Zhu Wei, Guo Hongxia, Li Jiping
West China School of Nursing/West China Hospital, Sichuan University, Chengdu City, Sichuan Provience, China.
West China Hospital, Sichuan University, No. Chengdu City, Sichuan Province, China.
Medicine (Baltimore). 2020 Aug 7;99(32):e21607. doi: 10.1097/MD.0000000000021607.
Job-related stress had adverse effects on both patients and community nurses. To evaluate stress, an effective and reliable instrument was needed. The aim of this study was to develop a short-form Chinese Community Nurse Stress Scale and examine its psychometric properties.A cross-sectional study was conducted. A total of 969 community nurses were selected from 56 community centers/stations in Sichuan Province. The socio-demographic data and job stress assessed by the Chinese Community Nurse Stress Scale (CNSS) were collected. After randomly splitting the sample into group 1 and group 2, exploratory and confirmatory factor analysis were carried out to shorten the scale and test its reliability and construct validity.There were no significant differences in socio-demographic variables between group 1 (n = 488) and group 2 (n = 481). During exploratory factor analysis, 4 factors were selected, including management and interpersonal relationships (8 items), patient care (7 items), environment and resources of work (6 items), and career promotion (4 items), which explained 62.66% of all variance. Cronbachs α coefficient of the short-form CNSS was 0.94, and the cross-sample validity test supported the best fit model for this 25-item CNSS.The results in this study supported that the 25-item CNSS had a good reliability and validity when it was administrated to Chinese community nurses.
工作相关压力对患者和社区护士均有不利影响。为评估压力，需要一种有效且可靠的工具。本研究旨在编制一份简化版的中国社区护士压力量表，并检验其心理测量学特性。
开展了一项横断面研究。从四川省56个社区中心/站点选取了969名社区护士。收集了社会人口学数据以及用中国社区护士压力量表（CNSS）评估的工作压力。将样本随机分为第1组和第2组后，进行探索性和验证性因素分析以缩短量表并检验其信度和结构效度。
第1组（n = 488）和第2组（n = 481）在社会人口学变量方面无显著差异。在探索性因素分析中，选取了4个因素，包括管理与人际关系（8项）、患者护理（7项）、工作环境与资源（6项）以及职业晋升（4项），这4个因素解释了全部方差的62.66%。简化版CNSS的Cronbach's α系数为0.94，交叉样本效度检验支持了这份25项CNSS的最佳拟合模型。
本研究结果支持，25项CNSS应用于中国社区护士时具有良好的信度和效度。
