简体中文版《安宁疗护灵性照护能力量表》在护理中的心理测量学特性：一项横断面研究。
Psychometric properties of the Chinese mainland version of the Palliative Care Spiritual Care Competency Scale (PCSCCS-M) in nursing: a cross-sectional study.
机构信息
School of Nursing, Jilin University, Changchun, China.
Department of Pathogenobiology, The Key Laboratory of Zoonosis Research, Chinese Ministry of Education, College of Basic Medicine, Jilin University, No. 126 Xinmin Street, Changchun, 130021, China.
出版信息
BMC Palliat Care. 2019 Mar 8;18(1):27. doi: 10.1186/s12904-019-0409-6.
BACKGROUND
Spiritual care competencies are among the primary professional skills that enable best practices in nursing. Assessing these competencies and identifying those that are insufficient are important tasks. The traditional Chinese version of the Palliative Care Spiritual Care Competency Scale (PCSCCS) used in Taiwan is a well-validated tool to measure palliative caregivers' competencies in providing spiritual care. However, whether this scale is valid and reliable for use with nurses in other health-care contexts is unknown. The purpose of this study is to determine this version's validity and reliability for use with nurses in mainland China.
METHODS
The PCSCCS was first converted into a simplified Chinese version (PCSCCS-M) from the traditional Chinese version used in Taiwan such that mainland nurses could read and understand it easily. Then, the validity and reliability of the PCSCCS-M was evaluated with 400 Chinese nurses recruited using convenience sampling from three university-affiliated comprehensive hospitals, two cancer hospitals, one psychiatric hospital, two traditional Chinese medicine hospitals, one marital and child service care center, and one community health service center. Concurrent validity was assessed using Pearson's correlation coefficients of the PCSCCS-M and the Chinese version of the Spiritual Care-Giving Scale (C-SCGS). Exploratory factor analysis (EFA) was performed to determine the construct validity. Confirmatory factor analysis (CFA) was conducted using another sample of 351 nurses to verify the quality of the factor structures of the PCSCCS-M. An internal consistency test based on Cronbach's alpha coefficient and a stability test based on the Guttman split-half coefficient were also conducted.
RESULTS
Useful data were obtained from 356 participants (response rate: 89%). EFA confirmed a three-dimensional structure of the scale after one item was deleted, and the three factors explained 63.839% of the total variance. Cronbach's alpha coefficients of the three subscales were 0.811, 0.889 and 0.896, and the Guttman split-half coefficient for the PCSCCS-M was 0.862. Modified CFA indicated a well-fitting model. The correlation between the PCSCCS-M and C-SCGS was 0.340 (p < 0.01).
CONCLUSIONS
The PCSCCS-M is a brief, easy-to-understand, and psychometrically sound measurement tool to evaluate spiritual care competencies in nurses from mainland China.
背景
精神关怀能力是护理专业的主要技能之一，能够实现最佳实践。评估这些能力并确定哪些能力不足是一项重要任务。在中国台湾使用的《缓和医疗精神关怀能力量表》（PCSCCS）的繁体中文版是一种经过充分验证的工具，可衡量提供精神关怀的缓和医疗照护者的能力。然而，该量表是否在其他医疗保健环境中对护士有效和可靠尚不清楚。本研究的目的是确定该量表在中国大陆护士中的有效性和可靠性。
方法
首先将繁体中文版的《缓和医疗精神关怀能力量表》（PCSCCS）转换为简体中文版（PCSCCS-M），以便中国大陆护士能够轻松阅读和理解。然后，使用便利抽样法从三所大学附属医院、两所癌症医院、一所精神病医院、两所中医医院、一所婚姻和儿童服务护理中心以及一所社区卫生服务中心招募了 400 名中国护士，评估 PCSCCS-M 的有效性和可靠性。使用 PCSCCS-M 和《精神关怀给予量表》（C-SCGS）的皮尔逊相关系数评估同时效度。进行探索性因子分析（EFA）以确定量表的结构效度。使用另一个 351 名护士样本进行验证性因子分析（CFA），以验证 PCSCCS-M 的因子结构质量。还进行了基于克朗巴赫α系数的内部一致性检验和基于古特曼分半系数的稳定性检验。
结果
从 356 名参与者（回应率：89%）中获得了有用的数据。EFA 在删除一项后确认了量表的三维结构，三个因素解释了总方差的 63.839%。三个分量表的克朗巴赫α系数分别为 0.811、0.889 和 0.896，PCSCCS-M 的古特曼分半系数为 0.862。修正后的 CFA 表明模型拟合良好。PCSCCS-M 与 C-SCGS 的相关性为 0.340（p<0.01）。
结论
PCSCCS-M 是一种简短、易于理解和具有良好心理测量特性的测量工具，可评估来自中国大陆的护士的精神关怀能力。
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