本研究之目的為發展一份適用於護理人員之英

文護理記錄文法量表，並測試此量表之信效度。研究方法

採橫斷式研究調查法，收案地點於北部某技術學院護理系

，收集五位教授護理英文課程教師及兩百五十位護生資料

用來測試本量表之信度、效度、難度、鑑別力、同質性。

量表內容係依據廣泛的文獻查證為基礎、參考專家意見分

析、專業英文教材調查及實驗結果分析共同發展而來，量

表包括八個項目；分別為省略主詞、省略受詞、省略主詞

與動詞、省略冠詞、省略BE動詞、被動語態之書寫、縮寫

之使用、時態之書寫等，共計四十題。研究結果顯示本量

表之信、效度皆佳，但其中兩個文法分項「縮寫之使用」

及「時態之書寫」的題目無法有效評量其信度及鑑別度。

難度分析顯示其中三個文法分項「省略主詞」、「縮寫之

使用」及「時態之書寫」的題目無法有效評量其難度。同

質性分析顯示兩個文法分項「縮寫之使用」及「時態之書

寫」中部份題目無法與此文法分項中其他題目質性一致。

只要透過適當的修正及重測，本量表之建立可作為以後護

生或護理專業人員之英文護理紀錄語法程度測試之用，並

且對英文護理紀錄文法觀念之評估將是很好很方便的應用

工具。

The purpose of this cross-sectional study

was to establish a reliable and valid instrument to

evaluate the errors in English nursing note

writing. To test the reliability, validity,

difficulty, discrimination, and corrected item-

total correction of the Nursing Note Grammar Scale,

five nursing English teachers and two hundred fifty

students from a local institute of technology in

northern Taiwan participated in the research. A

total of eight nursing grammar categories

containing forty test questions were established

through literature review, discussions with Nursing

English faculty, English for Specific Purpose (ESP)

materials survey, and administering of the pilot

test. The categories selected are Omitting the

Subject, Omitting the Object, Omitting the Subject

and the Verb BE, Omitting the Article, Omitting the

Verb BE, Using Abbreviations, Writing in Passive

Voice, and Writing with a Tense. The findings

showed that in general, the validity and

reliability of the scale were very good except that

among the eight grammar categories the reliability

and discrimination indexes of the two grammar

categories Using Abbreviations and Writing with a

Tense did not evaluate what they intended to

measure; the difficulty analysis showed that the

three grammar categories Omitting the Subject,

Using Abbreviation, and Writing with a Tense did

not evaluate what was intended to measure; and that

for corrected item-total correction analysis some

of the items in the two grammar categories Using

Abbreviations and Writing with a Tense were not

homogeneous with the rest of the items within the

same grammar category. With proper modification and

retesting, the scale can be used to analyze nursing

students' English nursing note grammatical errors

and can serve to assess nursing professionals'

English nursing note grammar proficiency.