护理领域人工智能应用态度量表的汉化及信效度检验
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1.人民解放军东部战区总医院;2.东南大学附属中大医院

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东部战区总医院科技创新项目(2023YYHLZX199)


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    目的 引进并汉化护理领域人工智能应用态度量表(Attitude Scale Towards the Use of Artificial Intelligence Technologies in Nursing,ASUAITIN)并在护理人员中检验其信效度。方法 遵循Brislin翻译模式对ASUAITIN进行翻译、文化调适及预调查,形成中文版ASUAITIN。于2025年2~4月在江苏省某一所三甲医院采取便利抽样法抽取530名在职护士作为研究对象,验证量表的信效度。结果 中文版ASUAITIN共15条目,含消极和积极态度2个维度。条目—总分相关系数为0.686~0.767;总量表Cronbach"s α系数为0.929,消极和积极态度维度系数分别为0.950和 0.962,分半信度系数为0.970,重测信度系数为0.907;条目水平的内容效度指数为0.833-1.000,全体一致内容效度指数为0.867,平均内容效度指数为0.979。探索性因子分析共提取2个特征值>1的因子,累计贡献率达85.59%。验证性因子分析显示卡方自由度比为2.735,计算得到平均提取方差为0.665,组合信度为0.967。结论 中文版ASUAITIN旨在评估我国护士对AI技术在临床应用的态度,不仅为临床研究者开创了崭新的评估体系,未来还可为医疗机构部署AI技术提供决策支持。

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    Objective To translate and culturally adapt the Attitude Scale Towards the Use of Artificial Intelligence Technologies in Nursing (ASUAITIN) into Chinese and validate its psychometric properties among nurses. Methods Following Brislin’s translation model, the ASUAITIN underwent forward-backward translation, cultural adaptation, and pilot testing to develop the Chinese version. A convenience sample of 530 registered nurses from two tertiary hospitals in Jiangsu Province was recruited between February and April 2025 to evaluate the scale’s reliability and validity. Results The Chinese ASUAITIN comprised 15 items across two dimensions: negative attitudes and positive attitudes. Item-total correlations ranged from 0.686 to 0.767. The overall Cronbach’s α coefficient was 0.929, with subscale coefficients of 0.950 (negative attitudes) and 0.962 (positive attitudes). Split-half reliability was 0.970, and test-retest reliability was 0.907. Item-level content validity indices (I-CVI) ranged from 0.833 to 1.000, with a universal agreement CVI of 0.867 and a scale-level average CVI of 0.979. Exploratory factor analysis extracted two factors with eigenvalues >1, accounting for 85.59% of the cumulative variance. Concurrent validity with the Nurses’ Innovative Behavior Scale showed a correlation coefficient of 0.655. Conclusion The Chinese version of the ASUAITIN demonstrates robust reliability and validity for assessing nurses’ attitudes toward AI applications in clinical practice. It provides a novel assessment tool for researchers and supports evidence-based decision-making in AI implementation within healthcare institutions.

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  • 收稿日期:2025-04-15
  • 最后修改日期:2025-06-23
  • 录用日期:2025-06-24
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