Phillips Janet M, Stalter Ann M, Ruggiero Jeanne S, Bonnett Pamela L, Brodhead Josette, Merriam Deborah H, Scardaville Debra L, Wiggs Carol M, Winegardner Sherri
Author Affiliations: Clinical Associate Professor (Dr Phillips), Indiana University School of Nursing, Indianapolis; Associate Professor (Dr Stalter), Wright State University, Dayton, Ohio; Associate Professor (Dr Ruggiero), New Jersey City University; Director (Dr Bonnett), RN-BSN Program, The University of Akron, Ohio; Full-Time Faculty and Assistant Professor of Nursing (Dr Brodhead) and Assistant Professor (Dr Merriam), Daemen College, Amherst, New York; Professor and Graduate Program Coordinator (Dr Scardaville), Department of Nursing, New Jersey City University; Associate Professor and RN-BSN Track Administrator (Dr Wiggs), The University of Texas Medical Branch, Galveston; and Director of Nursing and Associate Professor (Dr Winegardner), Bluffton University, Ohio.
Clin Nurse Spec. 2019 May/Jun;33(3):128-135. doi: 10.1097/NUR.0000000000000443.
The purpose of this study was to develop a standardized rubric for systems thinking across transitions of care for clinical nurse specialists.
The design was a mixed-methods study using the Systems Awareness Model as a framework for bridging theory to practice.
Content validity was determined using a content validity index. Reliability was established using statistical analysis with Cronbach's α and intraclass correlation coefficient. Usability of the rubric was established using content analysis from focus group discussions about their experiences in using the rubric.
Content validity was established with a content validity ratio of 1.0. Statistical analysis showed a high interrater reliability (α = 0.99), and sections of the rubric showed a strong degree of reliability with α's ranging from 0.88 to 1.00. Content analysis revealed several overall themes for usability of the rubric: clarity, objectivity, and detail. The area for improvement included adding more detail in the scholarly writing section.
The research team recommends using the rubric to reflect application of systems thinking across transitions of care.
本研究的目的是为临床护理专家在护理过渡过程中的系统思维制定一个标准化的评分标准。
本设计是一项混合方法研究，使用系统意识模型作为将理论与实践联系起来的框架。
使用内容效度指数确定内容效度。通过使用Cronbach's α和组内相关系数进行统计分析来确定信度。通过对焦点小组关于使用评分标准的经验的讨论进行内容分析来确定评分标准的可用性。
内容效度比率为1.0，确定了内容效度。统计分析显示评分者间信度较高（α = 0.99），评分标准各部分的信度较强，α值范围为0.88至1.00。内容分析揭示了评分标准可用性的几个总体主题：清晰度、客观性和细节。改进的方面包括在学术写作部分增加更多细节。
研究团队建议使用该评分标准来反映系统思维在护理过渡过程中的应用。
