solution explaining 58.2% of variance. Paired samples t-test showed statistical significance between the pre- and post-program scores (p<0.001).
The NUH-ME measure was found to be valid and reliable. Confirmatory Factor Analysis of the tool with different groups of nursing graduates is required. Mentorship programs can be an effective recruitment and retention strategy, but are also resource intensive. Measuring new graduates' perceptions of mentoring contributes to program relevance in addressing their personal, professional and clinical skill development needs. As mentoring engages a diverse range of mentors, feedback through measurement may also positively alter organizational learning culture.
开发并测试一种工具，以衡量本科毕业护士对结构化导师指导计划的看法。
新毕业护士在从学生向从业者的过渡过程中可能会遇到困难。导师指导通常用于支持毕业生。然而，目前缺乏已发表的用于衡量本科毕业护士对导师指导看法的工具。由于导师指导需要大量资源，因此开发并测试一种经过验证的工具对于确定计划效果非常重要。
采用前测-后测干预设计。在对文献进行严格审查并征求内容专家的意见后，使用包含10个条目的国立大学医院导师指导评估（NUH ME）工具，对83名本科毕业护士的便利样本进行了测试。心理测量测试包括内部信度、稳定性、内容效度和因子分析。使用配对样本t检验评估得分变化。
在可能参与的83名毕业生中，有73名（88%）完成了计划前和计划后的调查。内部信度极佳，Cronbach's α系数为0.92。重测信度随时间保持稳定（组内相关系数=0.81）。探索性因子分析支持单因子解决方案，该因子解释了58.2%的方差。配对样本t检验显示计划前和计划后得分之间具有统计学意义（p<0.001）。
发现NUH-ME测量方法有效且可靠。需要对该工具在不同组本科毕业护士中进行验证性因子分析。导师指导计划可以是一种有效的招聘和留用策略，但也需要大量资源。衡量新毕业生对导师指导的看法有助于使计划更贴合他们个人、专业和临床技能发展的需求。由于导师指导涉及多种类型的导师，通过测量获得的反馈也可能会积极改变组织的学习文化。
