PDF(Pubmed)
Abstract：
BACKGROUND: Given increases in China\'s aging population, the growing demand for public health services and the shortage of human resources among nurses have become more prominent. Under such a background, \"Internet + Nursing Services\" have received more attention. Thus, exploring the barriers to and facilitators of nurses\' willingness to participate in \"Internet + Nursing Services\" and utilizing internet technology to increase the supply of nursing services has become a key issue.
OBJECTIVE: This study aimed to develop a scale for assessing the barriers to and facilitators of nurses\' willingness to participate in \"Internet + Nursing Services\" and to test the validity and reliability of the scale.
METHODS: A preliminary scale was developed based on a literature review, theoretical research, semistructured qualitative interviews, and two rounds of Delphi expert inquiry. A convenient sampling method was used for the questionnaire survey. A 5-point Likert scale was used to evaluate the importance of the items. The survey data of 659 clinical nurses obtained from February to March 2023 were used for item analysis, exploratory factor analysis (EFA), and reliability and validity tests of the scale. The survey data of 538 clinical nurses obtained in April 2023 were used for confirmatory factor analysis (CFA) of the final scale.
RESULTS: The final scale consists of 25 items and 4 dimensions (performance expectations, perceived risk, need for professional knowledge training, and nonprofessional knowledge training). The scale showed good structural validity and content validity: the Cronbach\'s α coefficient of the scale was 0.955, the split-half reliability was 0.778, the test-retest reliability was 0.944, the kaiser-meyer-olkin(KMO) value was 0.960, and the cumulative variance contribution rate of the 4 common factors was 83.147%. The scale content validity index(S-CVI) was 0.914. The confirmatory factor analysis model had favorable fit indices: χ2/df = 4.234, RMSEA = 0.078, NFI = 0.940, IFI = 0.953, TLI = 0.947, and CFI = 0.953.
CONCLUSIONS: The scale for assessing the barriers to and facilitators of nurses\' willingness to participate in \"Internet + Nursing Services\" has good reliability and validity, and provides a reference for evaluating nurses\' willingness to participate in \"Internet + Nursing Services\".
OBJECTIVE: This study aimed to develop a scale for assessing the barriers to and facilitators of nurses\' willingness to participate in \"Internet + Nursing Services\" and to test the validity and reliability of the scale.
METHODS: A preliminary scale was developed based on a literature review, theoretical research, semistructured qualitative interviews, and two rounds of Delphi expert inquiry. A convenient sampling method was used for the questionnaire survey. A 5-point Likert scale was used to evaluate the importance of the items. The survey data of 659 clinical nurses obtained from February to March 2023 were used for item analysis, exploratory factor analysis (EFA), and reliability and validity tests of the scale. The survey data of 538 clinical nurses obtained in April 2023 were used for confirmatory factor analysis (CFA) of the final scale.
RESULTS: The final scale consists of 25 items and 4 dimensions (performance expectations, perceived risk, need for professional knowledge training, and nonprofessional knowledge training). The scale showed good structural validity and content validity: the Cronbach\'s α coefficient of the scale was 0.955, the split-half reliability was 0.778, the test-retest reliability was 0.944, the kaiser-meyer-olkin(KMO) value was 0.960, and the cumulative variance contribution rate of the 4 common factors was 83.147%. The scale content validity index(S-CVI) was 0.914. The confirmatory factor analysis model had favorable fit indices: χ2/df = 4.234, RMSEA = 0.078, NFI = 0.940, IFI = 0.953, TLI = 0.947, and CFI = 0.953.
CONCLUSIONS: The scale for assessing the barriers to and facilitators of nurses\' willingness to participate in \"Internet + Nursing Services\" has good reliability and validity, and provides a reference for evaluating nurses\' willingness to participate in \"Internet + Nursing Services\".
摘要：
背景：鉴于中国老龄化人口的增加，对公共卫生服务的需求不断增长，护士的人力资源短缺变得更加突出。在这样的背景下,“互联网+护理服务”受到更多关注。因此，探索护士参与“互联网+护理服务”的意愿障碍和促进者，利用互联网技术增加护理服务供给已成为关键问题。
目的：本研究旨在开发一个量表，用于评估护士参与“互联网+护理服务”的障碍和促进者的意愿，并测试该量表的有效性和可靠性。
方法：在文献综述的基础上制定了一个初步的量表，理论研究,半结构化定性访谈，和两轮德尔福专家查询。采用方便抽样的方法进行问卷调查。使用5点Likert量表评估项目的重要性。对2023年2月至3月的659名临床护士的调查数据进行项目分析，探索性因子分析(EFA)量表的信度和效度检验。采用2023年4月538名临床护士的调查数据对最终量表进行验证性因子分析(CFA)。
结果：最终量表由25个项目和4个维度组成（性能预期，感知风险，需要专业知识培训，和非专业的知识培训)。量表具有良好的结构效度和内容效度:量表的Cronbach\'sα系数为0.955,分半信度为0.778,重测信度为0.944,kaiser-meyer-olkin(KMO)值为0.960,4个公因子的累积方差贡献率为83.147%。量表含量效度指数(S-CVI)为0.914。验证性因素分析模型具有良好的拟合指数:χ2/df=4.234,RMSEA=0.078,NFI=0.940,FI=0.953,TLI=0.947,CFI=0.953。
结论：评估护士参与“互联网+护理服务”意愿的障碍和促进者量表具有良好的信度和效度，为评价护士参与“互联网+护理服务”的意愿提供参考依据。
目的：本研究旨在开发一个量表，用于评估护士参与“互联网+护理服务”的障碍和促进者的意愿，并测试该量表的有效性和可靠性。
方法：在文献综述的基础上制定了一个初步的量表，理论研究,半结构化定性访谈，和两轮德尔福专家查询。采用方便抽样的方法进行问卷调查。使用5点Likert量表评估项目的重要性。对2023年2月至3月的659名临床护士的调查数据进行项目分析，探索性因子分析(EFA)量表的信度和效度检验。采用2023年4月538名临床护士的调查数据对最终量表进行验证性因子分析(CFA)。
结果：最终量表由25个项目和4个维度组成（性能预期，感知风险，需要专业知识培训，和非专业的知识培训)。量表具有良好的结构效度和内容效度:量表的Cronbach\'sα系数为0.955,分半信度为0.778,重测信度为0.944,kaiser-meyer-olkin(KMO)值为0.960,4个公因子的累积方差贡献率为83.147%。量表含量效度指数(S-CVI)为0.914。验证性因素分析模型具有良好的拟合指数:χ2/df=4.234,RMSEA=0.078,NFI=0.940,FI=0.953,TLI=0.947,CFI=0.953。
结论：评估护士参与“互联网+护理服务”意愿的障碍和促进者量表具有良好的信度和效度，为评价护士参与“互联网+护理服务”的意愿提供参考依据。
