台湾执业护士可信赖的专业活动评估量表之开发与验证。

Sophia Huey-Lan Hu, Shiow-Luan Tsay, Sheng-Shiung Huang, Heng-Hsin Tung, Ying-Ru Chen, Ling-Chun Lu, Chi Chang, Jia-Ying Hu, Wei-Chieh Hung
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引用次数: 0

摘要

背景:以能力为基础的教育是培训执业护士(NPs)的必要条件。虽然可委托的专业活动(EPAs)已被广泛用于评估卫生专业人员的能力,但需要一个有效的基于EPAs的评估量表来评估急性护理环境中NPs的临床能力。目的:本研究的目的是开发和检验基于epa的NPs评估量表的信度和效度。方法:采用心理测量法和横断面调查法。参与者包括作为评估者的NP教师和作为测试者的临床实践新手NP。本研究采用方便抽样方法,从台湾护士执业医师协会会员中招募参与者。首先,五个EPA焦点小组使用模板并按照建议步骤制定了五个EPA。其次,采用德尔菲法进行共识验证。第三,内容效度是通过一项全国性的研究来执行的,该研究涉及218名新手NP作为测试对象和57名认证的临床NP教育者作为观察者来测试EPAs。计算Cronbach’s alpha和类内相关系数检验epa量表的信度,并采用探索性因子分析、并发效度和判别效度评估epa量表的效度。最后,采用基于epa的发热患者NP护理评估量表进行数据分析。结果:最终版本的基于epa的评估量表包括一个22项可观察的检查表量表,旨在评估9项关键NP能力的临床独立表现(1-5)。总体量表的Cronbach's alpha系数为0.95。结果表明,基于epa的评估量表解决了直接以患者为中心的护理和沟通/时间管理两个关键因素。各项目的因子负荷范围为0.58 ~ 0.83,占epa量表总方差的70.83%。并发效度表明所开发的基于epa的评估量表与渥太华临床评估工具之间具有高度相关性(r =。96、p结论/实践意义:本研究开发的基于epa的新型评估量表显示出令人满意的信度和效度,从而支持其在评估np临床能力方面的应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Development and Validation of an Entrustable Professional Activity-Based Assessment Scale for Nurse Practitioners in Taiwan.

Background: Competency-based education is essential for training nurse practitioners (NPs). Although entrustable professional activities (EPAs) have been widely used to assess competency in health professionals, a valid EPA-based assessment scale is required to assess the clinical competencies of NPs in acute care settings.

Purpose: The aim of this study was to develop and examine the reliability and validity of an EPA-based assessment scale for NPs.

Methods: A psychometric study with a cross-sectional survey was used in this study. The participants included NP instructors as evaluators and novice NPs currently in clinical practice as test takers. Convenience sampling was used to recruit participants from among members of the Taiwan Association of Nurse Practitioners. First, five EPA focus groups were used to develop five EPAs using a template and following the suggested steps. Second, a consensus validation was conducted using the Delphi study. Third, content validity was performed through a national study involving 218 novice NPs as test takers and 57 certified clinical NP educators serving as observers to test the EPAs. The Cronbach's alpha and intraclass correlation coefficient were calculated to examine EPA-based assessment scale reliability, and exploratory factor analysis, concurrent validity, and discriminant validity were applied to assess the validity of the EPAs. Finally, the EPA-based assessment scale of NP care for patients with fever was used in data analysis.

Results: The final version of the EPA-based assessment scale included a 22-item observable checklist scale designed to evaluate the clinically independent performance (1-5) of nine key NP competencies. The Cronbach's alpha coefficient for the overall scale was .95. The results revealed that the EPA-based assessment scale addressed two key factors of direct patient-centered care and communication/time management. Factor loadings for each item ranged from .58 to .83, accounting for 70.83% of the total variance in the EPA-based assessment scale. Concurrent validity indicated a high correlation between the developed EPA-based assessment scale and the Ottawa Clinic Assessment Tool (r = .96, p < .001). The results of the discriminant validity analysis indicated a statistically significant difference between novice and expert NPs (F = 7.84, p < .001).

Conclusions/implications for practice: The novel EPA-based assessment scale developed in this study demonstrated satisfactory reliability and validity, thereby supporting its application in evaluating the clinical competencies of NPs.

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