临床护士组织沉默行为量表波斯文版（OSBS-P）的心理测量学评估与翻译

Psychometric evaluation and translation of the Persian version of the Organizational Silence Behavior Scale (OSBS-P) for clinical nurses.

作者信息

Mirzaei Alireza, Jamshidinia Mobina, Aghabarari Mehrzad, Abadi Pouya Dolat, Nemati-Vakilabad Reza

机构信息

Department of Emergency Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.

Student Research Committee, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.

出版信息

PLoS One. 2024 Dec 30;19(12):e0314155. doi: 10.1371/journal.pone.0314155. eCollection 2024.

DOI:10.1371/journal.pone.0314155

PMID:39774417

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11684606/

Abstract

BACKGROUND

Healthcare professionals have a crucial responsibility to provide optimal patient care. However, maintaining silence within an organization can often lead to ethical dilemmas and negatively impact the quality of care. Healthcare professionals must speak up and ensure their concerns are heard and addressed to promote a safe and ethical healthcare environment. This study aimed to translate and assess the psychometric properties of the Persian version of the Organizational Silence Behavior Scale (OSBS-P) for clinical nurses.

METHODS

A methodological study was conducted on 338 clinical nurses to evaluate the psychometric properties of the Persian version of the 32-item OSBS-P. A multilevel approach was used: forward-backward translation, face and content validity, construct validity (confirmatory factor analysis), and reliability (internal consistency and stability) of the Persian version of the OSBS-P were analyzed, respectively.

RESULTS

The psychometric evaluation demonstrated that the Persian version of OSBS-P is not only understandable but also retains the conceptual integrity of the original English version. Confirmatory factor analysis validated its alignment with the proposed four-factor model, indicating robust construct validity. The OSBS-P's reliability was excellent, with a Cronbach's alpha coefficient of α = 0.969, and stability was confirmed with an intraclass correlation coefficient (ICC) of 0.951 (95% CI, 0.919-0.945).

CONCLUSION

The OSBS-P is a valid tool for evaluating the organizational silence behavior of clinical nurses.

摘要

背景

医疗保健专业人员肩负着提供最佳患者护理的关键责任。然而，在组织内部保持沉默往往会导致道德困境，并对护理质量产生负面影响。医疗保健专业人员必须直言不讳，确保他们的担忧得到倾听和解决，以促进安全且符合道德规范的医疗环境。本研究旨在翻译并评估临床护士使用的波斯语版组织沉默行为量表（OSBS-P）的心理测量特性。

方法

对338名临床护士进行了一项方法学研究，以评估32项OSBS-P波斯语版的心理测量特性。采用了多层次方法：分别分析了OSBS-P波斯语版的前后向翻译、表面效度和内容效度、结构效度（验证性因素分析）以及信度（内部一致性和稳定性）。

结果

心理测量评估表明，OSBS-P波斯语版不仅易于理解，而且保留了原始英文版的概念完整性。验证性因素分析证实了它与所提出的四因素模型相符，表明具有强大的结构效度。OSBS-P的信度极佳，克朗巴哈α系数α = 0.969，组内相关系数（ICC）为0.951（95%CI，0.919 - 0.945），证实了其稳定性。