背景：加護病房護理人員經常直接照顧臨終或生命末期病人，可能因此引起護理人員的情緒或精神耗竭、流動率 上升及照護品質下降。國内無相關問卷，較無法瞭解加護病房護理人員在照護生命末期病人時所感受到的 障礙與促進因素。
目的：發展中文版的加護病房護理人員生命末期照護之障礙與促進因素量表並測試其信效度。
方法：本量表測試研究共分為三階段，第一階段為英文版量表取得及翻譯成中文版，第二階段為專家内容效度檢 測，檢視七位專家的項目内容效度指標（item content validity index);第三階段為量表信度與再測信度的測 量，以及因素分素，採立意取樣，共282名加護病房護理人員完成測試，於三週後進行再測信度。
結果：中文版量表的内容效度值為.95，信度Cronbach’s a值為.95，再測信度.70。為建立建構效度，探索性因素 分析結果發現障礙與促進因素各有六個因子，其解釋變異量分別為59.2%與63.1%。
結論/實務應用：中文版的加護病房護理人員生命末期照護之障礙與促進因素量表是具有信效度的工具，可供國内 加護病房使用，以瞭解護理人員在生命末期病人照護時所面對的相關障礙與促進因素，提供相關在職教育 參考，進而在相關照護與制度面加以改善，期能提升照護品質與降低護理人員流動率。

Background: The emotional and spiritual exhaustion experienced by nurses working in intensive care units (ICUs) may decrease quality of care and lead to higher turnover rates among these nurses. However, the lack of a relevant questionnaire to assess the facilitators and barriers perceived by ICU nurses in caring for end-of-life patients hinders further understanding of ICU nurse exhaustion.
Purpose: This study developed and tested the psychometric properties of a Chinese-version questionnaire of facilitators and barriers perceived by ICU nurses providing care to end-of-life patients.
Methods: This was a three-phase study. The first phase involved translating the English questionnaire into Chinese with original author approval. The second phase used a panel of seven experts to validate questionnaire content. The third and final phase used purposive sampling to recruit 282 ICU nurses to establish the reliability and test-retest reliability of the questionnaire.
Results: A content validity index of .95, internal consistency coefficient of .95 and test-retest of .70 were found. Factor analysis showed six barrier factors, which together accounted for 59.2% of total variance and six facilitator factors, which accounted for 63.1% of total variance.
Conclusions / Implication for Practice: Results of this study indicate that the Chinese-version questionnaire of facilitators and barriers perceived by ICU nurses in caring for end-of-life patients is a valid and reliable instrument that may be applied in ICU settings to elicit barrier and facilitator factors, which may be used to improve continuing education curricula, enhance quality of care, and reduce ICU nurse turnover.