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护理专业学生医疗相关感染预防与控制量表的改编与验证:探索性因素分析方法

Adaptation and validation of the scale for the prevention and control of healthcare-associated infections among nursing students: an exploratory factor analysis approach.

作者信息

Ramos-Meza Carlos Samuel, Castro-Vargas Yanet, Chihuantito-Abal Luis Alberto, Gallegos Aparicio Edo, Caballero Aparicio Sdenka, Frisancho-Camero Miluska, Del Castillo Estrada Gareth

机构信息

Department of Stomatology, Andean University of Cusco, Cusco, Peru.

Department of Psychology, Andean University of Cusco, Cusco, Peru.

出版信息

Front Public Health. 2025 Apr 25;13:1537811. doi: 10.3389/fpubh.2025.1537811. eCollection 2025.

Abstract

This study aimed to adapt and validate the HAInnovPrev scale, a tool for assessing the prevention and control of healthcare-associated infections (HAIs) among nursing students. HAIs are a significant global health concern, particularly in healthcare education, where student training and institutional protocols must align to prevent infections effectively. The development process employed a quantitative approach, utilizing exploratory factor analysis (EFA) on data collected from 347 nursing students across two universities in Peru. This method refined the instrument, reducing the original 15 dimensions to 11 well-defined factors, encompassing key aspects such as institutional compliance, personal motivation, emotional exhaustion, and adherence to hygiene protocols. The results demonstrated that the instrument's 11-dimensional structure was statistically valid, with measures such as the Kaiser-Meyer-Olkin (KMO) test and Bartlett's sphericity indicating suitability for factor analysis. Internal consistency reliability, evaluated through omega coefficients, showed strong reliability for most dimensions ( > 0.70). The findings suggest that the HAInnovPrev scale is a valid and reliable tool to assess critical areas of knowledge, attitudes, and practices regarding HAI prevention among nursing students. Streamlining the scale from 15 to 11 dimensions improves its practical applicability and clarity, focusing on the most relevant factors influencing students' adherence to infection control practices. Future research should broaden the sample and include observational measures to validate these findings further.

摘要

本研究旨在改编并验证HAInnovPrev量表,这是一种用于评估护理专业学生医疗相关感染(HAIs)防控情况的工具。医疗相关感染是一个重大的全球卫生问题,尤其是在医疗教育领域,学生培训和机构规程必须保持一致,才能有效预防感染。开发过程采用了定量方法,对秘鲁两所大学的347名护理专业学生收集的数据进行探索性因素分析(EFA)。该方法对工具进行了优化,将原来的15个维度缩减为11个明确的因素,涵盖机构合规性、个人动机、情感耗竭以及遵守卫生规程等关键方面。结果表明,该工具的11维结构在统计学上是有效的,诸如凯泽-迈耶-奥尔金(KMO)检验和巴特利特球形度检验等指标表明其适合进行因素分析。通过欧米茄系数评估的内部一致性信度显示,大多数维度具有很强的信度(>0.70)。研究结果表明,HAInnovPrev量表是评估护理专业学生医疗相关感染预防方面知识、态度和实践关键领域的有效且可靠的工具。将量表从15个维度精简到11个维度提高了其实际适用性和清晰度,聚焦于影响学生遵守感染控制实践的最相关因素。未来的研究应扩大样本范围,并纳入观察性测量方法,以进一步验证这些发现。

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