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

Lee, Ji-A (College of Nursing Science, Kyung Hee University)
Publication Information
Journal of Korean Academy of Nursing / v.38, no.3, 2008 , pp. 474-482 More about this Journal
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
Validity; Reliability; Nursing home; Quality;
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Times Cited By KSCI : 3  (Citation Analysis)
Times Cited By Web Of Science : 2  (Related Records In Web of Science)
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1 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
2 Gordon, M. (1994). Nursing diagnosis. Process and application (3rd ed.). Missouri: Mosby
3 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 Unpublished doctoral dissertation, Chung-Ang University, Seoul
4 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
5 Nunnally, J. C., & Bernstein, I. (1994). Psychometric theory (3rd ed.). New York: McGraw-Hill Humanities
6 Park, T. R. (1999). Criteria of evaluations of the rest homes and nursing homes. Korean Journal of Social Science Research, 7, 61-86
7 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   DOI
8 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   과학기술학회마을   DOI
9 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
10 Hwang, S. C. (2001). Evaluation of Korean nursing home quality. Korean Social Science Research, 6, 66-84
11 Korea Ministry of Health and Welfare. (2008). National status of elder care facilities 2008. Seoul: Ministry of Health and Welfare
12 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   DOI   PUBMED   ScienceOn
13 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   DOI   ScienceOn
14 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
15 Shim, M. J. (2000). A study on the augmentation of private welfare facilities for the aged. Unpublished master's thesis, Dan Kook University, Seoul
16 Korea Ministry of Health and Welfare. (2007). National survey of living status and welfare needs of the elderly. Seoul: Ministry of Health and Welfare
17 Arling, G., Kane, R. L., Lewis, T., & Mueller, C. (2005). Future development of nursing home quality indicators. The Gerontologist, 45, 147-156   DOI   PUBMED   ScienceOn
18 Chung, J. (2007). Development and application of nursing service quality indicators in nursing homes. Journal of Korean Academy of Nursing, 37, 401-413   과학기술학회마을   DOI
19 Fleiss, J. L. (1981). Statistical methods for rates and proportions (2nd ed.). New York: Wiley
20 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   과학기술학회마을   DOI
21 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   DOI