Translation And Application Of The Chinese Version Of The Essentials Of Magnetism Scale

ObjectiveTo translate the Essentials of Magnetism Scale II into Chinese and test the reliability and validity of the scale for initially establishing a Chinese version of the Essentials of Magnetism Scale;to investigate the current status of magnetic level in general hospitals using Chinese version of the Essentials of Magnetism Scale and analyze the influence of nurses' general characteristics on it.Methods1.Translate the Essentials of Magnetism Scale II and test its reliability and validity.First,the researchers were authorized to translate and revise the Essentials of Magnetism Scale II by the author of the original scale,Kramer.Then,the researchers followed the Brislin model to translate and back-translate the scale.Next,the first draft of the Chinese version of Essentials of Magnetism Scale was compiled into an expert consultation questionnaire,and 25 experts familiar with the field were consulted by Delphi.The responses to the first-round questionnaires were collated and used to create the second-round questionnaire until all the experts agreed.Finally,a total of 1389 clinical nurses from a third-grade hospital in Qingdao were tested using the Chinese version of the Essentials of Magnetism Scale to verify its reliability and validity.2.Totally 2242 clinical nurses from 10 general hospitals across the country were enrolled to complete the Chinese version of the Essentials of Magnetism Scale by a convenient sampling method.The statistical methods including descriptive statistics,single factor analysis,and multivariate analysis were used to analyze the current status of the magnetic level of the general hospitals and its influencing factors.Results1.Reliability and representativeness of expert consultationIn this study,the experts participating in consultation were well represented.Among them,72% of the experts had master's degree or above,88% of the experts were senior titles,and the knowledge structure of experts was higher.The recovery rates of the two rounds of questionnaires were 100% and 84%,respectively,and the authoritative coefficients were 0.836 and 0.890,respectively.The expert coordination coefficients were0.298 and 0.308,respectively(P<0.001).2.Reliability and validity of the Chinese version of the Essentials of Magnetism ScaleThe Chinese version of the Essentials of Magnetism Scale extracted a total of 7 factors and 45 items of which factor load were >0.4.The cumulative contribution rate was72.328%.According to the content characteristics of each factor,7 factors were named as Supportive nurse manager(13 items),Cultural values(10 items),Autonomy(7 items),RN-MD relationships(4 items),Control of nursing practice(4 items),Support for education(4 items),and Adequate staffing(3 items).The Cronbach's ? coefficient was0.980,the Cronbach's ? coefficient of each factor were 0.828 ~ 0.971,the split-half reliability coefficient was 0.919,the split-half reliability coefficient of each factor were0.767~0.953,and the test-retest reliability coefficient was 0.889.3.The current status and influencing factors of the magnetic level of general hospitalsThe average score of Chinese version of the Essentials of Magnetism Scale was(1.74±0.47);the highest score was “Adequate staffing”,the lowest score was “Cultural values”.Multiple regression analysis showed that education,working years,gender and the departments were the influencing factors of the Chinese version of the scale(both P<0.05).Conclusions1.The Chinese version of the Essentials of Magnetism Scale has been proved to be reliable and valid which can be used to objectively evaluate the magnetic level of nursing work environment in China.2.The magnetic level of the general hospitals were generally lower.The education,working years,gender and department had a influence on the hospital's magnetic level.