Fei Jinrui, Liang Chunguang, Su Weiwei, Wang Yuge, Xu Kaiyan, Cheng Jiaxin, Ma Ying, Zhu Yue, Jiang Zhaoquan
Department of Nursing, Jinzhou Medical University, Jinzhou, 121001, Liaoning, China.
Department of Life and Health, Huzhou College, Huzhou, 313000, Zhejiang, China.
BMC Nurs. 2025 Jul 1;24(1):708. doi: 10.1186/s12912-025-03441-x.
Good nursing informatics competence and integration into nursing practice are essential skills for clinical nurses. However, there is still a lack of well-developed and comprehensive assessment tools for nursing informatics competence among Chinese clinical nurses. The main objective of this study was to assess the validity and reliability of the Chinese version of the Korean Nursing Informatics Competence Assessment Scale (K-NICAS) among nursing staff and to explore the factors influencing the competence of Chinese clinical nurses in nursing informatics.
The Brislin mode was used to translate the K-NICAS into Chinese. The questionnaire was administered to clinical nurses in several Chinese general hospitals in 2024. The scale's validity was assessed in three aspects: content validity, structural validity, and criterion-related validity. Construct validity was evaluated via exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Internal consistency, split-half reliability, and test-retest reliability were used to assess the scale's reliability. The factors impacting clinical nurses' nursing informatics competency were investigated via multiple linear regression analysis.
The Chinese version of the K-NICAS comprises five dimensions and 20 items. The I⁃CVI ranged from 0.86 to 1.00, with good content validity. EFA identified five common factors, and the cumulative total variance explanation rate was 76.3%. The CFA results suggested an appropriate fit for the model. The Information Literacy Questionnaire (ILQ) total score was significantly correlated with the Chinese version of the K-NICAS total score (r = 0.736, p < 0.001). The Cronbach's alpha coefficient and McDonald's omega coefficient of the scale were found to be 0.927. The split-half reliability coefficient was 0.810, and the test-retest reliability was 0.914. Computer self-efficacy, nursing informatics training, education, job satisfaction, computer grade, age, and the use of information devices were the influencing factors of clinical nurses' nursing informatics competence.
The K-NICAS Chinese version is satisfactory in terms of reliability and validity and can be employed to measure Chinese clinical nurses' nursing informatics competency. Nursing administrators should strengthen nursing informatics training and improve information literacy and computer self-efficacy according to nurses' distinctive characteristics to promote the improvement of clinical nurses' informatics competence and the development of nursing informatization.
The clinical trial was not involved in this study, so the number is not provided.
良好的护理信息学能力以及将其融入护理实践是临床护士的必备技能。然而，中国临床护士仍缺乏完善且全面的护理信息学能力评估工具。本研究的主要目的是评估韩国护理信息学能力评估量表（K-NICAS）中文版在护理人员中的有效性和可靠性，并探讨影响中国临床护士护理信息学能力的因素。
采用 Brislin 模式将 K-NICAS 翻译成中文。2024 年对几家中国综合医院的临床护士进行问卷调查。从内容效度、结构效度和效标关联效度三个方面评估量表的有效性。通过探索性因素分析（EFA）和验证性因素分析（CFA）评估结构效度。采用内部一致性、分半信度和重测信度来评估量表的可靠性。通过多元线性回归分析调查影响临床护士护理信息学能力的因素。
K-NICAS 中文版包括五个维度和 20 个条目。I-CVI 范围为 0.86 至 1.00，内容效度良好。EFA 确定了五个共同因素，累积总方差解释率为 76.3%。CFA 结果表明模型拟合良好。信息素养问卷（ILQ）总分与 K-NICAS 中文版总分显著相关（r = 0.736，p < 0.001）。量表的 Cronbach's alpha 系数和 McDonald's omega 系数为 0.927。分半信度系数为 0.810，重测信度为 0.914。计算机自我效能感、护理信息学培训、教育程度、工作满意度、计算机等级、年龄以及信息设备的使用是临床护士护理信息学能力的影响因素。
K-NICAS 中文版在信效度方面令人满意，可用于测量中国临床护士的护理信息学能力。护理管理者应加强护理信息学培训，并根据护士的不同特点提高信息素养和计算机自我效能感，以促进临床护士信息学能力的提升和护理信息化的发展。
本研究未涉及临床试验，因此未提供编号。
