Zhu Yongyan, Ren Yumin, Ma Jing, Wan Feifei, Liu Feifan, Du Fangfang, Li Weili, Tian Tian, Liu Xiaoqian, Li Lili, Jia Zhumin
Department of Nursing, Henan Vocational College of Tuina, Luoyang, China.
College of Nursing, Henan University of Science and Technology, Luoyang, China.
Front Public Health. 2025 Apr 23;13:1521673. doi: 10.3389/fpubh.2025.1521673. eCollection 2025.
The role of obstetric nurses in the management of gestational diabetes mellitus (GDM) is becoming increasingly important, and their management level will directly affect the patient's health education and even the pregnancy outcome. However, there is a lack of tools to measure the competencies of GDM management among obstetric nurses.
The questionnaire was developed in two stages: (a) creation of an initial questionnaire based on the definition of competency, literature review, and semi-structured interviews, followed by two rounds of Delphi expert inquiry; (b) evaluation of the questionnaire via piloting study on 30 obstetric nurses and testing of validity and reliability on 239 obstetric nurses.
A questionnaire containing dimensions of professional knowledge, professional skills, professional competence and personal attitude was developed. Correlation analysis revealed statistically significant correlations ( < 0.01) between each item and the total score, although two items had -values <0.4, indicating weak correlations, so they were removed. The initial Cronbach's coefficient of 0.970 indicated that no items needed to be excluded. Five experts evaluated the content validity, yielding an S-CVI/Ave of 0.95 and the I-CVI values range from 0.80 to 1.00, meeting the reference standard. The Cronbach's coefficients for the four dimensions ranged from 0.793 to 0.928, while the overall Cronbach's coefficient of the questionnaire was 0.970. The retest reliability was 0.907, and the fold-half reliability was 0.950. The results of the reliability tests all met the measurement requirements of the questionnaire and could be used to evaluate the competency of obstetric nurses in the management of GDM patients.
This study developed an assessment tool for evaluating the management ability of obstetric nurses for GDM patients, which consists of four dimensions and 35 items. The dimensions and items demonstrate the content of the competence theory, and the questionnaire shows good stability and reliability and validity.
It is recommended that healthcare institutions integrate this questionnaire into training and evaluation programs for obstetric nurses to improve care quality for GDM patients. Regular use will ensure nurses have the knowledge, skills, and attitudes needed to provide optimal care.
产科护士在妊娠期糖尿病（GDM）管理中的作用日益重要，其管理水平将直接影响患者的健康教育乃至妊娠结局。然而，目前缺乏衡量产科护士GDM管理能力的工具。
问卷分两个阶段开发：（a）基于能力定义、文献综述和半结构化访谈创建初始问卷，随后进行两轮德尔菲专家咨询；（b）通过对30名产科护士进行预试验研究以及对239名产科护士进行效度和信度测试来评估问卷。
开发了一份包含专业知识、专业技能、专业能力和个人态度维度的问卷。相关性分析显示，各项目与总分之间存在统计学显著相关性（<0.01），不过有两个项目的相关值<0.4，表明相关性较弱，因此将其删除。初始的Cronbach's α系数为0.970，表明无需排除任何项目。五位专家评估了内容效度，得出的S-CVI/Ave为0.95，I-CVI值范围为0.80至1.00，符合参考标准。四个维度的Cronbach's α系数范围为0.793至0.928，而问卷的总体Cronbach's α系数为0.970。重测信度为0.907，折半信度为0.950。信度测试结果均符合问卷的测量要求，可用于评估产科护士对GDM患者的管理能力。
本研究开发了一种评估工具，用于评估产科护士对GDM患者的管理能力，该工具由四个维度和35个项目组成。这些维度和项目体现了能力理论的内容，问卷具有良好的稳定性、信度和效度。
建议医疗机构将此问卷纳入产科护士的培训和评估计划，以提高对GDM患者的护理质量。定期使用将确保护士具备提供最佳护理所需的知识、技能和态度。
