中国健康心理学杂志2026，Vol.34Issue(6)：893-899,7.DOI:10.13342/j.cnki.cjhp.2026.06.017
四维职业认同感量表在护士群体中的修订及信效度检验
Development and psychometric evaluation of the nurse professional identity scale
摘要
Abstract
Objective:To revise and validate a scale based on the existing four-dimensional structure model of pro-fessional identity(comprising professional will,professional intention,professional value,and professional efficacy),providing a standardized tool for accurately assessing the professional identity level of nursing staff.Methods:An ini-tial item pool was constructed through literature review and semi-structured interviews,and the initial scale was es-tablished after two rounds of Delphi expert consultation.Using a multi-stage sampling strategy,227 nurses from a tertiary hospital in Guangdong Province were effectively surveyed during the pre-test phase.Items were screened through item analysis(critical ratio method,item-total correlation,CITC).In the formal survey phase,421 nurses from 21 hospitals across six major administrative regions in China were effectively surveyed.Psychometric properties of the scale were systematically tested using exploratory factor analysis(EFA)and confirmatory factor analysis(CFA).Results:The final version of the Four-Dimensional Nurse Professional Identity Scale retained 12 items,cov-ering four dimensions.EFA showed that the four factors cumulatively explained 79.731％of the variance.CFA dem-onstrated excellent model fit(x2/df=1.186,RMSEA=0.021,CFI=0.997,TLI=0.996,IFI=0.997).Criterion validi-ty was significant,with high correlations to the Liu Ling version(r=0.798)and the Zhao Hong version(r=0.826)(P＜0.001).The total scale's Cronbach's α coefficient was 0.908,and the Cronbach's α coefficients for each dimension ranged from 0.847 to 0.874.Conclusion:The revised 12-item Four-Dimensional Nurse Professional Identity Scale exhibits excellent reliability and validity,combining measurement precision with clinical practicality.It is suitable for rapid screening of professional identity among nurses and provides tool support for future research.关键词
职业心理/职业认同感量表/量表修订/护士/心理测量学Key words
Occupational psychology/Professional IdentityScale/Scale revision/Nurse/Psychometrics分类
医药卫生引用本文复制引用
罗思琪,郑莹莹,李艳利,王涛,罗涛,王鑫强..四维职业认同感量表在护士群体中的修订及信效度检验[J].中国健康心理学杂志,2026,34(6):893-899,7.基金项目
广州市高等教育教学质量与教学改革工程高等教育教学改革一般项目(编号:2024YBJG033) （编号:2024YBJG033）
