中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
27期
66-68
,共3页
杨濡%张培莉%Mikko Saarikoski
楊濡%張培莉%Mikko Saarikoski
양유%장배리%Mikko Saarikoski
临床学习环境评估量表%跨文化调适%临床学习环境%信度%效度
臨床學習環境評估量錶%跨文化調適%臨床學習環境%信度%效度
림상학습배경평고량표%과문화조괄%림상학습배경%신도%효도
Clinical learning environment,supervision and nurse teacher evaluation scale%Cross-culture adaptation%Clinical learning environment%Reliability%Validity
目的：翻译、修订中文版护生临床学习环境评估量表，初步评价其效度及信度，为评估我国护生临床学习环境质量，进一步提高临床教学质量提供一种科学、有效的工具。方法：通过直译、回译、专家咨询和预试验对CLES+T进行翻译和文化调试，形成中文版CLES+T。采取方便抽样对太原市内4所三级甲等医院抽取的220名护生进行调查，分析评价量表的信、效度。通过项目分析、验证性因素分析检验量表的项目鉴别力和结构效度，对40名护生间隔两周重测，评定重测信度；Cronbach's α系数计算内部一致性信度。结果：（1）中文版量表各条目与总得分的相关系数r=0.31~0.70，P<0.01；（2）量表总Cronbach's α系数为0.942，各因子的Cronbach's α系数为0.689~0.872，重测信度和分半信度分别为0.922和0.883；（3）量表的内容效度比为0.96；经过验证性因子分析结果显示，各拟合指数均在可接受范围内。结论：调试后的CLES+T具有良好的信效度，适合中国文化背景下护生临床学习环境的评估与测量。但今后还需要进一步的研究对量表进行评估。
目的：翻譯、脩訂中文版護生臨床學習環境評估量錶，初步評價其效度及信度，為評估我國護生臨床學習環境質量，進一步提高臨床教學質量提供一種科學、有效的工具。方法：通過直譯、迴譯、專傢咨詢和預試驗對CLES+T進行翻譯和文化調試，形成中文版CLES+T。採取方便抽樣對太原市內4所三級甲等醫院抽取的220名護生進行調查，分析評價量錶的信、效度。通過項目分析、驗證性因素分析檢驗量錶的項目鑒彆力和結構效度，對40名護生間隔兩週重測，評定重測信度；Cronbach's α繫數計算內部一緻性信度。結果：（1）中文版量錶各條目與總得分的相關繫數r=0.31~0.70，P<0.01；（2）量錶總Cronbach's α繫數為0.942，各因子的Cronbach's α繫數為0.689~0.872，重測信度和分半信度分彆為0.922和0.883；（3）量錶的內容效度比為0.96；經過驗證性因子分析結果顯示，各擬閤指數均在可接受範圍內。結論：調試後的CLES+T具有良好的信效度，適閤中國文化揹景下護生臨床學習環境的評估與測量。但今後還需要進一步的研究對量錶進行評估。
목적：번역、수정중문판호생림상학습배경평고량표，초보평개기효도급신도，위평고아국호생림상학습배경질량，진일보제고림상교학질량제공일충과학、유효적공구。방법：통과직역、회역、전가자순화예시험대CLES+T진행번역화문화조시，형성중문판CLES+T。채취방편추양대태원시내4소삼급갑등의원추취적220명호생진행조사，분석평개량표적신、효도。통과항목분석、험증성인소분석검험량표적항목감별력화결구효도，대40명호생간격량주중측，평정중측신도；Cronbach's α계수계산내부일치성신도。결과：（1）중문판량표각조목여총득분적상관계수r=0.31~0.70，P<0.01；（2）량표총Cronbach's α계수위0.942，각인자적Cronbach's α계수위0.689~0.872，중측신도화분반신도분별위0.922화0.883；（3）량표적내용효도비위0.96；경과험증성인자분석결과현시，각의합지수균재가접수범위내。결론：조시후적CLES+T구유량호적신효도，괄합중국문화배경하호생림상학습배경적평고여측량。단금후환수요진일보적연구대량표진행평고。
Objective:To translate and develop the Chinese version of clinical learning environment,supervision and nurse teacher evaluation scale(CLES+T) and to test its reliability and validity in order to provide a scientific and effective tool for assessing the quality of nursing students’clinical learning environment and improving the quality of clinical teaching further.Method:The original version of the CLES+T was translated into Chinese,back translated and culturally modified.Data were collected among nursing students from 4 grade A class Ⅲ-hospital in Taiyuan City,with 200 students completing the questionnaire.The item analysis and confirmatory factor analysis were performed to test the discrimination of items and structure validity.40 nursing students were retested 2 weeks later for the test-retest reliability. Internal consistency reliability was tested using Cronbach’s alpha.Result:(1)The correlation coefficient of item and total ranged from 0.31 to 0.70.(2)The total Cronbach’s alpha of the scale was 0.942 and the Cronbach’s alpha of the factors ranged from 0.689 to 0.872.The test-retest correlation and split-half reliability were 0.922 and 0.883.(3)The content validity ratio (CVR) of the overall scale was 0.96.Confirmatory factor analysis indicated that the fitting indexes were all in acceptable level.Conclusion: The CLES+T has good validity and reliability.It can be used as a valid tool for the measurement and assessment of nursing students’clinical learning environment in Chinese cultural background.However, further investigation is required to develop and evaluate the questionnaire.
