评估护理学生对安全药物管理的自我认知：工具的设计和验证，即 NURSPeM。
Assessing Nursing Students' Self-Perceptions about Safe Medication Management: Design and Validation of a Tool, the NURSPeM.
机构信息
Nursing Department, Universitat Internacional de Catalunya, 08195 Barcelona, Spain.
Nursing Department, Faculty of Health Sciences, University of Malaga, 29071 Malaga, Spain.
出版信息
Int J Environ Res Public Health. 2022 Apr 12;19(8):4663. doi: 10.3390/ijerph19084663.
OBJECTIVE
The objective was to design and validate a tool for assessing nursing students' self-perceptions about safe medication management.
METHODS
A descriptive instrumental study was conducted involving construct definition, development of the tool, analysis of the content validity, and psychometric evaluation. Consensus regarding the content was obtained through a two-round Delphi process, and the resulting tool (the NURSPeM) was administered to nursing students to examine its internal consistency, temporal stability, and construct validity, the latter through exploratory factor analysis.
RESULTS
Thirteen experts participated in the Delphi process, which yielded a tool comprising two questionnaires: (1) Self-perceptions about safe medication management (27 items) and (2) the frequency and learning of drug-dose calculation (13 items). The tool's psychometric properties were then examined based on responses from 559 nursing students. This analysis led to the elimination of three items from questionnaire 1, leaving a total of 24 items distributed across seven dimensions. All 13 items in questionnaire 2 were retained. Both questionnaires showed good internal consistency (Cronbach's alpha = 0.894 and 0.893, respectively) and temporal stability (ICC = 0.894 and 0.846, respectively).
CONCLUSIONS
The NURSPeM is a valid and reliable tool for assessing nursing students' self-perceptions about safe medication management. It may be used to identify areas in which their training needs to be enhanced, and to evaluate the subsequent impact of new teaching initiatives.
目的
旨在设计并验证一种评估护理学生安全用药管理自我认知的工具。
方法
本研究为描述性工具研究，包括概念定义、工具开发、内容有效性分析和心理测量学评估。通过两轮 Delphi 过程达成了对内容的共识，所得工具（NURSPeM）随后在护理学生中进行了内部一致性、时间稳定性和结构有效性（通过探索性因子分析）的检验。
结果
共有 13 名专家参与了 Delphi 过程，该过程产生了一个由两个问卷组成的工具：（1）安全用药管理自我认知（27 项）和（2）药物剂量计算的频率和学习（13 项）。然后，根据 559 名护理学生的反馈，对工具的心理测量学特性进行了检验。该分析导致问卷 1 中的 3 个项目被删除，留下 24 个项目分布在 7 个维度中。问卷 2 中的 13 个项目全部保留。两个问卷的内部一致性均良好（Cronbach's alpha 分别为 0.894 和 0.893），时间稳定性也较好（ICC 分别为 0.894 和 0.846）。
结论
NURSPeM 是一种评估护理学生安全用药管理自我认知的有效且可靠的工具。它可用于识别其培训需要加强的领域，并评估新教学举措的后续影响。
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