发展和心理测量测试护理学生口腔保健态度和信心（ACORN）量表。
Development and psychometric testing of the attitude and confidence with oral healthcare among nursing students (ACORN) scale.
机构信息
School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia; Australian Centre for Integration of Oral Health (ACIOH), School of Nursing and Midwifery, Western Sydney University, Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, NSW 2170, Australia.
School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia; Australian Centre for Integration of Oral Health (ACIOH), School of Nursing and Midwifery, Western Sydney University, Ingham Institute for Applied Medical Research, Locked Bag 7103, Liverpool, NSW 2170, Australia; Faculty of Medicine and Health, School of Dentistry, The University of Sydney, NSW 2006, Australia; University of Wollongong, School of Nursing, Wollongong, NSW, Australia.
出版信息
Nurse Educ Pract. 2023 Aug;71:103736. doi: 10.1016/j.nepr.2023.103736. Epub 2023 Jul 31.
AIM
To develop and test the psychometric properties of the attitude and confidence with oral healthcare among nursing students (ACORN) scale.
BACKGROUND
Delivering oral healthcare is an essential component of care, which is often overlooked and omitted. A nurse's attitude or confidence may influence how oral healthcare is prioritised. To date, there are no scales that assess both attitude and confidence for nurses when undertaking oral healthcare and thus the ACORN scale was developed.
METHODS
The 24-item scale was developed following a three-stage process, which included concept identification and item construction, pilot testing, factorial and discriminant validity and reliability testing. The survey was distributed to nursing students to assess their attitude and confidence in providing oral healthcare. This study has been registered with the Registry of Efficacy and Effectiveness Studies (12940.1v1).
RESULTS
Using a before and after intervention survey design, the psychometric properties of the ACORN scale were examined with data collected from two student groups. Exploratory Factor Analysis yielded a two-factor structure, which was verified using Confirmatory Factor Analysis. Importantly, aggregated scale scores were able to detect differences in attitude and confidence following oral healthcare education (4.95 versus 5.66, p < 0.01). The Cronbach's alpha for the 24-item scale was 0.94.
CONCLUSION
The ACORN scale is a valid and reliable tool that can be used to assess differences in attitude and confidence of students following oral health education. Further research is recommended to test the utility of this scale using other educational interventions with different groups of healthcare providers.
目的
开发和检验护理学生口腔保健态度和信心量表（ACORN）的心理测量特性。
背景
提供口腔保健是护理的一个重要组成部分，但往往被忽视和省略。护士的态度或信心可能会影响口腔保健的优先顺序。迄今为止，还没有评估护士在进行口腔保健时的态度和信心的量表，因此开发了 ACORN 量表。
方法
该 24 项量表是通过三个阶段的过程开发的，包括概念识别和项目构建、试点测试、因子和判别有效性和可靠性测试。该调查分发给护理学生，以评估他们提供口腔保健的态度和信心。本研究已在疗效和有效性研究注册中心（12940.1v1）注册。
结果
使用前后干预调查设计，使用从两组学生收集的数据检验了 ACORN 量表的心理测量特性。探索性因素分析得出了一个两因素结构，该结构通过验证性因素分析得到了验证。重要的是，综合量表评分能够检测口腔保健教育后态度和信心的差异（4.95 与 5.66，p<0.01）。24 项量表的克朗巴赫α系数为 0.94。
结论
ACORN 量表是一种有效的、可靠的工具，可以用于评估口腔健康教育后学生态度和信心的差异。建议进一步研究使用不同医疗保健提供者群体的其他教育干预措施来测试该量表的效用。
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