摘要
目的编制临床护理人员工作疲劳风险评估问卷并检验其信效度,为评估临床护理人员工作疲劳提供可靠工具。方法以事故致因“2-4”模型为框架,通过文献回顾、专家函询和预调查形成问卷初稿。采用便利抽样法,于2024年2-3月选取513名临床护理人员为调查对象进行调查,对问卷进行项目分析及信效度检验。结果临床护理人员工作疲劳风险评估问卷包括组织文化、管理体系、个人能力和个人状态4个维度、共22个条目。累计方差贡献率为68.002%,验证性因子分析结果显示,χ^(2)/df=2.042(P<0.001)、RMSEA=0.068、GFI=0.862、CFI=0.933、TLI=0.923、NFI=0.919、RMR=0.021,各条目得分与疲劳量表-14总分的相关系数为0.580~0.667。该问卷的Cronbach′s α系数为0.962,重测信度为0.908。结论编制的临床护理人员工作疲劳风险评估问卷具有良好的信效度,可作为临床护理人员工作疲劳风险的评估工具。
Objective To develop the Work Fatigue Risk Assessment Questionnaire for Nurses and to test its reliability and validity.Methods Guided by the Accident Causation"2-4"Model,a questionnaire was initially developed through literature review,Delphi and pre-survey.Using convenient sampling method,513 clinical nurses from a tertiary hospital were selected for questionnaire survey,and the item analysis and reliability,validity test of the questionnaire were carried out.Results The final Work Fatigue Risk Assessment Questionnaire for Nurses included four dimensions of organizational culture,management system,personal ability and personal acts,with a total of 22 items.The cumulative contribution rate was 68.002%,and the confirmatory factor analysis results showed that χ^(2)/df=2.042(P<0.001),RMSEA=0.068,GFI=0.862,CFI=0.933,TLI=0.923,NFI=0.919、RMR=0.021.The correlation coefficients between the scores of each item and the total score of the Fatigue Scale-14(FS-14)was 0.580-0.667.The total Cronbach'sαcoefficient of questionnaire was 0.962,and Cronbach's α of each dimension was between 0.844-0.945,and the test-retest reliability coefficient was 0.908.Conclusion The Work Fatigue Risk Assessment Questionnaire for Nurses has good reliability and validity,and it can be used as a valid tool for clinical nurses to carry out risk assessment of work fatigue.
作者
皮蓉
刘云访
李素云
晏蓉
万雅莉
德宗
陈怿
何子涵
刘方
Pi Rong;Liu Yunfang;Li Suyun;Yan Rong;Wan Yali;De Zong;Chen Yi;He Zihan;Liu Fang(Department of Nursing,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《护理学杂志》
北大核心
2025年第1期55-59,共5页
Journal of Nursing Science