Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Revalidation of the Hospital Violence Attitude Scale-18 (HVAS-18) in Clinical Nurses

임상간호사의 병원폭력에 대한 태도 측정도구 신뢰도, 타당도 재검증

  • 조진영 (중원대학교 의료보건대학 간호학과) ;
  • 하은호 (중원대학교 의료보건대학 간호학과)
  • Received : 2017.07.04
  • Accepted : 2017.08.17
  • Published : 2017.08.31
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Abstract

The purpose of this study was to revalidate the 'Hospital Violence Attitude Scale-18 (HVAS-18) in clinical nurses'. 150 clinical nurses from three general hospitals in two cities participated in this study. Data were collected from March to April in 2017. The collected data were analyzed using factor analysis, Pearson correlation coefficients, and Cronbach's alpha. The final HVAS-14 consisted of fourteen items and four factors emerged, which explained 74.1% of the total variance. These four factors were labeled: Factor 1 (3 items) 'awareness' which explained 20.3%; Factor 2 (4 items) 'response' which explained 20.2%; Factor 3 (3 items) 'reaction' which explained 15.5%; and Factor 4 (4 items) 'result' which explained 15.4%. The internal consistency and intraclass correlation coefficient (ICC), as measured by Cronbach's alpha, were both .87, and the reliability of the subscales ranged from .78 to .86. The results of this study indicate that HVAS-14 is a useful, reliable and valid instrument to measure the hospital violence attitude of clinical nurses.

본 연구는 2015년도에 개발된 임상간호사들의 병원폭력태도 측정도구인 HVAS-18의 타당도와 신뢰도를 재검증하기 위한 방법론적 연구이다. 본 연구의 대상자는 서울과 인천소재 3개 종합병원 간호사 150명을 대상으로 하였으며 자료수집기간은 2017년 3월 1일부터 4월 2일까지로 하였다. 연구결과 기존 HVAS-18의 18개 문항 중 각 문항들과 전체 문항 간의 수정된 상관계수(corrected item-total correlation coefficient) .30 이상, 요인 적재량 .50 이상 문항들만을 채택하여 최종 14개 문항 4개 영역을 추출하였다. 최종 HVAS-14는 기존 HVAS-18의 설명력 64.0% 보다 8.3% 증가한 71.4%의 높은 설명력을 보여주었다. HVAS-14의 제 1영역은 '인식' 3문항(20.3%), 제 2영역은 '반응' 4문항(20.2%), 제 3영역은 '대응' 3문항(15.5%), 제 4영역은 '결과' 4문항(15.4%)로 구성되어 있었다. HVAS-14의 전체 신뢰도는 Cronbach's alpha=.87 이었고, 도구의 안정성 평가를 위한 급내 상관계수 Cronbach's alpha=.87로 측정되었으며, 4개 하부영역의 Cronbach's alpha=.78~.86으로 측정되었다. HVAS-14는 재검증 과정을 통해 도구의 신뢰도와 타당도 및 도구의 안정성이 검증된 상태이므로 임상간호사의 병원폭력에 대한 태도 측정도구로 적합하고 의료기관외 다양한 영역에서도 쉽게 사용할 수 있을 것이다.

Keywords

References

  1. A. K. Celik, E. Oktay, K. Cebi, "Analysing workplace violence towards health care staff in public hospitals using alternative ordered response models: The case of north-eastern Turkey", International Journal of Occupational Safety and Ergonomics, vol. 23, no. 3, pp. 328-339, 2017. DOI: https://doi.org/10.1080/10803548.2017.1316612
  2. S. R. Jafree, "Workplace violence against women nurses working in two public sector hospitals of Lahore, Pakistan", Nursing Outlook, in press. 2017. DOI: https://doi.org/10.1016/j.outlook.2017.01.008
  3. N. Lanctot, S. Guay, "The aftermath of workplace violence among healthcare workers: A systematic literature review of the consequences", Aggression and Violent Behavior, vol. 19, no. 5, pp. 492-501, 2014. DOI: https://doi.org/10.1016/j.avb.2014.07.010
  4. S. Nikathil, A. Olaussen, R. A. Gocentas, E. Symons, B. Mitra, "Review article: Workplace violence in the emergency department: A systematic review and meta analysis", Emergency Medicine Australasia, vol. 29, no. 3, pp. 265-275, 2017. DOI: https://doi.org/10.1111/1742-6723.12761
  5. Y. J. Son, H. H. Gong, M. A. You, S. S. Kong, "Relationships between workplace violence experience sand posttraumatic stress symptoms, resilience in clinical nurses", Journal of the Korean Data Analysis Society, vol. 17, no. 1, pp. 515-530, 2015.
  6. T. Cheung, P. S. Yip, "Workplace violence towards nurses in Hong Kong: prevalence and correlates", BMC Public Health, vol. 17, no. 1, pp. 196, 2017. DOI: https://doi.org/10.1186/s12889-017-4112-3
  7. E. H. Ha, J. Y. Cho, J. M. Kim, "Development and validation of the hospital violence attitude scale-18 (HVAS-18) for clinical nurses", Korean Journal of Adult Nursing, vol. 27, no. 1, pp. 39-51, 2015. DOI: https://doi.org/10.7475/kjan.2015.27.1.39
  8. M. J. Kang, I. S. Park, "Types of violence and coping methods experienced by general hospital nurses", Journal of Korean Clinical Nursing Research, vol. 21, no. 1, pp. 92-104, 2015. DOI: https://doi.org/10.22650/JKCNR.2015.21.1.92
  9. L. Zhang, A. Wang, X. Xie, Y. Zhou, J. Li, L. Yang, J. Zhang, "Workplace violence against nurses: A cross-sectional study", International Journal of Nursing Studies, vol. 72, pp. 8-14, 2017. DOI: https://doi.org/10.1016/j.ijnurstu.2017.04.002
  10. H. Abdul Rahman, K. Abdul-Mumin, L. Naing, "Psychosocial work stressors, work fatigue, and musculoskeletal sisorders: Comparison between emergency and critical care nurses in Brunei Public Hospitals", Asian Nursing Research, vol. 11, no. 1, pp. 13-18, 2017. DOI: https://doi.org/10.1016/j.anr.2017.01.003
  11. I. M. Boafo, P. Hancock, E. Gringart, "Sources, incidence and effects of non-physical workplace violence against nurses in Ghana", Nursing Open, vol. 3, no. 2, pp. 99-109, 2016. DOI: https://doi.org/10.1002/nop2.43
  12. H. J. Jung, Y. S. Lee, "Nurse's experiences of verbal abuse in hospital setting", Korean Academy on Communication in Healthcare, vol. 6, no. 2, pp. 118-126, 2011. https://doi.org/10.15715/kjhcom.2011.6.2.118
  13. B. Nowrouzi, E. Giddens, B. Gohar, S. Schoenenberger, M. C. Bautista, J. Casole, "The quality of work life of registered nurses in Canada and the United States: A comprehensive literature review", International Journal of Occupational and Environmental Health, vol. 22, no. 4, pp. 341-358, 2016. DOI: https://doi.org/10.1080/10773525.2016.1241920
  14. Y. H. Bae, T. W. Lee, "Relationship of experience of violence and professional quality of life for hospital nurses", Journal of Korean Academy of Nursing Administration, vol. 21, no. 5, pp. 489-500, 2015. DOI: https://doi.org/10.11111/jkana.2015.21.5.489
  15. Y. H. Cho, Y. R. Hong, A. M. Lee, M. K. Kim, H. J. Lee, A. K. Han, E. J. Kim, "Experience of verbal abuse, emotional response, and ways to deal with verbal abuse against nurses in hospital", Korean Journal of Occupational Health Nursing, vol. 20, no. 3, pp. 270-278, 2011. DOI: https://doi.org/10.5807/kjohn.2011.20.3.270
  16. S. O. Lee, M. J. Kim, "The determinants of the long-term influence of violence: Focus on hospital nurses", The Korean Journal of Health Service Management, vol. 10, no. 1, pp. 93-104, 2016. DOI: https://doi.org/10.12811/kshsm.2016.10.1.093
  17. P. A. Berry, G. L. Gillespie, B. S. Fisher, D. Gormley, J. T. Haynes, "Psychological distress and workplace bullying among registered nurses", Online Journal of Issues in Nursing, vol. 21, no. 3, pp. 8, 2016. DOI: https://doi.org/10.3912/OJIN.Vol21No03PPT41
  18. P. D. Bardis, "Violence: Theory and quantification", Journal of Political and Military Sociology. vol. 1, pp. 121-146, 1973
  19. J. Duxbury, "Testing a new tool: The management of aggression and violence attitude scale", Nurse Researcher, vol. 10, no. 4, pp. 39-52, 2003. DOI: https://doi.org/10.7748/nr2003.07.10.4.39.c5906
  20. M. H. Soares, D. de Vargas, "The translation and cultural adaptation of the Management of Aggression and Violence Attitude Scale - MAVAS - for nurses in Brazil", Revista da Escola de Enfermagem da USP, vol. 47, no. 4, pp. 899-906, 2013. DOI: https://doi.org/10.1590/S0080-623420130000400018
  21. W. F. Velicer, L. H. Huckel, C. E. Hansen, "A measurement model for measuring attitudes toward violence", Personality and Social Psychology Bulletin. vol. 15, no. 3, pp. 349-364, 1989. DOI: https://doi.org/10.1177/0146167289153006
  22. C. A. Anderson, A. J. Benjamin Jr, P. K. Wood, A. M. Bonacci, "Development and testing of the velicer attitudes toward violence scale: evidence for a four-factor model", Aggressive Behavior, vol. 32, no. 2, pp. 122-136, 2006. DOI: https://doi.org/10.1002/ab.20112
  23. S. J. Jang, "Relationship between experience of patients' violent behaviors and burnout of psychiatric nurses" [master's thesis]. Seoul: Seoul national university; pp. 1-74, 2004.
  24. M. J. Hong, "A study on nurses' experiences of violence" [master's thesis]. Daejeon: Eulji university; p.1-59, 2009.
  25. K. H. Lee, S. J. Shin, "Validity of instrument development research in Korean Nursing Research", Journal of Korean Academy of Nursing, vol. 43, no. 6, pp. 697-703, 2013. DOI: https://doi.org/10.4040/jkan.2013.43.6.697
  26. J. C. Nunnally, "Psychometric theory. 2nd ed." McGraw Hill., New York, 1978.
  27. J. E. Ware, K. K. Snow, M. Kosinski, B. Gandek, "SF-36 health survey: Manual and institute" Boston MA., The Health Institute New England Medical Center, 1993.
  28. C. B. Terwee, S. D. Bot, M. R. de Boer, D. A. van der Windt, D. L. Knol, J. Dekker, L. M. Bouter, H. C. de Vet, "Quality criteria were proposed for measurement properties of health status questionnaires", Journal of Clinical Epidemiology, vol. 60, no. 1, pp. 34-42, 2007. DOI: https://doi.org/10.1016/j.jclinepi.2006.03.012
  29. J. H. Noh, Y. K. Na, "Effects of violence experience, emotional labor, and job stress on clinical nurses' depression", Korean Journal of Occupational Health Nursing, vol. 24, no. 3, pp. 153-161, 2015. DOI: https://doi.org/10.5807/kjohn.2015.24.3.153
  30. K. D. Nam, K. S. Yoon, H. S. Chung, S. A. Park, B. Y. Jang, H. R. Kim, H. S. Ohm, Y. H. Sung, "A study on the development of verbal abuse scale for operating room nurses", Journal of Korean Nursing Administration Academic Society, vol. 11, no. 2, pp. 1-27, 2005.