模擬患者用ストレス調査票(SPSSQ) 2013年度版の開発と信頼性・妥当性の検証:- 模擬患者の健康と継続参加を志向したストレス状態の包括的測定 -  [in Japanese] Development and verification of the reliability and validity of the fiscal year 2013 version of the simulated/standardized patient stress and stress reaction questionnaire (SPSSQ):- Comprehensive measurement of stress state aimed at promoting the well-being and continued participation of simulated/standardized patients -  [in Japanese]

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Abstract

実践的医療者教育において重要な役割を担う模擬患者(以下、SP)のストレス状態を包括的に測定する模擬患者用ストレス調査票(以下、SPSSQ)を開発し、信頼性・妥当性を検証した。対象は、成人SP 401名(回収率68.2%、有効回答率87.6%)で、無記名質問紙による郵送法で実施した。ストレス要因は、6因子構造からなる43項目(バリマックス回転)が抽出され、α信頼性係数0.926、累積寄与率48.14%、SRS-18(鈴木 他 1997)との相関係数0.20~0.40(p < 0.0001)、GFI = 0.873、AGFI = 0.845、RMSEA = 0.058であった。ストレス反応(プロマックス回転)は、3因子17 項目が抽出され、α信頼性係数0.844、累積寄与率42.99%、因子相関行列0.295~0.567(p < 0.0001)、SRS-18との相関係数0.40~0.85(p < 0.0001)、GFI = 0.903、AGFI= 0.868、RMSEA = 0.071であった。以上より、モデルの適合度に若干の課題はあるものの、SPSSQの適用可能性が確認された。

We developed and verified the reliability and validity of the simulated/standardized patient stress and stress reaction questionnaire (SPSSQ), which comprehensively measures the stress state of simulated/standardized patients(SP), who play an important role in practical medical education. An anonymous survey was conducted by postal mail on a total of 401 adult SP (response rate, 68.2%; valid response rate, 87.6%). A total of 43 items comprising a six-factor structure (varimax solution) were identified as stressors, with an α reliability coefficient of 0.926, cumulative contribution rate of 48.14%, correlation coefficient of 0.20-0.40 (p < 0.0001) with the Stress Response Scale-18 (SRS18; Suzuki et al 1997), a goodness-of-fit index (GFI) of 0.873, an adjusted GFI (AGFI) of 0.845, and a root mean square error of approximation (RMSEA) of 0.058. As for the stress response (Promax rotation), a total of 17 items under three factors were identified, with an α reliability coefficient of 0.844, cumulative contribution rate of 42.99%, factor correlation matrices of 0.295-0.567 (p < 0.0001), correlation coefficient of 0.40-0.85 (p < 0.0001) with the SRS-18, GFI of 0.903, AGFI of 0.868, and an RMSEA of 0.071. Based on the above, even though some issues exist in regard to the model's goodness of fit, the applicability of the SPSSQ was confirmed.

Journal

  • Japanese Journal of Nursing and Health Sciences

    Japanese Journal of Nursing and Health Sciences 12(1), 1-23, 2014

    Oita University of Nursing and Health Sciences The Center for Nursing Education, Research and Collaboration (CNERC)

Codes

  • NII Article ID (NAID)
    110009751832
  • Text Lang
    JPN
  • Data Source
    NII-ELS  J-STAGE 
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