急诊科护理工作应激源量表的汉化及信效度检验
Chinese version of the stressor scale for emergency nurse: assessment of reliability and validity
摘要目的:对急诊科护理工作应激源量表(SSEN)进行汉化,并检验其信效度。方法:根据Brislin模型对源量表进行翻译、回译,经过文化调适及预调查后,形成中文版SSEN。2021年10月至2022年1月采用便利抽样法选取青岛大学附属医院401名急诊科护士进行问卷调查,评价量表的信效度。结果:中文版SSEN共27个条目,经探索性因子分析后提取4个公因子,累计方差贡献率为78.463%。验证性因子分析显示,卡方自由度比=2.280,比较适配指数=0.933,Tucker-Lewis指数=0.924,增值拟合指数=0.933,近似残差均方根=0.079,均在可接受范围;中文版SSEN条目水平的内容效度指数为0.80~1.00,量表水平的内容效度指数为0.97;与职业倦怠量表呈显著正相关,相关系数为0.456( P<0.001);总量表的Cronbach α系数为0.971,分半信度为0.877,重测信度为0.958。 结论:中文版SSEN具有良好的信效度,可用于我国背景下急诊科护士的工作应激源调查。
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abstractsObjective:To translate the Stressor Scale for Emergency Nurse (SSEN), and to test the reliability and validity of the Chinese version.Methods:According to the Brislin model to translate and back-translate the orginal English version, the Chinese version of the scale was determined after cross-cultural adaptation and pretesting. From October 2021 to January 2022, 401 emergency nurses in the Affiliated Hospital of Qingdao University were selected for a questionnaire survey to evaluate the reliability and validity of the translated Chinese scale.Results:The Chinese version of the SSEN retains 27 items, 4 common factors were extracted by exploratory factor analysis, and the factor cumulative variance contribution rate was 78.463%. Confirmatory factor analysis showed that χ2/ df=2.280, comparative fitness index=0.933, Tucker-Lewis index=0.924, incremental fit index=0.933, root mean square of approximate residual=0.079, all within the acceptable range. The item-level content validity index of the Chinese SSEN was 0.80-1.00; the scale-level content validity index was 0.97; it was positively correlated with the Maslach Burnout Inventory manual, and the correlation coefficient was 0.456 ( P<0.001); the Cronbach α coefficient of the total table was 0.971, the split-half reliability was 0.877, and the test-retest reliability was 0.958. Conclusions:The Chinese version of the SSEN has good reliability and validity, and it can be used to investgate the occupattional stressors for emergency nurses in the context of Chinese culture.
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