Author Affiliations: Postdoctoral Research Fellow (Dr Godzik), Dartmouth College and Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; Research Fellow (Dr Godzik), Senior Research Scholar (Dr Hurley), and Director of Research (Dr Brennan), Care Dimensions, Danvers, Massachusetts; Professor in Gerontological Nursing (Dr Buck), University of Iowa, Iowa City; and Graduate Student (Dr Yacinthus), Regis College, Weston, Massachusetts.
J Nurs Adm. 2023 Jun 1;53(6):307-312. doi: 10.1097/NNA.0000000000001291. Epub 2023 May 12.
This evaluation project focused on assessing the content validity of an adapted version of the Casey-Fink (CF) Graduate Nurse Experience Survey, which is aimed at measuring role transitions in nursing.
Registered nurses in the hospice and palliative care field need training and confidence to be proficient in core skills including communication, interprofessional competence, and clinical skills required to care for the dying patient. However, a review of the literature revealed a gap in the availability of survey instruments to measure the confidence of nurses entering the field of hospice and palliative care.
Ten items from the CF survey were revised by the project team and then evaluated for relevance by a group of 7 national hospice and palliative experts. The content validity index (CVI) was used to determine item relevance.
Item-level CVI (I-CVI) calculations ranged from 0.57 to 1.0. The 8 items scored between 0.80 and 1.0 were retained as written. One item required further revision (I-CVI, 0.71), and 1 item revision was eliminated (I-CVI, 0.57). Experts also suggested 5 additional items in the original CF-survey need modification.
The adapted CF-survey tool is ready for further psychometric testing, and next steps include administration to a new sample of nurse residents to determine construct validity.
本评估项目专注于评估 Casey-Fink（CF）研究生护士体验调查改编版本的内容效度，该调查旨在衡量护理中的角色转变。
临终关怀和姑息治疗领域的注册护士需要接受培训并增强信心，以熟练掌握包括沟通、跨专业能力和照顾临终患者所需的临床技能在内的核心技能。然而，文献回顾发现，缺乏衡量护士进入临终关怀和姑息治疗领域信心的调查工具。
项目团队对 CF 调查中的 10 个项目进行了修订，然后由一组 7 名国家临终关怀和姑息治疗专家对其相关性进行评估。内容效度指数（CVI）用于确定项目相关性。
项目水平的 CVI（I-CVI）计算范围为 0.57 至 1.0。得分在 0.80 至 1.0 之间的 8 个项目按原样保留。一个项目需要进一步修订（I-CVI，0.71），一个项目修订被删除（I-CVI，0.57）。专家还建议对原始 CF 调查中的 5 个附加项目进行修改。
改编后的 CF 调查工具已准备好进行进一步的心理测量学测试，下一步包括向新的护士居民样本进行管理，以确定结构有效性。
