The reliability and validity of the Chinese version of nurses’ self-concept questionnaire

cao x.y., Liu X.H., tian l. & guo y.q. (2013) Journal of Nursing Management  21 , 657–667 The reliability and validity of the Chinese version of nurses’ self-concept questionnaire Aim To examine the reliability and validity of the Chinese version of nurses’ self-concept questionnaire. Background Nurses’ self-concept is important to alleviate the current shortage of nurses. Nurses’ self-concept questionnaire is an effective instrument to measure nurses’ self-perception of professional competencies. However, the psychometric properties of the Chinese version have not been tested. Methods A two-stage research design was used in this study. At Stage 1347 registered nurses were recruited to establish the psychometric properties of the Chinese version. At Stage 2, a confirmatory factor analysis was used to examine the extracted factor structure from Stage 1 with 1017 respondents as a sample. Results The internal consistency of the Chinese version was 0.95 and the test–retest reliability was 0.83. The exploratory factor analysis extracted six dimensions. The findings at Stage 2 showed an acceptable model fit and discriminant validity. The Chinese version was a significant predictor of Maslach Burnout Inventory (β = −0.58; P = 0.00). Conclusions This study verified the psychometric properties of the Chinese version of nurses’ self-concept questionnaire. Implication for nursing management The Chinese version of nurses’ self-concept questionnaire will facilitate the evaluation of professional self-concept among nurses and help to develop the individualized self-concept strategies.     

An empirical evaluation of an expanded Nursing Stress Scale

In the study of work-related stress among nurses, the Nursing Stress Scale (NSS) is the best known and most widely used scale. This article presents an overview of the NSS and its use, and describes the development of an expanded instrument (ENSS) to measure sources and frequency of stress perceived by nurses. Findings are based on a random sample of 2,280 nurses in Ontario working in a wide range of work settings. Pretests for the study indicated that an expanded version of the NSS was necessary in order to adequately measure sources of stress among nurses. The sources of stress comprised nine subscales--death and dying, conflict with physicians, inadequate preparation, problems with peers, problems with supervisors, workload, uncertainty concerning treatment, patients and their families, and discrimination. Confirmatory factor analyses, run on two randomly selected halves of the sample, came close to meeting standard criteria levels. The alpha coefficients of eight of the subscales were .70 or higher, and concurrent and construct validity assessments provided strong support for the expanded NSS.     

护士工作应激源量表的编制及信效度检验

目的编制适用于我国的标准化护士工作应激源量表,对该量表进行条目分析和信效度检验。方法采用理论与经验相结合的方法,以拉扎勒斯的应激理论模型作为编制量表的基本理论框架。首先,对352名护士应用开放式问卷进行条目收集,建立条目库,形成护士工作应激源量表草本;然后选取387名护士施测,形成包括6个分量表的护士工作应激源评定量表的预试本;最后,应用预试本对469名护士施测,对问卷的信效度进行了检验。结果确定了护士工作应激源量表由6个因素组成,即与护士工作期望有关的应激源,与家庭有关的应激源,与人际关系有关的应激源,与工作性质有关的应激源,与患者有关的应激源,与工作负荷有关的应激源。6个维度可累积解释总方差的56.28%,量表具有良好的信、效度。结论本量表为我国护士工作应激的评估提供了一套有效的方法。     

The Chinese Version of the Work Control Scale for Nurses: Modifying the Translation and Psychometric Testing

PurposeThe aim of the study was to modify and test the psychometric properties of the Chinese version of the work control scale (C-WCS).MethodsThe translated scale was administered to 840 nurses in Shanghai. Validity was assessed in terms of content validity and construct validity using exploratory factor analysis and confirmatory factor analysis. Internal consistency and test–retest reliability were estimated using Cronbach α and the intraclass correlation coefficient.ResultsPsychometric analyses of the C-WCS indicate high reliability and good content and construct validity.ConclusionThe C-WCS has good psychometric properties and can be used as a valid tool for measuring work control among nurses in China. The C-WCS will help to further explore the correlations between perceived work control and organizational quality indicators such as nurses' satisfaction, job stress, well-being, or intention to stay. It can also be used in nursing outcome studies of work control strategies.     

中文版护士工作环境感知量表的开发

目的:编译护士工作环境感知量表;检验该量表的信度和效度,初步建立中文版护士工作环境感知量表,为评估我国护士工作环境整体状况提供有效的测评工具。方法:①严格遵循外文量表翻译原则,首先对量表进行翻译及回译,然后进行文化调适;②通过对200名临床护士进行预测试,检验中文版护士工作环境感知量表的信度和效度。结果:中文版量表经过主轴因子法方差最大正交旋转,共抽出6个因子,41个条目,各因子的贡献率在17.66%～5.33%之间,累计贡献率为62.64%。中文版量表Cronbach’s α系数为0.958,各因子的Cronbach’s α系数在0.785～0.929之间,折半信度为0.809,各因子的折半信度在0.775～0.915之间。结论:中文版护士工作环境感知量表的信度、效度较好,达到了心理测量学的要求,对评价及改善我国护士工作环境状况具有一定的应用价值,适用于客观评价中国护士的工作环境状况。     

不同年龄护理人员工作生活质量状况调查

目的:了解广东省三级甲等医院护理人员的工作生活质量状况。方法:引进国外Brooks的护士工作生活质量量表,经过翻译和回译,并对其进行信度和效度检验,然后应用该中文版本量表对1861名护士进行问卷测评。结果:护士工作生活质量量表具有良好的信度和效度。不同年龄段护士工作生活质量差异有统计学意义(P<0.05)。其中,在工作家庭平衡方面,>40岁年龄段护士的得分高于其他两个年龄段护士(P<0.05);在工作量和工作环境方面,<30岁年龄段护士的得分高于其他两个年龄段(P<0.05);在社会环境方面,不同年龄段的护士得分差异无统计学意义(P>0.05)。结论:医院管理者应通过科学合理的排班、安全的工作环境以及心理疏导等方面来满足不同年龄护士的需要,以提高护士的工作生活质量。     

简明健康状况调查问卷在深圳市护士群体生存质量评价中的信度和效度研究

目的研究中文版简明健康状况调查问卷（SF-36）在深圳市护士群体生存质量评价中的信度和效度。方法使用中文版SF-36对深圳市4家二级甲等及以上医院临床一线在职注册护士进行问卷调查,采用分半系数和内部一致性信度分析SF-36的信度,主成分分析和相关分析等方法分析效度。结果SF-36分半系数为0．77,各维度Cronbach’α仪系数分别为生理功能0．85,生理职能0．78,躯体疼痛0．69,一般健康状况0．78,精力0．76,社会功能0．80,情感职能0．75,精神健康0．74。主成分分析提取了8个主成分代表了量表的各个领域,与量表的结构构思基本相符。结论sF-36用于深圳市护士群体的生存质量测定具有较好的信度和效度,因而具有一定的实用价值。     

A Chinese version of the Caring Assessment Report Evaluation Q-sort scale for measuring patients' perception on nurses' caring behaviours: Reliability and validity assessment

A reliable and valid instrument for understanding patients' perceptions of nurses' caring behaviour as well as assessing the quality of nursing care is necessary. The purpose of this study was to assess the reliability and validity of a Chinese version of the Caring Assessment Report Evaluation Q-sort (CARE-Q) Scale for the measurement of patients' perceptions of nurses' caring behaviours. The study sample comprised 250 patients from a medical centre in central Taiwan. Content validity, construct validity, internal consistency and stability reliability were assessed. The Content Validity Index of the Chinese version of CARE-Q was 0.90. Cronbach's alpha indicated good internal consistency reliability. Stability reliabilities for the six subscales ranged from 0.83 to 0.92. The results reveal that the Chinese version of the CARE-Q scale for the measurement of patients' perceptions on nurses' caring behaviours indicates high reliability (internal consistency and stability) and good content validity.     

Validation of the Portuguese version of the Stanford Presenteeism Scale in nurses

The SPS‐6 is a tool that is widely used to test the characteristic of presenteeism, which is the ability to concentrate and work despite health problems. This concept refers to the phenomenon of people—despite complaining and being ill—going to work instead of resting and taking sick leave. The aim of this study was to assess the validity and reliability of the SPS‐6. Internal consistency was examined by Cronbach's α. The Perceived Stress Scale was selected to determine the external validity of the SPS‐6. Exploratory and confirmatory factor analyses were used to evaluate construct validity. The reliability analysis of all 126 registered nurses entered in the study showed satisfactory results (Cronbach's α = 0.83). External validity was evidenced by the significant negative correlation between the SPS‐6 and the perceived stress scores. The factor analysis resulted in a two‐component solution that conjointly accounted for 52.4% of the variance. A confirmatory factor analysis showed an adequate model fit. The Portuguese version of the SPS‐6 displays the appropriate structure to measure the active employee's engagement at work.     

Reliability and validity of a chinese version of the pediatric asthma symptoms scale

As a construct, asthmatic severity provides a framework to understand the different reaction in children to their condition. Assessing asthmatic severity is a challenging task for most researchers and clinicians due to a lack of valid instruments to measure the severity of asthma of children in home settings. The purpose of this study was to examine the psychometric properties of a Chinese version of the Pediatric Asthma Symptoms Scale (C-PASS) as applied to an ethnic Chinese population in Taiwan. Firstly, five pediatric nurses holding masters' degrees assessed consistency between Chinese and English versions of the Pediatric Asthma Symptoms Scale. Secondly, internal consistent reliability, split-half reliability, content validity, criterion-related validity, and construct validity were established. An 8-item C-PASS was completed by mothers of 70 children (65.7% boys) of ages 8.35 years. Both the internal consistency and Guttman split-half reliability were .87. The content validity index (CVI) was over .80. The correlation coefficient between C-PASS and concurrent measures of the rating of lost control of life by mothers was .273 (p = .022). The criterion-related validity was supported for C-PASS. Factor analysis indicated that a scale of two dimensions accounted for 67.92% of the variance. A high inter-correlation was further identified between these two dimensions. Results showed C-PASS to be a reliable and valid instrument when used on Taiwanese children with asthma. It can serve as a valuable assessment tool in clinical practice to identify asthmatic severity levels for which intervention is advised.     

中文版工作疲溃感问卷在中国护理人员中的测试研究

目的测试中文版工作疲溃感问卷(Maslach Burnout Inventory,MBI)在中国护理人员中使用的信度和效度,为中国护理人员工作疲溃感的测评提供有效工具。方法翻译国外的工作疲溃感问卷,将所形成的中文版问卷在476名护士中使用,评价其信度和效度。结果因子分析结果显示,情绪疲倦感、工作冷漠感、工作成就感3个维度的条目因素负荷与原量表结构基本一致;全量表同质信度为0.823,3个维度Cronbach's a系数在0.770~0.888之间;重测信度在0.806~0.887之间;其中各条目与其所属维度之间相关较强,而与其他维度相关较弱;独立样本t检验证实量表区分效度好。结论工作疲溃感问卷中文版信度及效度较好,符合心理测量学要求。     

Psychometric testing of the Chinese version of nursing practice environment scale

Aims. To test the reliability and validity of the Chinese version of the Nursing Practice Environment Scale (C‐NPES) translated from the Lake’s Practice Environment Scale of the Nursing Work Index and to explore nurses’ perceptions of the nursing work environments in Taiwan Background. Magnet hospitals are characterised by professional autonomy, control over nursing practice, adequacy of staffing, supportive management and effective interdisciplinary relationships, which are successful in attracting and retaining nurses. In Taiwan, this concept has gained importance since the SARS crisis of 2003. However, there have been limited Chinese instruments based on magnet hospital traits to explore Taiwan’s nursing work environment. Design. This study was designed as a cross‐sectional survey. Purposive convenience samples of 842 nurses were recruited from five acute hospitals in Taiwan. Internal consistency reliability, content validity using expert review, construct validity using factor analysis and criterion‐related validity were examined. Results. The Cronbach’s alphas were 0·90 for the total scale and 0·87–0·65 for the subscales. The validity was obtained using a content validity index and principal component analysis of five‐factor structure (variance explained 47·89%). The criterion‐related validity was supportive of the turnover rate (t = 7·84, p < 0·001). The participants disagreed on staffing and resource adequacy and participation in hospital affairs but agreed on professional development. Conclusion. The preliminary psychometric properties of C‐NPES have been established. Considering cultural appropriateness, the subscales of staffing and participation in hospital affairs need advanced modification. Relevance to clinical practice. The C‐NPES will provide hospital administrators with an overview of magnet hospital settings for nursing practice. It is beneficial for the stabilisation of the nursing workforce as well as for the optimisation of nursing work environments. Additionally, the use of professional development programs to enhance nurses’ knowledge of SARS prevention is favorable.     

Verification of reliability and validity of a Japanese version of the Rathus Assertiveness Schedule

AIM: To verify the reliability and validity of a Japanese version of the Rathus Assertiveness Schedule in novice nurses to contribute to nursing management. BACKGROUND: An adequate scale is needed to measure the assertiveness and the effect of assertion training for Japanese nurses and to compare them with those in other countries. METHODS: Rathus Assertiveness Schedule was adapted to Japanese with back-translation and its validity was examined in 989 novice nurses. RESULTS: The Japanese version showed a high coefficient of reliability in a split-half reliability test (r=0.76; P<0.01). The coefficient of reliability of Cronbach's alpha was high (r=0.84; P<0.01) indicating high internal consistency. The similarity with the concept of stress coping was shown. We extracted eight principal factors using factor analysis with varimax rotation. Elements of these factors were similar to those of the original Rathus Assertiveness Schedule. CONCLUSION: The Japanese version of Rathus Assertiveness Schedule was verified.     

Psychometric Properties of the Knowledge,Attitude, and Practice Behavior of Oncology Nurses on Advance Care Planning Instrument

ObjectiveAdvance care planning has been practiced in Western countries for several years, but non-Western cultures face challenges in implementation. This study was dedicated to translating the instrument measure into Chinese, examining its psychometric qualities and exploring the relationships among knowledge, attitudes, and practicing behaviors in advance care planning among oncology nurses in China.Data SourcesThe research adopted a cross-sectional design from September 3 to October 5, 2021. After translation and cultural adaptation, oncology nurses (N = 249) were involved. The research used psychometric evaluation to verify that the content validity, structural validity, internal consistency, and test-retest reliability enhanced the analytical rigorous instrument.ConclusionThe translated and adapted instruments showed reasonable psychometric properties. The Chinese version of the KAB-ACP for oncology nurses is a consistent, valid, and reliable instrument for assessing knowledge, attitude, and practice behavior of Chinese-speaking nurses who work in advance care planning by researchers or clinicians.Implications for Nursing PracticeMeasures of oncology nurses’ knowledge, attitudes, and practice behaviors will allow for more targeted interventions that will improve end-of-life care outcomes.     

中文版同情疲劳量表的信度、效度研究

目的:建立用于度量我国临床护士同情疲劳水平的中文版量表。方法:在翻译Stamm教授所编制的同情疲劳量表的基础上,通过专家评定和对305名临床护士的调查,对中文版量表的效度与信度进行分析、评价。结果:中文版同情疲劳量表按特征值≥1的标准通过最大正交旋转,共提取5个公因子,累积方差贡献率为55.642%;总量表的Cronbach’sα系数为0.91,3个维度的Cronbach’sα系数分别为0.87、0.73、0.84。结论:中文版同情疲劳量表具有较高的效度和信度,具有一定的实用价值,可用于评价国内临床护士同情疲劳水平。     

中文版葛森医院安全氛围量表的信度、效度研究

目的:译制中文版葛森医院安全氛围量表(C-HSCS),并对其信度和效度进行初步评价。方法:对量表进行科学、严谨的跨文化调适,并用中文版量表对391名临床护士进行测评,对测评结果进行信度和效度分析。结果:中文版葛森医院安全氛围量表由5个维度21个条目组成,内部一致性Cronbach’sα系数为0.870,重测信度为0.84,各条目的内容效度比(CVI)为0.9～1.0,全部条目的平均CVI为0.95。因子分析提取的5个公因子共解释总变异的57.955%。结论:调适后的C-HSCS具有良好的信度、效度,简单易行,可用于测评临床与血源性职业暴露相关的医院安全氛围。     

医院患者安全文化调查问卷中文版信效度检验

目的：测量中文版医院患者安全文化调查问卷（ Hospital Survey on Patient Safety Culture , HSOPSC）在临床医务人员使用的信效度,并进一步验证其在我国文化文化背景下的适用性。方法采用便利抽样,从北京市4家三级综合医院抽取422名临床医务工作者,通过问卷及各个维度的Cronbach ’ sα对问卷的内部一致性信度进行测评。间隔2周重新使用中文版HSOPSC对20名受试者进行测评,考察其重测信度。分别通过专家判断法和探索性因子分析对问卷的内容效度和结构效度进行测评。结果中文版HSOPSC总的Cronbach’sα系数为0．892,重测与首次测量总分的相关系数为0．854（P＜0．001）。与原版问卷相比中文版HSOPSC减少了一个因子,经过探索性因子分析共提取出11个公因子,11个公因子的累计贡献率为63．167％。结论中文版HSOPSC具好非常好的信度和可接受的效度。可用于我国临床医务人员患者安全文化的测评。     

负性行为问卷中文版信度、效度初步检验

目的:编译中文版《负性行为问卷》(the Negative Acts Questionnaire Revised,NAQ-R),并验证其信度和效度。方法:从挪威获得英文版负性行为问卷(NAQ-R),征得原作者同意后翻译成中文,请7位专家评定内容,并进行文化调试,形成中文版NAQ-R。选取符合条件的临床护士进行调查,检验问卷的信度和效度。结果:中文版NAQ-R由3个因子(个人相关负性行为、工作相关负性行为、组织不公)、23个条目构成,3个公因子的累计贡献率为54.369%。问卷总分的Cronbach’s α系数为0.915,各条目重测相关系数为0.814～0.898(P<0.001),总分的相关系数为0.883(P<0.001)。中文版NAQ-R的折半信度系数为0.898。结论:中文版NAQ-R具有良好的信度和效度,可作为研究工作场所欺负的测量工具。     

中文版护生临床学习效能条件量表的信效度研究

目的 译制中文版护生临床学习效能条件量表(conditions of learning effectiveness ques-tionnaire,CLEQ),并对其信度和效度进行初步评价.方法 翻译并修订中文版CLEQ,并采用此量表对176名护理本科实习生进行调查,对测定结果进行信度和效度分析.结果 中文版CLEQ的Cronbach's α系数为0.956,4个维度Cronbach's α均＞0.70,表明该量表具有较好的内部一致性.总问卷分半信度为0.926,重测信度为0.869.4个维度的CVI为0.91～1.00,全部条目平均CVI为0.94.各维度及各维度与总量表之间高度相关,相关系数在0.691～0.829.探索性因子分析得到4个公共因子,共解释了61.63%的累计方差贡献率.结论 中文版CLEQ信度、效度较好,可用于评价我国护生临床学习环境的状况.     

中文版 GUSS 吞咽功能评估量表的信效度研究

目的：探讨中文版吞咽功能评估量表（ GUSS ）应用于脑卒中患者吞咽困难筛选中的信效度。方法将英文版GUSS经言语治疗师、神经内科医生和护理专家的翻译、回译和与原作者的讨论翻译成中文版本,对中文版本的评定者间效度、效标效度和区分效度进行检验。结果两名卒中护士之间评分的相关系数r＝0．926（P＜0．01）。 GUSS与神经科医生的标准吞咽功能评估（SSA）的评估结果呈显著相关（r＝0．72,P＜0．01）。综合评定指标显示,不同评价结局的患者其GUSS得分差异有统计学意义（F＝143．02,P＜0．01）。结论中文版本的GUSS信度和效度良好,适合在中国对脑卒中患者进行床旁吞咽困难筛选。