Journal of Korean Academy of Nursing

Original Articles

Reliability and Validity of Korean Version of Nursing Students’ Anxiety and Self-Confidence with Clinical Decision Making Scale: Mi Yu, Young Eun, KA White, KyungJa Kang; J Korean Acad Nurs 2019;49(4):411-422. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.4.411

Abstract Purpose

The purpose of this study was to adapt, modify, and validate the Nursing Anxiety and Self-Confidence with Clinical Decision-Making Scale (NASC-CDM^©) for Korean nursing students.

Methods

Participants were 183 nursing students with clinical practice experience in two nursing colleges. The construct validity and reliability of the final Korean version of the NASC-CDM^© were examined using exploratory and confirmatory factor analyses and testing of internal consistency reliability. For adaptation and modification, the instrument was translated from English to Korean. Expert review and a cross-sectional survey were used to test the instrument's validity.

Results

The Korean version of the NASC-CDM^© (KNASC-CDM) was composed of 23 items divided into four dimensions: (i) Listening fully and using resources to gather information; (ii) Using information to see the big picture; (iii) Knowing and acting; and (iv) Seeking information from clinical instructors. The instrument explained 60.1% of the total variance for self-confidence and 63.1% of the variance for anxiety; Cronbach's α was .93 for self-confidence and .95 for anxiety.

Conclusion

The KNASC-CDM can be used to identify anxiety and self-confidence in nursing students’ clinical decision-making in Korea. However, further research should be done to test this instrument, as it is classified differently from the original NASC-CDM^© version.

Citations

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The relationship between clinical decision-making levels and self-efficacy levels of operating room nurses
Sedat Kaya, Gizem Kubat Bakir
Perioperative Care and Operating Room Management.2024; 37: 100416. CrossRef
Clinical decision making: validation of the nursing anxiety and self-confidence with clinical decision making scale (NASC-CDM ©) into Spanish and comparative cross-sectional study in nursing students
Daniel Medel, Tania Cemeli, Krista White, Williams Contreras-Higuera, Maria Jimenez Herrera, Alba Torné-Ruiz, Aïda Bonet, Judith Roca
BMC Nursing.2024;[Epub] CrossRef
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International Journal of Nursing Practice.2023;[Epub] CrossRef
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Ji-Won Han
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Factors on Decision-Making Participation related to Clinical Experience Difference: Nan Young Lim, Yeo Jin Yi; Journal of Korean Academy of Nursing 2004;34(2):270-277. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.2.270

Abstract PDF

Purpose

The purpose of this study was to investigate the relationship between decision-making factors(theoretical knowledge, expertise, empowerment, intuition) and participation in proportion to nurses's clinical experience.

Method

Data was collected by quota sampling from July 10, 2001 to August 22, 2001 from 132 clinical nurses who work for 3 General hospitals. Data was analyzed using SPSSWIN 10.0 with crosstab, ANOVA, and stepwise multiple regression.

Result

Expertise(F=34.347, p=.000), empowerment(F=29.316, p=.000), and participation(F=3.276, p=.041) were significantly different among 3 clinical experience groups. Clinical experience correlated with expertise(r=.551, p=.000) and empowerment(r=.492, p=.000), and Decision-making participation also correlated with expertise(r=.351, p=.000) and empowerment(r=.265, p=.002). Decision-making participation is effected by theoretical knowledge(under 3.00yr clinical experience), expertise(3.01-5.00yr), and empowerment(above 5.01yr).

Conclusion

These findings indicate that factors(theoretical knowledge, expertise, or empowerment) on decision-making participation varies as nurses's clinical experience differs. Therefore, decision-making needs bilateral agreement between staff nurses and nurse managers rather than the responsibility of one.

Citations

Citations to this article as recorded by

Structural Equation Modeling on Clinical Decision Making Ability of Nurses
Min Kyoung Park, Soukyoung Kim
Journal of Korean Academy of Nursing.2019; 49(5): 601. CrossRef
Influence of Internal Marketing Perception, Empowerment, and Job satisfaction on Customer Orientation of Clinical Nurses
Eun-Ah Yi, Yeo-Jin Yi
Korean Journal of Occupational Health Nursing.2012; 21(3): 299. CrossRef
Influence of Job Stress and Empowerment on Clinical Nurses' Performance in Small and Medium Hospitals
Young-Mi Kim, Yeo-Jin Yi
Korean Journal of Occupational Health Nursing.2012; 21(3): 258. CrossRef
Influencing Factors on Service Quality of Care Helpers Working for the Elderly in Long Term Care
Yeo-Jin Yi, Kwang-Hi Park
Korean Journal of Occupational Health Nursing.2012; 21(2): 145. CrossRef
The Effects of Case-Based Learning Using Video on Clinical Decision Making and Learning Motivation in Undergraduate Nursing Students
Moon-Sook Yoo, Jin-Hee Park, Si-Ra Lee
Journal of Korean Academy of Nursing.2010; 40(6): 863. CrossRef

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Development and Evaluation of Shared Medical Decision-Making Scale for End-of-Life Patients in Korea: Kae Hwa Jo; J Korean Acad Nurs 2012;42(4):453-465. Published online August 31, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.4.453

Abstract PDF

Purpose

The study was done to develop a shared decision-making scale for end-of-life patients in Korea.

Methods

The process included construction of a conceptual framework, generation of initial items, verification of content validity, selection of secondary items, preliminary study, and extraction of final items. The participants were 388 adults who lived in one of 3 Korean metropolitan cities: Seoul, Daegu, or Busan. Item analysis, factor analysis, criterion related validity, and internal consistency were used to analyze the data. Data collection was done from July to October 2011.

Results

Thirty-four items were selected for the final scale, and categorized into 7 factors explaining 61.9% of the total variance. The factors were labeled as sharing information (9 items), constructing system (7 items), explanation as a duty (5 items), autonomy (4 items), capturing time (3 items), participation of family (3 items), and human respect (3 items). The scores for the scale were significantly correlated among shared decision-making scale, terminating life support scale, and dignified dying scale. Cronbach's alpha coefficient for the 34 items was .94.

Conclusion

The above findings indicate that the shared decision-making scale has a good validity and reliability when used for end-of-life patients in Korea.

Citations

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Dalyong Kim, Hyun Jung Lee, Soo-Young Yu, Jung Hye Kwon, Hee Kyung Ahn, Jee Hyun Kim, Seyoung Seo, Chi Hoon Maeng, Seungtaek Lim, Do Yeun Kim, Sung Joon Shin
The Korean Journal of Hospice and Palliative Care.2021; 24(4): 204. CrossRef
The Perceptions and Needs of Hospice Palliative Care and Shared Decision Making among Middle-Aged Adults
Na-Yeon Lee, Seungjin Lee, Soo-Kyoung Lee
The Korean Journal of Hospice and Palliative Care.2016; 19(4): 310. CrossRef
Health Care Professional Factors Influencing Shared Medical Decision Making in Korea
Kae-Hwa Jo, Gyeong-Ju An, Hong Seon Lee
Sage Open.2015;[Epub] CrossRef
Effects of an educational programme on shared decision‐making among Korean nurses
Kae‐Hwa Jo, Gyeong‐Ju An
International Journal of Nursing Practice.2015; 21(6): 839. CrossRef
Types of Shared Medical Decision Making for Terminally Ill Patients
Kae Hwa Jo, Gyun Moo Kim
The Korean Journal of Hospice and Palliative Care.2014; 17(4): 278. CrossRef
Factors Affecting Shared Decision Making at End of Life in Korean Adults
Jo Kae-Hwa, An Gyeong-Ju
Holistic Nursing Practice.2013; 27(6): 329. CrossRef
The Impact of Nurses’ Attitude toward Dignified Death and Moral Sensitivity on Their End-of-Life Care Performance
Kae Hwa Jo, Yeon Ja Kim
The Korean Journal of Hospice and Palliative Care.2013; 16(4): 223. CrossRef
Preferences for Care near the End of Life according to Chronic Patients' Characteristics
Seonyoung Yun, Jiyeon Kang
Korean Journal of Adult Nursing.2013; 25(2): 207. CrossRef

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