Journal of Korean Academy of Nursing

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

Abstract 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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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

Abstract 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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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

Abstract 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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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

Abstract 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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