护理人员组织沉默行为量表的汉化及信效度检验

目的汉化护理人员组织沉默行为量表(Organizational Silence Behavior Scale,OSBS),并对其进行信效度检验。方法采用Brislin翻译模式对护理人员OSBS进行翻译和回译,形成中文版护理人员OSBS;通过专家咨询、预调查对量表的条目进行筛选优化。采用方便抽样法,于2019年4月—2020年10月选取郑州市3所三级甲等医院的550名护士进行调查,评价量表的信效度。共发放问卷550份,回收有效问卷520份,有效回收率为94.5%(520/550)。结果中文版护理人员OSBS的量表水平内容效度指数为0.930,条目水平的内容效度指数为0.860~1.000。探索性因子分析提取出4个公因子,累计方差贡献率为63.61%。验证性因子分析结果显示,卡方与自由度比值(χ²/df)=1.087、残差均方和平方根(RMR)=0.035、近似残差均方和平方根(RMSEA)=0.021、调整拟合优度指数(AGFI)=0.990、拟合指数(GFI)=0.887、递增拟合指数(IFI)=0.990。总量表的Cronbach’sα系数为0.893,各维度Cronbach’sα系数为0.839~0.944;总量表的重测信度系数为0.974,各维度重测信度系数为0.818~0.881。结论中文版护理人员OSBS具有良好的信度和效度,可作为我国护理人员组织沉默行为的测评工具。

The Chinesization and reliability and validity test of Organizational Silence Behavior Scale for healthcare professionals

Objective To translate Organizational Silence Behavior Scale(OSBS)for healthcare professionals into Chinese and to test the reliability and validity.Methods The OSBS for healthcare professionals was translated and back-translated according to the Brislin translation mode and then the Chinese version of OSBS for healthcare professionals was developed.The items on the scale were screened and optimized through expert consultation and pre-survey.Using the convenient sampling method,a total of 550 nurses from 3 ClassⅢGrade A hospitals in Zhengzhou were selected from April 2019 to October 2020 to conduct a survey to evaluate the reliability and validity of the scale.A total of 550 questionnaires were issued and 520 valid questionnaires were returned.The effective response rate was 94.5%(520/550).Results The content validity index of the Chinese version of the OSBS for healthcare professionals was 0.930,and the content validity index of the item level was from 0.860 to 1.000.Exploratory factor analysis extracted 4 common factors and the cumulative variance contribution rate was 63.61%.The confirmatory factor analysis results showed that the ratio of chi-square to degrees of freedom(χ²/df)was 1.087,the root mean square residual(RMR)was 0.035,the root mean square error approximation(RMSEA)was 0.021,adjust goodness-of-fit index(AGFI)was 0.990,goodness-of-fit index(GFI)was 0.887 and incremental fit index(IFI)was 0.990.The Cronbach'sαcoefficient of the total scale was 0.893,and the Cronbach'sαcoefficient of each dimension was 0.839 to 0.944.The test-retest reliability coefficient of the total scale was 0.974,and the test-retest reliability coefficient of each dimension was 0.818 to 0.881.Conclusions The Chinese version of OSBS for healthcare professionals has good reliability and validity,which can be used as a tool to evaluate the silent behavior of nursing staff in China.