台湾三种护理专业课程的护生临床推理量表的编制与心理测量学测试
Development and Psychometric Testing of the Clinical Reasoning Scale Among Nursing Students Enrolled in Three Types of Programs in Taiwan.
作者信息
Huang Hui-Man, Huang Chu-Yu, Lin Kuan-Chia, Yu Chia-Hui, Cheng Su-Fen
机构信息
PhD, RN, Assistant Professor, School of Nursing, Tzu Chi University of Science and Technology, Hualien, Taiwan, ROC.
PhD, RN, Professor, School of Nursing, Cedarville University, Ohio, USA.
出版信息
J Nurs Res. 2023 Apr 1;31(2):e263. doi: 10.1097/jnr.0000000000000547.
BACKGROUND
There is no instrument currently available to assess the essential nursing competency of clinical reasoning (CR).
PURPOSE
The purpose of this study was to develop and test the psychometric properties of CR assessment instrument appropriate for use with nursing students across different types of programs.
METHODS
H. M. Huang et al.'s (2018) Framework of Competencies of Clinical Reasoning for Nursing Students was used to guide this study. Two rounds of Delphi study and confirmatory factor analysis (CFA) were conducted to test content and construct validity. Internal consistency was tested for reliability.
RESULTS
The four-domain, 16-item Likert-scale Clinical Reasoning Scale (CRS) was developed. One thousand five hundred four nursing students currently enrolled in three different types of nursing programs completed the CRS. The content validity index was .85-1.0, the CFA indicated goodness of fit, and the Cronbach's α score range was .78-.89.
CONCLUSION
The CRS is a valid and reliable tool for assessing CR in nursing students in different types of nursing program.
背景
目前尚无用于评估临床推理（CR）这一基本护理能力的工具。
目的
本研究旨在开发并测试适用于不同类型课程的护理专业学生的CR评估工具的心理测量特性。
方法
采用H. M. 黄等人（2018年）的护理专业学生临床推理能力框架来指导本研究。进行两轮德尔菲研究和验证性因素分析（CFA）以测试内容效度和结构效度。通过内部一致性来测试信度。
结果
开发了四领域、16项李克特量表临床推理量表（CRS）。目前就读于三种不同类型护理课程的1504名护理专业学生完成了CRS。内容效度指数为0.85 - 1.0，CFA表明拟合良好，克朗巴哈α系数范围为0.78 - 0.89。
结论
CRS是评估不同类型护理课程中护理专业学生CR的有效且可靠的工具。
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