重症及危重症护理能力量表版本1（ICCN-CS-1）波斯语版的心理测量学特性。
Psychometric properties of the Persian version of the Intensive and Critical Care Nursing Competence Scale version-1 (ICCN-CS-1).
作者信息
Shouryabi Ali Asghar, Ghahrisarabi Alireza, Anboohi Sima Zohari, Nasiri Malihe, Rassouli Maryam
机构信息
M.Sc. of Critical Care Nursing, Nursing and Midwifery College, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
M.Sc. of Nursing, Instructor, Department of Anesthesia & Operating Room, Faculty of Nursing and Midwifery, Nursing and Midwifery College, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
Electron Physician. 2017 Nov 25;9(11):5785-5792. doi: 10.19082/5785. eCollection 2017 Nov.
BACKGROUND
Nursing competence is highly related to patient outcomes and patient safety issues, especially in intensive care units. Competence assessment tools are needed specifically for intensive care nursing.
OBJECTIVE
This study was performed to determine psychometric properties of the Intensive and Critical Care Nursing Competence Scale version-1 between Iranian Nurses.
METHODS
The present study was a methodological research in which 289 nurses of Intensive Care Units from nine hospitals in Shahid Beheshti University of Medical Sciences in Tehran were selected between 2015 and 2016. The original version of the scale was translated into Persian and back-translated into English, and the comments of the developer were applied. The validity of the scale was the determined quality (content validity and face validity) and quantity (confirmatory factor analysis). Reliability of the scale was reported by Cronbach's alpha coefficient and Intra class Correlation Coefficient. SPSS-PC (v.21) and LISREL (v.8.5) were used to analyze the data.
RESULTS
The intensive and critical care nursing competence scale version-1 is a self-assessment test that consists of 144 items and four domains which are the knowledge base, the skill base, the attitudes and values base and the experience base, which are divided into clinical competence and professional competence. Content and face validity was confirmed by 10 experts and 10 practitioner nurses in the intensive care units. In confirmatory factor analysis, all fitness indexes, except goodness of fit index (0.64), confirmed the four-factor structure of the ICCN-CS-1. The results of the factor analysis, load factor between 0.304 and 0.727 items was estimated; only 4 items out of 144 items, that were loaded were less than 0.3 due to high Cronbach's alpha coefficient (0.984-0.986), all items were preserved, no item was removed and 4 subscales of the original scale were confirmed.
CONCLUSION
The results of this study indicated that the Persian version of "The Intensive and Critical Care Nursing Competence Scale version-1" is a valid and reliable scale for the assessment of competency among Iranian nurses, and it can be used as a reliable scale in nursing management, education and research.
背景
护理能力与患者预后及患者安全问题高度相关，尤其是在重症监护病房。特别需要针对重症监护护理的能力评估工具。
目的
本研究旨在确定伊朗护士中重症与危重症护理能力量表第1版的心理测量特性。
方法
本研究为方法学研究，于2015年至2016年期间，从德黑兰沙希德·贝赫什提医科大学九家医院的289名重症监护病房护士中进行选取。该量表的原始版本被翻译成波斯语并回译为英语，并采纳了开发者的意见。量表的效度通过质量（内容效度和表面效度）和数量（验证性因子分析）来确定。量表的信度通过克朗巴赫α系数和组内相关系数报告。使用SPSS-PC（第21版）和LISREL（第8.5版）分析数据。
结果
重症与危重症护理能力量表第1版是一项自我评估测试，由144个项目和四个领域组成，即知识库、技能库、态度与价值观库以及经验库，这些领域又分为临床能力和专业能力。内容效度和表面效度得到了10名专家以及10名重症监护病房从业护士的确认。在验证性因子分析中，除拟合优度指数（0.64）外，所有拟合指标均证实了ICCN-CS-1的四因子结构。因子分析结果显示，项目的载荷因子在0.304至0.727之间；144个项目中仅有4个项目的载荷因克朗巴赫α系数较高（0.984 - 0.986）而小于0.3，所有项目均予以保留，无项目被删除，原始量表的4个子量表得到确认。
结论
本研究结果表明，波斯语版的“重症与危重症护理能力量表第1版”是评估伊朗护士能力的有效且可靠的量表，可作为护理管理、教育和研究中的可靠量表使用。
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