预防中心静脉导管相关性感染认知和行为问卷的信效度分析

目的编制适用于护理人员预防中心静脉导管相关性感染的认知和行为调查问卷,并检验其信效度。方法在查阅相关文献、专家咨询的基础上初步编制了中心静脉导管相关性感染预防的认知和行为调查问卷,采用方便抽样法对河南省某三级甲等医院220名护士进行问卷凋查。使用Cronbachα系数、因子分析、内容效度指数考察问卷的信度与效度。结果因子分析表明目标问卷有良好的结构效度,32个条目有较高的负荷值,所反映的导管相关感染的基本知识、手卫生与消毒、导管的置入与维护、穿刺点敷料的护理、感染的诊断和处理等5个维度与初步设计问卷的结构基本相符;问卷各条目的内容效度指数在0.625～1.0之间,量表水平的内容效度指数为0.92;总Cronbachα系数为0.803,5个维度的Cronbachα系数分别为0.691、0.781、0.667、0.780、0.793。结论该问卷具有较好的稳定性和可靠性,可以作为评价护士中心静脉导管相关性感染的预防认知及行为现状的可靠工具。     

护士促进癌症幸存者体力活动知信行问卷的编制及信效度检验

目的 编制护士促进癌症幸存者体力活动知信行问卷并检验其信效度。方法 以知信行理论为指导,通过文献回顾、查阅指南、头脑风暴、专家函询、预调查后形成初始问卷,便利选取553名肿瘤相关科室护士进行调查,对问卷进行项目分析及信效度检验。结果 问卷由知识、信念、行为3个维度共30条目构成。总问卷的Cronbach α系数为0.950,折半信度为0.682,重测信度为0.900。探索性因子分析提取3个公因子,累计方差贡献率为58.252%。验证性因子分析显示：χ²/df=2.395,RMSEA=0.073,NFI=0.849,IFI=0.906,TLI=0.897,CFI=0.906,模型拟合良好。内容效度分析显示,条目水平内容效度指数(I-CVI)为0.833～1.00,平均量表水平内容效度指数(S-CVI/Ave)为0.969,全体一致量表水平内容效度指数(S-CVI/UA)为0.800。结论 该问卷具有良好的信效度,可用于评估我国肿瘤科护士在促进癌症幸存者体力活动方面的知识、信念和实践水平。     

妇产科医院新入职护士母乳喂养知识态度现况调查

目的:了解新入职护士母乳喂养知识与态度情况及对母乳喂养的临床教学需求,为后期构建母乳喂养临床教学方案提供依据.方法:2020年8月至10月,采用方便抽样法选取上海市3所妇产科医院新入职护士作为研究对象,采用母乳喂养知识与态度问卷及培训需求问卷对其进行调查.结果:101名新入职护士对母乳喂养知识和态度总分分别为(13.8...     

基于德尔菲法的ICU护士医疗器械相关性压力性损伤知信行问卷研制

目的研制科学、实用的ICU护士医疗器械相关性压力性损伤知信行问卷。方法根据知信行理论,通过文献回顾初步拟定问卷维度和条目,运用德尔菲法对国内19名专家进行2轮函询,并对每轮函询专家意见的积极程度、权威程度、集中程度和协调程度进行统计分析。结果2轮函询问卷的有效回收率为95%和100%;专家权威系数分别为0.87和0.90;协调系数分别为0.347和0.424;变异系数0.00~0.32和0.00~0.14。最终确立了包括3个维度和35个条目的ICU护士医疗器械相关性压力性损伤知信行问卷。结论基于德尔菲法的ICU护士医疗器械相关性压力性损伤知信行问卷具有较强的科学性和可行性,可用于临床评估ICU护士对医疗器械相关性压力性损伤的认知水平和实践活动现状。     

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.     

《临床不良事件上报知信行问卷》编制及其信效度检验

  目的  编制不良事件上报知信行问卷, 并评价其信度和效度。  方法  采用知信行理论为问卷构架, 在文献阅读、医护人员和专家访谈的基础上初步编制不良事件上报知信行问卷; 随机抽取北京协和医院医护人员进行问卷调查。以Cronbach'α系数检验内部一致性信度, 以内部相关系数(intraclass correlation coefficient, ICC)检验重测信度, 以内容效度指数(content validity index, CVI)检验内容效度, 探索因子分析检验结构效度, 以问卷得分的高分组和低分组之间的独立样本t检验评价区分效度。  结果  回收有效问卷130份; 各维度及总问卷的Cronbach'α系数均 > 0.6;各条目ICC系数均 > 0.75;各维度CVI系数均 > 0.9;因子分析共提取5个公因子, 累计方差贡献率61.8%, 各条目的共性方差均>0.4;高分组和低分组得分差异具有统计学意义(P < 0.01)。  结论  《临床不良事件上报知信行问卷》具有理想的信度和效度, 可作为不良事件上报现状的调研工具。     

Development and validation of a self-management ability questionnaire for patients with chronic periodontitis

ObjectiveThis study aimed to develop and validate a self-management ability questionnaire for patients with chronic periodontitis.MethodsA questionnaire was developed through theoretical research, literature review, semi-structured interview, and expert consultation. A total of 231 patients with chronic periodontitis from the Department of Periodontics in the Stomatological Hospital of Tianjin Medical University were recruited by convenient sampling. Validity and reliability were analyzed.ResultsThe questionnaire consisted of 24 items. Exploratory factor analysis identified three principal factors, which explained 66.949% of the total variance. The item-level content validity was between 0.800 and 1.000, and the scale-level content validity was 0.969. The coefficient of correlation between the gold standard and the whole questionnaire was 0.869. Cronbach's α of the whole questionnaire was 0.931, and the test–retest reliability coefficient was 0.825.ConclusionThe questionnaire developed in this study satisfies the measurement standard and has good reliability and validity. It is useful for clinical work to measure self-management among patients with chronic periodontitis.     

儿科ICU护士对每日唤醒患儿的知信行现状调查

目的 调查儿科ICU护士对每日唤醒的知信行情况,为临床培训提供参考。 方法 采用方便抽样法,于2021年7月对我国7所三级甲等儿童医院的298名儿科ICU护士进行问卷调查,调查工具为自行设计的一般资料调查表、每日唤醒知信行问卷。 结果 298名儿科ICU护士对每日唤醒的认知：知识得分为4（2,4）分,得分率为40%,157名（52.68%）护士表示不太了解或从未听说过每日唤醒。态度：认可度得分32（27,34）分,得分率为80%,217名（72.82%）护士愿意实施每日唤醒,258名（86.58%）护士想获得系统培训。实践行为：221名（74.16%）护士未接受过相关培训,159名（53.35%）护士从不或很少实施每日唤醒。 结论 儿科ICU护士对每日唤醒知识掌握较差,对每日唤醒的认可度较高,实践行为还有待加强,护理管理者应充分重视儿科ICU护士的培训需求,开展每日唤醒基础知识和实践技能的系统培训,提高护士每日唤醒实践水平。     

118名儿科重症监护室护士小儿疼痛知信行分析

目的调查儿科重症监护室护士对小儿疼痛的知信行现状,探讨疼痛知识与疼痛态度和处理方法之间的关系。方法采用问卷调查法,对2家三级甲等医院118名儿科重症监护室护士整群抽样,调查重症监护室护士的基本资料、对小儿疼痛的知识、对疼痛的态度和处理方法的情况。结果仅43名(36.4%)重症监护室护士接受过疼痛知识培训或自学疼痛知识;参加过疼痛知识培训或自学疼痛知识的护士得分较高(P0.05);儿科重症监护室护士疼痛知识得分与疼痛评估及处理方法得分之间呈正相关(Spearman等级相关系数rs=0.64,P0.05)。结论应加强儿科重症监护室护士儿童疼痛知识的培训,提高护士在小儿疼痛护理方面的实践能力。     

Knowledge,attitude and practice regarding nursing interruptions among Chinese nurses: A nationwide cross-sectional survey

ObjectivesTo explore the knowledge, attitude and practice of Chinese nurses regarding nursing interruptions and related factors.MethodsA total of 6,400 nurses from 31 hospitals in China were investigated by using the Knowledge, Attitude and Practice (KAP) Questionnaire of Nursing Interruptions. The questionnaire consists of three dimensions, knowledge, attitude and practice, containing 10, 9 and 7 items, with full score of 50, 45 and 28, respectively.ResultsThe mean overall KAP score regarding nursing interruptions of Chinese nurses was 74.05 ± 16.65 (range: 26–123), with scores for the knowledge, attitude, and practice component being 21.74 ± 9.80, 34.83 ± 6.98, and 17.49 ± 4.97, respectively. Among the nurses, 70.8% of them experienced an average level of KAP toward nursing interruptions while 15.5% were at a poor level. The knowledge, attitude, and practice of nursing interruptions were better in chief nurses, managers, nurses with a master degree or above, nurses ever received training, and nurses with a strong agreement to leadership compared to nurses in other groups (P < 0.05). In addition, employment type, professional title, position, standardized training and leaders’ attention were predictors of KAP in nurses.ConclusionChinese nurses have a moderate level of KAP regarding nursing interruptions. Leaders’ attention, standardized training, position, professional title and employment type could predict nurses’ KAP state of nursing interruptions. Thus, a targeted training program should be implemented for clinical nurses by nursing leaders, with a particular focus on feasibility and professionalism.     

Establishing the Validity and Reliability of a Pediatric Pain Knowledge and Attitudes Questionnaire

Children continue to experience unrelieved pain during hospitalization, despite the evidence to guide nurses’ pain management practices being readily available. Nurses’ knowledge and attitudes have been identified as a possible reason for suboptimal pain management. This study examines the validity and reliability of an existing questionnaire to validate it for use in the population of interest. Initial testing demonstrated low reliability and validity. Modifications to the questionnaire were made on the basis of these results and the feedback provided by experts in pediatric pain management. Subsequent testing demonstrated good validity and reliability, suggesting that the questionnaire is appropriate for measuring nurses’ knowledge and attitudes in relation to pediatric pain management.     

Pain management in the older adult: The relationship between nurses' knowledge,attitudes and nurses' practice in Ireland and Jordan

BackgroundResearch studies regarding nurses' knowledge attitudes and practice in the older adult are limited. Furthermore, none of these studies attempted to investigate the relationship between knowledge attitudes and practice. Furthermore, little studies compared nurses' knowledge, attitudes and practice between Eastern and Western countries.AimTo describe the factors associated with nurses' acute pain management practice in the context of caring for older adult patients.MethodA quantitative, correlational, comparative and cross-sectional survey approach.Data collectionData were collected using survey questionnaire.SampleA sample of 267 registered nurses from Ireland and Jordan (one private hospital in each country).ResultsA multiple linear regression analysis revealed that nurses' general knowledge and attitude towards pain management was associated with their pain management practice, with a regression coefficient of 0.14 (p = 0.002). However, knowledge of pain in the elderly failed to reach a statistically significant relationship with pain management practice. In regards to country and gender, Irish nurses had an average score that was 2.61 points higher than Jordanian nurses (p < 0.001), female nurses had an average score that was 0.67 points higher than male nurses (p = 0.025). The overall regression model was significant (p < 0.001) with an R² value of 43.2%, indicating that 43.2% of the variation in scores was explained by knowledge, attitude and practice.ConclusionMore research studies combining the three concepts (knowledge, attitude and practice) are recommended in the area of pain management.     

消毒供应中心护士岗位胜任力评价量表的编制及信效度检验

目的 编制消毒供应中心护士岗位胜任力评价量表并检验其信效度。 方法 研究组将前期构建的消毒供应中心护士岗位胜任力评价指标（4个一级指标、58个二级指标）进行指标转换,形成消毒供应中心护士岗位胜任力评价量表。选取6名专家评定量表内容效度。2021年5月—6月,便利选取北京市3所三级甲等综合医院消毒供应中心34名护士进行预调查;2021年9月—10月,便利选取2个省市630名消毒供应中心护士正式调查并进行信效度分析。 结果 消毒供应中心护士岗位胜任力评价量表包括理论知识、操作技能、综合能力及个人特质4个维度,共60个条目,量表的内容效度指数为0.970,各条目的内容效度指数为0.830~1.000;探索性因子分析提取4个公因子,累计方差贡献率为71.51%。量表总的Cronbach’s α系数为0.989,折半信度为0.951,重测信度为0.840。 结论 构建的消毒供应中心护士岗位胜任力评价量表具有良好的信效度,可作为消毒供应中心护士岗位胜任力的评价工具,为制订相关培训与考核提供参考。     

儿科护士疼痛管理知识及态度的调查分析

目的调查儿科护士疼痛管理知识及态度现状,为提高儿科护士疼痛管理水平提供依据。方法采用中文版儿科护士疼痛知识与态度调查量表对961名儿科护士进行问卷调查,分析其疼痛管理知识及态度现状、疼痛管理工具使用情况、疼痛管理知识及态度的影响因素。结果研究对象的答题平均正确率为(38.8±7.8)%。多元线性回归结果显示,科室、是否有护士长管理经验、是否通过疼痛知识培训是护士疼痛管理知识及态度的影响因素(P<0.05),可解释29.7%的变异量。结论儿科护士缺乏疼痛管理知识,建议加强疼痛管理教育,拟定与临床实践切实相关的儿童疼痛管理培训。     

Development and validation of the Nurse’s Workplace Mental Health Questionnaire

ObjectivesThis study aimed to develop and validate the Nurse’s Workplace Mental Health Questionnaire (NWMHQ).MethodsThe questionnaire was developed based on the two continua model of mental illness and health proposed by Keyes. The initial questionnaire was generated through literature review, two rounds of Delphi expert consultation, followed by a pilot survey. Finally, the reliability and validity of the questionnaire were validated through an online survey of 2,815 registered nurses selected from the public hospitals in 11 provinces from June to July 2020.ResultsThe item-content validity index (I-CVI) of the questionnaire ranged from 0.750 to 1.000 and the average scale-level content validity index (S-CVI/Ave) was 0.906. Cronbach’s α coefficient was 0.948 and test-retest reliability was 0.850. The self-rating depression scale score was negatively related to the NWMHQ score (r = −0.664, P < 0.01). The exploratory factor analysis (EFA) yielded six factors (emotional status, psychological security, positive relationship, resilience, self-efficacy, and subjective well-being), consisting of 32 items. The cumulative variance contribution rate was 65.58%. Confirmatory factor analysis (CFA) showed an acceptable fit.ConclusionThe NWMHQ developed in this study showed good reliability and validity. This questionnaire may help assess the mental health status of nurses and help nursing managers to develop appropriate targeted psychological interventions.     

Development of a questionnaire assessing nursing staff 's knowledge,attitude, and practice on the prevention of the nosocomial infection in elderly patients: testing reliability and validity

Objective: To develop a questionnaire assessing nursing staff's knowledge, attitude, and practice on the prevention of the nosocomial infection in elderly patients and test its reliability and validity. Methods: After the drafted questionnaire was developed, two rounds of Delphi survey were conducted by consulting experts to improve the questionnaire. Subsequently, 700 copies of the questionnaire were distributed to nursing staff to assess its reliability and validity. Results: Exploratory factor analysis (EFA) identifies 3 aspects, namely knowledge, attitude, and practice, with a total of 38 items. The Cronbach's a coefficients of the questionnaire and each of the aspects are 0.85, 0.80, 0.886, and 0.77 (>0.7), respectively. Confirmatory factor analysis (CFA) of each of the aspects are c2/df = 3.99, 2.26, and 3.32; Goodness-of-fit index (GFI) = 0.91, 0.97, and 0.92; Root mean square error of approximation (RMSEA) = 0.06, 0.04, and 0.05; Comparative fit index (CFI) = 0.91, 0.96, and 0.90. Conclusions: Through this study, it can be ascer tained whether the developed questionnaire enjoys sound reliability and validity in assessing nursing staff's knowledge, attitude, and practice on preventing the nosocomial infection in elderly patients and thus has cer tain application value.     

护士进修需求评估量表的编制及信度、效度检验

目的 编制适用于临床护士进修需求的评估量表,并检验其信度和效度,为护士进修需求提供评估的工具.方法 通过查阅文献和质性访谈形成量表条目池,经两轮德尔菲法专家咨询,同时调查170名进修护士进行信度、效度检验后确定量表.结果 正式量表共20个条目,因子分析提取4个公因子,累计方差贡献率65.40％,分别为培训与考核需求、被...     

手术室护士对深静脉血栓预防知信行调查研究

目的了解手术室护士对深静脉血栓的危险因素及预防的认知情况,为今后对深静脉血栓的术中预防培训提供可靠的依据。方法采用便利抽样的方法,于2018年3月面向山西省5家三甲医院手术室护士发放自制问卷,知信行调查采用选择题方式计分,知的总分为30分。将调查数据编码录入EXCEL,并进行统计学分析。结果手术室护士深静脉血栓预防知识得分在8～21分之间,平均得分(13. 68±4. 65)分,正确率平均为51. 4%。结论山西省三甲医院手术室护理人员接受深静脉血栓预防知识培训不足,虽然手术室护士对深静脉血栓预防的态度积极,但是并未明确自己在深静脉血栓预防中的角色定位,医院手术室也多未制定深静脉血栓的预防规范。     

慢性心力衰竭患者照护者健康素养问卷的编制及信效度检验

目的 编制慢性心力衰竭患者照护者健康素养问卷,并进行信度和效度检验。方法 通过文献回顾、质性访谈和专家函询形成初始问卷。选取235例慢性心力衰竭患者的照护者进行问卷调查,并对问卷进行项目分析、信度和效度检验。结果 慢性心力衰竭患者照护者健康素养问卷包括健康知识和意识、健康行为、健康技能3个维度,共30个条目。在各维度水平分别进行探索性因子分析各提取2个公因子,各维度的累计方差贡献率分别为69.37%、72.41%和65.47%。问卷各维度的内容效度为0.929～1.000,问卷总体Cronbach's α为0.953,各维度的Cronbach's α为0.890～0.924;问卷总体折半信度为0.909,各维度折半信度为0.648～0.855。结论 本研究编制的慢性心力衰竭患者照护者健康素养问卷具有较好的信度和效度,可用于慢性心力衰竭患者照护者健康素养水平的评估。