“互联网 + 护理服务”中护士参与意愿的障碍与促进因素评定量表的研制与验证

Development and validation of a rating scale for barriers to and facilitators of nurses' participation intentions in "Internet + Nursing Service".

作者信息

Tian Fei, Peng Zhekang, Mi Yuanyuan, Gui Shengmin, Liu Min, Zhang Ting, Liu Jinglan, Qu Xingguang, Zhang Zhaohui, Xi Zuyang

机构信息

Department of Critical Care Medicine, The First Clinical Medicine College of China Three Gorges University, Yichang, 433000, China.

Center of Clinical Nursing Research, China Three Gorges University, Yichang, 443002, China.

出版信息

BMC Nurs. 2024 Aug 13;23(1):559. doi: 10.1186/s12912-024-02215-1.

DOI:10.1186/s12912-024-02215-1

PMID:39135197

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11321183/

Abstract

BACKGROUND

Given increases in China's aging population, the growing demand for public health services and the shortage of human resources among nurses have become more prominent. Under such a background, "Internet + Nursing Services" have received more attention. Thus, exploring the barriers to and facilitators of nurses' willingness to participate in "Internet + Nursing Services" and utilizing internet technology to increase the supply of nursing services has become a key issue.

OBJECTIVE

This study aimed to develop a scale for assessing the barriers to and facilitators of nurses' willingness to participate in "Internet + Nursing Services" and to test the validity and reliability of the scale.

METHODS

A preliminary scale was developed based on a literature review, theoretical research, semistructured qualitative interviews, and two rounds of Delphi expert inquiry. A convenient sampling method was used for the questionnaire survey. A 5-point Likert scale was used to evaluate the importance of the items. The survey data of 659 clinical nurses obtained from February to March 2023 were used for item analysis, exploratory factor analysis (EFA), and reliability and validity tests of the scale. The survey data of 538 clinical nurses obtained in April 2023 were used for confirmatory factor analysis (CFA) of the final scale.

RESULTS

The final scale consists of 25 items and 4 dimensions (performance expectations, perceived risk, need for professional knowledge training, and nonprofessional knowledge training). The scale showed good structural validity and content validity: the Cronbach's α coefficient of the scale was 0.955, the split-half reliability was 0.778, the test-retest reliability was 0.944, the kaiser-meyer-olkin(KMO) value was 0.960, and the cumulative variance contribution rate of the 4 common factors was 83.147%. The scale content validity index(S-CVI) was 0.914. The confirmatory factor analysis model had favorable fit indices: χ/df = 4.234, RMSEA = 0.078, NFI = 0.940, IFI = 0.953, TLI = 0.947, and CFI = 0.953.

CONCLUSION

The scale for assessing the barriers to and facilitators of nurses' willingness to participate in "Internet + Nursing Services" has good reliability and validity, and provides a reference for evaluating nurses' willingness to participate in "Internet + Nursing Services".

摘要

背景

随着中国人口老龄化加剧，公共卫生服务需求不断增长，护士人力资源短缺问题日益突出。在此背景下，“互联网+护理服务”受到更多关注。因此，探索护士参与“互联网+护理服务”意愿的障碍因素和促进因素，并利用互联网技术增加护理服务供给，成为关键问题。

目的

本研究旨在编制一份评估护士参与“互联网+护理服务”意愿的障碍因素和促进因素的量表，并检验该量表的效度和信度。

方法

通过文献回顾、理论研究、半结构化定性访谈和两轮德尔菲专家咨询，初步形成量表。采用方便抽样法进行问卷调查，用5级李克特量表评估各条目重要性。将2023年2月至3月收集的659名临床护士的调查数据用于条目分析、探索性因子分析（EFA）以及量表的信效度检验。将2023年4月收集的538名临床护士的调查数据用于最终量表的验证性因子分析（CFA）。

结果

最终量表包含25个条目，4个维度（绩效期望、感知风险、专业知识培训需求和非专业知识培训）。该量表具有良好的结构效度和内容效度：量表的Cronbach's α系数为0.955，分半信度为0.778，重测信度为0.944，Kaiser-Meyer-Olkin（KMO）值为0.960，4个共同因子的累积方差贡献率为83.147%。量表内容效度指数（S-CVI）为0.914。验证性因子分析模型拟合指标良好：χ/df = 4.234，RMSEA = 0.078，NFI = 0.940，IFI = 0.953，TLI = 0.947，CFI = 0.953。