Browse > Article
http://dx.doi.org/10.4040/jkan.2011.41.3.374

Development and Validation of the Hospice Palliative Care Performance Scale  

Kwon, So-Hi (College of Nursing, Kyungpook National University, Kyungpook National University The Research Institute of Nursing Science)
Publication Information
Journal of Korean Academy of Nursing / v.41, no.3, 2011 , pp. 374-381 More about this Journal
Abstract
Purpose: The purpose of this study was to develop and validate a hospice palliative care performance measure which would cover more than just physical symptoms or quality of life. Methods: Through an intensive literature review, the author chose questions that measured aspects of physical, emotional, spiritual, social, or practical domains pertinent to hospice palliative care for inclusion in the scale. Content validation of the questions was established by 15 hospice palliative care professionals. A preliminary Hospice Palliative Care Performance Scale (HPCPS) of 20 questions was administered to 134 pairs of terminal cancer patients from 5 hospice palliative care units and their main family caregiver. A validation study was conducted to evaluate construct validity and internal consistency. Results: Factor analysis showed 14 significant questions in five subscales; Physical, Emotional, Spiritual, Social, and Patient' rights. There were no significant differences between the ratings by patients and family members except for three out of the 14 questions. The measure demonstrated construct validity, and Cronbach's ${\alpha}$ of the subscales ranged from .73 to .79. Conclusion: The HPCOS demonstrated acceptable validity and reliability. It can be used to assess effectiveness of hospice palliative care for terminal cancer patients in practice and research.
Keywords
Care; Hospice; Palliative; Outcome assessment; Validation study;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
Times Cited By Web Of Science : 0  (Related Records In Web of Science)
연도 인용수 순위
1 Waltz, C. W., & Bausell, R. B. (1981). Nursing research: Design, statistics and computer analysis. Philadelphia, PA: F.A. Davis.
2 Pouchot, J., Le Parc, J., Queffelec, L., Sichère, P., Flinois, A. (2007). Perceptions in 7,700 patients with rheumatoid arthritis compared to their families and physicians. Joint Bone Spine, 74, 622-626. doi:10.1016/j.jbspin.2006.11.024   DOI   ScienceOn
3 Toscani, F., Brunelli, C., Miccinesi, G., Costantini, M., Gallucci, M., Tamburini, M., et al. (2005). Predicting survival in terminal cancer patients: Clinical observation or quality-of-life evaluation? Palliative Medicine, 19, 220-227.   DOI   ScienceOn
4 National Cancer Information Center. (2010, April 30). Hospice palliative care. Retrieved September 18, 2010, from http://www.cancer.go.kr/cms/public_project/hospice/index.html
5 Lee, E. H., Chun, M. C., Wang, H. J., Lim, H. Y., & Choi, J. H. (2005). Multidimensional constructs of the EORTC Quality of Life Questionnaire (QLQ-C30) in Korean cancer patients with heterogeneous diagnosis. Cancer Research and Treatment, 37, 148-156. doi: 10.4143/crt.2005. 37.3.148   DOI   ScienceOn
6 Oken, M. M., Creech, R. H., Tormey, D. C., Horton, J., Davis, T. E., & Carbone, P. P. (1982). Toxicity and response criteria of the Eastern Cooperative Oncology Group. American Journal of Clinical Oncology, 5, 649-655.   DOI   ScienceOn
7 Lee, E. H., Moon, S., Cho, S. Y., Oh, Y. T., Chun, M., Kim, S. H., et al. (2010). Psychometric evaluation of a need scale for cancer patients undergoing follow up care. Journal of Korean Academy of Nursing, 40, 551-560. doi: 10.4040/jkan.2010.40.4.551   DOI
8 Lee, E. O., Lim, N. Y., Park, H. A., Kim, J. I., Bai, J. Y., & Lee, S. M. (2009). Nursing research and statistical analysis. Seoul: Soomoonsa.
9 Lee, K. S., Joo, J., Kim, J. H., & Kim, K. Y. (2008). Current status and challenge of hospice palliative care in Korea. The Korean Journal of Hospice and Palliative Care, 11, 196-205.
10 Mularski, R. A., Dy, S. M., Shugarman, L. R., Wilkinson, A. M., Lynn, J., Shekelle, P. G., et al. (2007). A systematic review of measures of end-of-life care and its outcomes. Health Research and Educational Trust, 42, 1848-1870. doi:10.1111/j.1475-6773.2007.00721.x
11 Kim, S. Y. (2005). Development of the service model for hospice palliative care in terminal cancer care (Issue No. 0420270-1). Seoul: Korean Ministry of Health and Welfare.
12 Ferris, F. D., Bruera, E., Chernry, N., Cummings, C., Currow, D., Dudgeon, H., et al. (2009). Palliative cancer care a decade later: Accomplishments, the need, next steps-from the American Society of Clinical Oncology. Journal of Clinical Oncology, 27, 3052-3058. doi: 10.1200/JCO.2008.20.1558   DOI   ScienceOn
13 Korean Ministry of Health and Welfare. (2003). Hospice palliative care norms and regulations. Seoul: Author.
14 Kim, M. S., & Oh, D. G. (2004). Psychological testing. Seoul: Sigma press.
15 Kim, S. H., Choi, Y. S., Lee, J., Oh, S. C., Yeom, C. H., Lee, M. A., et al. (2009). Reliability and validity of the hospice quality of life scale for Korean cancer patients. Journal of pain and Symptom Management, 37, 156-167. doi: 10.1016/j.jpainsymman.2008.02.008   DOI   ScienceOn
16 Kim, K. S. (2004). AMOS Analysis structural equation modeling. Seoul: Data Solution Inc.
17 Hospice general inpatient level of care task force. (2008). The hospice general inpatient level of care: Criteria, service guidelines, reimbursement and contracting. Retrieved March 15, 2011, from http://edocket.access.cpo.gov/2008/pdf/08-1305.pdf
18 Kang, B. S., & Kim, K. S. (2009). SPSS 17.0: Statistical analysis of the social sciences. Seoul: Hannarae Academy.
19 Kang, K. A. (1999). Development of a tool to measure suffering in patients with cancer. Journal of Korean Academy of Nursing, 29, 1365-1378.
20 Health Insurance Review and Assessment Service. (2008). A study on the hospice payment-development of the payment system for hospice service and of the quality control system, and designing of pilot program (Issue No. K46-2008-85). Seoul: Author.
21 Tu, M. S., & Chiou, C. P. (2007). Perceptual consistency of pain and quality of life between hospice cancer patients and family caregivers: A pilot study. International Journal of Clinical Practice, 61, 1686-1691. doi: 10.1111/j.1742-1241.2007.01347.x   DOI   ScienceOn
22 Bosma, H., Apland, L., & Kazanjian, A. (2010). Cultural conceptualizations of hospice palliative care: More similarities than differences. Palliative Medicine, 24, 510-522. doi: 10.1177/0269216309351380   DOI   ScienceOn
23 Canadian Hospice Palliative Care Association. (2002). A model to guide hospice palliative care: Based on national principles and norms of practice. Retrieved August 23, 2010, from http://www.chpca.net/
24 World Health Organization. (1998). Hospice palliative care. Retrieved September 18, 2010, from http://www.who.int/cancer/palliative/definition/en/
25 Yeager, K. A., Miaskowski, C., Dibble, S. L., & Wallhagen, M. (1995). Differences in pain knowledge and perception of the pain experience between outpatients with cancer and their family caregivers. Oncology Nursing Forum, 22, 1235-1241.