Development Of Chronic Disease Management Ability Questionnaires For Community Nurses

ObjectivesThe questionnaire on chronic Disease Management ability of community nurses was developed and its reliability and validity were tested.Methods1.Under the guidance of competency theory,this study formed a questionnaire entry pool of community nurses' chronic disease management ability through literature review and qualitative interview.2.After 3 rounds of Delphi expert consultation and pre-survey,a 48-item questionnaire was formed.3.From July 2019 to November 2019,the convenience sampling method was used to survey 415 community nurses,and the community nurses' chronic disease management ability questionnaire was evaluated:? Use critical ratio method and correlation coefficient method to analyze the questionnaire;?Evaluate the validity of the questionnaire using content validity and structure validity;? The reliability of the questionnaire was evaluated by the internal consistency reliability Cronbach's coeficient,broken half reliability and retest reliability.Results1.After literature review and qualitative interview,the first draft of the questionnaire on chronic disease management ability of community nurses was formed,with 53 items in 4 dimensions,including professional knowledge(11 items),professional skills(22 items),professional competence(17 items)and personal characteristics(3 items).2.Through three rounds of expert consultation,the number of experts consulted was 15,and the expert Cr was 0.92.Finally,4 items were deleted,5 items were added,and 6 items were merged;a test questionnaire with four dimensions and 48 items was obtained through the pre-survey.3.Four items were deleted through project analysis and exploratory factor analysis.Form a formal questionnaire with 4 dimensions and 44 items,including professional knowledge(10 entries),professional skills(17 entries),professional ability(14 entries),and personal characteristics(3 entries).4.Reliability test:(1)The Cronbach'a of the total questionnaire was 0.964,and the Cronbach'? of the four factors were 0.926,0.958,0.944 and 0.800;(2)The half-reliability coefficient of the total questionnaire was 0.849,and the half-reliability coefficient of each factor were 0.933,0.958,0.943,0.812;(3)Retest reliability coefficient:the retest reliability coefficient of the total questionnaire was 0.864,and the retest reliability coefficients of each factor were 0.985,0.981,0.986 and 0.908,respectively,all of which had statistical significance(P<0.01).5.Validity test:(1)Content validity:I-CVI was 0.80?1.00,S-CVI/Ave was 0.98.(2)Structural validity:exploratory factor analysis produced 4 common factors with a cumulative contribution rate of 61.040%,all item factor load?0.4 standard.Conclusions(1)The Questionnaire on chronic Disease Management Ability of Community nurses has 44 items in 4 dimensions,which are respectively professional knowledge,professional skills,professional ability and personal characteristics.Dimensions and entries can reflect the content requirements of competency theory,reflect the chronic disease management ability of community nurses,with good reliability and validity,and have certain effectiveness,stability and sensitivity.(2)The questionnaire on chronic disease management ability of community nurses has a good applicability.It can be used as a tool to evaluate the chronic disease management ability of community nurses and provide a reliable basis for improving the chronic disease management ability of community nurses.