摘要
目的编制护士长负性领导行为量表并进行信效度检验。方法本研究为横断面研究。通过回顾文献、半结构式访谈,形成护士长负性领导行为量表条目池。选取湖北省、北京市、广东省等地的28名护理管理专家进行专家咨询,形成量表初稿。通过预实验、项目分析对量表进一步修订。采取便利抽样法,2022年5月选取华中科技大学同济医学院附属协和医院的300名护士为研究对象进行问卷调查,检验量表信效度。本研究发放问卷300份,回收有效问卷265份,有效回收率为88.33%。调查完成1周后,随机选取20名护士重新发放问卷进行量表重测信度检验。结果本研究共19名专家完成2轮专家咨询,专家权威系数均为0.880,肯德尔和谐系数为0.160和0.130(P<0.05)。经探索性因子分析,提取出忽视需求、人身攻击、权利满足、行为难测、工作懈怠和监督不当6个因子,累积方差解释率为75.125%;验证性因子分析结果显示,模型适配理想,因子结构稳定。形成的护士长负性领导行为量表包括6个维度,共36个条目。量表总的Cronbach'sα系数为0.880,分半信度系数为0.895,重测信度系数为0.876。量表内容效度指数为0.930,各条目的内容效度指数为0.800~1.000。结论护士长负性领导行为量表信效度良好,可用于评价我国护士长的负性领导行为。
Objective To develop the Nurse Managers Negative Leadership Behavior Scale and test its reliability and validity.Methods This study is a cross-sectional study.The Nurse Managers Negative Leadership Behavior Scale item pool was formed through literature review and semi-structured interviews.A total of 28 nursing management experts from Hubei Province,Beijing,Guangdong Province and other places were selected for expert consultation to form the first draft of the scale.The scale was further revised through pre-experiment and item analysis.In May 2022,300 nurses from the Union Hospital,Tongji Medical College,Huazhong University of Science and Technology were selected by convenient sampling for a questionnaire survey to test the reliability and validity of the scale.A total of 300 questionnaires were distributed,and 265 valid questionnaires were recovered,with an effective recovery rate of 88.33%.One week after the survey,20 nurses were randomly selected to re-issue the questionnaire for the retest reliability test of the scale.Results Totally,19 experts completed two rounds of expert consultation,with expert authority coefficient of 0.880,Kendall harmony coefficient of 0.160 and 0.130(P<0.05).Exploratory factor analysis extracted six factors,including neglect of needs,personal attack,right satisfaction,unpredictable behavior,slack work and improper supervision,and the cumulative variance interpretation rate was 75.125%.The confirmatory factor analysis showed that the model fitted well and the factor structure was stable.The Nurse Managers Negative Leadership Behavior Scale included six dimensions and 36 items.The total Cronbach'sαcoefficient of the scale was 0.880,the split-half reliability coefficient was 0.895,and the retest reliability coefficient was 0.876.The content validity index of the scale was 0.930,and the content validity index of each item was 0.800 to 1.000.Conclusions The Nurse Managers Negative Leadership Behavior Scale has good reliability and validity,and can be used to evaluate the negative leader
作者
郭雪琴
王钰涵
熊莉娟
王玉梅
李鑫
肖芳
何嘉
Guo Xueqin;Wang Yuhan;Xiong Lijuan;Wang Yumei;Li Xin;Xiao Fang;He Jia(Nursing Department,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;School of Nursing,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;General Department,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Interventional Department,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Department of Otorhinolaryngology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China Department of Otorhinolaryngology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《中华现代护理杂志》
2023年第8期990-996,共7页
Chinese Journal of Modern Nursing
基金
中华医学会杂志社2021—2022年护理学科研究课题(CMAPH-NRI20211041)。
关键词
护士
护士长
负性领导行为
量表
信度
效度
Nurses
Nurse managers
Negative leadership behavior
Scale
Reliability
Validity
