Construction and Validation of an Occupational Risks Scale for Intra-hospital Nursing Staff.

IF 1.3 Q3 NURSING
Katya Cuadros-Carlesi, Carlos Henríquez-Roldán, Elena Meneses Ciuffardi, Jaime Fuentes Ibáñez, Paola Ruiz-Araya
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引用次数: 0

Abstract

Objective: To construct and evaluate initial validity indicators of an instrument on occupational risks for hospital nursing staff.

Methods: A methodological study was conducted in four Chilean hospitals. The study was carried out in three stages: (i) integrative literature review on risk assessment instruments for nursing; (ii) descriptive qualitative study on 113 health professionals to identify their work conditions and experiences regarding occupational risks and construct three instruments proposals for nursing managers, clinical nurses, and technicians; and (iii) validity and reliability study of the three instruments in 503 nurses and nursing technicians. To collect the data from the qualitative study, individual interviews, focal groups, and non-participant observation were conducted. The data were analyzed thematically into predefined risk categories. Content validation was performed through expert judgment, and exploratory factor analysis of principal components was conducted for the preliminary construct validity study. Cronbach's alpha was used as an indicator of internal consistency.

Results: A total of 128 items were identified, distributed across 11 categories and 25 subcategories of occupational risks for the three instruments derived from the original proposal. After expert validation, pilot study, and instrument administration, Cronbach's alpha values between 0.88 and 0.93 were obtained. Exploratory factor analysis distinguished eight to eleven components, with unsatisfactory goodness-of-fit indicators.

Conclusion: The instruments demonstrated good parameters of content validity and reliability, although their construct validity needs further improvement.

院内护理人员职业风险量表的编制与验证
目标。构建并评价医院护理人员职业风险评估工具的初始效度指标。在智利的四家医院进行了方法学研究。本研究分三个阶段进行:(i)护理风险评估工具的综合文献综述;(ii)对113名卫生专业人员进行描述性定性研究,以确定其职业风险的工作条件和经验,并为护理管理人员、临床护士和技术人员构建三种工具建议;(三)对503名护士和护理技术人员进行了三种工具的效度和信度研究。为了从定性研究中收集数据,进行了个人访谈,焦点小组和非参与性观察。这些数据被按主题分析为预定义的风险类别。通过专家判断进行内容验证,并对主成分进行探索性因子分析进行初步构念效度研究。cronbach alpha作为内部一致性的指标。从原始提案衍生的三种文书共确定了128个项目,分布在11类和25个子类别的职业风险中。经过专家验证、初步研究和仪器管理,Cronbach's alpha值在0.88 ~ 0.93之间。探索性因子分析区分出8 ~ 11个成分,拟合优度指标不理想。量表的内容效度和信度参数均较好,但其结构效度有待进一步提高。
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来源期刊
Investigacion y Educacion en Enfermeria
Investigacion y Educacion en Enfermeria Nursing-Maternity and Midwifery
CiteScore
2.60
自引率
5.00%
发文量
34
审稿时长
14 weeks
期刊介绍: The mission of the journal of Nursing and Education is to present scientific and technical information about health, illnesses and related topics. The journal serves as the conduit [medium] through which the experiences of our own nursing and social science departments can be shared within Columbia and internationally. It is written primarily for nurses, general health practitioners and other related disciplines but can also be used by students and researchers.
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