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Development of a Korean version of the Bereavement Care Confidence Scale (K-BCCS)

한국형 사별돌봄자신감 척도 개발

  • Kwon, So-Hi (College of Nursing.Research Institute of Nursing Science, Kyungpook National University) ;
  • Kim, Young-Joo (Chilgok Kyungpook National University Hospital Regional Hospice Center)
  • 권소희 (경북대학교 간호대학) ;
  • 김영주 (칠곡경북대학교 병원, 권역호스피스 센터)
  • Received : 2021.02.18
  • Accepted : 2021.05.22
  • Published : 2021.05.31

Abstract

Purpose: The purpose of this study is to evaluate the validity and reliability of the Korean Bereavement Care Confidence Scale (K-BCCS). Methods: The Perinatal Bereavement Care Confidence Scale (PBCCS) was translated into Korean according to an algorithm of cultural adaptation process and excluded six items which were specific to perinatal bereavement. A total of 229 clinical nurses participated in the study. Construct validity, convergent validity, discriminant validity, and group comparison validity were evaluated, and Cronbach's α was calculated to estimate the reliability of the K-BCCS. Results: The K-BCCS consisted of 31 items in 7 factors, including knowledge and skills for bereavement care (12 items), organizational support (6 items), awareness of the needs (3 items), interpersonal skills (3 items), workload influence (2 items), continuous education (2 items), and understanding the grief process (3 items). The factor loading of 31 items within the 7 factors ranged from .60 to .86. For the convergent validity, the construct reliability (CR) ranged from .74 to .94, and the average variance extracted (AVE) ranged from .49 to .73, which is considered acceptable. The discriminant validity showed that the AVEs of the subscales were greater than the square of the correlation coefficient r. The nurses who had experience providing bereavement care (t=4.94, p<.001) or had received bereavement education (t=6.64, p<.001) showed higher K-BCCS values those without experience. The Cronbach's α of 31 items was .93 and ranged from .60 to .94 per subscale. Conclusion: The K-BCCS is a valid and reliable tool for evaluating nurses' confidence in bereavement care.

Keywords

References

  1. Statistics Korea. Cause of death statistics in 2019 [Internet]. Korea: Statistics Korea; 2020 [cited 2021 January 18]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/6/2/index.board?bmode=read&bSeq=&aSeq=385219&pageNo=1&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt
  2. Shear MK. Complicated grief. The New England Journal of Medicine. 2015;372(2):153-160. https://doi.org/10.1056/NEJMcp1315618
  3. Kersting A, Brahler E, Glaesmer H, Wagner B. Prevalence of complicated grief in a representative population-based sample. Journal of Affective Disorders. 2011;131(1-3):339-343. https://doi.org/10.1016/j.jad.2010.11.032
  4. Tsai WI, Prigerson HG, Li CY, Chou WC, Kuo SC, Tang ST. Longitudinal changes and predictors of prolonged grief for bereaved family caregivers over the first 2 years after the terminally ill cancer patient's death. Palliative Medicine. 2016;30(5):495-503. https://doi.org/10.1177/0269216315603261
  5. Kim SM, Kwon SH. Influential factors of complicated grief of bereaved spouses from cancer patient. Journal of Korean Academy of Nursing. 2018;48(1):59-69. https://doi.org/10.4040/jkan.2018.48.1.59
  6. Quigley DD, McCleskey SG. Improving care experiences for patients and caregivers at end of life: A systematic review. American Journal of Hospice and Palliative Medicine. 2021;38(1):84-93. https://doi.org/10.1177/1049909120931468
  7. Abernethy AP, Currow DC, Fazekas BS, Luszcz MA, Wheeler JL, Kuchibhatla M. Specialized palliative care services are associated with improved short- and long-term caregiver outcome. Supportive Care in Cancer. 2008;16(6):585-597. https://doi.org/10.1007/s00520-007-0342-8
  8. Raymond A, Lee SF, Bloomer MJ. Understanding the bereavement care roles of nurses within acute care: A systematic review. Journal of Clinical Nursing. 2017;26(13-14):1787-1800. https://doi.org/10.1111/jocn.13503
  9. Buckley T, Spinaze M, Bartrop R, McKinley S, Whitfield V, Havyatt J, et al. The nature of death, coping response and intensity of bereavement following death in the critical care environment. Australian Critical Care. 2015;28(2):64-70. https://doi.org/10.1016/j.aucc.2015.02.003
  10. Doherty J, Cullen S, Casey B, Lloyd B, Sheehy L, Brosnan M, et al. Bereavement care education and training in clinical practice: Supporting the development of confidence in student midwives. Midwifery. 2018;66:1-9. https://doi.org/10.1016/j.midw.2018.06.026
  11. Chan HY, Lee LH, Chan CW. The perceptions and experiences of nurses and bereaved families towards bereavement care in an oncology unit. Supportive Care in Cancer. 2013;21(6):1551-1556. https://doi.org/10.1007/s00520-012-1692-4
  12. Lee YO. A study of cancer unit nurses' stress from bereavement support [master's thesis]. Seoul: Kyunghee University, Graduate school of public administration; 2004. p. 1-64.
  13. Park SJ. A study on the degrees of death orientation and terminal care performance of nurses [master's thesis]. Gwangju: Chonnam National University, Graduate school of nursing; 1996. p. 1-50.
  14. Ross MM, McDonald B, McGuinness J. The palliative care quiz for nursing (PCQN): The development of an instrument to measure nurses' knowledge of palliative care. Journal of Advanced Nursing. 1996;23(1):126-137. https://doi.org/10.1111/j.1365-2648.1996.tb03106.x
  15. Phillips J, Salamonson Y, Davidson PM. An instrument to assess nurses' and care assistants' self-efficacy to provide a palliative approach to older people in residential aged care: A validation study. International Journal of Nursing Studies. 2011;48(9):1096-1100. https://doi.org/10.1016/j.ijnurstu.2011.02.015
  16. Montagnini M, Smith H, Balistrieri T. Assessment of self-perceived end-of-life care competencies of intensive care unit providers. Journal of Palliative Medicine. 2012;15(1):29-36. https://doi.org/10.1089/jpm.2011.0265
  17. Kalu FA, Larkin P, Coughlan B. Development, validation and reliability testing of 'perinatal bereavement care confidence scale (PBCCS)'. Women and Birth. 2020;33(4):e311-e319. https://doi.org/10.1016/j.wombi.2019.07.001
  18. Noh KS. The proper methods of statistical analysis for dissertation: SPSS & AMOS 21. Seoul: Hanbit Academy Inc; 2019. p. 141-193.
  19. World Health Organization (WHO). Process of translation and adaptation of instruments [Internet]. Geneva: WHO; 2020 [cited 2020 August 16]. Available from: https://www.who.int/substance_abuse/research_tools/translation/en/
  20. Fornell C, Larcker DF. Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research. 1981;18(1):39-50. https://doi.org/10.1177/002224378101800104
  21. Lee K, Shin S. Validity of instrument development research in Korean nursing research. Journal of Korean Academy of Nursing. 2013;43(6):697-703. https://doi.org/10.4040/jkan.2013.43.6.697
  22. Shi H, Shan B, Zheng J, Peng W, Zhang Y, Zhou X, et al. Knowledge and attitudes toward end-of-life care among community health care providers and its influencing factors in China: A cross-sectional study. Medicine. 2019;98(45):e17683. https://doi.org/10.1097/MD.0000000000017683
  23. Kim S, No MJ, Moon KE, Cho HJ, Park Y, Lee NJ, et al. Intensive care unit nurses' death perception, end of life stress and end of life nursing attitudes. Journal of Korean Clinical Nursing Research. 2018;24(2):255-262. https://doi.org/10.22650/JKCNR.2018.24.2.255
  24. Kang H. A guide on the use of factor analysis in the assessment of construct validity. Journal of Korean Academy of Nursing. 2013;43(5):587-594. https://doi.org/10.4040/jkan.2013.43.5.587
  25. Naef R, Peng-Keller S, Rettke H, Rufer M, Petry H. Hospital-based bereavement care provision: A cross-sectional survey with health professionals. Palliative Medicine. 2020;34(4):547-552. https://doi.org/10.1177/0269216319891070
  26. Mak YW, Chiang VC, Chui WT. Experiences and perceptions of nurses caring for dying patients and families in the acute medical admission setting. International Journal of Palliative Nursing. 2013;19(9):423-431. https://doi.org/10.12968/ijpn.2013.19.9.423
  27. Kim HS, Choi EK, Kim TH, Yun HY, Kim EJ, Hong JJ, et al. Difficulties in end-of-life care and educational needs of intensive care unit nurses: A mixed methods study. The Korean Journal of Hospice and Palliative Care. 2019;22(2):87-99. https://doi.org/10.14475/kjhpc.2019.22.2.87
  28. Walter T. Grief and culture. Bereavement Care. 2010;29(2):5-9. https://doi.org/10.1080/02682621003707431
  29. Tang S, Chow AYM. How do risk factors affect bereavement outcomes in later life? An exploration of the mediating role of dual process coping. Psychiatry Research. 2017;255:297-303. https://doi.org/10.1016/j.psychres.2017.06.001
  30. Song JJ. SPSS/AMOS statistical analysis method required for thesis writing. Gyeonggi-do Province: 21st century history; 2017. p. 116.