手術全期護理能力量表之中文版信效度檢定

Chinese Version of Perceived Perioperative Competence Scale-Revised (PPCS-R): A Preliminary Study

背景：護理人員對手術病人的安全與照護品質具最直接的影響力，然中文文獻少有探討護理人員的手術全期護理能力。目的：將英文版的進行「手術全期護理能力量表」譯成中文，並進行中文版的信、效度檢測，期建立適用於台灣手術全期護理能力之評估工具。方法：採「翻譯-回譯」方法，將手術全期護理能力量表進行中英文翻譯，除檢測翻譯效度之外，亦以方便取樣南部多家醫院之183位手術室護理人員為研究對象，藉以檢測中文版資料之再測信度、內在一致性信度、施測者間信度及效標關聯效度。結果：中文版翻譯量表之專家效度達.93；再測信度之整體相關係數為.82，六大構面相關係數介於.76-.81；整體內在一致性信度之Cronbach’sα為.98，六項構面Cronbach’sα介於.83至.91；施測者間信度之整體相關係數為.94，各項構面之相關係數介於.88-.93；護理工作年資、進階層級及手術全期認證與手術全期護理能力具效標關聯效度。結論：中文版「手術全期護理能力量表」具有良好的信、效度驗證，應可用於評量開刀房護理人員之護理能力，亦可提供醫院在職教育的規劃時，依開刀房護理人員能力、層級的不同，設立符合的課程與評值方法。

"Background: Nurses have a great impact on the safety and caring quality of surgical patients; however, there is limited information on perioperative nursing competence in Chinese literature.Purpose: This study is to translate the English version of the 'Perceived Perioperative Competence ScaleRevised' into Chinese and test the reliability and validity of this Chinese version with the goal to establish an appropriate perioperative competence assessment tool in Taiwan.Methods: The 'back-translation' method was adopted to translate the perioperative nursing competence scale from English into Chinese version. In addition to the validity, a convenient sample of 183 operating room nurses were recruited from hospitals in southern Taiwan to test the reliability of the scale as well as the inter-rater consistency.Results: The expert validity of the scale for Chinese version was .93. For test-retest reliability, the overall correlation coefficient was .82 and six subscales ranged from .76 to .81. For internal consistency, the overall Cronbach’sαwas .98, and the six subscales ranged from .83 to .91. For the inter-rater consistency, the overall correlation coefficient was 0.94 and the subscales ranged from .88 to ~ .93. The years of experience, advanced level, and certification of perioperative nursing were related to the competence , indicating the criterion validity.Conclusion: The Chinese version of the Perioperative Nursing Competence Scale has a good validity and reliability and can be used to assess the nursing competence in operating rooms. The tool can also be used to evaluate the outcome of an education or a training program."