设计并验证一份护理中传递坏消息的调查问卷：一项初步研究。
Design and Validation of a Questionnaire on Communicating Bad News in Nursing: A Pilot Study.
机构信息
Department of Emergency and Critical Care, San Agustín University Hospital, 23700 Linares, Spain.
Nursing department, Faculty of Health Sciences, University of Jaen, 23071 Jaen, Spain.
出版信息
Int J Environ Res Public Health. 2020 Jan 10;17(2):457. doi: 10.3390/ijerph17020457.
Communicating bad news (CBN) is a fundamental skill in nursing; nevertheless, few instruments exist for its evaluation. This study presents a questionnaire designed to measure nurses' knowledge and ability of CBN, as well as the analysis of its psychometric properties. Based on a literature search, the initial dimensions of CBN were identified to construct the questionnaires' items, which were evaluated by experts for the validity of the items' contents. Construct validity and reliability of the resulting questionnaire was carried out in a sample of 71 nurses of an Andalusian university hospital. A questionnaire with 25 items was constructed with a high internal consistency (Cronbach's alpha 0.816). The content validity was evaluated via a literature review and additionally by the assessment of seven experts. The Kaiser-Meyer-Olkin test (KMO) obtained a score of 0.683, and the Bartlett test of sphericity a value of < 0.001. The principal component analysis supported a construct of four dimensions. This questionnaire was found to be a valid and reliable instrument with a high internal consistency for the evaluation of CBN knowledge and skills of nursing professionals.
传达坏消息（CBN）是护理的一项基本技能；然而，评估它的工具却很少。本研究介绍了一种旨在衡量护士 CBN 知识和能力的问卷，并分析了其心理测量学特性。基于文献检索，确定了 CBN 的初始维度来构建问卷的项目，这些项目由专家进行评估，以确定项目内容的有效性。在安达卢西亚大学医院的 71 名护士样本中进行了问卷的结构效度和信度检验。构建了一个包含 25 个项目的问卷，具有较高的内部一致性（Cronbach's alpha 0.816）。通过文献回顾和另外 7 位专家的评估对内容效度进行了评估。Kaiser-Meyer-Olkin 检验（KMO）得分为 0.683，Bartlett 球形检验值 < 0.001。主成分分析支持四个维度的结构。该问卷具有较高的内部一致性，是一种有效且可靠的工具，可用于评估护理专业人员的 CBN 知识和技能。
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