护理人员传染病突发事件防控能力问卷编制及信效度检验

目的 编制护理人员传染病突发事件防控能力问卷并检验其信效度。方法 以前期课题组汉化的感染预防协会能力框架为理论基础，通过文献回顾、德尔菲专家函询和预调查形成问卷初稿。采用方便抽样法，2022年6月选取湖北省某三级甲等综合医院303名护理人员作为调查对象，对问卷进行项目分析、探索性因子分析和信度检验；2022年7月另取湖北省3所三级甲等综合医院561名护理人员作为调查对象，对问卷进行验证性因子分析。结果 最终形成的护理人员传染病突发事件防控能力问卷包括临床实践能力、学习与教育能力、领导与管理能力、质量改进与研究能力、职业道德素养5个维度，共35个条目。探索性因子分析提取5个公因子，累计方差贡献率为74.587%；验证性因子分析结果显示，模型拟合良好，问卷因子结构稳定。问卷总体内容效度和各条目内容效度均为1.00。问卷总的Cronbach’s α系数为0.975，分半信度为0.874，重测信度为0.877。结论 护理人员传染病突发事件防控能力问卷信效度良好，可作为评价护理人员传染病突发事件防控能力的工具。

Development and reliability and validity tests of Questionnaire on Prevention and Control Competence of Nursing Staff for Infectious Disease Emergencies

Objective To develop and test the reliability and validity of the Questionnaire on Prevention and Control Competence of Nursing Staff for Infectious Disease Emergencies. Methods Guided by translated Infection Prevention Society Competency Framework，a questionnaire draft was constructed through the literature review，Delphi expert consultation，and a pilot survey. By convenience sampling method，303 nursing staff were investigated for item analysis，exploratory factor analysis，and reliability analysis of the pre-test questionnaire from a tertiary A hospital in Hubei in June 2022；another 561 nurses were selected for confirmatory factor analysis from 3 tertiary A hospitals in Hubei in July 2022. Results The formal questionnaire included 35 items in 5 dimensions（clinical practice，learning and education，leadership and management，quality improvement and research，and professional ethics）. Exploratory factor analysis extracted 5 common factors，and the cumulative variance contribution rate was 74.587%. Confirmatory factor analysis showed that the model fit well and the questionnaire’s factor structure was stable. The scale-level content validity index of the questionnaire and the item-level content validity index of each item were 1.00. The overall Cronbach’s α coefficient was 0.975. The overall split-half reliability was 0.874. The overall retest reliability was 0.877. Conclusion The Questionnaire on Prevention and Control Competence of Nursing Staff for Infectious Disease Emergencies has good reliability and validity，which could be used to assess nurses’ competence in infectious disease emergencies prevention and control.