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Original Article
Validity and Reliability of the Korean Version of the Observable Indicators of Nursing Home Care Quality Evaluation Instrument
Jia Lee
Journal of Korean Academy of Nursing 2008;38(3):474-482.
DOI: https://doi.org/10.4040/jkan.2008.38.3.474
Published online: June 30, 2008

Assistant Professor, College of Nursing Science, Kyung Hee University, Seoul, Korea.

Address reprint requests to: Lee, Jia. College of Nursing Science, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-701, Korea. Tel: 82-2-961-0894, Fax: 82-2-961-9398, leejia@khu.ac.kr
• Received: May 6, 2008   • Accepted: May 28, 2008

Copyright © 2008 Korean Society of Nursing Science

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  • Purpose
    The purposes of this study were; 1) to test the validity and reliability of the Korean version of Rantz's Observable Indicators of Nursing Home Care Quality Instrument (ONHQ) and 2) to evaluate the quality of Korean nursing homes.
  • Methods
    The study employed a three-phase methodological research design. 1) The original instrument of Rantz's ONHQ was translated into Korean and modified by Korean nursing home experts. 2) A pilot study using the modified instrument was done in 20 nursing homes to examine inter-rater reliability. 3) The validity and reliability were tested in 98 nursing homes.
  • Results
    Seven factors were extracted through factor analysis: 'communication', 'care delivery', 'grooming', 'odor', 'environment-basics', 'environment-access', and 'environment-homelike'. These factors explained 86.07% of the total variance. Cronbach's alpha coefficient of the 30 items was .97 indicating a high internal consistency of the instrument. Inter-rater reliability according to Kappa was .82. The average score of nursing home quality was 112.07 indicating an average range of quality level.
  • Conclusion
    The Korean version of the ONHQ was identified as a tool with a high degree of validity and reliability. This tool can be effectively used to assess the quality of nursing homes by professions as well as family members.
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Table 1
General Characteristics of Nursing Homes (N=98)
jkan-38-474-i001.jpg
Table 2
Factor Loading of Each Item (N=98)
jkan-38-474-i002.jpg
Table 3
Reliability Tests of Internal Consistency and Equivalence
jkan-38-474-i003.jpg
Table 4
Evaluation of Nursing Home Quality by the Korean Version of the Observable Indicators of Nursing Home Care Quality Instrument (N=98)
jkan-38-474-i004.jpg

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        Validity and Reliability of the Korean Version of the Observable Indicators of Nursing Home Care Quality Evaluation Instrument
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      Validity and Reliability of the Korean Version of the Observable Indicators of Nursing Home Care Quality Evaluation Instrument
      Validity and Reliability of the Korean Version of the Observable Indicators of Nursing Home Care Quality Evaluation Instrument

      General Characteristics of Nursing Homes (N=98)

      Factor Loading of Each Item (N=98)

      Reliability Tests of Internal Consistency and Equivalence

      Evaluation of Nursing Home Quality by the Korean Version of the Observable Indicators of Nursing Home Care Quality Instrument (N=98)

      Table 1 General Characteristics of Nursing Homes (N=98)

      Table 2 Factor Loading of Each Item (N=98)

      Table 3 Reliability Tests of Internal Consistency and Equivalence

      Table 4 Evaluation of Nursing Home Quality by the Korean Version of the Observable Indicators of Nursing Home Care Quality Instrument (N=98)


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