背景 臺灣目前尚缺乏一個用來評量長期照護機構護理人員能力的良好信效度之工具。目的 本研究旨在發展適用於評量長期照護機構護理人員能力之工具。方法 採參與式行動研究設計來發展長期照護護理能力評估工具,由19位長期照護領域專家以Delphi研究法審定由焦點團體訪談形成的問卷,再將問卷施測於190位長期照護機構護理人員,並以因素分析方法來建立問卷的建構效度。結果 量表包含11個類別、69個項目,整體內在一致性信度達.98,各類別內在一致性信度為.84至.97。結論/實務應用 新發展的長期照護護理能力量表具有良好的信度、內容及建構效度,可作為一個客觀評量長期照護機構護理人員能力的工具。
Background: There is a lack of reliable and valid performance assessments for nurses in long-term care facilities in Taiwan. Purpose: This study develops a performance assessment instrument for nurses working in long-term care facilities. Methods: A participatory action research approach was used to validate the performance assessment instrument. After 19 experts evaluated the results from the focus groups, field testing of the instrument was carried out among 190 nurses working in long-term care facilities. Factor analysis was employed to establish the construct validity of the scale. Results: The final scale consisted of 11 categories with 69 items. The overall scale reliability had a Cronbach's alpha of .98, and the values of the Cronbach's alphas for the various categories ranged from .84 to .97. Conclusions/Implications for Practice: The performance scale evaluated in this article has acceptable reliability, content validity, and construct validity. This scale can be used as an objective tool for measuring the performance of nurses working in long-term care settings.