Development, Reliability and Validity of an Evaluation Test to Assess the Basic Knowledge Required of Novice Nurses in Intensive Care Units

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  • 「初心者レベル」看護師における「ICU看護基礎知識評価試験」の作成と信頼性・妥当性の検討
  • 「 ショシンシャ レベル 」 カンゴシ ニ オケル 「 ICU カンゴ キソ チシキ ヒョウカ シケン 」 ノ サクセイ ト シンライセイ ・ ダトウセイ ノ ケントウ

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This study aimed to develop a written examination comprising 76 items asking newly graduated nurses to assess the basic knowledge that would be required of them as novice nurses in ICU units, and to inspect its reliability and validity. Data were collected from 252 third-year students at nursing diploma schools. The examination was conducted three times by linkable anonymity, before and after the national licensing examination for nurses. In addition, this study collected data on 48 second-year students and 54 ICU nurses, predicting a difference in knowledge when compared with the third-year students.<br> In item analysis on the basis of classical test theory, ５ items about the nursing care of postoperative patients and patients requiring respirator control did not have adequate item difficulty and discrimination power. Otherwise, the results showedreliability (KR-20 ratio = .785-.873) and criterion-related validity (test scores had a significantly positive correlation with academic achievement [r = .415-.637] ). The third-years' test scores were significantly lower than those of the ICU nurses (p<.001), indicating good discriminant construct validity. Therefore, the examination can be regarded as useful, but further consideration is needed concerning the items about care of postoperative patients and patients requiring respirator control.

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