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肿瘤护士健康行为决定因素量表的编制及内容效度验证。

The Development and the Content Validation of the Oncology Nurses Health Behaviors Determinants Scale.

机构信息

Postdoctoral Fellow, University of Cincinnati College of Nursing, Cincinnati, Ohio.

Professor of Nursing, University of Cincinnati College of Nursing, Cincinnati, Ohio.

出版信息

Semin Oncol Nurs. 2022 Dec;38(6):151317. doi: 10.1016/j.soncn.2022.151317. Epub 2022 Jul 21.

Abstract

OBJECTIVE

Chemotherapy exposure is an occupational hazard affecting oncology nurses. The adherence to chemotherapy-handling guidelines is essential to prevent exposure to these drugs. Oncology nurses' health beliefs and the cues in the environment are factors influencing the adherence to these guidelines. There is a lack of instruments with evidence of reliability and validity in the literature that address these factors. The purpose of this article is to describe the development and the content validation of the Oncology Nurses' Health Behaviors' Determinants Scale relative to adherence to chemotherapy-handling guidelines.

DATA SOURCES

This study was conducted in two phases: item development, then, content validation using a quantitative cross-sectional design with an exploratory part. A convenience sample of seven experts reviewed the items for relevance, wording, and comprehensiveness. The initial version of the scale that was sent to experts contained 65 items.

CONCLUSION

The Oncology Nurses' Health Behaviors Determinants' Scale has evidence of content validity. Twenty-eight items in the final instrument met the required level of content validity (item content validity index = 0.83). Four additional items were retained due to conceptual significance. Two items were added. The final scale contains 34 items with a total scale content validity index = 0.90.

IMPLICATIONS FOR NURSING PRACTICE

This newly developed instrument could be used to assess the factors that influence chemotherapy exposure among oncology nurses in the light of the Health Belief Model. Following that, interventions can be developed and implemented to foster greater adherence to safe chemotherapy handling guidelines.

摘要

目的

化疗暴露是影响肿瘤护士的职业危害。遵守化疗处理指南对于防止接触这些药物至关重要。肿瘤护士的健康信念和环境中的线索是影响他们遵守这些指南的因素。文献中缺乏针对这些因素的具有可靠性和有效性证据的工具。本文的目的是描述肿瘤科护士健康行为决定因素量表的开发和内容验证,以评估其对遵守化疗处理指南的影响。

资料来源

本研究分为两个阶段进行:项目开发,然后使用定量横断面设计进行内容验证,其中包括探索性部分。一个方便的 7 名专家小组对项目的相关性、措辞和全面性进行了审查。最初发给专家的量表版本包含 65 个项目。

结论

肿瘤科护士健康行为决定因素量表具有内容效度的证据。最终工具中的 28 个项目达到了内容效度的要求(项目内容效度指数=0.83)。由于概念意义,保留了另外 4 个项目。增加了两个项目。最终量表包含 34 个项目,总量表内容效度指数为 0.90。

对护理实践的意义

该新开发的工具可用于根据健康信念模型评估影响肿瘤护士化疗暴露的因素。在此之后,可以制定和实施干预措施,以促进更好地遵守安全的化疗处理指南。

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