靈性照護態度量表建構與信效度檢定

The Construction and Evaluation of a Spiritual Care Attitude Scale

蔣宜倩(Yi‐Chien Chiang) ； 江惠英(Hui‐Ying Chiang) ； 李香君(Hsiang‐Chun Lee) ； 韓晶彥(Chin‐Yen Han) ； 蕭雅竹(Ya‐Chu Hsiao)

《護理暨健康照護研究》 10卷2期 (2014/06) Pp. 102-112

https://doi.org/10.6225/JNHR.10.2.102

摘要

Background: The spiritual care attitudes of nurses may significantly affect their ability to provide effective spiritual care to patients. The lack of an appropriate instrument has limited the ability of researchers to assess spiritual care attitudes in clinical practice in Taiwan. Purpose: This study developed the spiritual care attitude scale (SCAS) and tested its psychometric properties. Method: Firstly, we constructed an SCAS appropriate for use in Taiwan using in‐depth interviews, literature review, and expert content validity. Secondly, we tested the psychometric properties of the developed scale using self‐administrated questionnaires distributed to a convenience sample of nurses at three hospitals in Taiwan. Data from the questionnaire were analyzed using item analysis, factor analysis (exploratory factor analysis, EFA; confirmatory factor analysis, CFA), concurrent validity, and internal consistency. Analysis results were used to determine the reliability and validity of the developed scale. Results: A total of 619 nurses completed the questionnaire survey (valid response rate: 89.71%). The EFA identified 20 items in the 3 factor categories of spiritual growth, core concepts, and spiritual nursing. These factors explained 71.06% of total variance. Six discrete fit tests of the 3‐factor model using CFA recommended deleting 5 SCAS items. The Cronbach's alpha of the revised 15‐item SCAS was .96 with reliability testing. Finally, with the exception of the Adjusted Goodness Fit Index (AGFI), which was .87 (below the minimum criteria of .9), all items on the 15‐item SCAS earned acceptable fit indices for use in measuring spiritual care attitude. Therefore, concurrent validity (r = .48, p ＜ .001) was established for the developed SCAS. Conclusion: The developed SCAS has acceptable reliability and validity in measuring spiritual care attitude. The scale may be adopted in the future to assess the spiritual care attitudes of nurses and to improve continuing education programs for nurses.

關鍵字

靈性 ； 護理 ； 靈性照護 ； 量表 ； 信效度測試

並列摘要

Background: The spiritual care attitudes of nurses may significantly affect their ability to provide effective spiritual care to patients. The lack of an appropriate instrument has limited the ability of researchers to assess spiritual care attitudes in clinical practice in Taiwan. Purpose: This study developed the spiritual care attitude scale (SCAS) and tested its psychometric properties. Method: Firstly, we constructed an SCAS appropriate for use in Taiwan using in‐depth interviews, literature review, and expert content validity. Secondly, we tested the psychometric properties of the developed scale using self‐administrated questionnaires distributed to a convenience sample of nurses at three hospitals in Taiwan. Data from the questionnaire were analyzed using item analysis, factor analysis (exploratory factor analysis, EFA; confirmatory factor analysis, CFA), concurrent validity, and internal consistency. Analysis results were used to determine the reliability and validity of the developed scale. Results: A total of 619 nurses completed the questionnaire survey (valid response rate: 89.71%). The EFA identified 20 items in the 3 factor categories of spiritual growth, core concepts, and spiritual nursing. These factors explained 71.06% of total variance. Six discrete fit tests of the 3‐factor model using CFA recommended deleting 5 SCAS items. The Cronbach's alpha of the revised 15‐item SCAS was .96 with reliability testing. Finally, with the exception of the Adjusted Goodness Fit Index (AGFI), which was .87 (below the minimum criteria of .9), all items on the 15‐item SCAS earned acceptable fit indices for use in measuring spiritual care attitude. Therefore, concurrent validity (r = .48, p ＜ .001) was established for the developed SCAS. Conclusion: The developed SCAS has acceptable reliability and validity in measuring spiritual care attitude. The scale may be adopted in the future to assess the spiritual care attitudes of nurses and to improve continuing education programs for nurses.

並列關鍵字

spirituality ； nursing ； spiritual care ； scale ； psychometrics test

參考文獻

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