「バイタルサインの正確な測定 実践能力チェックリスト（VSAMチェックリスト）」の開発および 信頼性・妥当性の検証

Development of “Competency Checklist for Vital Signs Accurate Measurement (VSAM checklist)” and Verification of Its Reliability and Validity

要旨

　目的：本研究の目的は多様な臨床の場面にも対応可能な「バイタルサインの正確な測定　実践能力チェックリスト（VSAMチェックリスト）」を開発し，その内容妥当性・信頼性を検証することである．

　方法：VSAMチェックリストの素案は「バイタルサインの正確な測定」の概念分析の結果を主軸に全18項目を抽出し，内容妥当性検証には看護教員8名による修正デルファイ法を用いた．信頼性の検証は看護学生（3年次）24名に客観的臨床能力試験（OSCE）を行い，kappa係数0.61以上の評価者間一致率を用いた．

　結果：内容妥当性指数及び評価者間一致率は概ね基準値を示し，全体のCVI（S-CVI/Ave）は0.88となった．活用可能性をより高めるためOSCEを通して各項目の表現を洗練し，最終的に全15項目となった．

　結論：VSAMチェックリスト全15項目の内容妥当性・信頼性は概ね確保された．本チェックリストは，多様な臨床の場面にも対応可能な評価ツールとして看護教育で活用ができると考える．

　Purpose: The purpose of this study was to develop a “Competency checklist for Vital Signs Accurate Measurement (VSAM checklist)” that can be applied to various situations, and to verify its content validity and reliability.

　Methods: For the draft of the VSAM checklist, a total of 18 items were extracted by the conceptual analysis of “accurate measurement of vital signs”, and the modified-delphi method was performed to validate these items by 8 nursing faculty members. The reliability of this checklist was verified by an Objective Structured Clinical Examination (OSCE) administered to 24 nursing students (third-year students), and a kappa coefficient of 0.61 or higher was used as a criterion of inter-rater agreement.

　Results: The Content Validity Index (CVI) and inter-rater agreement rate showed the standard values, and the overall CVI (S-CVI/Ave) was 0.88. In order to improve the usability of the checklist, the expression of each item was sophisticated through the OSCE, and the total number of items was modified to 15.

　Conclusion: The content validity and reliability of all 15 items VSAM checklist reached to an adequate level. This checklist can be used in nursing education as an assessment tool that can be applied to a variety of clinical situations.