Department of Nursing, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Department of Intensive Care Unit, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Nurs Crit Care. 2023 Nov;28(6):976-984. doi: 10.1111/nicc.12954. Epub 2023 Aug 15.
Outbreaks of major infectious diseases represent a tremendous threat to people's health, safety and property, yet little is known about the competence of front-line caregivers in such situations.
To construct a model for evaluating the competency of front-line nursing staff during major infectious disease outbreaks and to test the model's reliability and validity.
This was a cross-sectional study that took place between November and December 2021, in Chinese hospitals. The model was constructed through literature reviews, descriptive qualitative research, the Delphi method and the analytic hierarchy process. To evaluate the model's validity and reliability, 550 front-line nurses were selected to complete a questionnaire survey, and six experts were invited to conduct a content validity evaluation. Cronbach's α coefficient was used to test the model's reliability, while an exploratory factor analysis was used to measure the structural validity of the model.
The model included 57 items. The Cronbach's α coefficient of the model was 0.983, and the content validity index was 0.958. Six common factors were produced by exploratory factor analysis. The cumulative variance contribution rate was 66.718%. After discussion, the original four dimensions were maintained.
The model for evaluating the competency of front-line nursing staff during an outbreak of major infectious diseases has strong reliability and validity and can be used as a tool to assess the competency level of front-line nursing staff.
This model can provide a useful reference for care managers to accurately evaluate, train and select caregivers during an epidemic.
重大传染病疫情的爆发对人们的健康、安全和财产构成了巨大威胁，但对于一线医护人员在这种情况下的能力却知之甚少。
构建重大传染病疫情一线护理人员能力评价模型，并对模型的信度和效度进行检验。
这是一项横断面研究，于 2021 年 11 月至 12 月在中国医院进行。通过文献回顾、描述性定性研究、德尔菲法和层次分析法构建模型。为了评估模型的有效性和可靠性，选择了 550 名一线护士完成问卷调查，并邀请了 6 名专家进行内容效度评价。采用克朗巴赫α系数检验模型的信度，采用探索性因子分析衡量模型的结构效度。
模型包括 57 个项目。模型的克朗巴赫α系数为 0.983，内容效度指数为 0.958。通过探索性因子分析得出 6 个公因子，累计方差贡献率为 66.718%。经过讨论，保留了原有的四个维度。
重大传染病疫情一线护理人员能力评价模型具有较强的信度和效度，可作为评估一线护理人员能力水平的工具。
该模型可为护理管理者在疫情期间准确评估、培训和选拔护理人员提供有益参考。
