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公共卫生护士带教体验式学习量表的编制

The development of a public health nurses precepting experiential learning scale.

作者信息

Shimazu Taeko

机构信息

National College of Nursing, Japan.

出版信息

Nihon Koshu Eisei Zasshi. 2018;65(8):377-385. doi: 10.11236/jph.65.8_377.

Abstract

Objectives The Japanese government has supported public health nurses' systematic career development and preceptors' learning. Previous studies on precepting public health nurses indicated the value of precepting for career development. However, assessment scales for preceptor learning were not found. The purpose of this study was to develop the "PHN Precepting Experiential Learning Scale" (PHN-PELS) based on Kolb's experiential learning theory.Methods This study included three phases of questionnaire development. First, the preliminary qualitative pilot study resulted in the PHN-PELS. The second pilot study was a questionnaire survey, returned by 52 (54.2%) public health nurses (PHNs) who had examined the validity and modified the items. Finally, a nation-wide questionnaire survey was conducted for PHNs who precepted novice PHNs in public health units from 2012 to 2016.Results Of the 868 questionnaires mailed to 86 public health units, 438 (59.4%) were returned with 378 (43.5%) valid responses. PHN-PELS has 20 items forming four sub-scales, with confirmed content validity, construct validity, and reliability (α>.7). Sub-scales were: "Role Performance of Fostering Novice PHN," "Self-development as a PHN," "Sharing to Foster Novice PHN," and "Improving Career Development Environment."Conclusion Scale development of the PHN-PELS resulted in four sub-scales with 20 items; its validity and reliability were supported. The PHN-PELS measures experiential learning in precepting novice PHNs, therefore, its usability is recommended for preceptors to evaluate their experiential learning and for preceptor training program in selecting sub-scales as appropriate.

摘要

目的 日本政府支持公共卫生护士的系统职业发展以及带教老师的学习。以往关于公共卫生护士带教的研究表明带教对职业发展具有重要价值。然而,尚未发现用于评估带教老师学习情况的量表。本研究旨在基于科尔布的体验式学习理论开发“公共卫生护士带教体验式学习量表”(PHN - PELS)。

方法 本研究包括问卷开发的三个阶段。首先,初步定性预试验研究得出了PHN - PELS。第二项预试验研究是问卷调查,52名(54.2%)检查过该量表有效性并修改过条目的公共卫生护士(PHN)返回了问卷。最后,对2012年至2016年在公共卫生单位带教新手公共卫生护士的PHN进行了全国范围的问卷调查。

结果 在邮寄给86个公共卫生单位的868份问卷中,438份(59.4%)被返回,其中378份(43.5%)为有效回复。PHN - PELS有20个条目,形成四个子量表,其内容效度、结构效度和信度均得到确认(α>.7)。子量表分别为:“培养新手公共卫生护士的角色表现”、“作为公共卫生护士的自我发展”、“分享以培养新手公共卫生护士”以及“改善职业发展环境”。

结论 PHN - PELS的量表开发得出了包含20个条目的四个子量表;其效度和信度得到了支持。PHN - PELS用于测量带教新手公共卫生护士的体验式学习,因此,建议带教老师使用该量表评估自身的体验式学习情况,并建议在带教老师培训项目中适当选择子量表。

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