DOI QR코드

DOI QR Code

Development of the Patient Caring Communication Scale

환자 돌봄 의사소통 측정 도구 개발

  • 허명륜 (군산간호대학교 간호학과) ;
  • 임숙빈 (을지대학교 간호대학)
  • Received : 2018.07.19
  • Accepted : 2019.01.11
  • Published : 2019.02.28

Abstract

Purpose: This study attempted to develop a scale that measures the level of patients' recognition of the nurses' care, based on Watson's caring theory, and confirmed its reliability and validity. Methods: The items were developed through a literature review and an expert content validity test. The questionnaires were administered to 285 inpatients of internal medicine and surgical units at two general hospitals. Construct validity was tested using exploratory and confirmatory factor analysis, and reliability was tested using Cronbach's alpha. Results: This process resulted in a preliminary scale composed of 34 items; We used item analysis and five exploratory factor analyses, and consequently selected 14 items composed of three factors (respect, genuineness, and relationality). The confirmatory factor analysis verified the model fit and convergent and discriminant validity of the final items; criterion validity was confirmed with the positive correlation with the measurement scale of the patient-perceived quality of nursing. The overall scale reliability had a Cronbach's alpha of .92, which indicated internal consistency and reliability. Conclusion: The developed scale showed content, construct, and criterion validity, and reliability, as well as convergent validity for each item and discriminant validity between the factors. This makes it suitable for use in a diverse range of future studies on nurse communication using structural equation models.

Keywords

References

  1. Kang J, Cho YS, Jeong YJ, Kim SG, Yun S, Shim M. Development and validation of a measurement to assess person-centered critical care nursing. Journal of Korean Academy of Nursing. 2018;48(3):323-334. https://doi.org/10.4040/jkan.2018.48.3.323
  2. Thorsteinsson LS. The quality of nursing care as perceived by individuals with chronic illnesses: The magical touch of nursing. Journal of Clinical Nursing. 2002;11(1):32-40. https://doi.org/10.1046/j.1365-2702.2002.00575.x
  3. Paik HR, Kim KJ. How to improve patients’ satisfaction in healthcare organization? Healthcare service quality classification using Kano Model. Korea Journal of Hospital Management. 2014;19(2):73-88.
  4. Yeun YR. The impact of healthcare accreditation on patient safety and quality, job satisfaction and organizational commitment: About a general hospital. Journal of the Korea Academia-Industrial Cooperation Society. 2013;14(4):1820-1829. https://doi.org/10.5762/KAIS.2013.14.4.1820
  5. Fakhr-Movahedi A, Rahnavard Z, Salsali M, Negarandeh R. Exploring nurse's communicative role in nurse-patient relations: A qualitative study. Journal of Caring Sciences. 2016;5(4):267-276. https://doi.org/10.15171/jcs.2016.028
  6. Lee JH, Im SB. Content analysis of nursing communication in VOC (voice of customer) of the hospital. Health Communication, the Official Journal of Korean Academy on Communication in Healthcare. 2014;9(2):119-131. https://doi.org/10.15715/kjhcom.2014.9.2.119
  7. Yu M, Park SH, Park KO. A review literature on communication in nurses. Health Communication, the Official Journal of Korean Academy on Communication in Healthcare. 2014;9(2):99-108. https://doi.org/10.15715/kjhcom.2014.9.2.99
  8. Kim YK, Yu JP. A study on verbal and non-verbal communication of medical service provider. Journal of Korea Service Management Society. 2008;9(1):225-258. https://doi.org/10.15706/jksms.2008.9.1.010
  9. Jeong SY. Satisfaction of patients by nurse's communication styles. Health Communication, the Official Journal of Korean Academy on Communication in Healthcare. 2013;8(1):35-44. https://doi.org/10.15715/kjhcom.2013.8.1.35
  10. Park S. Differences between nurses and patients' perception of nurses' communication skills. Korean Journal of Adult Nursing. 2017;29(2):166-176. https://doi.org/10.7475/kjan.2017.29.2.166
  11. Watson J, Woodward TK. Jean Watson's theory of human caring. In: Parker ME, Smith MC, editors. Nursing Theories and Nursing Practice. 3rd ed. Philadelphia (PA): F.A. Davis Company; 2010. p. 351-369.
  12. Watson J, Brewer BB, D'Alfonso J. Watson caritas patient score (WCPS)$^{(C)}$ [Internet]. Boulder (CO): Watson Caring Science Institute; c2010 [cited 2017 Jan 10]. Available from: http://www.watsoncaringscience.org/files/PDF/measurement/WCPS_v_1.1_01_2013.pdf.
  13. Balzer-Riley JW. Communication in nursing. 8th ed. St. Louis (MO): Elsevier; 2015. p. 17-34.
  14. Lee MA. A study of the nursing service quality and satisfaction that admitted patients perceived: Being used SERVQUAL. Journal of Korean Academy of Nursing. 2002;32(4):506-518. https://doi.org/10.4040/jkan.2002.32.4.506
  15. DeVellis RF. Scale development: Theory and applications. 4th ed. Los Angeles (CA): SAGE publications; 2017. p. 105-151.
  16. Sheldon LK. Communication for nurses: Talking with patients. 2nd ed. London: Jones and Bartlett Publishers; 2009. p. 51-97.
  17. Lynn MR. Determination and quantification of content validity. Nursing Research. 1986;35(6):382-386. https://doi.org/10.1097/00006199-198611000-00017
  18. Hair JF Jr, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. 7th ed. Upper Saddle River (NJ): Prentice Hall; 2009. p. 609-732.
  19. Arrindell WA, van der Ende J. An empirical test of the utility of the observations-to-variables ratio in factor and components analysis. Applied Psychological Measurement. 1985;9(2):165-178. https://doi.org/10.1177/014662168500900205
  20. Dozier AM, Kitzman HJ, Ingersoll GL, Holmberg S, Schultz AW. Development of an instrument to measure patient perception of the quality of nursing care. Research in Nursing & Health. 2001;24(6):506-517. https://doi.org/10.1002/nur.10007
  21. Ipek Coban G, Kasikci M. Reliability and validity of the scale of patient perception of hospital experience with nursing care in a Turkish population. Journal of Clinical Nursing. 2010;19(13-14):1929-1934. https://doi.org/10.1111/j.1365-2702.2009.03125.x
  22. World Health Organization (WHO). Process of translation and adaptation of instruments [internet]. Geneva: WHO; c1948-2018 [cited 2017 May 4]. Available from: http://www.who.int/substance_abuse/research_tools/translation/en/.
  23. Heo ML. Development of the patient caring communication scale [dissertation]. Daejeon: Eulji University; 2018. p. 1-139.
  24. Noh GS. Properly know and use: SPSS & AMOS 21. Seoul: Hanbit Academy Inc; 2014. p. 288-333.
  25. Grove S, Burns N, Gray J. The practice of nursing research: Appraisal, synthesis, and generation of evidence. 7th ed. St. Louis (MO): Elsevier Health Sciences; 2012. p. 382-445.
  26. Kim AY, Kim SY. Effects of explicit negation and implicit negation items on the factor structure of a psychological test. Journal of Educational Evaluation. 2003;16(1):39-52.
  27. McCabe C. Nurse-patient communication: An exploration of patients' experiences. Journal of Clinical Nursing. 2004;13(1):41-49. https://doi.org/10.1111/j.1365-2702.2004.00817.x
  28. Yeom EY, Kim M. The 'good nursing' experienced by hemodialysis patients. Korean Journal of Adult Nursing. 2014;26(3):275-286. https://doi.org/10.7475/kjan.2014.26.3.275

Cited by

  1. Development of the Nursing Start-up Attitude Scale for Student Nurses vol.26, pp.4, 2020, https://doi.org/10.11111/jkana.2020.26.4.388
  2. 기본간호학실습에서 학습성과 평가도구의 적용 사례: 의사소통능력 평가를 중심으로 vol.21, pp.4, 2019, https://doi.org/10.5762/kais.2020.21.4.173
  3. Communication Skills, Problem-Solving Ability, Understanding of Patients’ Conditions, and Nurse’s Perception of Professionalism among Clinical Nurses: A Structural Equation Model Analysis vol.17, pp.13, 2019, https://doi.org/10.3390/ijerph17134896
  4. 한국어판 단축형 만성질환관리 자기효능감 도구의 타당도와 신뢰도 검증 vol.51, pp.5, 2019, https://doi.org/10.4040/jkan.21069