School of Nursing, Fooyin University, 151 Jinxue Road, Daliao District, Kaohsiung City, 83102, Taiwan.
Department of Health-Business Administration, Fooyin University, Kaohsiung, Taiwan.
BMC Complement Altern Med. 2019 Nov 21;19(1):321. doi: 10.1186/s12906-019-2733-z.
This study aimed to develop and validate scales to assess attitudes towards patient' s use of TCM (APUTCM) and to measure a communicative competence in TCM (CCTCM) among nurses.
The instrument development process was conducted from Sep 2013 to Jul 2014, using the following steps: 1) item development; 2) internal review and refinement; 3) face and content validation; 4) instrument administration to a development sample; and 5) evaluation of validity and reliability. A convenience sample was used to recruit registered and advanced practice nurses who worked in different regions throughout Taiwan. A total of 755 respondents completed the online questionnaire. Statistical analyses were performed using the software of SPSS Version 21.0 and Analysis of Moment Structures (AMOS) version 24.0.
The scale-level indexes (S-CVI) of content validity for both scales were over 80%. The reliabilities for the 13-item APUTCM scale and for the five-item CCTCM scale were 0.88 and 0.84, respectively. The model suitability for both scales was assessed, and the findings revealed suitable parameters for all indicators: GFI = 0.954, AGFI = 0.932, CFI = 0.959, RMSEA = 0.62, and chi-square/df = 3.891 for APUTCM; and GFI = 0.992, AGFI = 0.969, CFI = 0.992, RMSEA = 0.63, and chi-square/df = 4.04 for CCTCM. The convergent and divergent validity of scores on both scales provided evidence in the expected direction.
This scale development study provides preliminary evidence that suggests that the 13-item APUTCM and the five-item CCTCM are reliable and valid scales for assessing attitudes toward patient's TCM use and communicative competence in TCM.
本研究旨在开发和验证评估护士对患者使用中医（APUTCM）态度的量表和测量中医沟通能力（CCTCM）的量表。
仪器开发过程于 2013 年 9 月至 2014 年 7 月进行，采用以下步骤：1）项目开发；2）内部审查和改进；3）面对面和内容验证；4）向开发样本进行仪器管理；5）评估有效性和可靠性。使用便利样本招募在台湾不同地区工作的注册和高级执业护士。共有 755 名受访者完成了在线问卷。使用 SPSS 版本 21.0 和结构分析（AMOS）版本 24.0 软件进行统计分析。
两个量表的量表水平指标（S-CVI）的内容效度均超过 80%。13 项 APUTCM 量表和 5 项 CCTCM 量表的信度分别为 0.88 和 0.84。对两个量表的模型适宜性进行评估，结果显示所有指标的参数均适宜：APUTCM 的 GFI=0.954，AGFI=0.932，CFI=0.959，RMSEA=0.62，chi-square/df=3.891；CCTCM 的 GFI=0.992，AGFI=0.969，CFI=0.992，RMSEA=0.63，chi-square/df=4.04。两个量表得分的收敛和发散有效性提供了预期方向的证据。
这项量表开发研究提供了初步证据，表明 13 项 APUTCM 和 5 项 CCTCM 是评估患者对中医使用态度和中医沟通能力的可靠有效的量表。
