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Research Paper
Development of a Positive Nursing Organizational Culture Measurement Tool
Kim, Mi Jung , Kim, Jong Kyung
J Korean Acad Nurs 2021;51(3):305-319.   Published online June 30, 2021
DOI: https://doi.org/10.4040/jkan.21014
AbstractAbstract PDF
Purpose
The purpose of this study was to develop a measurement tool for a positive nursing organizational culture and to verify its reliability and validity.
Methods
A conceptual framework and construct factors were extracted through an extensive literature review and indepth interviews with nurses. The final version of the preliminary tool for the main survey was confirmed by experts through a content validity test and a preliminary survey of 40 nurses. Subsequently, the final tool was developed using a validity and reliability test containing 43 preliminary items. The final version of the tool was used with 327 hospital nurses in the testing phase for the main survey to assess validity and reliability.
Results
From the factor analysis, 4 factors and 26 items were selected. The factors were positive leadership of the nursing unit manager, pursuit of common values, formation of organizational relationships based on trust, and a fair management system. The entire determination coefficient was 67.7%. These factors were verified through convergent, discriminant, and concurrent validity testing. The internal consistency reliability was acceptable (Cronbach’s α = .95).
Conclusion
Both the validity and reliability of the scale were confirmed demonstrating its utility for measuring positive nursing organizational culture. It is expected to be used for education, research, and practical performance policies regarding the nursing organizational culture.
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Original Articles
Scale Development and Model Validation for the Process of Exercise Engagement for People with Prediabetes
Chang, Shu-Chuan , Yeh, Hsiu-Chen , Kuo, Yu-Lun
J Korean Acad Nurs 2020;50(2):298-312.   Published online April 30, 2020
DOI: https://doi.org/10.4040/jkan.2020.50.2.298
AbstractAbstract PDF
Purpose
This study had two objectives: 1) to develop a scale for the process of exercise engagement (SPEE) for prediabetic individuals (PDIs); 2) to validate a structural model for the process of exercise engagement for PDIs.
Methods
A cross-sectional survey with simple random sampling was conducted from September 2013 to December 2015 (in Taiwan). A total of 310 PDIs were enrolled for scale development and model validation via item analysis, factor analyses, and structural equation modeling. The Kuo model was used as the basis for developing the Chinese version of the SPEE for PDIs.
Results
The SPEE contains five subscales with a total of twenty-one items that account for 54.9% to 65.9% of the total variance explained for assessing participants’ process of engagement during exercise. For Kuo model validation, the model measures indicated goodness of fit between the Kuo model and sample data. Analysis further revealed a direct effect between the creating health blueprints (CHB) stage and the spontaneous regular exercise (SRE) stage (b=.60).
Conclusion
The SPEE includes five subscales for assessing the psychological transition and behavioral expression at each stage of the process of exercise engagement for PDIs. The SPEE for people with prediabetes provides deeper insights into the factors of behavioral change stages that are required to initiate long-term health care outcomes and avoid developing diabetes. These insights are significant as they allow for patient- specific mapping and behavior modification to effect exercise.
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Development of an Instrument to Assess the Nursing Professional Pride
Jeon, JaeHee , Lee, EunHee , Kim, EunJoo
J Korean Acad Nurs 2020;50(2):228-241.   Published online April 30, 2020
DOI: https://doi.org/10.4040/jkan.2020.50.2.228
AbstractAbstract PDF
Purpose
The purpose of this study was to develop an instrument to assess nursing professional pride.
Methods
Fifty-six preliminary items were identified through literature review and focus group interview of nurses working in a hospital. Of these, 45 preliminary instruments were completed over 0.80 of content validity index. To verify the reliability and validity of the preliminary instrument, data were collected from 294 nurses. The data were analyzed using factor analysis and multidimensional scaling analysis.
Results
From the factor analysis, 27 significant items were divided into 5 subscales. These subscales were as follows: feeling of vocation, role satisfaction, role of problem solver, self-achievement, and willingness to stay. The nursing professional pride also established criterion-related validity, discriminant validity, and group validity. Cronbach’s a of the instrument was .92, and the subscales ranged from .74 to .85.
Conclusion
The developed scale for nursing professional pride shows validity and reliability. The significance of this study is the development of an instrument capable of measuring nursing professional pride. To verify the relevance of this instrument, conducting comparative studies is suggested.
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A Study on the Development of the Korean Family Resilience Scale
In Sook Lee, Young Sook Park, Mi Soon Song, Eun Ok Lee, Hesook Suzie Kim, Youn Hwan Park, Kyong Won Choi, Young Ran Chin, Dae Hee Kim, Hyeon Sook Lee
Journal of Korean Academy of Nursing 2002;32(4):560-569.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.4.560
AbstractAbstract PDF

PURPOSE: The purpose of this study was to develop an instrument to measure family resilience for Korean families with a chronically ill child, and to test the validity and reliability of the instrument. METHOD: The items of instruments used based on the researchers' previous study of concept analysis of Korean family resilience. Nineteen item scales were developed with five domains. In order to test reliability and validity of the scale, data were collected from 231 families, who had a child with a chronic illness. Data was collected between August and September of 2001 in a 3rd level University Hospital in Seoul, Korea. RESULT: The results were as follows: As a result of the item analysis, 19 items were selected from the total of 37 items, excluding items with low correlation with the total scale. Five factors were evolved by factor analysis, which explained 56.4% of the total variance. The first factor 'Family strength' explained 28.5%, 2nd factor 'Family maturity' 8.7%, 3rd factor 'The ability to use of external resources' 7.0%, 4th factor 'Control' 6.6%, 5th factor 'The driving force for finance' 5.7%. The attributes in these factors were different with those identified by concept analysis of the family resilience in Korean families from the previous study. Cronbach's alphacoefficient of this scale was .8039 and Guttman spilt- half coefficient was .8184. CONCLUSION: The study support the reliability and validity of the scale. Because the main concept of family resilience was family strength, there were distinct differences in dimensions of family functioning scales.

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A Study on the Development of the Korean Family Functioning Scale
In Sook Lee, Young Sook Park, Mi Soon Song, Eun Ok Lee, Hesook Suzie Kim, Youn Hwan Park, Kyong Won Choi, Young Ran Chin, Dae Hee Kim, Hyeon Sook Lee
Journal of Korean Academy of Nursing 2002;32(3):395-405.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.3.395
AbstractAbstract PDF

PURPOSE: The purpose of this study was to develop the instrument to measure family functioning for Korean family with a chronic ill child, and to test the validity and reliability of the instrument. METHOD: The items of instrument were consisted based on researchers' previous study of concept analysis of the Korean family functioning. Twenty six item scale was developed with six domains. In order to test reliability and validity of the scale, data were collected from the 231 families, who have a child with a chronic illness. Data was collected between August and September in 2001 in a General Hospital in Seoul, Korea. RESULT: The results were as follows:As a result of the item analysis, 24 items were selected from the total of 26 items, excluding items with low correlation with total scale. Six factors were evolved by factor analysis. Six factors explained 61.4% of the total variance. The first factor 'Affective bonding' explained 15.4%, 2nd factor 'External relationship' 11.8%, 3rd factor 'Family norm' 10.5%, 4th factor 'Role and responsibilities' 8.3%, 5th factor ' Communication' 7.9%, and the 6th factor 'Financial resource' explained 7.3%. Cronbach's alpha coefficient of this scale was .87 and Guttman spilt- half coefficient was .84. CONCLUSION: The study support the reliability and validity of the scale. There were distinct differences in dimensions of family functioning scales developed in the U. S.

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Development of a Health Behavior Assessment Scale of Patients with Rheumatoid Arthritis
Kae Hwa Jo, Won Oak Oh, Jung Yoon Choe
Journal of Korean Academy of Nursing 2000;30(5):1333-1346.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.5.1333
AbstractAbstract PDF

This study is a methodical research to develop a health behavior assessment scale for patients with rheumatoid arthritis, and to test the validity and reliability of the instrument. The research procedure was as follows; 1) The first step was to develop conceptual framework based on a comprehensive review of the literature, in-depth interviews patients with rheumatoid arthritis. This conceptual framework was organized in eight dimensions; pain management, exercise, rest, diet control, active committment, self-management, positive thinking, interpersonal maintenance. Initially 56 items were selected from 164 statement. 2) These items were reviewed by panel of eight specialists and the Index of Content validity (CVI) was calculated, and forty six items were selected which met more than 70% on the CVI. 3) 174 rheumatoid arthritis pateints were interviewed, and data was gathered from Jan. 25 to Feb. 18, 1999 for test reliabilities and validities of the scale. The item analysis was carried out and 40 items were selected. Factor analysis by varimax rotation was carried out to test construct validity. The internal consistency by chronbach's alpha was calculated. The findings were as follows; 1) Item analysis and factor analysis were carried out to test the validity of the health behavior assessment scale. The item analysis was based on the corrected item`s to total correlation coefficient (.30 or more), and information about the alpha estimate. However, this was only if this item was deleted from the scale. As a result of the item analysis, forty items were selected. Thirty items were selected by a initial factor analysis by varimax rotation, and ten items were deleted because of factor complexity. In the secondary factor analysis, eight factors were labled as 'positive thinking', 'exercise', 'rest', 'pain management', 'active committment', 'self-management', 'diet control', and 'interpersonal maintenance', each similar with the conceptual framework. 2) Chronbach's alpha coefficient to test reliability of the scale was. 903 for total the thirty items. The Scale for assessing health behavior developed in this study was identified to be a tool with a high degree of reliability and validity. Therefore this scale can be effectively utilized for assessment in the health behaviors of the patients with rheumatoid arthritis.

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Development of a Tool to Measure Suffering in Patients with Cancer
Kyoung Ah Kang
Journal of Korean Academy of Nursing 1999;29(6):1365-1378.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.6.1365
AbstractAbstract PDF

This study is a methodological research study to develop an instrument to measure in patients with cancer and to test the validity and reliability of the instrument. The research procedure was as follows: 1) The first step was to develop conceptual framework based on a comprehensive review of the literature and in-depth interviews with patients with cancer. This conceptual framework was organized in to three dimensions (the intrapersonal dimension, the significant-other and context related dimension, the transcendental dimension). Initially 59 items were adopted. 2) These items were analyzed through the index of content validity(CVI) and 53 items were selected which met more than 80% on the CVI. 3) The pretest was carried out with 87 patients with cancer. After the pretest results were analyzed by item analysis, 44 items were selected. A second test of content validity was conducted and 6 items were eliminated considering the 80% CVI. 4) To test for reliability and validity, data collection was done during the period from January 25, 1999, to February 26, 1999. The subjects for the test were 160 patients with cancer and 185 healthy persons. This study utilized Cronbach's alpha in analyzing the reliability of the collected data and applied factor analysis, item analysis and multitrait-multimethod method to analyze validity. The findings are as follows: 1) The Cronbach's alpha coefficient for internal consistency was .92 for the total 38 items and .79, .82, .85, for the three dimensions in that order. 2) The item analysis was based on the corrected item to total correlation coefficient( .30 or more) and information about the alpha estimate if this item was dropped from the scale. 3) As a result of the initial factor analysis using principal component analysis and varimax rotation, one item was deleted because of factor complexity (indiscriminate factor loadings). In the secondary factor analysis, 7 factors with eigenvalue of more than 1.0 were extracted and these factors explained 56 percents of the total variance. The seven factors were labeled as 'family relationship', 'emotional condition', 'physical discomfort', 'meaning and goal of life', 'contextual stimuli', 'change of body image', 'guilt feelings'. 4) The convergence effect between this instrument and the life satisfaction scale was identified and there was significant positive correlation(r= .52, p= .00). The discriminant validity between this instrument and the depression scale(CES-D) was tested and there was significant negative correlation(r= -.50, p= .00). The instrument for accessing the suffering of patients with cancer developed in this study was identified as a tool with a high degree of reliability and validity. In this sense, this tool can be effectively utilized for assessment in caring for patients with cancer.

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Construct Validity of the Revised Piper Fatigue Scale in Korean Women With Breast Cancer
Eun Hyun Lee
Journal of Korean Academy of Nursing 1999;29(3):485-493.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.3.485
AbstractAbstract PDF

No abstract available.

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Development of a Task Performance Evaluation Instrument for Clinical Nurses
Hyun Ok Paik, Sang Sook Han, Sang Chul Lee
Journal of Korean Academy of Nursing 2005;35(1):95-103.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.1.95
AbstractAbstract PDF
Purpose

The purpose of this study was to develop an instrument of task performance evaluation for clinical nurses, thus testing the validity and the reliability of the scale.

Method

Data was collected from 84 Head Nurses and 255 General Nurses. A conceptual framework, composed of 4 factors of meaning in task performance evaluation, was identified through review of the relevant literature. A total of 78 items were developed and were used on a five-point likert scale. Through factor analysis, items whose factor loading was below 0.50 were deleted, thus 35 items remained. To test the validity and reliability of the instrument, the SPSS 11.0 windows program was used.

Result

The results of the factor analysis indicated that 4 factors were classified and the cumulative percent of variance was 67.54%. The results of the reliability test indicated that Cronbach's coefficient of the total 35 items was over 0.9176. The results of the factor analysis indicated that factor loadings of all items was over 0.50. Conclusively, the validity and the reliability of the scale were proven.

Conclusion

This study was identified as a tool with a high degree of reliability and validity.

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Development and Evaluation of Allergic Rhinitis-Specific Quality of Life (ARSQOL) Scale for Adults
Hye-Sook Lee, Eunok Park
J Korean Acad Nurs 2016;46(5):675-686.   Published online October 31, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.5.675
AbstractAbstract PDF
Purpose

The purpose of this study was to develop an Allergic Rhinitis-Specific Quality of Life (ARSQOL) scale and verify its validity and reliability.

Methods

ARSQOL was developed in 5 steps. Items for the preliminary instrument of ARSQOL were developed through a literature review and deep interviews with allergic rhinitis patients. Face validity with Content Validity Index (CVI), construct validity using factor analysis, and known group comparison, criterion validity test using correlation between ARSQOL and total nasal symptoms score (TNSS) were conducted to evaluate the validity of ARSQOL. Cronbach's α was used to evaluate the reliability of ARSQOL.

Results

CVI for the items in the final ARSQOL were. 92. Five factors including discomfort associated with nasal symptoms (4 items), physical function (7 items), mental function (5 items), sleep disorder and social function (4 items), and problems of daily life (6 items) were identified through factor analysis and these five factors explained 66.6% of the total variance. The correlation coefficient between TNSS and the total score of life quality was -.69. In the group comparison, the persistent allergic rhinitis group showed lower ARSQOL scores than the intermittent patient group, and moderate to the severe allergic rhinitis patient group presented poorer ARSQOL than the mild symptom patient group. The Cronbach's α reliability coefficient was .95.

Conclusion

Results show that the ARSQOL has good reliability and validity and thus ARSQOL is a useful scale for clinical practices and research as a measure of quality of life in adults with allergicr hinitis.

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Development of a Korean Geriatric Suicidal Risk Scale (KGSRS)
Sang Ju Lee, Jung Soon Kim
J Korean Acad Nurs 2016;46(1):59-68.   Published online February 29, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.1.59
AbstractAbstract PDF
Purpose

Increase in suicide rate for senior citizens which has become widespread in our society today. It is not a normal social phenomenon and is beyond the danger level. The contents of this study include Korean senior citizens' suicide related risk factors and warning signs, and the development of a simple Geriatric Suicide Risk Scale.

Methods

This study is Methodological Research to verify reliability and validity of the Geriatric Suicide Risk Scale according to the tool development process suggested by Devellis (2012).

Results

For predictive validity assessment, high suicide screening accuracy was showed with an Area under the ROC curve (AUC) of .93. For the optimal cutoff point of 11, sensitivity was 93.9%, and specificity, 75.7% which are excellence levels. Cross validity for assessment of generalization possibility showed the Area under the ROC curve (AUC) as .82 and in case of a cutoff point of 11, sensitivity was 73.7%, and specificity, 65.9%.

Conclusion

When it comes to practical nursing, it is significant that the Korean Geriatric Suicide Risk Scale has high reliability and validity through adequate tool development and the tool assessment step to select degree of suicide risk of senior citizens. Also, it can be easily applied and does not take a long time to administer. Further, it can be used by health care personnel or the general public.

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Cross-cultural Validation of Instruments Measuring Health Beliefs about Colorectal Cancer Screening among Korean Americans
Shin-Young Lee, Eunice E. Lee
J Korean Acad Nurs 2015;45(1):129-138.   Published online February 27, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.1.129
AbstractAbstract PDF
Purpose

The purpose of this study was to report the instrument modification and validation processes to make existing health belief model scales culturally appropriate for Korean Americans (KAs) regarding colorectal cancer (CRC) screening utilization.

Methods

Instrument translation, individual interviews using cognitive interviewing, and expert reviews were conducted during the instrument modification phase, and a pilot test and a cross-sectional survey were conducted during the instrument validation phase. Data analyses of the cross-sectional survey included internal consistency and construct validity using exploratory and confirmatory factor analysis.

Results

The main issues identified during the instrument modification phase were (a) cultural and linguistic translation issues and (b) newly developed items reflecting Korean cultural barriers. Cross-sectional survey analyses during the instrument validation phase revealed that all scales demonstrate good internal consistency reliability (Cronbach's alpha=.72~.88). Exploratory factor analysis showed that susceptibility and severity loaded on the same factor, which may indicate a threat variable. Items with low factor loadings in the confirmatory factor analysis may relate to (a) lack of knowledge about fecal occult blood testing and (b) multiple dimensions of the subscales.

Conclusion

Methodological, sequential processes of instrument modification and validation, including translation, individual interviews, expert reviews, pilot testing and a cross-sectional survey, were provided in this study. The findings indicate that existing instruments need to be examined for CRC screening research involving KAs.

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Development and Validity of Workplace Bullying in Nursing-Type Inventory (WPBN-TI)
Younju Lee, Mihyoung Lee
J Korean Acad Nurs 2014;44(2):209-218.   Published online April 30, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.2.209
AbstractAbstract PDF
Purpose

The purpose of this study was to develop an instrument to assess bullying of nurses, and test the validity and reliability of the instrument.

Methods

The initial thirty items of WPBN-TI were identified through a review of the literature on types bullying related to nursing and in-depth interviews with 14 nurses who experienced bullying at work. Sixteen items were developed through 2 content validity tests by 9 experts and 10 nurses. The final WPBN-TI instrument was evaluated by 458 nurses from five general hospitals in the Incheon metropolitan area. SPSS 18.0 program was used to assess the instrument based on internal consistency reliability, construct validity, and criterion validity.

Results

WPBN-TI consisted of 16 items with three distinct factors (verbal and nonverbal bullying, work-related bullying, and external threats), which explained 60.3% of the total variance. The convergent validity and determinant validity for WPBN-TI were 100.0%, 89.7%, respectively. Known-groups validity of WPBN-TI was proven through the mean difference between subjective perception of bullying. The satisfied criterion validity for WPBN-TI was more than .70. The reliability of WPBN-TI was Cronbach's α of .91.

Conclusions

WPBN-TI with high validity and reliability is suitable to determine types of bullying in nursing workplace.

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Review Article
Validity of Instrument Development Research in Korean Nursing Research
Kyunghee Lee, Sujin Shin
J Korean Acad Nurs 2013;43(6):697-703.   Published online December 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.6.697
AbstractAbstract PDF
Purpose

This integrative review study was done to analyze methods used for validation studies in Korean nursing research.

Methods

In this study, the literature on instrument development in nursing research from Research Information Sharing Service (RISS) and major nursing journal databases in Korea were examined. The MeSH search terms included 'nursing', 'instrument', 'instrument development', 'validation' and 189 articles were included in the review.

Results

The most frequently reported validity type was content validity, followed by construct validity, and criterion validity. One third reported a single type of validity, and 15% of the studies demonstrated three kinds of validity at the same time. In about 40% of the studies, both content and construct validity were examined.

Conclusion

The results of the study indicate that it is necessary to provide a wider variety of evidence to establish whether instruments are valid enough to use in nursing research.

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Original Articles
Development of an Instrument to Measure Intra-Operative Caring Behaviors Perceived by Regional Anesthesia Patients
Mi-Jung Kim, Eun-Nam Lee
J Korean Acad Nurs 2012;42(5):749-758.   Published online October 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.5.749
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a tool for measuring the intra-operative caring as perceived by regional anesthesia patients.

Methods

A preliminary instrument with 54 questions, based on a literature review and semi-structured interviews with 11 regional anesthesia patients, was developed. A group of experts revised individual questions, and 34 questions were finally selected. This tool was tested with 137 regional anesthesia patients admitted to D university hospital in B city from August to October 2008.

Results

The validity and reliability of the tool were tested using factor analysis. After item analysis, one question with a correlation coefficient under .30 was discarded After performing factor analysis on the final 33 questions, 7 factors were identified; holistic needs fulfillment, consideration, protective environment, cautiousness, concern, information, physical comfort. The total variance shown in the test was 73.5%. A Cronbach alpha of 0.96 showed the reliability of the instrument.

Conclusion

Results of this study indicate that the tool is statistically reliable and valid to measure the intraoperative caring perceived by regional anesthesia patients. This tool can be utilized usefully in assessing the effects of nursing interventions for regional anesthesia patients.

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Development of a Coping Scale for Families of Patients with Schizophrenia
Ji Min Seo, Eun Kyung Byun, Kyung Yeon Park, So Hee Kim
J Korean Acad Nurs 2012;42(5):738-748.   Published online October 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.5.738
AbstractAbstract PDF
Purpose

The purpose of this study was to develop and evaluate a coping scale for families of patients with schizophrenia(CSFPS).

Methods

Item construction was derived from literature reviews and interviews with family members and psychiatric nurses. Content validity was tested by experts. Each item was scored on a four-point Likert scale. The preliminary questionnaire was administered to 188 family members of patients with schizophrenia. The data were analyzed using item analysis, factor analysis, Pearson correlation coefficients, and Cronbach's alpha.

Results

From the factor analysis, 32 items in five factors were derived. The factors were named active coping strategies, avoidance coping strategies, hospital treatment-oriented coping strategies, emotional coping strategies, and suppressive coping strategies for problematic behaviors. The five factors explained 49.7% of the total variance, Cronbach's alpha of the total items was .83 and the factors ranged from .66 to .86.

Conclusion

The results of this study suggest that CSFPS is a reliable and valid instrument to measure coping in families of patients with schizophrenia.

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Development of an Evaluation Instrument for Service Quality in Nursing Homes
Jia Lee, Eun Sun Ji
J Korean Acad Nurs 2011;41(4):510-519.   Published online August 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.4.510
AbstractAbstract PDF
Purpose

The purposes of this study were to identify the factors influencing service quality in nursing homes, and to develop an evaluation instrument for service quality.

Methods

A three-phase process was employed for the study. 1) The important factors to evaluate the service quality in nursing homes were identified through a literature review, panel discussion and focus group interview, 2) the evaluation instrument was developed, and 3) validity and reliability of the study instrument were tested by factor analysis, Pearson correlation coefficient, Cronbach's α and Cohen's Kappa.

Results

Factor analysis showed that the factors influencing service quality in nursing homes were healthcare, diet/assistance, therapy, environment and staff. To improve objectivity of the instrument, quantitative as well as qualitative evaluation approaches were adopted. The study instrument was developed with 30 items and showed acceptable construct validity. The criterion-related validity was a Pearson correlation coefficient of .85 in 151 care facilities. The internal consistency was Cronbach's α=.95.

Conclusion

The instrument has acceptable validity and a high degree of reliability. Staff in nursing homes can continuously improve and manage their services using the results of the evaluation instrument.

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Development and Psychometric Evaluation of a Scale to Measure Health Behaviors of Adolescents
Yun Hee Shin
J Korean Acad Nurs 2010;40(6):820-830.   Published online December 31, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.6.820
AbstractAbstract PDF
Purpose

The purpose was to develop a preliminary scale to measure Korean adolescents' health behaviors through a qualitative approach, to evaluate the scale psychometrically, and to develop a final scale.

Methods

Participants were 61 adolescents for qualitative interviews and 1,687 adolescents for the psychometric evaluation. Procedure included content analysis of interviews to identify health behavior categories for Korean adolescents, pre-test to confirm that preliminary scale items were understandable, content validity by an expert panel, development of the web-based computer-assisted survey (CAS), and psychometric analysis to determine reliability and validity of the final scale.

Results

A final scale was developed for both paper-and-pencil and CAS. It consisted of 14 health behaviors (72 items), including stress and mental health (10), sleep habits (5), dietary habits (12), weight control (4), physical activity (4), hygiene habits (5), tobacco use (5), substance use (2), alcohol consumption (4), safety (4), sexual behavior (9), computer use (3), health screening (4), and posture (1).

Conclusion

The scale's strong points are: 1) Two thirds of the final scale items are Likert scale items, enabling calculation of a health behavior score. 2) The scale is appropriate to Korean culture. 3) The scale focuses on concrete health behaviors, not abstract concepts.

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Correlation between Subjective and Objective Measurement of Climacteric Women's Hot Flashes
Hyung-Jun Kim, Kang-Hyun Leem, Myoung-Hee Kim
J Korean Acad Nurs 2010;40(6):765-774.   Published online December 31, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.6.765
AbstractAbstract PDF
Purpose

The purposes of this study were to explain the phenomena of hot flashes in climacteric women by using Mexameter, Skin Thermometer, Corneometer, and Laser Doppler Perfusion Imager (LDPI) objectively and to identify the interrelation between the subjective and objective measurements of hot flashes by comparing the two as reported in retrospective questionnaires.

Methods

The participants were one hundred women (45-60 yr) who were not currently on hormone therapy, and had reached hot flash scores of 10 or higher. Hot flashes were measured in a temperature and humidity controlled room for 7 hr from 10 am to 5 pm. Hot flashes were measured subjectively and recorded via the Hot Flash Diary Report. When participants felt the hot flashes, they were measured objectively by Mexameter, Skin Thermometer, Corneometer, and LDPI.

Results

The frequency of hot flashes in participants ranged from 1 to 7 times. When hot flashes occurred in participants, the erythema, skin temperature, skin hydration, and blood perfusion showed statistically significant changes in all measurements. But, the subjective and objective measurements of hot flashes showed only weak correlations.

Conclusion

Results indicate a need for future research with subjective and objective measuring instruments chosen depending variations identified for the study.

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Effects of Case Management using Resident Assessment Instrument-Home Care (RAI-HC) in Home Health Services for Older People
Kyung Ja June, Ji Yun Lee, Jong Lull Yoon
J Korean Acad Nurs 2009;39(3):366-375.   Published online June 29, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.3.366
AbstractAbstract PDF
Purpose

To evaluate the effects of case management using Resident Assessment Instrument-Home Care (RAI-HC) in home health service for older people.

Methods

All elders were assessed at baseline and 3 months later using RAI-HC. The change of function in the intervention group was compared with that of a conventional intervention group. Function was measured with Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), Cognitive Performance Scale (CPS), Depression Rating Scale (DRS), Pain and the number of Clinical Assessment Protocols (CAP).

Results

Among ninety two elders participated in the program, 59 were allocated to the case management group and 33 to the conventional group. The intervention, home health service by a nurse over a 3 month period, consisted of comprehensive assessment, case conference for care plan, direct care, education and referral, and outcome evaluation. The percent of elders whose function improved in the intervention group was greater than the conventional group for depression (odds ratio [OR]: 10.941, confidence interval [CI]: 2.338-51.206), IADL (OR: 4.423, CI: 1.151-16.999) and the number of CAP (OR: 11.443, CI: 3.805-34.410).

Conclusion

Case management was effective for older people in the community. The effect might have resulted from individual, systematic intervention, however, standards of service including eligibility criteria for case management and collaboration of multi-disciplines is required for more effective home health service programs.

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Psychometric Evaluation of the Korean Social Support Questionnaire
Kasil Oh, Kyong-Ok Oh, Sook-Ja Lee, Jeong-Ah Kim, Chu-Ja Jeong, Hye-Ryoung Kim, Hoa-Yun Jun, Jung-Hee Kang
J Korean Acad Nurs 2008;38(6):881-890.   Published online December 31, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.6.881
AbstractAbstract PDF
Purpose

Research related to social support in Korea has been hampered by paucity of measurement tools reflecting Korean culture. The aim of the study was to develop Korean social support questionnaire (KSSQ) based on the Korean social support pyramid and to test psychometric properties of the KSSQ.

Methods

The questionnaire was administered to 701 subjects and 658 college students. Psychometric analyses included factor analyses, expert validity, criterion-related validity, internal consistency, and test-retest reliability.

Results

A principal components analysis support for construct validity, eliciting a three factor solution accounting for 65.46% of variance in scores. Concurrent and discriminant validity supported criterion-related validity. Internal consistency of reliability was support with Cronbach's alpha of .97-.98 for the entire scale. Test-retest reliability was .76.

Conclusion

This initial testing of KSSQ to measure Korean social support demonstrates evidence of reliability and validity. Assessment of known-group validity and norm establishment of KSSQ are suggested to provide further sound psychometric properties and practical measurement tools.

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Development and Testing of an Instrument to Measure Family’s Emotional Response toward Physically Restrained Patients
Eun-Nam Lee, Su-Jin Ha, Ji-Yeon Kang
J Korean Acad Nurs 2008;38(4):629-638.   Published online August 31, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.4.629
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Purpose

This was a methodological research to develop an instrument to assess the emotional response of family members of physically restrained patients.

Methods

A primary instrument with 68 questions was developed based on literature review and semi-structured interviews with family members. A group of experts revised individual questions and removed 4 irrelevant questions. This secondary instrument, then, was tested with 199 family members of physically restrained patients in intensive care units of a university hospital. The validity and reliability of the instrument were tested by factor analysis.

Results

After item analysis, 3 questions with a correlation coefficient under .30 were discarded and the questions with a factor loading under .45 on Varimax Rotation were also removed. After factor analysis on the final 37 questions, 7 factors were identified; avoidance, shock, helplessness, grudge, depression, anxiousness, and acceptance. The total variance explained was 55.63%. The reliability of this instrument was 0.93 of Cronbach's alpha.

Conclusion

This instrument was statistically reliable and valid to measure family’s emotional response to physical restraints of the patients. This instrument can be useful in assessing the effects of nursing interventions for family members of restrained patients.

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Development of a Questionnaire to Measure Family Stress among Married Working Women
Gwang Suk Kim, Won Jung Cho
Journal of Korean Academy of Nursing 2006;36(5):761-769.   Published online August 31, 2006
DOI: https://doi.org/10.4040/jkan.2006.36.5.761
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Purpose

Even though a number of studies have suggested that appropriate measuring instruments of family stress for working women have to be developed, the validity and reliability of the instruments used have not been consistently examined. The purpose of the present study was to develop a sensitive instrument to measure family stress for married working women, and to test the validity and reliability of the instrument.

Method

The items generated for this instrument were drawn from a comprehensive literature review. Twenty four items were developed through evaluation by 10 experts and twenty one items were finally confirmed through item analysis. Psychometric testing was preformed and confirmed with a convenient sample of 240 women employed in the industrial sector.

Result

Four factors evolved by factor analysis, which explained 50.5% of the total variance. The first factor ‘Cooperation’ explained 28.1%, 2nd factor ‘Satisfaction with relationships’ 10.6%, 3rd factor ‘Democratic and comfortable environment’ 6.3%, and 4th factor ‘Disturbance of own living’ 5.5%. Cronbach's coefficient of this instrument was 0.86.

Conclusion

The study supports the validity and reliability of the instrument.

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Development of a Nursing Professional Values Scale
Eun Ja Yeun, Young Mi Kwon, Ok Hee Ahn
Journal of Korean Academy of Nursing 2005;35(6):1091-1100.   Published online October 31, 2005
DOI: https://doi.org/10.4040/jkan.2005.35.6.1091
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Purpose

The purpose of this study was to develop an instrument to measure nursing professional values.

Method

Forty preliminary items were selected by classifying 223 basic items extracted via a literature study and in-depth interviews of subjects and testing the relevance of their contents. In order to verify the reliability and relevance of the preliminary instrument, data was collected from 504 nurses in 3 general hospitals.

Result

As a result of the item analysis, 29 items were selected from a total of 40 items. Five factors were extracted by factor analysis, and the total variance was 51.5%. For the explanation of variances by factors, the 1st factor, ‘self-concept of the profession’ accounted for 14.8%, the 2nd factor, ‘social awareness’ 12.1%, the 3rd factor, ‘professionalism of nursing’ 9.8%, the 4th factor, ‘the roles of nursing service’ 9.1%, and the 5th factor, ‘originality of nursing’, 5.6%. Cronbach's Alpha of those 29 items was .9168, which was high.

Conclusion

This paper is meaningful in a way that it developed a tool capable of measuring nursing professional values, which reflects the characteristics of our country. In order to re-verify the relevance and stability of this tool, it is necessary that comparative studies should be conducted.

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Validity and Reliability of an Instrument for Predictive Nursing Intention for SARS Patient Care
Hye Ra Yoo, Bo Eun Kwon, Yon Soo Jang, Heun Keung Youn
Journal of Korean Academy of Nursing 2005;35(6):1063-1071.   Published online October 31, 2005
DOI: https://doi.org/10.4040/jkan.2005.35.6.1063
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Purpose

This study was done to develop and test validity and reliability of on instrument for predicting nursing intention for SARS patient care.

Method

The psychometric properties of a SARS patient care attrition prediction tool, based on the Theory of Planned Behavior, were examined in this study. The Three-phase design involved a) salient beliefs generated from clinical nurses (n=43) b) content validation by expert panel evaluations(n=5) c) face validation by plot testing (n=10) d) and instrument validation in a cross sectional survey (n=299). Psychometric analysis of survey data provided empirical evidence of the construct validity and reliability of the instrument.

Result

Principal component analysis verified the hypothesized 6-factor solution, explaining 68.2% of variance, and Alpha coefficients of .7538 to .9389 indicated a high internal consistency of the instrument.

Conclusion

The instrument can be used by nurse administrators and researcher to assess clinical nurses' salient beliefs about caring for SARS patients, guide tailored intervention strategies to effective caring, and evaluate the effectiveness of interventions.

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J Korean Acad Nurs : Journal of Korean Academy of Nursing
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