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

한국형 노인요양시설 질 관찰평가도구의 타당도와 신뢰도 분석

  • Lee, Ji-A (College of Nursing Science, Kyung Hee University)
  • 이지아 (경희대학교 간호과학대학)
  • Published : 2008.06.30

Abstract

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.

Keywords

References

  1. Arling, G., Kane, R. L., Lewis, T., & Mueller, C. (2005). Future development of nursing home quality indicators. The Gerontologist, 45, 147-156 https://doi.org/10.1093/geront/45.2.147
  2. Aud, M. A., & Lee, J. (2006). Introducing nursing students to quality assurance activities in skilled nursing facilities. Journal of Nursing Care Quality, 21, 121-123 https://doi.org/10.1097/00001786-200604000-00006
  3. Bryant, F. B., & Yarnold, P. R. (1995). Principal components analysis and exploratory and confirmatory factor analysis. In L.G. Grimm, & P.R. Yarnold, Reading and understanding multivariate statistics. Washington, D. C: American Psychological Association
  4. Chung, J. (2007). Development and application of nursing service quality indicators in nursing homes. Journal of Korean Academy of Nursing, 37, 401-413 https://doi.org/10.4040/jkan.2007.37.3.401
  5. Fleiss, J. L. (1981). Statistical methods for rates and proportions (2nd ed.). New York: Wiley
  6. Gordon, M. (1994). Nursing diagnosis. Process and application (3rd ed.). Missouri: Mosby
  7. Han, G. J. (2003). A study on the interior design of the elderly care facilities. Korean Journal of Design Science Research, 6(2), 21-31
  8. Hong, S. W., & Son, H. M. (2007). Family caregivers'experiences utilizing a nursing home for their elderly family members. Journal of Korean Academy of Nursing, 37, 724-735 https://doi.org/10.4040/jkan.2007.37.5.724
  9. Hwang, S. C. (2001). Evaluation of Korean nursing home quality. Korean Social Science Research, 6, 66-84
  10. Kim, K. A. (2005). Development of an evaluation tool for the quality of nursing care in elderly facility. Unpublished doctoral dissertation, Chung-Ang University, Seoul
  11. Kim, S. J. (2006). The effect of reminiscence therapy on recognition, response of emotion, communication ability of elderly patient with Alzheimer's dementia. Unpublished master's thesis, Daegu University, Daegu
  12. Kim, O. S., Kim, S. S., Kim, K. O., Kim, Y. A., Kim, H. S., Park, J. S., et al. (2005). A study of needs of private nursing home for elderly parents. Journal of Korea Gerontological Nursing Society, 7, 20-27
  13. Korea Ministry of Health and Welfare. (2007). National survey of living status and welfare needs of the elderly. Seoul: Ministry of Health and Welfare
  14. Korea Ministry of Health and Welfare. (2008). National status of elder care facilities 2008. Seoul: Ministry of Health and Welfare
  15. Nunnally, J. C., & Bernstein, I. (1994). Psychometric theory (3rd ed.). New York: McGraw-Hill Humanities
  16. Park, T. R. (1999). Criteria of evaluations of the rest homes and nursing homes. Korean Journal of Social Science Research, 7, 61-86
  17. Rantz, M., Jensdottir, A. B., Hjaltadottir, I., Gudmundsdottir, H., Sigurveig Gudjonsdottir, J., Brunton, B., et al. (2002). International field test results of the observable indicators of nursing home care quality instrument. International Nursing Review, 49, 234- 242 https://doi.org/10.1046/j.1466-7657.2002.00143.x
  18. Rantz, M. J., & Zwygart-Stauffacher, M. (2006). A new reliable tool for nurse administrators, nursing staff, regulators, consumers, and researchers for measuring quality of care in nursing homes. Nursing Administration Quarterly, 30, 178-181 https://doi.org/10.1097/00006216-200604000-00017
  19. Rantz, M. J., Zwygart-Stauffacher, M., Mehr, D. R., Petroski, G. F., Owen, S. V., Madsen, R. W., et al. (2006). Field testing, refinement, and psychometric evaluation of a new measure of nursing home care quality. Journal of Nursing Measurement, 14, 129- 148 https://doi.org/10.1891/jnm-v14i2a005
  20. Shim, M. J. (2000). A study on the augmentation of private welfare facilities for the aged. Unpublished master's thesis, Dan Kook University, Seoul
  21. Song, J. A., Lim, Y. M., & Hong, G. S. (2008). Wandering behavior in Korean elders with dementia residing in nursing homes. Journal of Korean Academy of Nursing, 38, 29-38 https://doi.org/10.4040/jkan.2008.38.1.29