Chiang Yi-Chien, Lee Hsiang-Chun, Chu Tsung-Lan, Han Chin-Yen, Hsiao Ya-Chu
1PhD, RN, Assistant Professor, Department of Nursing, Chang Gung University of Science and Technology, and Department of Pediatrics, Chang Gung Memorial Hospital at Linkou 2MSN, RN, Assistant Professor, Department of Nursing, Chang Gung University of Science and Technology 3MSN, RN, Director, Department of Nursing, Chang Gung Memorial Hospital at Linkou 4PhD, RN, Associate Professor, Department of Nursing, Chang Gung University of Science and Technology, and Department of Nursing, Chang Gung Memorial Hospital at Linkou 5EdD, RN, Professor, Department of Nursing, Chang Gung University of Science and Technology; Department of Nursing, Chang Gung University; and Department of Nursing, Chang Gung Memorial Hospital at Linkou.
J Nurs Res. 2017 Dec;25(6):419-428. doi: 10.1097/JNR.0000000000000197.
Nurses account for a significant percentage of staff in the healthcare system. The religious beliefs of nurses may affect their competence to provide spiritual care to patients. No reliable and valid instruments are currently available to measure the religious beliefs of nurses in Taiwan.
The aims of this study were to develop a religious belief scale (RBS) for Taiwanese nurses and to evaluate the psychometric properties of this scale.
A cross-sectional study design was used, and 24 RBS items were generated from in-depth interviews, a literature review, and expert recommendations. The RBS self-administered questionnaire was provided to 619 clinical nurses, who were recruited from two medical centers and one local hospital in Taiwan during 2011-2012. A calibration sample was used to explore the factor structure, whereas a validation sample was used to validate the factor structure that was constructed by the calibration sample. Known-group validity and criterion-related validity were also assessed.
An exploratory factor analysis resulted in an 18-item RBS with four factors, including "religious effects," "divine," "religious query," and "religious stress." A confirmatory factor analysis recommended the deletion of one item, resulting in a final RBS of 17 items. The convergent validity and discriminate validity of the RBS were acceptable. The RBS correlated positively with spiritual health and supported concurrent validity. The known-group validity was supported by showing that the mean RBS between nurses with or without religious affiliation was significant.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: The 17-item RBS developed in this study is a reliable, valid, and useful scale for measuring the religious beliefs of nurses in Taiwan. This scale may help measure the religious beliefs of nurses and elicit the relationship between these beliefs and spirituality.
护士在医疗保健系统中占工作人员的很大比例。护士的宗教信仰可能会影响其为患者提供精神护理的能力。目前在台湾没有可靠且有效的工具来测量护士的宗教信仰。
本研究的目的是为台湾护士开发一个宗教信仰量表（RBS），并评估该量表的心理测量特性。
采用横断面研究设计，通过深入访谈、文献综述和专家建议生成了24个RBS项目。将RBS自填式问卷提供给619名临床护士，这些护士是在2011 - 2012年期间从台湾的两家医疗中心和一家当地医院招募的。校准样本用于探索因子结构，而验证样本用于验证由校准样本构建的因子结构。还评估了已知组效度和效标关联效度。
探索性因子分析得出一个包含18个项目的RBS，有四个因子，包括“宗教影响”、“神圣”、“宗教质疑”和“宗教压力”。验证性因子分析建议删除一个项目，最终得到一个17个项目的RBS。RBS的收敛效度和区分效度是可接受的。RBS与精神健康呈正相关，支持同时效度。已知组效度得到支持，因为有宗教信仰和无宗教信仰的护士之间的RBS平均分有显著差异。
结论/实践意义：本研究开发的17项RBS是一个可靠、有效且有用的量表，用于测量台湾护士的宗教信仰。该量表可能有助于测量护士的宗教信仰，并揭示这些信仰与灵性之间的关系。
