会阴切开术自我效能感量表：一项量表编制研究。
The episiotomy self-efficacy scale: a scale development study.
作者信息
Yolcu Büşra, Kaymak Zeliha Demir, Turan Zekiye, Başkaya Yasemin Hamlaci
机构信息
Department of Midwifery, Faculty of Health Sciences, Sakarya University, Sakarya, Turkey.
Department of Computer Education and Instructional Technologies, Faculty of Education, Sakarya University, Sakarya, Turkey.
出版信息
BMC Nurs. 2025 Jul 17;24(1):931. doi: 10.1186/s12912-025-03578-9.
BACKGROUND
Self-efficacy mediates between knowledge and behaviour and is related to professional competence. It is very important to provide students with episiotomy skills, which are among the most important practices of midwives, and to increase their self-efficacy in this regard.
AIM
The aim of this study was to develop a measurement tool that measures the self-efficacy of midwives regarding episiotomy application, one of the most critical tasks of midwives, in terms of cognitive, affective, motivational and psychomotor aspects.
METHODS
This methodological study was conducted with midwifery students in their 2nd, 3rd and 4th years. A sociodemographic information form and a draft episiotomy self-efficacy scale were used to collect data. Factor analysis, Cronbach's alpha and item-total score correlations were used to evaluate the data and two levels of confirmatory factor analysis (CFA) were conducted in the study.
RESULTS
The results of second-level CFA indicated the emergence of a structure consisting of seventeen items and four sub-dimensions. The factor loadings of the scale exhibited a range of 0.62-0.93. The goodness-of-fit index values were: RMSEA, 0.079; CFI, 0.961; AGFI, 0.834; and GFI, 0.875. Cronbach's alpha for the entire scale was found to be 0.955 and the corrected item-total correlations of the items were between 0.573 and 0.810.
CONCLUSIONS
It was concluded that the overall scale is a valid and reliable measurement tool for midwifery students. Further studies are recommended to assess the validity and reliability of the scale using item pools in different languages.
RELEVANCE TO CLINICAL PRACTICE
Self-efficacy mediates between knowledge and behaviour and is related to professional competence. Therefore, determination of self-efficacy related to practices plays a major role in the way education is transferred. In this study, a scale was developed that measures individuals' episiotomy self-efficacy. This scale can distinguish between individuals with high or low episiotomy self-efficacy and individuals who take episiotomy course or not.
CLINICAL TRIAL NUMBER
Not applicable.
背景
自我效能在知识与行为之间起中介作用，且与专业能力相关。向学生传授会阴切开术技能非常重要，这是助产士最重要的实践技能之一，同时提高他们在这方面的自我效能也很重要。
目的
本研究的目的是开发一种测量工具，从认知、情感、动机和心理运动方面测量助产士在会阴切开术应用（助产士最关键的任务之一）方面的自我效能。
方法
本方法学研究针对二、三、四年级的助产专业学生开展。使用社会人口学信息表和会阴切开术自我效能量表初稿收集数据。采用因子分析、克朗巴哈系数和项目总分相关性评估数据，并在研究中进行了两个层次的验证性因子分析（CFA）。
结果
二级CFA结果表明出现了一个由17个项目和4个子维度组成的结构。该量表的因子载荷范围为0.62 - 0.93。拟合优度指标值为：RMSEA，0.079；CFI，0.961；AGFI，0.834；GFI，0.875。整个量表的克朗巴哈系数为0.955，各项目的校正项目总分相关性在0.573至0.810之间。
结论
得出结论，该总体量表是用于助产专业学生的有效且可靠的测量工具。建议进一步开展研究，使用不同语言的项目库评估该量表的效度和信度。
与临床实践的相关性
自我效能在知识与行为之间起中介作用，且与专业能力相关。因此，确定与实践相关的自我效能在教育传递方式中起着重要作用。在本研究中，开发了一种测量个体会阴切开术自我效能的量表。该量表可以区分会阴切开术自我效能高或低的个体以及是否参加会阴切开术课程的个体。
临床试验编号
不适用。
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