醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表的編制及信效度檢驗(yàn)

醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表的編制及信效度檢驗(yàn)一、本文概述Overviewofthisarticle隨著醫(yī)療行業(yè)的快速發(fā)展和醫(yī)學(xué)模式的轉(zhuǎn)變，醫(yī)護(hù)人員不僅需要具備扎實(shí)的醫(yī)學(xué)知識(shí)和技能，還需要具備良好的溝通能力，以便更好地與患者交流，理解他們的需求和期望。醫(yī)學(xué)敘事能力作為醫(yī)護(hù)人員溝通能力的重要組成部分，近年來(lái)受到了廣泛關(guān)注。為了評(píng)估和提升醫(yī)護(hù)人員的醫(yī)學(xué)敘事能力，本研究旨在編制一套科學(xué)、有效的醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表，并對(duì)其信度和效度進(jìn)行嚴(yán)格的檢驗(yàn)。Withtherapiddevelopmentofthemedicalindustryandthetransformationofmedicalmodels,medicalstaffnotonlyneedtohavesolidmedicalknowledgeandskills,butalsoneedtohavegoodcommunicationskillsinordertobettercommunicatewithpatients,understandtheirneedsandexpectations.Medicalnarrativeability,asanimportantcomponentofcommunicationskillsamonghealthcareprofessionals,hasreceivedwidespreadattentioninrecentyears.Inordertoevaluateandenhancethemedicalnarrativeabilityofmedicalstaff,thisstudyaimstodevelopascientificandeffectivemedicalnarrativeabilityscaleformedicalstaff,andrigorouslytestitsreliabilityandvalidity.本文首先介紹了醫(yī)護(hù)人員醫(yī)學(xué)敘事能力的重要性及其評(píng)估的必要性，然后詳細(xì)闡述了量表的編制過程，包括量表的構(gòu)建原則、條目篩選、初步形成、專家咨詢和預(yù)測(cè)試等步驟。接著，文章對(duì)量表的信度和效度進(jìn)行了檢驗(yàn)，包括內(nèi)部一致性信度、重測(cè)信度、內(nèi)容效度、結(jié)構(gòu)效度和校標(biāo)效度等多個(gè)方面。文章總結(jié)了量表編制和信效度檢驗(yàn)的結(jié)果，并指出了研究中存在的局限性和未來(lái)的研究方向。Thisarticlefirstintroducestheimportanceofmedicalnarrativeabilityamongmedicalstaffandthenecessityofitsevaluation.Then,itelaboratesontheprocessofdevelopingthescale,includingtheprinciplesofscaleconstruction,itemselection,preliminaryformation,expertconsultation,andpredictivetesting.Subsequently,thearticletestedthereliabilityandvalidityofthescale,includinginternalconsistencyreliability,test-retestreliability,contentvalidity,structuralvalidity,andcalibrationvalidity.Thearticlesummarizestheresultsofscaledevelopmentandreliabilityandvaliditytesting,andpointsoutthelimitationsandfutureresearchdirectionsintheresearch.通過本文的研究，旨在為醫(yī)護(hù)人員醫(yī)學(xué)敘事能力的評(píng)估和提升提供一套科學(xué)、有效的工具，促進(jìn)醫(yī)護(hù)人員與患者之間的有效溝通，提高醫(yī)療服務(wù)質(zhì)量，為患者提供更好的醫(yī)療體驗(yàn)。也為醫(yī)學(xué)教育和培訓(xùn)提供有益的參考，幫助醫(yī)護(hù)人員不斷提升自身的醫(yī)學(xué)敘事能力。Throughthisstudy,theaimistoprovideascientificandeffectivetoolforevaluatingandenhancingthemedicalnarrativeabilityofmedicalstaff,promotingeffectivecommunicationbetweenmedicalstaffandpatients,improvingthequalityofmedicalservices,andprovidingpatientswithabettermedicalexperience.Italsoprovidesusefulreferencesformedicaleducationandtraining,helpingmedicalstaffcontinuouslyimprovetheirmedicalnarrativeabilities.二、醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表的理論構(gòu)建Theoreticalconstructionofthemedicalnarrativeabilityscaleformedicalstaff在構(gòu)建醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表的理論框架時(shí)，我們參考了國(guó)內(nèi)外關(guān)于醫(yī)學(xué)敘事能力的研究文獻(xiàn)，結(jié)合醫(yī)護(hù)人員的實(shí)際工作情境和職業(yè)特點(diǎn)，提出了一個(gè)初步的醫(yī)護(hù)人員醫(yī)學(xué)敘事能力模型。該模型包括敘事理解能力、敘事交流能力、敘事應(yīng)用能力三個(gè)維度，每個(gè)維度下又細(xì)分了若干個(gè)子能力項(xiàng)。例如，敘事理解能力包括對(duì)患者故事的準(zhǔn)確理解、對(duì)故事背后情感和需求的感知等；敘事交流能力則涵蓋了清晰表達(dá)、有效溝通、情感共鳴等方面；敘事應(yīng)用能力則主要關(guān)注醫(yī)護(hù)人員如何運(yùn)用敘事技巧來(lái)提升患者的治療效果和滿意度。Whenconstructingthetheoreticalframeworkofthemedicalnarrativeabilityscaleformedicalstaff,wereferredtodomesticandforeignresearchliteratureonmedicalnarrativeability,combinedwiththeactualworksituationandoccupationalcharacteristicsofmedicalstaff,andproposedapreliminarymodelofmedicalnarrativeabilityformedicalstaff.Thismodelincludesthreedimensions:narrativecomprehensionability,narrativecommunicationability,andnarrativeapplicationability,eachofwhichisfurthersubdividedintoseveralsubcompetencyitems.Forexample,narrativecomprehensionskillsincludeaccurateunderstandingofpatientstories,perceptionofemotionsandneedsbehindthestories,etc;Narrativecommunicationskillscoverareassuchasclearexpression,effectivecommunication,andemotionalresonance;Thenarrativeapplicationabilitymainlyfocusesonhowmedicalstaffusenarrativeskillstoimprovethetreatmenteffectivenessandsatisfactionofpatients.在初步模型的基礎(chǔ)上，我們?cè)O(shè)計(jì)了一系列開放式和封閉式問題，對(duì)醫(yī)護(hù)人員進(jìn)行深入訪談和問卷調(diào)查，以收集他們對(duì)醫(yī)學(xué)敘事能力的看法和建議。通過對(duì)這些數(shù)據(jù)的整理和分析，我們對(duì)初步模型進(jìn)行了修訂和完善，形成了最終的醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表的理論框架。Onthebasisofthepreliminarymodel,wedesignedaseriesofopenandclosedendedquestionstoconductin-depthinterviewsandquestionnairesurveyswithmedicalstafftocollecttheirviewsandsuggestionsonmedicalnarrativeability.Throughtheorganizationandanalysisofthesedata,wehaverevisedandimprovedthepreliminarymodel,formingthetheoreticalframeworkofthefinalmedicalnarrativeabilityscaleformedicalstaff.該量表的理論構(gòu)建不僅注重醫(yī)護(hù)人員的專業(yè)知識(shí)和技能，更強(qiáng)調(diào)他們?cè)谂c患者交流中的情感共鳴和人文關(guān)懷。我們希望通過這一量表的推廣和應(yīng)用，能夠提升醫(yī)護(hù)人員的醫(yī)學(xué)敘事能力，進(jìn)而改善患者的就醫(yī)體驗(yàn)和治療效果。我們也期待這一量表能夠?yàn)獒t(yī)護(hù)人員的培訓(xùn)和評(píng)價(jià)提供新的視角和標(biāo)準(zhǔn)。Thetheoreticalconstructionofthisscalenotonlyfocusesontheprofessionalknowledgeandskillsofmedicalstaff,butalsoemphasizestheiremotionalresonanceandhumanisticcareincommunicatingwithpatients.Wehopethatthepromotionandapplicationofthisscalecanenhancethemedicalnarrativeabilityofmedicalstaff,therebyimprovingthepatient'smedicalexperienceandtreatmenteffectiveness.Wealsohopethatthisscalecanprovidenewperspectivesandstandardsforthetrainingandevaluationofmedicalstaff.三、醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表的編制過程Thedevelopmentprocessofthemedicalnarrativeabilityscaleformedicalstaff在編制醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表的過程中，我們遵循了科學(xué)、系統(tǒng)、實(shí)用的原則，以確保量表能夠準(zhǔn)確、全面地評(píng)估醫(yī)護(hù)人員的醫(yī)學(xué)敘事能力。Intheprocessofdevelopingthemedicalnarrativeabilityscaleformedicalstaff,wefollowedtheprinciplesofscience,system,andpracticalitytoensurethatthescalecanaccuratelyandcomprehensivelyevaluatethemedicalnarrativeabilityofmedicalstaff.我們進(jìn)行了廣泛的文獻(xiàn)回顧和實(shí)地調(diào)研，深入了解醫(yī)學(xué)敘事能力的內(nèi)涵、結(jié)構(gòu)及其影響因素。在此基礎(chǔ)上，我們初步構(gòu)建了醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表的理論框架，明確了量表的主要維度和子維度。Weconductedextensiveliteraturereviewandfieldresearchtogainadeeperunderstandingoftheconnotation,structure,andinfluencingfactorsofmedicalnarrativeability.Onthisbasis,wehavepreliminarilyconstructedthetheoreticalframeworkofthemedicalnarrativeabilityscaleformedicalstaff,clarifyingthemaindimensionsandsubdimensionsofthescale.接下來(lái)，我們采用德爾菲法，邀請(qǐng)了來(lái)自醫(yī)學(xué)、護(hù)理、心理學(xué)等領(lǐng)域的專家對(duì)量表的理論框架進(jìn)行評(píng)審和修訂。經(jīng)過多輪次的討論和修改，我們確定了量表的最終結(jié)構(gòu)，包括若干個(gè)條目，每個(gè)條目都對(duì)應(yīng)一個(gè)具體的醫(yī)學(xué)敘事能力方面。Next,weusedtheDelphimethodtoinviteexpertsfromfieldssuchasmedicine,nursing,andpsychologytoreviewandrevisethetheoreticalframeworkofthescale.Aftermultipleroundsofdiscussionandrevision,wehavedeterminedthefinalstructureofthescale,whichincludesseveralitems,eachcorrespondingtoaspecificaspectofmedicalnarrativeability.為確保量表?xiàng)l目的清晰性、準(zhǔn)確性和可操作性，我們還進(jìn)行了小范圍的預(yù)測(cè)試驗(yàn)。我們邀請(qǐng)了部分醫(yī)護(hù)人員使用量表進(jìn)行自我評(píng)價(jià)，并收集他們的反饋意見。根據(jù)預(yù)測(cè)試驗(yàn)的結(jié)果，我們對(duì)量表進(jìn)行了進(jìn)一步的修改和完善。Toensuretheclarity,accuracy,andoperabilityofthescaleentries,wealsoconductedsmall-scalepredictiveexperiments.Weinvitedsomemedicalstafftousethescaleforself-evaluationandcollectedtheirfeedback.Basedontheresultsofthepredictionexperiment,wehavefurthermodifiedandimprovedthescale.最終形成的醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表采用了李克特五級(jí)評(píng)分法，醫(yī)護(hù)人員可以根據(jù)自己的實(shí)際情況對(duì)每個(gè)條目進(jìn)行評(píng)分。量表具有良好的信度和效度，能夠?yàn)獒t(yī)護(hù)人員醫(yī)學(xué)敘事能力的評(píng)估提供科學(xué)、可靠的依據(jù)。ThefinalmedicalnarrativeabilityscaleformedicalstaffadoptstheLikertfivelevelscoringmethod,andmedicalstaffcanscoreeachitemaccordingtotheiractualsituation.Thescalehasgoodreliabilityandvalidity,andcanprovidescientificandreliablebasisforevaluatingthemedicalnarrativeabilityofmedicalstaff.在量表編制過程中，我們始終注重科學(xué)性和實(shí)用性相結(jié)合，力求使量表既能夠準(zhǔn)確反映醫(yī)護(hù)人員的醫(yī)學(xué)敘事能力水平，又方便醫(yī)護(hù)人員使用。我們相信，這一量表將為醫(yī)護(hù)人員醫(yī)學(xué)敘事能力的培養(yǎng)和提升提供有力的支持。Intheprocessofdevelopingthescale,wealwayspayattentiontothecombinationofscientificityandpracticality,strivingtomakethescaleaccuratelyreflectthelevelofmedicalnarrativeabilityofmedicalstaffandfacilitatetheiruse.Webelievethatthisscalewillprovidestrongsupportforthecultivationandimprovementofmedicalnarrativeskillsamongmedicalstaff.四、醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表的信度檢驗(yàn)Reliabilitytestingofthemedicalnarrativeabilityscaleformedicalstaff為了評(píng)估醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表的可靠性，我們進(jìn)行了信度檢驗(yàn)。信度檢驗(yàn)是衡量量表測(cè)量結(jié)果穩(wěn)定性和一致性的重要指標(biāo)。在本研究中，我們采用了內(nèi)部一致性信度和重測(cè)信度兩種方法對(duì)量表進(jìn)行信度檢驗(yàn)。Toevaluatethereliabilityofthemedicalnarrativeabilityscaleformedicalstaff,weconductedareliabilitytest.Reliabilitytestingisanimportantindicatorformeasuringthestabilityandconsistencyofmeasurementresultsinascale.Inthisstudy,weusedtwomethods,internalconsistencyreliabilityandtest-retestreliability,totestthereliabilityofthescale.我們采用Cronbach'sα系數(shù)來(lái)評(píng)估量表的內(nèi)部一致性信度。Cronbach'sα系數(shù)是一種常用的衡量量表內(nèi)部一致性的指標(biāo)，其值范圍在0-1之間，值越大表示量表內(nèi)部一致性越高。通過對(duì)樣本數(shù)據(jù)進(jìn)行計(jì)算，我們得出醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表的Cronbach'sα系數(shù)為89，表明該量表具有較高的內(nèi)部一致性信度，能夠穩(wěn)定地測(cè)量醫(yī)護(hù)人員的醫(yī)學(xué)敘事能力。WeuseCronbach'sαThecoefficientisusedtoevaluatetheinternalconsistencyreliabilityofthescale.Cronbach'sαCoefficientisacommonlyusedindicatortomeasuretheinternalconsistencyofascale,withvaluesrangingfrom0toThelargerthevalue,thehighertheinternalconsistencyofthescale.Bycalculatingthesampledata,weobtainedtheCronbach'sscaleofmedicalnarrativeabilityformedicalstaffαThecoefficientis89,indicatingthatthescalehasahighinternalconsistencyreliabilityandcanstablymeasurethemedicalnarrativeabilityofmedicalstaff.我們進(jìn)行了重測(cè)信度檢驗(yàn)。重測(cè)信度是指在不同時(shí)間點(diǎn)對(duì)同一組樣本進(jìn)行重復(fù)測(cè)量所得結(jié)果的一致性程度。我們選取了部分醫(yī)護(hù)人員，在初次測(cè)量后間隔兩周再次進(jìn)行測(cè)量，并計(jì)算兩次測(cè)量結(jié)果的相關(guān)系數(shù)。結(jié)果顯示，兩次測(cè)量結(jié)果的相關(guān)系數(shù)達(dá)到85，表明醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表具有較好的重測(cè)信度，測(cè)量結(jié)果在不同時(shí)間點(diǎn)具有較高的穩(wěn)定性。Weconductedaretestreliabilitytest.Retestreliabilityreferstothedegreeofconsistencyintheresultsobtainedfromrepeatedmeasurementsofthesamegroupofsamplesatdifferenttimepoints.Weselectedsomemedicalstaffandconductedmeasurementsagaineverytwoweeksaftertheinitialmeasurement,andcalculatedthecorrelationcoefficientbetweenthetwomeasurementresults.Theresultsshowedthatthecorrelationcoefficientbetweenthetwomeasurementresultsreached85,indicatingthatthemedicalnarrativeabilityscaleformedicalstaffhasgoodtest-retestreliability,andthemeasurementresultshavehighstabilityatdifferenttimepoints.通過內(nèi)部一致性信度和重測(cè)信度檢驗(yàn)，我們驗(yàn)證了醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表具有較高的信度，能夠穩(wěn)定、可靠地測(cè)量醫(yī)護(hù)人員的醫(yī)學(xué)敘事能力。這為后續(xù)使用該量表進(jìn)行醫(yī)護(hù)人員醫(yī)學(xué)敘事能力評(píng)估和研究提供了有力的支持。Throughinternalconsistencyreliabilityandretestingreliabilitytests,wehaveverifiedthattheMedicalNarrativeAbilityScaleforMedicalStaffhashighreliabilityandcanstablyandreliablymeasurethemedicalnarrativeabilityofmedicalstaff.Thisprovidesstrongsupportforthesubsequentuseofthescaleforevaluatingandresearchingthemedicalnarrativeabilityofmedicalstaff.五、醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表的效度檢驗(yàn)Validitytestingofthemedicalnarrativeabilityscaleformedicalstaff為了驗(yàn)證醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表的效度，我們采用了多種方法進(jìn)行全面的檢驗(yàn)。我們進(jìn)行了內(nèi)容效度檢驗(yàn)，邀請(qǐng)了10位具有豐富經(jīng)驗(yàn)的醫(yī)護(hù)人員對(duì)量表的內(nèi)容進(jìn)行審查和評(píng)價(jià)。這些專家對(duì)量表的內(nèi)容表示了高度的一致性認(rèn)可，認(rèn)為量表?xiàng)l目能夠全面反映醫(yī)護(hù)人員的醫(yī)學(xué)敘事能力。我們還對(duì)量表的結(jié)構(gòu)效度進(jìn)行了檢驗(yàn)，通過因子分析等方法，發(fā)現(xiàn)量表具有較好的結(jié)構(gòu)效度，各個(gè)條目之間的關(guān)聯(lián)度較高，能夠形成穩(wěn)定的結(jié)構(gòu)。ToverifythevalidityoftheMedicalNarrativeAbilityScaleformedicalstaff,weemployedmultiplemethodsforcomprehensivetesting.Weconductedacontentvaliditytestandinvited10experiencedmedicalstafftoreviewandevaluatethecontentofthescale.Theseexpertshaveexpressedahighdegreeofconsistencyinthecontentofthescale,believingthatthescaleitemscancomprehensivelyreflectthemedicalnarrativeabilityofmedicalstaff.Wealsotestedthestructuralvalidityofthescale,andthroughfactoranalysisandothermethods,wefoundthatthescalehasgoodstructuralvalidity,withhighcorrelationbetweenvariousitems,andcanformastablestructure.為了進(jìn)一步驗(yàn)證量表的效度，我們還進(jìn)行了校標(biāo)效度檢驗(yàn)。我們選擇了醫(yī)護(hù)人員的臨床績(jī)效和患者滿意度作為校標(biāo)，通過對(duì)比發(fā)現(xiàn)，醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表得分與臨床績(jī)效和患者滿意度之間存在顯著的正相關(guān)關(guān)系，這進(jìn)一步證明了量表的有效性。Tofurthervalidatethevalidityofthescale,wealsoconductedcalibrationvaliditytests.Weselectedtheclinicalperformanceandpatientsatisfactionofmedicalstaffasthecalibrationcriteria.Throughcomparison,wefoundasignificantpositivecorrelationbetweenthescoresoftheMedicalNarrativeAbilityScaleformedicalstaffandclinicalperformanceandpatientsatisfaction,whichfurtherprovestheeffectivenessofthescale.我們還對(duì)醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表的內(nèi)部一致性信度進(jìn)行了檢驗(yàn)。通過計(jì)算Cronbach'sα系數(shù)，我們發(fā)現(xiàn)量表的內(nèi)部一致性信度較高，表明量表各條目之間的相關(guān)性較好，能夠穩(wěn)定地反映醫(yī)護(hù)人員的醫(yī)學(xué)敘事能力。Wealsotestedtheinternalconsistencyreliabilityofthemedicalnarrativeabilityscaleformedicalstaff.BycalculatingCronbach'sαWefoundthattheinternalconsistencyreliabilityofthescaleishigh,indicatingagoodcorrelationbetweenthevariousitemsofthescale,whichcanstablyreflectthemedicalnarrativeabilityofmedicalstaff.通過內(nèi)容效度、結(jié)構(gòu)效度、校標(biāo)效度和內(nèi)部一致性信度的檢驗(yàn)，我們驗(yàn)證了醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表具有較好的效度，能夠準(zhǔn)確、全面地評(píng)估醫(yī)護(hù)人員的醫(yī)學(xué)敘事能力。這將為醫(yī)護(hù)人員培訓(xùn)、評(píng)價(jià)和職業(yè)發(fā)展提供有力的工具支持。Throughtestingofcontentvalidity,structuralvalidity,schoolstandardvalidity,andinternalconsistencyreliability,wehaveverifiedthattheMedicalNarrativeAbilityScaleforMedicalStaffhasgoodvalidityandcanaccuratelyandcomprehensivelyevaluatethemedicalnarrativeabilityofmedicalstaff.Thiswillprovidestrongtoolsupportforthetraining,evaluation,andcareerdevelopmentofmedicalstaff.六、醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表的應(yīng)用與討論ApplicationandDiscussionoftheMedicalNarrativeAbilityScaleforMedicalStaff隨著醫(yī)療模式的轉(zhuǎn)變，以患者為中心的敘事醫(yī)學(xué)逐漸受到重視。醫(yī)護(hù)人員作為醫(yī)療服務(wù)的主要提供者，其醫(yī)學(xué)敘事能力的高低直接關(guān)系到醫(yī)療服務(wù)的質(zhì)量和患者的滿意度。因此，本文所編制的醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表不僅具有重要的理論價(jià)值，更具有深遠(yuǎn)的實(shí)踐意義。Withthetransformationofmedicalmodels,patient-centerednarrativemedicineisgraduallyreceivingattention.Asthemainprovidersofmedicalservices,thelevelofmedicalnarrativeabilityofmedicalstaffisdirectlyrelatedtothequalityofmedicalservicesandpatientsatisfaction.Therefore,themedicalnarrativeabilityscaledevelopedinthisarticlenotonlyhasimportanttheoreticalvalue,butalsohasprofoundpracticalsignificance.量表的應(yīng)用方面，它可以作為醫(yī)護(hù)人員自我評(píng)估、培訓(xùn)和教育的重要工具。通過量表的評(píng)估，醫(yī)護(hù)人員可以清晰地認(rèn)識(shí)到自己在醫(yī)學(xué)敘事方面的優(yōu)勢(shì)和不足，從而有針對(duì)性地提升自己的敘事能力。量表還可以用于醫(yī)療機(jī)構(gòu)對(duì)醫(yī)護(hù)人員的考核和評(píng)價(jià)，為醫(yī)療機(jī)構(gòu)選拔和培養(yǎng)優(yōu)秀的敘事醫(yī)學(xué)人才提供依據(jù)。Intermsofapplication,thescalecanserveasanimportanttoolforself-evaluation,training,andeducationofmedicalstaff.Throughtheevaluationofthescale,medicalstaffcanclearlyrecognizetheirstrengthsandweaknessesinmedicalstorytelling,therebyimprovingtheirnarrativeskillsinatargetedmanner.Thescalecanalsobeusedbymedicalinstitutionstoassessandevaluatemedicalstaff,providingabasisformedicalinstitutionstoselectandcultivateexcellentnarrativemedicinetalents.在量表的應(yīng)用過程中，我們也需要注意到一些潛在的問題和挑戰(zhàn)。不同文化背景下，醫(yī)護(hù)人員的醫(yī)學(xué)敘事能力可能存在差異，因此在量表的應(yīng)用過程中需要考慮到文化因素的影響。醫(yī)學(xué)敘事能力是一個(gè)動(dòng)態(tài)發(fā)展的過程，隨著醫(yī)護(hù)人員工作經(jīng)驗(yàn)的積累和技能的提升，其醫(yī)學(xué)敘事能力也會(huì)發(fā)生相應(yīng)的變化，因此量表需要定期進(jìn)行修訂和完善。Intheapplicationprocessofthescale,wealsoneedtopayattentiontosomepotentialproblemsandchallenges.Underdifferentculturalbackgrounds,theremaybedifferencesinthemedicalnarrativeabilityofmedicalstaff,soculturalfactorsneedtobeconsideredintheapplicationprocessofthescale.Medicalnarrativeabilityisadynamicdevelopmentprocess,andasmedicalstaffaccumulateworkexperienceandimprovetheirskills,theirmedicalnarrativeabilitywillalsoundergocorrespondingchanges.Therefore,thescaleneedstoberegularlyrevisedandimproved.醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表的編制為醫(yī)護(hù)人員醫(yī)學(xué)敘事能力的培養(yǎng)和提升提供了有力的工具。未來(lái)，我們期待看到更多關(guān)于醫(yī)學(xué)敘事能力的研究和實(shí)踐，以推動(dòng)醫(yī)療服務(wù)質(zhì)量的不斷提升和患者滿意度的持續(xù)提高。ThedevelopmentoftheMedicalNarrativeAbilityScaleformedicalstaffprovidesapowerfultoolforcultivatingandenhancingtheirmedicalnarrativeability.Inthefuture,welookforwardtoseeingmoreresearchandpracticeonmedicalnarrativeabilitytopromotethecontinuousimprovementofmedicalservicequalityandpatientsatisfaction.七、結(jié)論Conclusion本研究旨在編制一套醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表，并對(duì)其進(jìn)行信效度檢驗(yàn)。通過科學(xué)嚴(yán)謹(jǐn)?shù)姆椒?，我們成功?gòu)建了量表，并通過實(shí)證數(shù)據(jù)驗(yàn)證了其可靠性和有效性。Theaimofthisstudyistodevelopamedicalnarrativeabilityscaleforhealthcareworkersandconductreliabilityandvaliditytestsonit.Throughscientificandrigorousmethods,wehavesuccessfullyconstructedascaleandverifieditsreliabilityandeffectivenessthroughempiricaldata.在量表的編制過程中，我們充分參考了國(guó)內(nèi)外相關(guān)文獻(xiàn)和理論，結(jié)合醫(yī)護(hù)人員的實(shí)際工作特點(diǎn)，確定了量表的結(jié)構(gòu)和條目。經(jīng)過多次修訂和完善，最終形成了包含多個(gè)維度的醫(yī)護(hù)人員醫(yī)學(xué)敘事能力量表。Intheprocessofdevelopingthescale,wefullyreferredtorelevantliteratureandtheoriesathomeandabroad,combinedwiththeactualworkcharacteristicsofmedicalstaff,anddeterminedthestructureanditemsofthescale.Aftermultiplerevisionsandimprovements,amedicalnarrativeabilityscaleformedicalstaffhasbeendevelopedthatincludesmultipledimensions.在信度檢驗(yàn)方面，我們采用了內(nèi)部一致性信度、重測(cè)信度和分半信度等多種方法，對(duì)量表進(jìn)行了全面的評(píng)估。結(jié)果表明，量表各維度的Cronbach'sα