新手护士专业人际能力评估量表（PICASN）的编制与心理测量学测试
Development and psychometric testing of the Professional Interpersonal Competency Assessment Scale for Novice nurses (PICASN).
作者信息
Sato Yuko, Yasuhara Yuko, Ito Hirokazu, Soriano Gil P, Blaquera Allan Paulo, Locsin Rozzano C, Tanioka Tetsuya
机构信息
Graduate School of Health Sciences, Tokushima University, Tokushima, Japan.
Department of Nursing, Institute of Biomedical Sciences, Tokushima University, Graduate School, Tokushima, Japan.
出版信息
Belitung Nurs J. 2023 Dec 20;9(6):619-626. doi: 10.33546/bnj.2992. eCollection 2023.
BACKGROUND
Assessing the professional interpersonal competency of novice nurses is crucial for preventing staff turnover and promoting effective work. However, none of the instruments identified in the literature specifically target novice nurses.
OBJECTIVE
This study aimed to develop and psychometrically test the perception dimension of the Professional Interpersonal Competency Assessment Scale for Novice nurses (PICASN) in Japan.
METHODS
The study comprised four steps: 1) concept identification, 2) item construction, 3) validity measure, and 4) reliability measure. A cross-sectional web-based questionnaire was administered from February to April 2023 and was completed by 203 novice nurses. Data quality was assessed using mean, item response, missing values, floor and ceiling effects, internal consistency, and item-rest correlations. Content validity index (CVI) was used to determine the instrument's validity, while exploratory factor analysis (EFA) using maximum likelihood estimation with Promax rotation was employed to assess the factor structure. Cronbach's alpha was used to evaluate reliability.
RESULTS
The 27-item PICASN demonstrated an Item-CVI of 0.94 and a Scale-CVI of 0.88. EFA revealed two factors: 1) Basic competencies as a novice nurse (15 items) and 2) Relationship building skills within the healthcare team (12 items), which explained 80% of the variance. Internal consistency reliability was excellent at 0.94 and 0.91 for the factors, and the overall scale reliability was 0.95. The item-rest (I-R) correlation values exceeding 0.6 were considered acceptable.
CONCLUSION
The PICASN demonstrates satisfactory psychometric properties, making it an effective tool for measuring professional interpersonal competency among novice nurses in Japan. This instrument serves to assist novice nurses by promoting self-awareness and offering targeted insights into specific areas requiring improvement. Additionally, it provides experienced nurses and nurse managers with valuable insights into team dynamics, guiding interventions for continuous quality improvement.
背景
评估新手护士的专业人际能力对于防止人员流失和促进高效工作至关重要。然而，文献中所确定的工具均未专门针对新手护士。
目的
本研究旨在开发并对日本新手护士专业人际能力评估量表（PICASN）的感知维度进行心理测量学测试。
方法
该研究包括四个步骤：1）概念识别，2）条目构建，3）效度测量，4）信度测量。于2023年2月至4月通过网络进行横断面问卷调查，共有203名新手护士完成。使用均值、项目反应、缺失值、地板效应和天花板效应、内部一致性以及项目与总分相关性来评估数据质量。内容效度指数（CVI）用于确定该工具的效度，同时采用最大似然估计并进行Promax旋转的探索性因素分析（EFA）来评估因素结构。使用Cronbach's alpha评估信度。
结果
27个条目的PICASN的条目内容效度指数为0.94，量表内容效度指数为0.88。探索性因素分析揭示了两个因素：1）新手护士的基本能力（15个条目）和2）医疗团队中的关系建立技能（12个条目），这两个因素解释了80%的方差。各因素的内部一致性信度分别为0.94和0.91，总体量表信度为0.95。项目与总分（I-R）相关值超过0.6被认为是可接受的。
结论
PICASN具有令人满意的心理测量学特性，使其成为测量日本新手护士专业人际能力的有效工具。该工具通过促进自我意识并针对需要改进的特定领域提供有针对性的见解来帮助新手护士。此外，它还为经验丰富的护士和护士长提供有关团队动态的宝贵见解，指导持续质量改进的干预措施。
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