{"title":"台湾三种护生临床推理量表之编制与心理测验。","authors":"Hui-Man Huang, Chu-Yu Huang, Kuan-Chia Lin, Chia-Hui Yu, Su-Fen Cheng","doi":"10.1097/jnr.0000000000000547","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>There is no instrument currently available to assess the essential nursing competency of clinical reasoning (CR).</p><p><strong>Purpose: </strong>The purpose of this study was to develop and test the psychometric properties of CR assessment instrument appropriate for use with nursing students across different types of programs.</p><p><strong>Methods: </strong>H. M. Huang et al.'s (2018) Framework of Competencies of Clinical Reasoning for Nursing Students was used to guide this study. Two rounds of Delphi study and confirmatory factor analysis (CFA) were conducted to test content and construct validity. Internal consistency was tested for reliability.</p><p><strong>Results: </strong>The four-domain, 16-item Likert-scale Clinical Reasoning Scale (CRS) was developed. One thousand five hundred four nursing students currently enrolled in three different types of nursing programs completed the CRS. The content validity index was .85-1.0, the CFA indicated goodness of fit, and the Cronbach's α score range was .78-.89.</p><p><strong>Conclusion: </strong>The CRS is a valid and reliable tool for assessing CR in nursing students in different types of nursing program.</p>","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"31 2","pages":"e263"},"PeriodicalIF":2.4000,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Development and Psychometric Testing of the Clinical Reasoning Scale Among Nursing Students Enrolled in Three Types of Programs in Taiwan.\",\"authors\":\"Hui-Man Huang, Chu-Yu Huang, Kuan-Chia Lin, Chia-Hui Yu, Su-Fen Cheng\",\"doi\":\"10.1097/jnr.0000000000000547\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>There is no instrument currently available to assess the essential nursing competency of clinical reasoning (CR).</p><p><strong>Purpose: </strong>The purpose of this study was to develop and test the psychometric properties of CR assessment instrument appropriate for use with nursing students across different types of programs.</p><p><strong>Methods: </strong>H. M. Huang et al.'s (2018) Framework of Competencies of Clinical Reasoning for Nursing Students was used to guide this study. Two rounds of Delphi study and confirmatory factor analysis (CFA) were conducted to test content and construct validity. Internal consistency was tested for reliability.</p><p><strong>Results: </strong>The four-domain, 16-item Likert-scale Clinical Reasoning Scale (CRS) was developed. One thousand five hundred four nursing students currently enrolled in three different types of nursing programs completed the CRS. The content validity index was .85-1.0, the CFA indicated goodness of fit, and the Cronbach's α score range was .78-.89.</p><p><strong>Conclusion: </strong>The CRS is a valid and reliable tool for assessing CR in nursing students in different types of nursing program.</p>\",\"PeriodicalId\":49158,\"journal\":{\"name\":\"Journal of Nursing Research\",\"volume\":\"31 2\",\"pages\":\"e263\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2023-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Nursing Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/jnr.0000000000000547\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/jnr.0000000000000547","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
背景:目前尚无评估临床推理(CR)基本护理能力的工具。目的:本研究的目的是开发和测试适用于不同类型护生项目的CR评估工具的心理测量特性。方法:采用H. M. Huang等(2018)的《护生临床推理能力框架》作为本研究的指导。采用两轮德尔菲研究和验证性因子分析(CFA)对内容和结构效度进行检验。内部一致性测试信度。结果:编制了李克特临床推理量表(CRS)。目前有1400名护理专业的学生参加了三种不同类型的护理项目，完成了CRS。内容效度指数为0.85 ~ 1.0,CFA表示拟合优度，Cronbach’s α评分范围为0.78 ~ 0.89。结论:CRS是一种有效、可靠的工具，可用于评估不同类型护理专业护生的CR。
Development and Psychometric Testing of the Clinical Reasoning Scale Among Nursing Students Enrolled in Three Types of Programs in Taiwan.
Background: There is no instrument currently available to assess the essential nursing competency of clinical reasoning (CR).
Purpose: The purpose of this study was to develop and test the psychometric properties of CR assessment instrument appropriate for use with nursing students across different types of programs.
Methods: H. M. Huang et al.'s (2018) Framework of Competencies of Clinical Reasoning for Nursing Students was used to guide this study. Two rounds of Delphi study and confirmatory factor analysis (CFA) were conducted to test content and construct validity. Internal consistency was tested for reliability.
Results: The four-domain, 16-item Likert-scale Clinical Reasoning Scale (CRS) was developed. One thousand five hundred four nursing students currently enrolled in three different types of nursing programs completed the CRS. The content validity index was .85-1.0, the CFA indicated goodness of fit, and the Cronbach's α score range was .78-.89.
Conclusion: The CRS is a valid and reliable tool for assessing CR in nursing students in different types of nursing program.
期刊介绍：
The Journal of Nursing Research (JNR) is comprised of original articles that come from a variety of national and international institutions and reflect trends and issues of contemporary nursing practice in Taiwan. All articles are published in English so that JNR can better serve the whole nursing profession and introduce nursing in Taiwan to people around the world. Topics cover not only the field of nursing but also related fields such as psychology, education, management and statistics.
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