三级医院护士长绩效考评行为观察量表的建构

目的 运用关键事件技术对四川省三级医院的护士长岗位进行工作分析,开发护士长绩效考评行为观察量表.方法 运用关键事件技术访谈56名护理管理者收集到498件关键事件,归类获得15项考评指标、169个行为项目的 原始量表.48位考评者以五级利克特标度为基础对190名护士长进行预试考评,用项目分析筛选得到12项考评指标、54个行为项目的 正式行为观察量表.48位考评者用正式量表对192名护士长进行实测以检验其信度和效度.结果 该量表Cronbach's α系数在0.65～0.93,量表的重测信度在0.50～0.76;因子分析根据特征根>1的原则抽取了9个因子,累积贡献率68%.结论 基于关键事件技术的工作分析开发的护士长绩效考评行为观察量表具有良好的信度和效度.

Construction of behavioral observation scale for appraising the performance of charge nurses of class three hospital

Objective Based on a job analysis known as the Critical Incident Technique, this study is to develop a behavioral observation scale (BOS) for appraising the performance of charge nurses of class three hospital in Sichuan province. Methods First, 56 charge nurses and supervisors were interviewed by using the Critical Incident Technique and 498 incidents were reported.Then the 498 incidents were cate-gorized into15 criteria and 169 behavior items which formed one original BOS. 48 supervisors preexamined,on a five-point Likert scale as to the frequency, 190 charge nurses who were engaged in the behavior de-scribed by each incident. According to the item analysis above, 12 performance criteria and 54 behavioral items came out to form a formal behavioral observation scale for appraising performance of charge nurses Fi-nally,to test the reliability and validity of behavioral observation scale, 192 charge nurses were put under re-al test. Results The Cronbach's alpha coefficient ranged between 0.65 and 0.93. The retest reliability ranged from 0.50 to 0.76. Factor Analysis: 9 factors with eigenvalue greater than one were selected and ac-cumulative prepertion was 68%. Conclusions Behavioral observation scale developed on a job analysis known as the Critical Technique to appraise the performance of charge nurses has moderately high reliabili-ty and validity.