Zhang Haili, Shen Yan, Xu Ling, Cao Liangyi, Chen Lan
Shanghai Jiao Tong University School of Nursing, Shanghai, China.
Nursing Department of Shanghai General Hospital, Shanghai, China.
BMC Nurs. 2025 Jul 1;24(1):806. doi: 10.1186/s12912-025-03275-7.
The physical and mental health of nurses is closely related to the quality of nursing and patient safety. Nurses face greater health risks, which are closely related to health procrastination. At present, China lacks scientifically effective tools to assess the level of health-related procrastination among clinical nurses. The purpose of this study was to conduct cross-cultural debugging of the Nurses' Health-Related Procrastination Scale (NHRPS) and to test the reliability and validity of the Chinese version of the NHRPS among clinical nurses.
The NHRPS was translated strictly according to cross-cultural debugging guidelines. The content validity of the Chinese version of the Nurses' Health-related Procrastination Scale was evaluated by 10 experts. From January to February 2025, 395 clinical nurses were surveyed via the Chinese version of the NHRPS. Item analysis, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), Cronbach's α coefficient and retest reliability were used to test the reliability and validity of the scale.
The Chinese version of the NHRPS contains 25 items in 4 dimensions. Four common factors were extracted via exploratory factor analysis, and the cumulative variance contribution rate was 64.016%. Confirmatory factor analysis revealed that the chi-square/degree of freedom (CMIN/DF) was 1.515, the root mean square error of approximation (RMSEA) was 0.049, the comparative fit index (CFI) was 0.956, the incremental fit index (IFI) was 0.956, and the Tucker Lewis index (TLI) was 0.951. Convergent validity was The Cronbach's α coefficient of the scale was 0.930. The ranges of composite reliability (CR) and average variance extracted (AVE) of convergence validity were 0.839-0.902 and 0.497-0.616. The fitting index of the second-order factor model is similar to that of the first-order one and has good structural validity. The first-order factor model is a more economical model, and it is more reasonable to select the first-order confirmatory factor model.
The reliability and validity of the Chinese version of the NHRPS are good, and it can be used as a scientific and effective tool to evaluate the current situation of health-related procrastination behaviours for clinical nurses.
护士的身心健康与护理质量和患者安全密切相关。护士面临更大的健康风险，这与健康拖延密切相关。目前，中国缺乏科学有效的工具来评估临床护士健康相关拖延水平。本研究旨在对护士健康相关拖延量表（NHRPS）进行跨文化调试，并检验中文版NHRPS在临床护士中的信效度。
严格按照跨文化调试指南对NHRPS进行翻译。由10名专家对中文版护士健康相关拖延量表的内容效度进行评估。2025年1月至2月，采用中文版NHRPS对395名临床护士进行调查。采用项目分析、探索性因素分析（EFA）、验证性因素分析（CFA）、Cronbach's α系数和重测信度对量表的信效度进行检验。
中文版NHRPS包含4个维度25个条目。通过探索性因素分析提取出4个共同因素，累积方差贡献率为64.016%。验证性因素分析显示，卡方/自由度（CMIN/DF）为1.515，近似误差均方根（RMSEA）为0.049，比较拟合指数（CFI）为0.956，增值拟合指数（IFI）为0.956，塔克·刘易斯指数（TLI）为0.951。收敛效度方面，量表的Cronbach's α系数为0.930。收敛效度的组合信度（CR）和平均提取方差（AVE）范围分别为0.839 - 0.902和0.497 - 0.616。二阶因素模型的拟合指数与一阶因素模型相似，具有良好的结构效度。一阶因素模型更为经济，选择一阶验证性因素模型更为合理。
中文版NHRPS信效度良好，可作为评估临床护士健康相关拖延行为现状的科学有效工具。
