Meng Meiqi, Chen Sihan, Yang Dan, Zhang Xiaoyan, Yang Yajuan, Wang Ziyan, Zhang Jingyuan, Li Xuejing, Hao Yufang
School of Nursing, Beijing University of Chinese Medicine, Beijing, China.
Beijing University of Chinese Medicine Collaborating Centre of Joanna Briggs Institute, Beijing, China.
BMC Nurs. 2025 Apr 14;24(1):417. doi: 10.1186/s12912-025-03070-4.
To develop a scale to measure the organizational readiness for change (ORC) in nurse-led shared decision-making (SDM) in clinical practice of China, test its reliability and validity, and conduct an analysis of the current status of nurse-led SDM readiness.
This study follows the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology guidance and has two phases. The first phase, based on ORC theory, an item pool was formed through literature review, qualitative interviews and group discussions. Two rounds of Delphi consultations were conducted to optimize items, developed an initial scale. Cognitive interviews were then conducted to understand the target population's comprehension of each item, addressing differences during the development process, resulting in the first scale version. In the second phase, the scale underwent reliability and validity testing, and the results were analyzed to assess the current status of nurse-led SDM readiness.
The final scale consists of 55 items across five dimensions.The overall Cronbach's α coefficient is 0.987, with a split-half reliability of 0.911, a test-retest reliability of 0.904, and an average content validity index of 0.989, indicating good reliability and validity. A field test was conducted among 496 nurses, revealing that the total score of nurses' SDM readiness ranged from 118 to 270, with an average of 209.79 ± 35.82.
The RSDM-N scale exhibits sufficient measurement qualities for assessing nurse-led SDM readiness in China, guiding the implementation of nurse-led SDM.
开发一个量表，用以衡量中国临床实践中护士主导的共同决策（SDM）的组织变革准备度（ORC），测试其信效度，并对护士主导的SDM准备度现状进行分析。
本研究遵循基于共识的健康测量工具选择标准（COSMIN）方法学指南，分为两个阶段。第一阶段，基于ORC理论，通过文献回顾、质性访谈和小组讨论形成条目池。进行两轮德尔菲专家咨询以优化条目，形成初始量表。随后进行认知访谈，以了解目标人群对每个条目的理解，解决开发过程中的差异问题，形成第一版量表。第二阶段，对量表进行信效度测试，并对结果进行分析，以评估护士主导的SDM准备度现状。
最终量表由五个维度的55个条目组成。总体Cronbach's α系数为0.987，分半信度为0.911，重测信度为0.904，平均内容效度指数为0.989，表明具有良好的信效度。对496名护士进行了现场测试，结果显示护士的SDM准备度总分在118至270分之间，平均分为209.79±35.82。
RSDM-N量表在评估中国护士主导的SDM准备度方面具有足够的测量质量，可为护士主导的SDM实施提供指导。
