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开发并测试肿瘤科护士自杀风险管理疗效感知量表。

Development and Psychometric Testing of the Efficacy Perception Scale for Suicide Risk Management for Oncology Nurses.

机构信息

Department of Psychiatric Nursing, Hacettepe University Faculty of Nursing, Samanpazarı, Ankara, Türkiye.

Department of Psychiatric Nursing, Hacettepe University Faculty of Nursing, Samanpazarı, Ankara, Türkiye.

出版信息

Semin Oncol Nurs. 2024 Dec;40(6):151740. doi: 10.1016/j.soncn.2024.151740. Epub 2024 Sep 25.

DOI:10.1016/j.soncn.2024.151740
PMID:39322520
Abstract

OBJECTIVES

Oncology patients are one of the groups with high suicide risk and it is emphasized that oncology nurses' suicide risk management knowledge and skills are insufficient. Several studies have underlined the need to create training programs specifically for oncology nurses to increase their level of awareness, knowledge, skill, and efficacy in recognizing and managing suicide risk. A valid and reliable scale is required to assess the efficacy of suicide risk management for oncology nurses. This study aimed to develop the Efficacy Perception Scale for Suicide Risk Management for Oncology Nurses and evaluate its psychometric properties.

METHODS

This methodological study was conducted in two stages. In the first stage, the authors conducted a literature review and qualitative study and examined other efficacy scales to generate items. In the second stage, the validity and reliability of the 26 items were determined. The scale content was validated based on feedback from 10 experts. Exploratory analysis of the scale was conducted with the data of 234 oncology nurses. Internal consistency and 2-week test-retest stability measured reliability.

RESULTS

The scale's items met the required level of content validity (content validity rate = 0,62), were found to be understandable by 15 nurse (face validity), and all 26 items were retained in the item pool. The exploratory factor analysis extracted a unifactorial solution for the scale. The value of Cronbach's alpha for the scale was 0.96, and the inter-class reliability coefficient was 0.92.

CONCLUSION

The scale is a valid and reliable scale that might be used to assess the efficacy perception of oncology nurses for suicide risk management.

IMPLICATIONS FOR NURSING PRACTICE

The assessment of oncology nurses' perceptions of efficacy in suicide risk management may enable the identification of training needs and the development of the content of suicide prevention trainings in parallel with the needs of nurses.

摘要

目的

肿瘤患者是自杀风险较高的群体之一,强调肿瘤护士的自杀风险管理知识和技能不足。有几项研究强调需要为肿瘤护士创建专门的培训计划,以提高他们识别和管理自杀风险的意识、知识、技能和效能。需要一种有效的和可靠的量表来评估肿瘤护士自杀风险管理的效果。本研究旨在开发肿瘤护士自杀风险管理效能感量表,并评估其心理测量学特性。

方法

本方法学研究分两个阶段进行。在第一阶段,作者进行了文献回顾和定性研究,并研究了其他效能量表,以生成项目。在第二阶段,确定了 26 个项目的有效性和可靠性。量表内容根据 10 位专家的反馈进行了验证。对 234 名肿瘤护士的数据进行了量表的探索性分析。内部一致性和 2 周的重测信度来衡量可靠性。

结果

量表的项目满足了内容有效性的要求(内容有效性率=0.62),有 15 位护士(表面有效性)认为这些项目是可以理解的,所有 26 个项目都保留在项目池中。探索性因素分析得出量表的单因素解决方案。量表的克朗巴赫α值为 0.96,组内相关系数为 0.92。

结论

该量表是一种有效且可靠的量表,可用于评估肿瘤护士对自杀风险管理的效能感。

对护理实践的意义

评估肿瘤护士对自杀风险管理效能的感知,可能使我们能够识别培训需求,并根据护士的需求,与预防自杀培训的内容同步发展。

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