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《护理研究医院文化量表中文版(CHCNRS)的跨文化调适与心理测量学评价:一项翻译与验证研究》

Cross-cultural adaptation and psychometric evaluation of the Chinese version of Hospital Culture of Nursing Research Scale (CHCNRS): a translation and validation study.

作者信息

Li Chuang, Lin You Bei, Qi Ran, Balay-Odao Ejercito Mangawa, Zhang Lan

机构信息

Nursing Department, First Affiliated Hospital of Jinzhou Medical University, Jinzhou, Liaoning Province, 121001, China.

School of Nursing, Jinzhou Medical University, Jinzhou, Liaoning Province, 121001, China.

出版信息

BMC Nurs. 2025 Jul 29;24(1):992. doi: 10.1186/s12912-025-03609-5.

DOI:10.1186/s12912-025-03609-5
PMID:40731278
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12309102/
Abstract

BACKGROUND

The culture of nursing research forms a critical foundation for advancing the nursing discipline and enhancing the quality of nursing care. In the context of China's unique healthcare environment and nursing practices, introducing localized tools that reflect cultural nuances is essential. Strengthening research capabilities, optimizing management systems, and promoting innovation and academic integrity tailored to Chinese hospitals are crucial for delivering improved patient care.

OBJECTIVE

The Hospital Culture of Nursing Research Scale (HCNRS) assesses nurses' perceptions of the nursing research culture within hospital settings. This study aimed to translate the HCNRS into Chinese and to evaluate the psychometric properties of this culturally adapted version to ensure its relevance and reliability in Chinese healthcare institutions.

METHODS

A total of 766 clinical nurses were recruited for this study through convenience sampling, in accordance with Kendall's sample size estimation method. The original scale was translated following Brislin' s guidelines. The validity of the instrument was assessed through item analysis, structural validity, and reliability testing. Data analysis was conducted using SPSS and AMOS software.

RESULTS

The Chinese version of the 32-item scale demonstrated good psychometric properties. Exploratory factor analysis identified five factors, accounting for 56.112% of the total variance. Confirmatory factor analysis showed excellent fit indices: CMIN/DF = 1.067, RMSEA = 0.012, GFI = 0.941, NFI = 0.919, IFI = 0.911, TLI = 0.994, and CFI = 0.994. Reliability measures were also robust, with a total Cronbach's α coefficient of 0.906, and Retest reliability was 0.864.

CONCLUSION

The CHCNRS demonstrates strong psychometric properties and is well-suited for assessing Chinese nurses' perceptions of the culture of nursing research in hospitals. Its application can inform hospital management strategies, support evidence-based policy-making, and promote a research-supportive environment in clinical settings.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

护理研究文化是推动护理学科发展和提高护理质量的关键基础。在中国独特的医疗环境和护理实践背景下,引入反映文化细微差别的本土化工具至关重要。加强研究能力、优化管理系统以及促进针对中国医院的创新和学术诚信对于提供更好的患者护理至关重要。

目的

医院护理研究文化量表(HCNRS)用于评估护士对医院环境中护理研究文化的认知。本研究旨在将HCNRS翻译成中文,并评估这个文化适应版本的心理测量特性,以确保其在中国医疗机构中的相关性和可靠性。

方法

按照肯德尔样本量估计方法,通过便利抽样共招募了766名临床护士参与本研究。原始量表按照布里斯林指南进行翻译。通过项目分析、结构效度和信度测试来评估该工具的效度。使用SPSS和AMOS软件进行数据分析。

结果

这个32个条目的中文版量表显示出良好的心理测量特性。探索性因素分析确定了五个因素,占总方差的56.112%。验证性因素分析显示出优异的拟合指数:CMIN/DF = 1.067,RMSEA = 0.012,GFI = 0.941,NFI = 0.919,IFI = 0.911,TLI = 0.994,CFI = 0.994。信度测量也很稳健,总克朗巴哈α系数为0.906,重测信度为0.864。

结论

中文版医院护理研究文化量表(CHCNRS)显示出强大的心理测量特性,非常适合评估中国护士对医院护理研究文化的认知。其应用可为医院管理策略提供信息支持,助力循证决策,并在临床环境中促进支持研究的氛围。

临床试验编号

不适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0dc/12309102/de9137242db6/12912_2025_3609_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0dc/12309102/a75d089a3c70/12912_2025_3609_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0dc/12309102/e416115756bf/12912_2025_3609_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0dc/12309102/de9137242db6/12912_2025_3609_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0dc/12309102/a75d089a3c70/12912_2025_3609_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0dc/12309102/e416115756bf/12912_2025_3609_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0dc/12309102/de9137242db6/12912_2025_3609_Fig3_HTML.jpg

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