颅脑创伤护理人员胜任特征量表的编制

目的探讨颅脑创伤护理人员胜任特征内涵，编制颅脑创伤护理人员胜任特征测量表。方法通过文献检索和调查问卷，初步编制颅脑创伤护理人员胜任特征测量表，并对全国9个省市18家医院从事颅脑创伤护理工作的586例护理人员展开调研分析，以确定正式量表；复测量表232例，并以中国护士胜任特征量表为关联效标，检测该量表的外部效度。结果颅脑创伤护理人员胜任特征测量表包括6个因素21个题项；单因子分析结果显示，各题项在各自因素上的因子载荷为0．633～0，870（P〈0．01），共同度在0．508～0．708，内部一致性系数α=0．930，分半信度0．935，说明该量表具有良好的信效度；皮尔逊相关系数=0．636，支持量表的外部效度；不同学历的颅脑创伤护理人员存在胜任特征测量分值的差异有统计学意义（P〈0．01）。结论颅脑创伤护理人员胜任特征量表具有较好的测量学特性，对不同绩效颅脑创伤护理人员具有较好的鉴别力。

Development of competency inventory for nurses nursing patients with craniocerebral trauma

Objective To investigate the connotation of nursing competency of nurses nursing patients with craniocerebral tratuna, and to develop the Scale of Competency of Nurses Nursing for Craniocerebral Trauma Patients (SCNNCTP). Methods A self-designed nursing competency scale for nursing persons in nursing patients with craniocerebral trauma was primarily made, through document search and questionaire investigation, and was used to survey and analyze the nursing staff conducting the nursing work to patients with craniocerebral trauma in 18 hospitals located in 9 provinces and cities through this country (n = 586), in order to establish the formal scale format of SCNNCTP. The formal scale format was re-tested (n =232), and the Chinese Nurse Competency Scale (CNCS) was used as associated criterion to determine this scale's external validity. Results SCNNCTP was a 21-item scale, including 6 factors. Single factor analysis showed that all factors loading to its item were 0.633～0.870 (P <0.01), Pearson Correlation were 0. 508 ～ 0. 708, index of internal consistency α = 0. 930, and Splite-Half Coeffcient was 0. 935, indicating that the SCNNCTP had good reliability and validity. Pearson Correlation = 0. 636, supporting the external validity of the SCNNCTP. The significant difference between nursing persons having different academic degree on the score of the SCNNCTP was found ( P < 0. 01 ). Conclusions SCNNCTP was proved to have good psychometric characteristic and have a great power of discrimination of the achievement of nurses nursing patients with craniocerebral trauma.