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加拿大护士信息学能力评估量表的心理测量特性。

Psychometric Properties of the Canadian Nurse Informatics Competency Assessment Scale.

作者信息

Kleib Manal, Nagle Lynn

机构信息

Author Affiliations: Faculty of Nursing, Edmonton Clinic Health Academy, University of Alberta, Edmonton, Alberta (Dr Kleib); and Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario (Dr Nagle), Canada.

出版信息

Comput Inform Nurs. 2018 Jul;36(7):359-365. doi: 10.1097/CIN.0000000000000437.

Abstract

Assessment of nursing informatics competencies has gained momentum in the scholarly literature in response to the increased need for resources available to support informatics capacity in nursing. The purpose of this study was to examine the factor structure and internal consistency reliability of the Canadian Nurse Informatics Competency Assessment Scale, a newly developed 21-item measure based on published entry-to-practice informatics competencies for RNs. For this study, 2844 nurses completed the Canadian Nurse Informatics Competency Assessment Scale through a cross-sectional survey. Exploratory principal component analysis with oblique promax rotation revealed a four-component/factor structure for the 21-item Canadian Nurse Informatics Competency Assessment Scale, explaining 61.04% of the variance. Item loading per each component reflected the original Canadian Association of Schools of Nursing grouping of nursing informatics competency indicators, as per three key domains of competency: information and knowledge management (α = .85); professional and regulatory accountability (α = .81); and use of information and communication technology in the delivery of patient care (α = .87) with the exception of one item (Indicator 3), which loaded into the category of foundational information and communication technology skills (α = .81). This study provided preliminary evidence for the construct validity of the entry-to-practice competency domains and the factor structure and reliability of the Canadian Nurse Informatics Competency Assessment Scale among practicing nurses. Further testing among nurses in other settings and among nursing students is recommended.

摘要

为满足护理领域对支持信息学能力的资源需求,护理信息学能力评估在学术文献中日益受到关注。本研究旨在探讨加拿大护士信息学能力评估量表的因子结构和内部一致性信度,该量表是基于已发布的注册护士实践入门信息学能力新开发的一个包含21个条目的测量工具。在本研究中,2844名护士通过横断面调查完成了加拿大护士信息学能力评估量表。采用斜交普罗麦克斯旋转的探索性主成分分析揭示了21个条目组成的加拿大护士信息学能力评估量表具有四成分/因子结构,解释了61.04%的方差变异。每个成分的项目载荷反映了加拿大护理院校协会按照能力的三个关键领域对护理信息学能力指标的原始分组:信息与知识管理(α = 0.85);专业和监管问责制(α = 0.81);以及在提供患者护理中使用信息和通信技术(α = 0.87),但有一个项目(指标3)除外,它归入基础信息和通信技术技能类别(α = 0.81)。本研究为实践护士中实践入门能力领域的结构效度、加拿大护士信息学能力评估量表的因子结构和信度提供了初步证据。建议在其他环境中的护士和护生中进行进一步测试。

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