Faculty of Nursing, University of Murcia, 30100 Murcia, Spain.
Biomedical Research Institute of Murcia (IMIB), 30120 Murcia, Spain.
Int J Environ Res Public Health. 2022 Nov 23;19(23):15528. doi: 10.3390/ijerph192315528.
We conducted validation of a scale to measure nursing workloads, previously designed using NIC interventions within the four nursing functions (patient care, teaching, management, and research).
This is an analytical, descriptive, prospective, and observational study using qualitative methodology (focus groups and in-depth interviews) with a quantitative and qualitative section (committee of experts and real application of the scale through a validation pilot and with multicentric application, including hospitalization units of internal medicine and surgery of four hospitals). Qualitative analysis was performed with Atlas.ti8 and quantitative analysis with R.
Qualitatively, all the participants agreed on the need to measure workloads in all nursing functions with standardized terminology. The expert committee found greater relevance (91.67%) in "prevention" and "health education" as well as consistency with the construct and adequate wording in 99% of the selected items. In the pilot test and multicenter application, the nurses spent more time on the caring dimension, in the morning shift, and on the items "self-care", "medication", "health education", "care of invasive procedures", "wounds care", "comfort", and "fluid therapy". Cronbach's alpha 0.727, composite reliability 0.685, AVE 0.099, and omega coefficient 0.704 were all acceptable. Construct validity: KMO 0.5 and Bartlett's test were significant.
The scale can be considered valid to measure nursing workloads, both qualitatively in obtaining the consensus of experts and health personnel and quantitatively, with acceptable reliability and validity superior to other similar scales.
我们对一个衡量护理工作量的量表进行了验证，该量表之前是使用 NIC 干预措施在护理的四个功能（患者护理、教学、管理和研究）中设计的。
这是一项分析性、描述性、前瞻性和观察性研究，使用定性方法（焦点小组和深入访谈）结合定量和定性部分（专家委员会和通过验证性试点以及多中心应用实际应用量表，包括四家医院的内科和外科住院单位）。使用 Atlas.ti8 进行定性分析，使用 R 进行定量分析。
定性地，所有参与者都同意需要用标准化术语来衡量所有护理功能的工作量。专家委员会发现，“预防”和“健康教育”的相关性更高（91.67%），并且与结构的一致性更高，选择的项目中有 99%的项目措辞恰当。在试点测试和多中心应用中，护士在护理维度上花费的时间更多，在早班，在“自我护理”、“药物”、“健康教育”、“侵入性程序护理”、“伤口护理”、“舒适”和“液体治疗”等项目上花费的时间更多。Cronbach 的 α 为 0.727，综合可靠性为 0.685，AVE 为 0.099，ω系数为 0.704，均为可接受。结构有效性：KMO 为 0.5，Bartlett 的检验具有统计学意义。
该量表可被视为有效衡量护理工作量，无论是在获得专家和卫生人员的共识方面，还是在可接受的可靠性和有效性方面，都优于其他类似量表。
