日本开发一种易于使用的评估重症监护护理能力的问卷：一项横断面研究。
Development of an easy-to-use questionnaire assessing critical care nursing competence in Japan: A cross-sectional study.
机构信息
Department of Anesthesiology, Aichi Medical University, Nagakute, Aichi, Japan.
Department of Business Administration, Nanzan University, Nagoya, Aichi, Japan.
出版信息
PLoS One. 2019 Nov 27;14(11):e0225668. doi: 10.1371/journal.pone.0225668. eCollection 2019.
BACKGROUND
Critical care nurses need a high level of medical competence, especially with regard to patient safety. There are several tools to measure general and critical care nursing competence, but the usability of these tools is inadequate because they include large numbers of questions. To maintain quality and safety in intensive care units (ICUs), it is necessary to be able to easily measure and evaluate critical care nursing competence. The purpose of this study was to develop an easy-to-use questionnaire assessing critical care nursing competence related to patient safety.
METHODS
A cross-sectional, descriptive, explorative study was designed to collect data from nurses working in six ICUs in tertiary hospitals in Japan. Data were collected from August 2017 to December 2018. The Critical Care Nursing Competence Questionnaire for Patient Safety (C3Q-safety) is a 22-item instrument designed to assess nursing competence related to patient safety in ICUs. Items were developed based on previous work related to critical care nursing competence and were adjusted based on a pilot study.
RESULTS
A total of 211 nurses working in ICUs participated in this study. Through descriptive statistics and factor analysis, the number of questions was reduced from 24 to 22. The C3Q-safety had four factors: decision making, collaboration, nursing intervention, and principles of nursing care. Cronbach's alpha ranged from 0.73 to 0.83. The four factors showed positive correlations with each other (0.47 to 0.72). Nurses licensed as certified nurses in intensive care and those with longer ICU work experience showed significantly higher scores on all four factors.
CONCLUSIONS
We developed an easy-to-use questionnaire to assess critical care nursing competence related to patient safety. The C3Q-safety was able to detect four areas of competence. The C3Q-safety will make it possible to easily measure critical care nursing competence and can be utilized for efficient education.
背景
重症监护护士需要具备较高的医疗能力，尤其要关注患者安全。有一些工具可以衡量一般和重症护理的能力，但这些工具的可用性不足，因为它们包含大量的问题。为了维持重症监护病房（ICU）的质量和安全，需要能够轻松地衡量和评估重症护理能力。本研究旨在开发一种易于使用的问卷，评估与患者安全相关的重症护理能力。
方法
本研究采用横断面描述性探索性设计，从日本三家三级医院的六家 ICU 中的护士收集数据。数据收集于 2017 年 8 月至 2018 年 12 月。《重症监护护理能力问卷：患者安全》（C3Q-safety）是一种 22 项的工具，旨在评估 ICU 中与患者安全相关的护理能力。项目的开发基于之前与重症护理能力相关的工作，并根据试点研究进行了调整。
结果
共有 211 名在 ICU 工作的护士参与了这项研究。通过描述性统计和因子分析，问题数量从 24 项减少到 22 项。C3Q-safety 有四个因素：决策、协作、护理干预和护理原则。Cronbach's alpha 系数在 0.73 到 0.83 之间。四个因素之间呈正相关（0.47 到 0.72）。持有重症监护认证护士执照和 ICU 工作经验较长的护士在所有四个因素上的得分都显著较高。
结论
我们开发了一种易于使用的问卷，评估与患者安全相关的重症护理能力。C3Q-safety 能够检测到四个能力领域。C3Q-safety 将使衡量重症护理能力变得更加容易，并可用于有效的教育。
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