中文版护理专业学生对临床环境贡献量表的心理测量学评价及影响护士对护理专业学生贡献认知的因素分析：一项横断面研究
Psychometric evaluation of the Chinese version of the Nursing Student Contributions to Clinical Settings scale and analysis of factors influencing nurses' perceptions of nursing students' contributions: a cross-sectional study.
作者信息
Xu Kaiyan, Tong Huijuan, Zhang Chunyan, Qiu Feng, Liu Yaoyao
机构信息
Department of Nursing, Jinzhou Medical University, No. 40, Section 3, Songpo Road, Linghe District, Jinzhou, 121001, People's Republic of China.
Shenyang Medical College, No. 146, Huanghe North Street, Yuhong District, Shenyang, 110034, People's Republic of China.
出版信息
BMC Nurs. 2024 Oct 8;23(1):720. doi: 10.1186/s12912-024-02398-7.
BACKGROUND
Most medical organizations accept many nursing students each year who gain clinical practice skills under the supervision of clinical nurses. However, there are no assessment tools to measure the contributions nursing students make to the clinical setting during clinical practicum. This study aimed to translate the 'Nursing Student Contributions to Clinical Settings' scale into Chinese and test its reliability and validity from the perspective of Chinese clinical nurses. And to explore whether nurses' personal and professional characteristics are related to nurses' perception of nursing students' contributions to the clinical settings.
METHODS
The original scale was translated into Chinese following the Brislin translation model. A convenience sample of 935 clinical nurses was selected from January to March 2024 for the survey. The content validity of the scale was assessed by expert consultation and content validity index. Exploratory factor analysis and confirmatory factor analysis were performed to assess the construct validity of the scale. The reliability of the scale was measured using internal consistency, split-half reliability, and test-retest reliability. The measurement quality of the scales was assessed according to the COnsensus-based Standards for the selection of health Measurement INstruments. One-way analysis of variance was used to identify variables related to students' contributions.
RESULTS
The content validity index of the scale was 0.983. Exploratory factor analysis supported a one-factor structure, and the cumulative variance contribution was 71.177%. Confirmatory factor analysis showed that the model fit indicators were all within the acceptable range. The McDonald's Omega coefficient and Cronbach's alpha coefficient for the scale were 0.983. Nurses perceive that nursing students' contribution to the clinical settings is influenced by nurses' personal characteristics, professional characteristics, and the hospital environment.
CONCLUSION
The Chinese version of the Nursing Student Contributions to Clinical Settings scale has good reliability and validity and can effectively and reliably measure the contributions of Chinese nursing students to clinical settings.
背景
大多数医疗机构每年都会接收许多护理专业学生，这些学生在临床护士的监督下获得临床实践技能。然而，目前尚无评估工具来衡量护理专业学生在临床实习期间对临床环境的贡献。本研究旨在将“护理专业学生对临床环境的贡献”量表翻译成中文，并从中国临床护士的角度检验其信效度。同时探讨护士的个人和专业特征是否与护士对护理专业学生对临床环境贡献的认知相关。
方法
按照Brislin翻译模型将原始量表翻译成中文。于2024年1月至3月选取935名临床护士作为便利样本进行调查。通过专家咨询和内容效度指数评估量表的内容效度。进行探索性因素分析和验证性因素分析以评估量表的结构效度。采用内部一致性、分半信度和重测信度来测量量表的信度。根据基于共识的健康测量工具选择标准评估量表的测量质量。采用单因素方差分析确定与学生贡献相关的变量。
结果
该量表的内容效度指数为0.983。探索性因素分析支持单因素结构，累积方差贡献率为71.177%。验证性因素分析表明模型拟合指标均在可接受范围内。该量表的McDonald's Omega系数和Cronbach's alpha系数均为0.983。护士认为护理专业学生对临床环境的贡献受护士个人特征、专业特征和医院环境的影响。
结论
中文版“护理专业学生对临床环境的贡献”量表具有良好的信效度，能够有效且可靠地测量中国护理专业学生对临床环境的贡献。
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