护士应对突发公共卫生事件核心能力量表的开发与心理测试:多中心横断面研究

IF 3.6 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Nurse Education Today Pub Date : 2024-08-30 DOI:10.1016/j.nedt.2024.106383
Xiyi Wang , Aozhou Weng , Jiaqi Lian , Jianhong Chang , Qiong Fang , Yun Hu
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引用次数: 0

摘要

背景应对公共卫生突发事件(PHEs)的重要性强调了熟练的护理人员队伍在有效准备和响应中的关键作用。本研究旨在开发一个心理测量量表,用于识别和测量护士在突发公共卫生事件中的基本核心能力。方法该研究通过定性数据分析、德尔菲专家组和实证定量横断面调查,分两个阶段进行开发和验证。在 2023 年 1 月至 2023 年 3 月期间发放了护士突发公共卫生事件核心能力(NCC-PHEs)量表和人口统计学问卷。采用探索性因子分析、确认性因子分析、皮尔逊相关分析和 Cronbach's alpha 分析来确定理论建构、评估量表信度和建立效度。因子分析确定了一个四因子高阶模型中的 47 种专业护理能力:预防能力(9 个项目)、准备能力(7 个项目)、反应能力(包括基础和高级水平)(26 个项目)和恢复能力(5 个项目)。结构方程模型证实了令人满意的因子载荷和良好的模型拟合,验证了建构的完整性。本研究提出了一个有效的量表,以实证方法测量了护士在突发公共卫生事件中的准备和响应所需的核心能力。研究结果为指导未来护理研究与实践课程和培训计划的开发提供了有力支持。
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Development and psychometric testing of the nurses' core competencies for public health emergencies scale: A multicenter cross-sectional study

Background

The significance of addressing public health emergencies (PHEs) emphasizes the pivotal role of a skilled nursing workforce in effective preparedness and response. However, there's a lack of comprehensive assessments tailored to nurses' core competencies, serving as a standard for ongoing education in preparedness.

Objective

This study aimed to develop a psychometrically sound scale for identifying and measuring essential core competencies crucial for nurses during public health emergencies.

Design

A multicenter cross-sectional study was conducted.

Settings

Twelve tertiary hospitals in Shanghai.

Participants

Affiliated nurses with prior experience and significant exposure to public health emergencies were recruited.

Methods

The study underwent development and validation in two stages, utilizing qualitative data analysis, a Delphi expert panel, and an empirical quantitative cross-sectional survey. The Nurses' Core Competencies for Public Health Emergencies (NCC-PHEs) scale and a demographic questionnaire were distributed between January 2023 and March 2023. Exploratory factor analysis, confirmatory factor analysis, Pearson correlations, and Cronbach's alpha analyses were employed to identify theoretical constructs, assess scale reliability, and establish validity.

Results

Analysis was conducted on valid data collected from 1481 nurses. Factor analysis identified 47 professional nursing competencies arranged within a four-factor high-order model: prevention competencies (9 items), preparation competencies (7 items), response competencies (comprising basic and advanced levels) (26 items), and recovery competencies (5 items). Structural equation modelling confirmed satisfactory factor loadings and a good model fit, validating construct integrity. The reliability of the total scale was confirmed.

Conclusion

This study presents a valid scale that empirically measures nurses' core competencies crucial for preparedness and response during public health emergencies. The findings offer instrumental support for guiding the development of future courses and training programs in nursing research and practice.

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来源期刊
Nurse Education Today
Nurse Education Today 医学-护理
CiteScore
6.90
自引率
12.80%
发文量
349
审稿时长
58 days
期刊介绍: Nurse Education Today is the leading international journal providing a forum for the publication of high quality original research, review and debate in the discussion of nursing, midwifery and interprofessional health care education, publishing papers which contribute to the advancement of educational theory and pedagogy that support the evidence-based practice for educationalists worldwide. The journal stimulates and values critical scholarly debate on issues that have strategic relevance for leaders of health care education. The journal publishes the highest quality scholarly contributions reflecting the diversity of people, health and education systems worldwide, by publishing research that employs rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of education and systems globally. The journal will publish papers that show depth, rigour, originality and high standards of presentation, in particular, work that is original, analytical and constructively critical of both previous work and current initiatives. Authors are invited to submit original research, systematic and scholarly reviews, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing and related health care education, and which will meet and develop the journal''s high academic and ethical standards.
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