临床护士反思能力量表的汉化及信效度检验

doi:10.3761/j.issn.1672-9234.2023.04.014

摘要/Abstract

摘要：

目的汉化临床护士反思能力量表并检验其信效度。方法获取原量表作者授权后，基于Brislin翻译模型对日文版临床护士反思能力量表进行直译、回译及文化调适，形成中文版临床护士反思能力量表。应用中文版量表对424名护士进行调查，并选取50名护士进行重测，邀请7名专家进行内容效度评价，以检验量表的信效度。结果中文版临床护士反思能力量表包括回顾护理实践、反思护理实践、拓展护理实践3个维度，19个条目。量表层面的专家效度指数为0.947，条目层面的专家效度指数为0.857~1.000。探索性因子分析提取3个公因子，累计方差贡献率为51.865%。验证性因子分析显示：χ²/df=1.602，RMSEA=0.052，CFI=0.941，GFI=0.902，IFI=0.942，TLI=0.932。量表的Cronbach’s α系数为0.901，重测信度为0.948。结论中文版临床护士反思能力量表信效度较好，可作为国内评估临床护士反思能力的工具。

关键词: 护士, 问卷调查, 因素分析, 统计学, 反思, 信度, 效度

Abstract:

Objective To translate the Clinical Nurses’ Reflective Ability Scale into Chinese and to test its reliability and validity. Methods With the authorization of the original author，literal translation，back translation and cultural adjustment of the Clinical Nurses’ Reflective Ability Scale were carried out based on the Brislin translation model. A total of 424 nurses were recruited and investigated by the Chinese version scale，and 50 nurses were randomly selected to retest. Besides，seven experts evaluated the content validity to test the reliability and validity of the scale. Results The Chinese version scale included 19 items and three dimensions：review，reflection and expanding nursing practice. The range of S-CVI was 0.947 and the I-CVI was ranged from 0.857 to 1.000. Three common factors were extracted by exploratory factor analysis，and the cumulative variance contribution rate was 51.865%. Confirmatory factor analysis showed：χ²/df=1.602，RMSEA=0.052，CFI=0.941，GFI=0.902，IFI=0.942，TLI=0.932. The total Cronbach’s α coefficient of the scale was 0.901，and retest reliability coefficient were 0.948. Conclusion The Chinese version of the scale has good reliability and validity in the domestic cultural background and could be deemed as a valid instrument for assessing reflective ability of clinical nurses.

Key words: Nurses, Questionnaires, Factor Analysis, Statistical, Reflective, Reliability, Validity

邵李姣, 王俊霞, 吴田瑞, 赵煜华, 葛淑怡. 临床护士反思能力量表的汉化及信效度检验[J]. 中华护理教育, 2023, 20(4): 462-466.

SHAO Lijiao, WANG Junxia, WU Tianrui, ZHAO Yuhua, GE Shuyi. The reliability and validity of the Chinese version of the Clinical Nurses’ Reflective Ability Scale[J]. Chinese Journal of Nursing Education, 2023, 20(4): 462-466.

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参考文献 15

[1]	Dewey J. How we think:a restatement of the relation of re-flective thinking to the educative process[M]. Lexington,MA: Heath and Company, 1933.
[2]	Schoen DA. The reflective practitioner:how professionals think in action[M]. New York: Basic Books, 1983.
[3]	White KR. To learn:the power of reflection[J]. Nurs Outlook, 2022, 70(2):09-210.
[4]	侯梦晓, 王飞杰, 越丽霞, 等. 临床护士反思的研究进展[J]. 中国实用护理杂志, 2020(6):472-476.
	Hou MX, Wang FJ, Yue LX, et al. Research progress on reflective practice of clinical nurses[J]. Chin J Pract Nurs, 2020(6):472-476.
[5]	Patel KM, Metersky K. Reflective practice in nursing:a concept analysis[J]. Int J Nurs Knowl, 2022, 33(3):180-187.
[6]	潘靖菁, 赵霖, 彭吉娜, 等. 学习者反思能力提升评价工具的汉化及信效度检验[J]. 中华护理教育, 2021, 18(10):915-919.
	Pan JJ, Zhao L, Peng JN, et al. Reliability and validity of the reflection evaluation for learners’ enhanced competencies tool[J]. Chin J Nurs Educ, 2021, 18(10):915-919.
[7]	Asselin ME, Fain JA. Effect of reflective practice education on self-reflection,insight,and reflective thinking among experienced nurses:a pilot study[J]. J Nurses Prof Dev, 2013, 29(3):111-119. doi: 10.1097/NND.0b013e318291c0cc
[8]	Nishimoto A, Tanimura C, Okuda R, et al. Development of a reflective ability scale for clinical nurses[J]. Yonago Acta Med, 2021, 64(3):303-314. doi: 10.33160/yam.2021.08.010 pmid: 34434066
[9]	Evelein FG, Korthagen FAJ. Practicing core reflection:activities and lessons for teaching and learning from within[M]. New York: Routledge, 2014.
[10]	Jones PS, Lee JW, Phillips LR, et al. An adaptation of Brislin’s translation model for cross-cultural research[J]. Nurs Res, 2001, 50(5):300-304. doi: 10.1097/00006199-200109000-00008 pmid: 11570715
[11]	王家良. 临床流行病学:临床科研设计、测量与评价[M]. 5版. 上海: 上海科学技术出版社, 2021.
[12]	吴明隆. 结构方程模型:AMOS的操作与应用[M]. 重庆: 重庆大学出版社, 2009.
[13]	Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations[J]. Res Nurs Health, 2007, 30(4):459-467. doi: 10.1002/nur.20199 pmid: 17654487
[14]	刘淼, 何耀, 张迪, 等. 社区老年人群健康综合评估工具的研发及信度和效度研究[J]. 中华流行病学杂志, 2016, 37(2):210-213. doi: 10.3760/cma.j.issn.0254-6450.2016.02.012 pmid: 26917517
	Liu M, He Y, Zhang D, et al. Reliability and validity of a newly developed tool to be used for the comprehensive geriatric assessment on community elderly[J]. Chin J Epidemiol, 2016, 37(2):210-213. doi: 10.3760/cma.j.issn.0254-6450.2016.02.012 pmid: 26917517
[15]	侯梦晓, 王飞杰, 越丽霞, 等. 临床护士临床实践中专业反思体验的质性研究[J]. 中华护理教育, 2019, 16(12):937-941.
	Hou MX, Wang FJ, Yue LX, et al. A qualitative research on how clinical nurses conduct reflective practice[J]. Chin J Nurs Educ, 2019, 16(12):937-941.