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目的编制患者安全胜任力护理人员自评量表(patient safety competency self-rating scale of nurses,PSCSSN)。方法在全面查阅和研究国内外相关文献的基础上,经2轮专家的函调和预实验对量表的条目进行评价、修改和筛选,形成最终的PSCSSN量表,以3所三级甲等医院791例护理人员为研究对象进行信效度检验。结果量表由29个条目组成,探索性因子分析共提取4个公因子,与量表理论构建基本一致,各条目在所属因子上的载荷为0.471~0.817,累积方差解释率为64.598%。因子间的相关系数为0.242~0.519,各因子与总分的相关系数为0.619~0.822。培训组护理人员PSCSSN总量表得分明显高于未培训组(P<0.01)。量表总的Cronbach’sα为0.930,重测信度为0.945,各个因子的Cronbach’sα在0.777~0.863,重测信度在0.867~0.927。结论 PSCSSN量表具有较好的信度和效度,可以作为评估护理人员的患者安全胜任力的测量工具。
Objective To develop a patient safety competency self-rating scale of nurses (PSCSSN). Methods Based on a comprehensive review and study of relevant literatures at home and abroad, the items of the scale were evaluated, modified and screened by two rounds of expert correspondence and pre-experiment to form the final PSCSSN scale. A total of 791 nursing staff were tested for reliability and validity. The results scale consisted of 29 items. Exploratory factor analysis extracted 4 common factors, which were basically consistent with the scale theory construction. The load of each item on the factors was 0.471 ~ 0.817, and the cumulative variance explained rate was 64.598%. The correlation coefficient between factors was 0.242 ~ 0.519, and the correlation coefficient between each factor and the total score was 0.619 ~ 0.822. PSCSSN score of nursing staff in training group was significantly higher than that of non-training group (P <0.01). The total Cronbach’s α was 0.930, the test-retest reliability was 0.945, the Cronbach’s α of each factor was between 0.777 and 0.863, and the retest reliability was between 0.867 and 0.927. Conclusion The PSCSSN scale has good reliability and validity and can be used as a measurement tool to evaluate the safety competencies of nurses.