Ateş Esin, Altuğ Özsoy Süheyla
Department of Public Health Nursing, Ege University Faculty of Nursing, Izmir, Turkey.
BMC Nurs. 2025 Aug 4;24(1):1006. doi: 10.1186/s12912-025-03677-7.
Nurses should act as individual/patient advocates, since it is part of their basic responsibilities. However, previous studies reported that although nurses know that they need to defend patients, they do not know what patient advocacy is and how to fulfil this role. They have difficulty in advocating for patients and cannot carry it out effectively. This study was conducted to evaluate the advocacy skills of nursing students, develop a guide for the advocacy skills of nurses working in the field, and to verify the content validity.
This guideline development and validation study was conducted in four stages: [1] setting goals for social justice advocacy [2], selecting social justice advocacy skills [3], developing a social justice advocacy skill guide and [4] conducting the pilot study. The development and validation study involved 33 participants, student nurses, licensed nurses, professors, associate professors, assistant professors, and research assistants. For the content validity of the guide, the content validity index, i.e. the percentage of experts who answered 3 or 4 points answered by the experts, was calculated. Kendall W test was used to determine the degree of agreement between the scores of multiple experts.
All content validity index (CVI) scores were in the "good" to "excellent" range. The CVI scores given by all specialists ranged from 0.73 to 1. As a result of the Kendall W test, it was found that there was agreement among the experts (p < 0.001). Public health nurses were asked to evaluate the guide on a scale of 1 to 10 points. The mean score of nurses for the guide as a guideline for their advocacy skills was determined as 9.0 ± 0.816, and 70% of the nurses gave a score of ≥ 9.
The developed 'Advocacy Skills Evaluation Guide' was found to be a valid measurement tool.
Not applicable.
护士应充当个人/患者的倡导者，因为这是其基本职责的一部分。然而，以往研究报告称，尽管护士知道他们需要为患者辩护，但他们并不清楚什么是患者代言以及如何履行这一角色。他们在为患者代言方面存在困难，且无法有效开展。本研究旨在评估护理专业学生的代言技能，为该领域工作的护士制定代言技能指南，并验证其内容效度。
本指南制定与验证研究分四个阶段进行：[1]设定社会正义倡导目标；[2]选择社会正义倡导技能；[3]制定社会正义倡导技能指南；[4]开展预试验。该制定与验证研究涉及33名参与者，包括实习护士、执业护士、教授、副教授、助理教授和研究助理。对于指南的内容效度，计算了内容效度指数，即回答为3分或4分的专家百分比。使用肯德尔W检验来确定多位专家评分之间的一致程度。
所有内容效度指数（CVI）得分均在“良好”至“优秀”范围内。所有专家给出的CVI得分在0.73至1之间。肯德尔W检验结果表明，专家之间存在一致性（p < 0.001）。公共卫生护士被要求对该指南进行1至10分的评分。护士对该指南作为其代言技能指南的平均评分为9.0 ± 0.816，70%的护士给出了≥ 9分的评分。
所制定的“代言技能评估指南”被发现是一种有效的测量工具。
不适用。
