综合医院医务人员幸福感及影响因素分析

  目的  将医疗服务质量量表（CQS）汉化，并研究其在中国文化背景下的信度及效度。  方法  按照标准的量表翻译程序，将医疗服务质量量表翻译成中文再回译成英文，与原量表进行比对和修改；使用修改后的量表在北京、厦门、广州和新疆的5所医院开展调查，共回收1 238份有效问卷；并对有效问卷进行信效度分析。  结果  本量表共包含3个维度，13个问题，整体信度Cronbach′s α系数为0.959，组合信度CR值为0.925；各维度AVE值较高，RMSEA = 0.076，GFI = 0.947，IFI = 0.976，CFI = 0.976，TLI = 0.965，NFI = 0.972，量表具有良好的收敛效度和结构效度。  结论  中文版CQS量表在中国医务人员中使用具有良好的信度和效度。

Burnout and perceived quality of care among German clinicians in surgery

  Objective  To develop a Chirurgisches Qualitätssiegel (CQS)– Chinese version (CQS-C) and to assess the reliability and validity of the CQS-C.  Methods  We translated the CQS into Chinese with standardized procedures and translated the CQS-C back into English and compared the translation with the original CQS for the revision of the CQS-C. Then we conducted a self-administered survey with the revised CQS-C among 1 238 healthcare workers in five hospitals in Beijing, Xiamen and Guangzhou city and in Xinjiang Uygur Autonomous Region to evaluated the reliability and validity of the CQS-C.  Results  The developed CQS-C consists of 13 items and three dimensions were extracted from the 13 items with factor analysis. The overall Cronbach's α of the CQS-C is 0.959 and the composite reliability value is 0.925. The values of average variance extracted (AVE) are relatively high for all the three dimensions, indicating a good content validity; the results of structural equation modeling revealed a good construct validity of the CQS-C, with the root mean square error of approximation (RMSEA) of 0.076, goodness-of-fit index (GFI) of 0.947, incremental fit index (IFI) of 0.976, comparative fit index (CFI) of 0.976, Tucker-Lewis index (TLI) of 0.965, and normed fit index (NFI) of 0.972.  Conclusion  The developed Chirurgisches Qualitätssiegel (CQS) Chinese version is of good reliability and validity when applied among healthcare workers in China.