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开发一种测量护理学生在临床实践中对护士态度的工具:一项定量研究。

Developing an instrument to measure nursing students' attitudes towards nurses during clinical practice: A quantitative study.

机构信息

University of Kayseri, İncesu Ayşe and Saffet Arslan Health Services Vocational School, Department of Medical Services and Techniques, Kayseri 38280, Türkiye.

University of Erciyes, Health Science Faculty, Department Nursing, Kayseri 38039, Türkiye.

出版信息

Nurse Educ Pract. 2024 Oct;80:104127. doi: 10.1016/j.nepr.2024.104127. Epub 2024 Sep 11.

Abstract

AIM

This study was conducted to develop a valid and reliable measurement tool to determine nursing students' attitudes towards nurses during the clinical practice.

BACKGROUND

Nurses affect the clinical practice process of nursing students and play an important role in the latter gaining experience. Evaluation of students' attitudes towards nurses is a critical factor for the training of qualified nurses.

DESIGN

This study used a quantitative cross-sectional design.

METHODS

This study was conducted between February and March 2024 with 408 students studying in the nursing department of a university in Türkiye. The item pool of the scale was formed with 45 items through literature review and qualitative data analysis and presented to 21 experts. After the content validity, the draft scale consisting of 38 items was used as a data collection tool. Lawshe's Content Validity Ratio, Kaiser-Mayer-Olkin Coefficient, Bartlett's test, Exploratory Factor Analysis, Principal Component Analysis, Varimax Factor Rotation Method, Confirmatory Factor Analysis, Cronbach's Alpha Internal Consistency Coefficient, Spearman Correlation Coefficient and Wilcoxon Signed Ranks tests were used to analyze the data.

RESULTS

Exploratory factor analysis revealed 28 items and three sub-dimensions in the scale. Cronbach's alpha internal consistency coefficient was 0.902 for the cooperation and understanding sub-dimension, 0.925 for the communication skills and guidance sub-dimension, 0.723 for the support for professional development sub-dimension and 0.946 for the total scale. According to the confirmatory factor analysis fit index results of the scale, RMSEA value was 0.054 and χ2/df value was 2.189. As a result of the analysis conducted to determine the test-retest reliability, it was determined that all items and factor scores showed significant relationships between the two applications (p<0.001).

CONCLUSIONS

The scale was found to be a valid and reliable measurement tool that can be used to determine nursing students' attitudes towards nurses during the clinical practice.

摘要

目的

本研究旨在开发一种有效的、可靠的测量工具,以确定护理学生在临床实践中对护士的态度。

背景

护士影响护理学生的临床实践过程,在后者获得经验方面发挥着重要作用。评估学生对护士的态度是培养合格护士的关键因素。

设计

本研究采用定量横断面设计。

方法

本研究于 2024 年 2 月至 3 月在土耳其一所大学的护理系进行,共有 408 名学生参加。通过文献回顾和定性数据分析形成量表的项目池,共 45 项,并提交给 21 名专家。内容效度后,使用包含 38 个项目的草案量表作为数据收集工具。采用 Lawshe 内容效度比、Kaiser-Mayer-Olkin 系数、Bartlett 检验、探索性因子分析、主成分分析、方差极大旋转因子法、验证性因子分析、Cronbach's Alpha 内部一致性系数、Spearman 相关系数和 Wilcoxon 符号秩检验对数据进行分析。

结果

探索性因子分析显示,该量表包含 28 个项目和三个子维度。合作与理解子维度的 Cronbach's Alpha 内部一致性系数为 0.902,沟通技巧和指导子维度为 0.925,支持专业发展子维度为 0.723,总量表为 0.946。根据量表的验证性因子分析拟合指数结果,RMSEA 值为 0.054,χ2/df 值为 2.189。对测试-重测信度进行分析的结果表明,所有项目和因子得分在两次应用中均呈显著相关(p<0.001)。

结论

该量表是一种有效的、可靠的测量工具,可用于确定护理学生在临床实践中对护士的态度。

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