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Development and Validation of a Measurement to Assess Person-centered Critical Care Nursing
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Jiyeon Kang, Young Shin Cho, Yeon Jin Jeong, Soo Gyeong Kim, Seonyoung Yun, Miyoung Shim
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J Korean Acad Nurs 2018;48(3):323-334. Published online January 15, 2018
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DOI: https://doi.org/10.4040/jkan.2018.48.3.323
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 Abstract
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- Abstract
Purpose
The purpose of this study was to develop a scale to measure person-centered critical care nursing and verify its reliability and validity.
Methods
A total of 38 preliminary items on person-centered critical care nursing were selected using content validity analysis of and expert opinion on 72 candidate items derived through literature review and qualitative interviews. We conducted a questionnaire survey with 477 nurses who worked in intensive care units. The collected data were analyzed using exploratory factor analysis (EFA) and confirmative factor analysis (CFA) with SPSS and AMOS 24.0 program.
Results
EFA was performed with principal axis factor analysis and Varimax rotation. The 15 items in 4 factors that accounted for 50.8% of the total variance were identified by deleting the items that were not meet the condition that the commonality should be .30 or more and the factor loading over .40. We named the factors as compassion, individuality, respect, and comfort, respectively. The correlation coefficient between this scale and the Caring Perception Scale was r=.57 (p<.001), which determined concurrent validity. The item-total correlation values ranged from .39 to .63, and the internal consistency for the scale was Cronbach's α=.84.
Conclusion
The reliability and validity of the 15 item person-centered critical care nursing scale were verified. It is expected that the use of this scale would expand person-centered care in critical care nursing.
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Citations
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Threats to Identity: A Grounded Theory Approach on Student Nurses’ Experience of Incivility during Clinical Placement
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Jiyeon Kang, Yeon Jin Jeong, Kyoung Ran Kong
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J Korean Acad Nurs 2018;48(1):85-95. Published online January 15, 2018
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DOI: https://doi.org/10.4040/jkan.2018.48.1.85
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Abstract
PDF
- Abstract
Purpose
This qualitative study aimed to explore the experience of incivility among nursing students.
Methods
Sixteen nursing students who had experienced incivility during their clinical placement were invited for one-on-one interviews until the point of theoretical saturation. The grounded theory approach of Corbin and Strauss was adopted to analyze transcribed interview contents.
Results
Incivility occurred in the context of a hierarchical organizational culture, due to nursing students’ position as outsiders, non-systematic clinical education, and poor nursing work environment. The experience of incivility was identified as “being mistreated as a marginal person,” and nursing students responded to this phenomenon in the following three steps: reality shock, passive action, and submissive acceptance. This process caused students to lose self-esteem and undergo role conflict. Furthermore, nursing students’ experience of incivility could eventually lead to workplace bullying in nurses.
Conclusion
The results of this study suggest that nursing students’ experience of incivility can be a process that threatens their identity. It is necessary to develop educational programs and provide appropriate counseling services so that nursing students can actively cope with the incivility. In addition, institutional plans are needed to ensure safe and supportive clinical learning environments.
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Citations
Citations to this article as recorded by - Turkish Validity and Reliability of the Nursing Students' Rights Awareness Scale in Clinical Practice
Elif Sözeri Öztürk, Tuğba Karataş
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Annamaria Bagnasco, Giuseppe Aleo, Fiona Timmins, Gianluca Catania, Milko Zanini, Loredana Sasso
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