摘要目的 编制患者安全护士胜任力评价量表,并对其进行信效度检验.方法 通过文献回顾、半结构式访谈及专家会议,明确护士的患者安全胜任力内涵,编制《患者安全护士胜任力评价量表》.于2017年9月-2018年1月,使用便利抽样选取5所北京市三级甲等医院的590名在职护士作为研究对象,进行自评和他评问卷调查.结果 量表最终包括35个条目.通过探索性因子分析得到特征值大于1 的因子共6个,累计方差贡献率为65.983%.6个因子条目分布与预想较为一致,验证性因子分析显示模型χ2/df为2.742,RMSEA为0.064.量表的各维度得分与问卷总分的相关系数(r值)为0.694~0.812,各维度之间的r值为0.367~0.647 (P<0.05);内容效度指数(S-CVI)为0.933,总量表的Cronbach's α系数为0.942,总量表重测信度系数为0.832.各维度自评得分和他评得分的r值为0.342~0.517,呈中等程度相关.结论 患者安全护士胜任力评价量表具有良好的信、效度,可较好地用于护士自评及他评护士的患者安全胜任力.

abstractsObjective To develop a Patient Safety Nurse Competency Evaluation Scale, and evaluate its reliability and validity. Methods The Patient Safety Nurse Competency Evaluation Scale was developed through literature review, semi-constructed interview and experts consultation. A total of 590 nurses in 5 Class ⅢGrade A hospitals in Beijing were selected by convenient sampling methods and investigated by self-evaluation and peer evaluation. Results The final instrument included 35 items, organized into 6 composites by exploratory factor analysis, with the cumulative contribution of 65.983%. The factor analysis confirmatory showed that χ2/df was 2.742, and RMSEA was 0.064. Correlation coefficients between composites and total scale ranged from 0.694 to 0.812, and correlation coefficients between composites ranged from 0.367 to 0.647, with statistical significance (P< 0.05). The content validity index (S-CVI) was 0.933. The total scale internal consistency reliability was 0.942. The retest reliability coefficient of the general scale was 0.832. The correlation coefficients between self-evaluation and peer evaluation ranged from 0.342 to 0.517 in medium correlation. Conclusions The Patient Safety Nurse Competency Evaluation Scale demonstrates adequate reliability and validity. It is culturally appropriate for nurses self-evaluation and peer evaluation on patient safety competency.