臺灣博碩士論文加值系統

本研究旨在發展及建構護理美學量表，並測試其信度與效度。量表之發展係參閱國內外相關文獻及將黃宣宜學者質性訪談結果擬定護理美學之構面，依此再擬定每個構面之題目，初步建立量表題項。將自擬定初量表經過專家內容效度檢定與項目分析後，共刪除2題題項，完成「完整版護理美學量表」共有66題之題項。研究樣本由中部某教學醫院中心，收集371位護理人員資料。研究結果顯示「完整版護理美學量表」具有良好的內在一致性與再測信度。進行因素分析萃取出六個因素，分別命名為「專業形象之美」、「關懷之美」、「照護之美」、「專業奉獻之美」、「藝術之美」與「凝聚之美」。「完整版護理美學」總解釋變異量為64.55%。整體量表和六個因素的內在一致性分別為0.91、0.93、0.95、0.88、0.94、及0.94。在校標關聯效度方面，護理美學總得分和「我會對病人展現關懷行為」成顯著性正相關。另外為了增進實務運用之可能性，發展出「簡版護理美學量表」39題。其總解釋變異量為65.87%，整體內在一致性0.96。「簡版護理美學量表」和六個因素內在一致性分別為0.80、0.92、0.89、0.83、0.86、及0.92。本研究結果顯示「完整版護理美學量表」與「簡版護理美學量表」是一份具有良好信度與效度之工具。

This research is to develop and establish the questionnaire for aesthetics of nursing（QAN）and verify the reliability and validity. The QAN was developed based on the literature review and the results of Huang’s qualitative research. The validity of the QAN was determinted by measuring the content validty, construct validity and current validity. Internal consistency and test-retest reliability were also examined to estimate stability of the scales. By using convenience sampling, 371 participants were collected from a medical center in central Taiwan. The final version of the QAN showed good internal consistency reliability (Cronbach’s α＝0.97) and test-retest reliability 0.80. Two of items were removed after content validities and item analysis. The construct validity of QAN was evaluated by exploratory factor analysis and six factors were revealed: professional image of aesthetics, concern of aesthetics, care of aesthetics, professional dedication of aesthetics, artistic of aesthetics, solidarity of aesthetics. Total variance explained of the full version of questionnaire for aesthetics of nursing is 64.55%. The QAN and six factors have an intrinsic consistency of 0.91, 0.93, 0.95, 0.88, 0.94, and 0.94, respectively. With regarding to criterion-related validation, the total scale of aesthetics of nursing was significant and positively correlated to the item, “I can provide care to patients”. Through comprehensive tests of reliability and validity, a 39-item questionnaire for aesthetics of nursing was yielded. The 39-item QAN total variance explained is 65.87% and entire intrinsic consistency is 0.96. An intrinsic consistency of the 39-item QAN and six factors are, respectively, 0.80, 0.92, 0.89, 0.83, 0.86 and 0.92. The QAN and the 39-item QAN are valid and reliable instrument for evaluating aesthetics of nursing.

目錄
致謝………………………………………………………………………i
中文摘要…………………………………………………………………ii
英文摘要……………………………………………………………...iii
目錄………………………………………………………………………v
圖表目次………………………………………………………………viii
第一章 緒論
第一節 研究動機與重要性…………………………………………1
第二節 研究目的……………………………………………………3
第三節 研究問題……………………………………………………4
第四節 名詞解釋……………………………………………………4
第二章 文獻查證
第一節 美學…………………………………………………………7
第二節 護理美學……………………………………………………9
第三節 與護理美學相關的研究……………………………………18
第四節 「護理美學量表」之概念分析……………………………22
第五節 量表建構之信度與效度……………………………………26
第三章 研究方法
第一節 研究設計……………………………………………………35
第二節 研究對象及研究場所………………………………………36
第三節 研究設計及進行步驟………………………………………36
第四節 研究倫理考量………………………………………………41
第五節 初步量表建立………………………………………………41
第六節 研究過程……………………………………………………46
第七節 資料統計與分析……………………………………………53
第四章 研究結果
第一節 研究對象基本資料描述……………………………………56
第二節 護理美學量表之項目分析結果……………………………61
第三節 完整版護理美學量表之其信效度測試結果………………71
第四節 簡版護理美學量表及其信效度測試結果…………………81
第五章 討論
第一節 護理美學量表信度與效度分析……………………………86
第二節 護理美學基本資料分析……………………………………90
第三節 護理美學量表得分分析……………………………………92
第六章 結論與建議
第一節 結論…………………………………………………………95
第二節 研究限制……………………………………………………96
第三節 應用與建議…………………………………………………96
第七章 參考文獻……………………………………………………99
附錄一 護理美學量表問卷測試版……………………………………109
附錄二 專家效度名單…………………………………………………114
附錄三 專家效度修正結果一欄表……………………………………115
附錄四 完整版護理美學量表…………………………………………119
附錄五 簡版護理美學量表……………………………………………123

圖表目次
圖3-1 「護理美學量表」之發展及建構步驟…………………………38
圖3-2 研究過程…………………………………………………………40
圖4-1 完整版護理美學因素分析陡坡圖………………………………72
表2-1 各學者對護理美學概念之看法一欄表…………………………12
表2-2 「以病人觀點探討護理美學意涵」研究結果之主題、次主題及
其定義說明………………………………………………………………19
表2-3 「以護理人員觀點探討護理美學意涵」研究結果之主題、次主
題及其定義說明…………………………………………………………20
表2-4 「以家屬觀點探討護理美學意涵」研究結果之主題、次主題及
其定義說明………………………………………………………………21
表3-1 專家內容效度評比標準…………………………………………44
表3-2 護理美學量表項目分析摘要表…………………………………48
表3-3 護理美學之再測信度……………………………………………51
表4-1 護理人員基本資料………………………………………………59
表4-2 護理美學量表得分之描述性統計………………………………62
表4-3 護理美學量表項目分析摘要表…………………………………67
表4-4 完整版護理美學量表因子相關矩陣……………………………73
表4-5 完整版護理美學量表萃取因素變異量…………………………73
表4-6 完整版護理美學量表因素分析結果摘要表……………………74
表4-7 完整版護理美學量表總分與基本資料摘要表（獨立樣本t檢
定）…………………………………………………………………… 79
表4-8 完整版護理美學量表總分與基本資料摘要表（卡方檢定）…80
表4-9 簡版護理美學量表萃取因素變異量……………………………83
表4-10 簡版護理美學量表因子相關矩陣……………………………83
表4-11 簡版護理美學量表因素分析結果摘要表……………………84

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