护士患者教育能力量表的开发与心理测量学评估：一项序贯探索性混合方法研究

Development and psychometric evaluation of the nurses' competency in patient education scale: a sequential exploratory mixed-method study.

作者信息

Farsi Zahra, Momen Reza, Sajadi Seyedeh Azam, Negarandeh Reza

机构信息

School of Nursing and Midwifery, Tehran University of Medical Sciences, Nosrat St. Tohid Sq., Tehran, 1419733171, Iran.

Nursing School, Aja University of Medical Sciences, Tehran, Iran.

出版信息

BMC Med Educ. 2025 Jul 1;25(1):872. doi: 10.1186/s12909-025-07478-z.

DOI:10.1186/s12909-025-07478-z

PMID:40597979

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12210453/

Abstract

INTRODUCTION

Competency in patient education is one of the main elements of nurses' professional competency. This study aimed to develop and evaluate the psychometric properties of a self-assessment scale regarding nurses' competency in patient education.

MATERIAL AND METHODS

This sequential exploratory mixed-methods study was conducted in two stages. The first stage explored nurses' experiences and perceptions of competency in patient education. So, a qualitative conventional content analysis study was conducted in 2023-25 for item generation. Purposive sampling was used to recruit the participants. Competency in patient education was explained using three focused groups (n = 19), individual semi-structured interviews (n = 6), a written narrative, and a literature review. In the subsequent phase, the scale's face validity was evaluated with the involvement of 15 nurses, while the content validity ratio and content validity index were determined by eight and ten experts, respectively. Then, the exploratory factor analysis was used to determine the domains of the scale. 408 nurses were recruited by convenience sampling from all over Iran. The reliability of the scale was assessed using internal consistency, relative and absolute stability methods. As well, responsiveness, reproducibility, feasibility, and floor and ceiling effects were assessed.

RESULTS

The scale was developed with 33 items and four dimensions: "adherence to the patient education principles", "attending to patient preparation and conditions", "observing ethical and interpersonal principles", and "professionalism in patient education", with a total variance of 57.44%. The findings confirmed that this tool is acceptable regarding validity, reliability, and other measurement features. The S-CVI/Ave of the scale was 0.9. The reliability of the scale was confirmed with Cronbach's alpha coefficient (α = 0.917), (intra-cluster correlation = 0.977, with 95% confidence interval = 0.953-0.989), and (standard error of measurement = 2.15). The scale's responsiveness, reproducibility, feasibility, and floor and ceiling effects were confirmed.

CONCLUSION

This scale was developed to assess nurses' competency in patient education.

摘要

引言

患者教育能力是护士专业能力的主要要素之一。本研究旨在开发并评估一份关于护士患者教育能力的自我评估量表的心理测量特性。

材料与方法

本序贯探索性混合方法研究分两个阶段进行。第一阶段探索护士对患者教育能力的经验和认知。因此，在2023 - 2025年进行了一项定性的常规内容分析研究以生成条目。采用目的抽样法招募参与者。通过三个焦点小组（n = 19）、个体半结构式访谈（n = 6）、书面叙述和文献综述来阐释患者教育能力。在随后阶段，15名护士参与评估量表的表面效度，分别由8名和10名专家确定内容效度比和内容效度指数。然后，采用探索性因素分析来确定量表的维度。通过便利抽样从伊朗各地招募了408名护士。使用内部一致性、相对和绝对稳定性方法评估量表的信度。此外，还评估了反应度、可重复性、可行性以及地板效应和天花板效应。

结果

该量表包含33个条目，分为四个维度：“遵循患者教育原则”、“关注患者准备情况和条件”、“遵守伦理和人际原则”以及“患者教育中的专业素养”，总方差为57.44%。研究结果证实，该工具在效度、信度和其他测量特征方面是可接受的。该量表的S - CVI/Ave为0.9。通过克朗巴赫α系数（α = 0.917）、（组内相关系数 = 0.977，95%置信区间 = 0.953 - 0.989）和（测量标准误 = 2.15）证实了量表的信度。该量表的反应度、可重复性、可行性以及地板效应和天花板效应得到了证实。