Design And Application Of Training Load Scale For Clinical Nurse

Objective1.To design a scale of nurse training load and to verify its validity and reliability for providing tools to understand the training load of clinical nurses.2.To understand the training load of on-the-job nurses in Chongqing Municipality City and in order to provide evidence for scientific nursing training programs.Methods1.The design of scale was based on cognitive load theory and reference to NASA-TLX evaluation scale,combined with expert discussions and literature review.The totals of 1190 nurses from 17 hospitals of a municipality city were surveyed after small sample test.2.The self-designed "clinical nurse training load survey questionnaire"was used to survey the total of 1190 nurses who were chose from 17 secondary and above hospitals by using stratified,random sampling method.Results1.The formal scale have total of 21 items that divided to 4 dimensions which include model load,contents load,time/frequency load,physical and psychological load.The overall Cronbach's alpha coefficient is 0.798,the spilt-half reliability is 0.875,Cronbach's alpha coefficient between 4 dimensions is 0.724?0.925;Exploratory factor analysis(EFA)to extract 4 common factors,cumulative variance contribution rate is 62.927%;each objective factor loading value of 0.487?0.922.2.A total of 1190 questionnaires were sampled and a total of 1165 responses were deemed valid for the analyses,with an 99.79%effective return ratio.The total average training load of on-the-job nurses in Chongqing is 3.709,the average load of four dimensions that include model load,contents load,time/frequency load,physical and psychological are:2.635,4.010,3.753 and 3.331.There are statistically significant difference(p<0.001)in model load,physical and psychological load of nurses between secondary hospital and tertiary hospital that showed the model load of nurses in tertiary hospital is higher than the nurses in secondary hospital,but the physical and psychological load is inverse.The physical and psychological load has significant difference(p<0.01)in different age,length of service,professional title and degree of nurses.Conclusion1.The scale of nurse training load has good reliability and validity,it can be used as a survey tool to understand clinical nurse training load.2.The total training load,physical and psychological load,time/frequ-ency load of nurses on-the-job training in Chongqing are in average level,however the contents load has amounted to heavy load levels,therefore we suggest that nursing leaders should rethink of reasonable and scientific training content set in the future.