發展與驗證臨床護理職能量表

Development and Validation of the Clinical Nursing Competence Scale

趙秀玲(Hsiu-Ling Chao)

指導教授 ： 高家常

義守大學/醫學院/醫務管理學系/碩士(2016年)

摘要

目的: 本研究的目的是發展與驗證臨床護理職能量表
方法：採用橫斷性研究設計，以方便取樣在臺灣南部某家醫學中心之250位臨床護理人員為研究對象。採Web-Quest進行資料收集(填答率83.3%)，問卷包括：「臨床護理職能量表(49題)」、「簡短之中文版衛生安全局工作相關壓力的指示工具(13題)、與「基本資料」。資料收集時間從2015年10月至2016年01月。分析步驟依序為:專家效度、表面效度、探索性因素分析，同時效度與內在一致性信度。
結果：臨床護理職能量表包括臨床基本照護能力(8題)、職場倫理(4題)與專業承諾 (4題)等三個構面，因素負荷量為 .68至 .82之間，解釋總變異量為62.02%。此三個構面與簡短之中文版衛生安全局工作相關壓力的指示工具之支持環境(r = .46至 .57）與角色功能(r = .65至 .78)次構面呈現中度至高度相關。原49題與16題之臨床護理職能量表(r = .98)，三個構面與整體量表之Cronbach's α依序為 .93、.87、.83與 .95。
結論：16題三個構面之簡短版之臨床護理職能量表具有良好的效度與性度。能夠協助管理者了解臨床護理人員在臨床基本照護能力、職場倫理與專業承諾之表現，並作為提供護理人員在職訓練的依據，以提升照護品質和工作效能。

關鍵字

臨床護理職能 ； 探索性因素分析 ； 同時效度 ； 內在一致性信度

並列摘要

Purpose: To develop and validate of the Clinical Nursing Competence Scale (CNSS).
Methods: A cross-sectional study with convenience and snowball sampling metheds was applied in this study. A total of 250 participants were recruited from a medical center in the southern of Taiwan. Data were collected via Web-Quest with a response rate of 83.3 %. Instruments used for the study included the CNSS (49 items), the Short-Form Chinese Health and Safety Executive’s Management Standards Indicator Tool (C-HSE-SF) (13 items), and basic information. Data collection was from October 2015 to January 2016. Analytic methods were content validity, exploratory factor analysis, concurrent validity, and internal consistency reliability
Results: The CNSS was composed of three subscales; that were care competence ( 8 items), workplace ethics (4 items), and professional commitment (4 items). Factor loadings ranged from .68 to .82 and these three explained 62.02% of the total variance. The three subscales were moderate to high correlations (r= .46 to .78) with each others and with supportive climate(r = .46 to .57）and role perception(r = .65 to .78) subscales of the C-HSE-SF. The correlations between 49 items CNSS and 16 items CNSS was .98. The Cronbach's α of overall and each subscale were .95, .93, .87, and .83.
Conclusion: The newly developed CNSS demonstrates satisfactory contruct validity, concurrent validity, and internal consistenct reliability. The CNSS can be applied to education, research, and clinical practice for clinical-based nurses.

並列關鍵字

Clinical nursing competence ； Exploratory factor analysis ； Concurrent validity ； Internal consistency reliability

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