CAJ | 학술논문

目的考察中文版交流与分享信息量表(Communication and Sharing of Information Scale,CSI)用于医护合作关系的信效度.方法根据自愿入组原则招募天津市10所医院600名医护人员作为研究对象,进行CSI评定,采用探索性因子分析与验证性因子分析相结合的方法考评结构效度;计算克朗巴赫-α系数评价量表内部一致性;计算两次测量相关系数考评重测信度.结果探索性因子分析抽取了3个因子,按方差贡献率的大小依次命名为护理人员沟通、医生沟通、医疗信息共享.验证性因子分析显示x2/df为5.760,NNFI为0.900,GFI为0.945,AGFI为0.923,主要拟合指数近似误差均方根REMEA为0.06,各个指数均符合测量学标准,提示量表具有较好的结构效度.总量表Cronbach's α系数为0.870,三个因子的Cronbach's α系数分别为0.780,0.788,0.815,显示量表具有较好的内部一致性.随机抽取其中的100人于4周后重测,重测相关系数为0.870,提示量表具有良好的重测信度.结论 CSI量表中文译本用于调查医护合作关系状况时具有较好的结构效度和重测信度,量表内部一致性好,可推荐医院管理部门使用该量表评估医护合作的效率与质量问题.
목적 고찰중문판교류여분향신식량표(Communication and Sharing of Information Scale,CSI)용우의호합작관계적신효도.방법 근거자원입조원칙초모천진시10소의원600명의호인원작위연구대상,진행CSI평정,채용탐색성인자분석여험증성인자분석상결합적방법고평결구효도;계산극랑파혁-α계수평개량표내부일치성;계산량차측량상관계수고평중측신도.결과 탐색성인자분석추취료3개인자,안방차공헌솔적대소의차명명위호리인원구통、의생구통、의료신식공향.험증성인자분석현시x2/df위5.760,NNFI위0.900,GFI위0.945,AGFI위0.923,주요의합지수근사오차균방근REMEA위0.06,각개지수균부합측량학표준,제시량표구유교호적결구효도.총량표Cronbach's α계수위0.870,삼개인자적Cronbach's α계수분별위0.780,0.788,0.815,현시량표구유교호적내부일치성.수궤추취기중적100인우4주후중측,중측상관계수위0.870,제시량표구유량호적중측신도.결론 CSI량표중문역본용우조사의호합작관계상황시구유교호적결구효도화중측신도,량표내부일치성호,가추천의원관리부문사용해량표평고의호합작적효솔여질량문제.
Objective To evaluate the reliability and validity of the Chinese Version of Communication and Sharing of Information Scale(CSI) in the the assessment of the efficacy and quality of collaboration of the physician and nursing related staffs.Methods All the sample enrolled from 10 hospitals of Tianjin,all the subjects voluntarily signed the informed consent.Totally 600 subjects were tested by CSI.Exploration and confirmation factor analysis were used to examine the construct validity.Cronbaeh' s α was applied for examining internal consistency of the scales,the correlation analysis was used to examining the test-retest reliability of the scales.Results Exploratory Factor Analysis revealed that Communication and Sharing of Information Scale included 3 factors:Communication with nursing related staff,Communication with physician,Medical information sharing.Confirmation Factor analysis revealed that x2/dfwas 5.760,NNFI 0.900,GFI 0.945,AGFI 0.923,REMEA was 0.06,all reached the correction criteria of the scale,indicated that this scale had good construction validity.Cronbach' sαof the total scale was 0.870,the Cronbach' s α of the 3 factors were 0.780,0.788,0.815 respectively,indicated this scale had good inner-consistency.The total scale test-retest reliability was 0.870 after 1 week in 100 subjects randomly enrolled from all the previous subjects,indicated this scale had good reliability.Conclusion CSI has good reliability and validity and is suitable to assess the efficacy and quality of the collaboration of the physician and nursing related staffs.