专业护理实践环境评估量表：结构效度验证。
Scale for the Environment Evaluation of Professional Nursing Practice: Construct validation.
机构信息
Nursing School of Porto, CINTESIS-Center for Health Technology and Services Research Faculty of Medicine, Porto University, Porto, Portugal.
Institute of Biomedical Sciences Abel Salazar, CINTESIS-Center for Health Technology and Services Research Faculty of Medicine, Porto University, Porto, Portugal.
出版信息
J Nurs Manag. 2021 Sep;29(6):1809-1818. doi: 10.1111/jonm.13290. Epub 2021 Mar 18.
AIM
Testing the validity and reliability of the Scale for the Environments Evaluation of Professional Nursing Practice (SEE-Nursing Practice).
BACKGROUND
The environment of professional nursing practice is key to achieve better results for clients, nurses and institutions. Therefore, instruments enabling the assessment of all its attributes are required.
METHOD
Cross-sectional methodological study. The SEE-Nursing Practice, based on a previous qualitative study and literature review, was applied as a questionnaire. Exploratory and confirmatory factor analyses were used to assess construct validity.
RESULTS
A total of 752 nurses participated in the study. Exploratory factor analysis of the SEE-Nursing Practice led to a factor solution with 93 items and three subscales. The Structure, Process and Outcome subscales, respectively, have 43, 37 and 13 items, loaded in 6 factors, 6 factors and 2 factors and explaining 62.6%, 59.2% and 67.4% of the total variance. Cronbach's alpha of the overall scale and of the 3 subscales was greater than 0.90. Confirmatory factor analysis showed a good fit.
CONCLUSION
SEE-Nursing Practice is a good valid and reliable instrument.
IMPLICATIONS FOR NURSING MANAGEMENT
The SEE-Nursing Practice enables assessing practice environments and is a tool for nursing managers in the definition of strategies ensuring favourable environments for nursing care quality.
目的
测试专业护理实践环境评估量表（SEE-Nursing Practice）的效度和信度。
背景
专业护理实践环境是为客户、护士和机构取得更好成果的关键。因此，需要有能够评估其所有属性的工具。
方法
这是一项横断面方法学研究。基于先前的定性研究和文献回顾，采用 SEE-Nursing Practice 作为问卷进行研究。使用探索性和验证性因子分析来评估结构效度。
结果
共有 752 名护士参与了这项研究。对 SEE-Nursing Practice 的探索性因子分析得出了一个包含 93 个项目和三个子量表的因子解决方案。结构、过程和结果子量表分别有 43、37 和 13 个项目，分别加载在 6 个因子、6 个因子和 2 个因子上，解释了总方差的 62.6%、59.2%和 67.4%。总体量表和三个子量表的克朗巴赫 α 值均大于 0.90。验证性因子分析显示拟合良好。
结论
SEE-Nursing Practice 是一种有效且可靠的工具。
对护理管理的意义
SEE-Nursing Practice 能够评估实践环境，是护理管理者制定确保护理质量有利环境策略的工具。
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