Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Development and Validation of a Tool for Evaluating Core Competencies in Nursing Cancer Patients on Chemotherapy

항암화학요법을 받는 암환자 간호핵심역량 측정도구 개발 및 타당화

  • Kim, Sung Hae (Department of Medical Education, Kyung Hee University School of Medicine, Center for Innovation in Nursing Education, Chung Ang University Red Cross College of Nursing) ;
  • Park, Jae Hyun (Department of Medical Education, Kyung Hee University School of Medicine)
  • 김성해 (경희대학교 의학전문대학원 의학교육학교실, 중앙대학교 적십자간호대학 간호교육이노센터) ;
  • 박재현 (경희대학교 의학전문대학원 의학교육학교실)
  • Received : 2012.01.09
  • Accepted : 2012.09.19
  • Published : 2012.10.31
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Abstract

Purpose: This study was done to develop tool to evaluate the core competencies regarding nursing cancer patients on chemotherapy, and to verify the reliability and efficacy of the developed tool. Methods: A tool to evaluate the core competencies was developed from a preliminary tool consisting of 112 items verified by expert groups. The adequacy of the preliminary tool was analyzed and refined to the final evaluation tool containing 76 items in 8 core competencies and 18 specific competencies. The evaluation tool is in the form of a self-report, and each item is evaluated according to a 3-point scale. From September 22 to October 14, 2011, 349 survey responses were analyzed using SPSS 20.0 and the WINSTEPS program that employs the Rasch model. Results: Results indicated that there were no inappropriate items and the items had low levels of difficulty in comparison with the knowledge levels of the study participants. The results of factor analysis yielded 18 factors, and the reliability of the tools was very high with Cronbach's ${\alpha}$=.97. Conclusion: The results of this study can be used for training and evaluation of core competencies for nursing cancer patients, and for standardizing nursing practices associated with chemotherapy.

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References

  1. Azzoli, C. G., Temin, S., Aliff, T., Baker, S. Jr., Brahmer, J., Johnson, D. H., et al. (2011). 2011 focused update of 2009 American Society of Clinical Oncology Clinical Practice Guideline update on chemotherapy for stage IV non-small-cell lung cancer. Journal of Clinical Oncology, 29, 3825-3831. http://dx.doi.org/10.1200/JCO.2010.34.2774
  2. Bertero, C., & Chamberlain Wilmoth, M. (2007). Breast cancer diagnosis and its treatment affecting the self: A meta-synthesis. Cancer Nursing, 30, 194-202. http://dx.doi.org/10.1097/01.NCC.0000270707.80037.4c
  3. Bond, T. G., & Fox, C. M. (2007). Applying the Rasch model: Fundamental measurement in the human science (2nd ed.). New Jersey, NJ: Lawrance Erlbaum Associates Publisher London.
  4. Chi, E. L., & Chae, S. H. (2000). Theory and practice of Rasch model (1st ed.). Gyeonggi-do: Kyoyook-kwahaksa.
  5. Choi, J. S., & Eun, Y. (2006). A study on the clinical competence according to clinical ladder of operating room nurses. Journal of Korean Academic Society of Nursing Education, 12, 60-69.
  6. da Costa Vargens, O. M., & Bertero, C. M. (2007). Living with breast cancer: Its effect on the life situation and the close relationship of women in Brazil. Cancer Nursing, 30, 471-478. http://dx.doi.org/10.1097/01.NCC.0000300157.83144.fb
  7. Ha, N. S., & Choi, J. (2010). An analysis of nursing competency affecting on job satisfaction and nursing performance among clinical nurses. Journal of Korean Nursing Administration Academic Society, 16, 286-294. https://doi.org/10.11111/jkana.2010.16.3.286
  8. Hall, L. W., Moore, S. M., & Barnsteiner, J. H. (2008). Quality and nursing: Moving from a concept to core competency. Urologic Nursing, 28, 417-425.
  9. Kang, Y. S., Lee, S. J., Kim, I. J., & Ahn, K. H. (2008). A measurement scale development of nursing competence for nurses working in general wards. Journal of Korean Nursing Administration Academic Society, 14, 219-228.
  10. Kim, G. M., Park, S. Y., & Lee, C. H. (2011). A Rasch analysis of the Korean version of Oswestry Disability Questionnaire according to general characteristics of patients with low back pain. Journal of the Korean Academy of University Trained Physical Therapists, 18(2), 35-42.
  11. Kim, M. Y., & Park, S. A. (2007). An methodology research of performance appraisal tool of oncology advanced practice nurse. Journal of Korean Nursing Administration Academic Society, 13, 17-23.
  12. Kim, R., Sung, D. K., Lee, H. B., Song, K. S., Jo, T. K., & Lee, S. C. (2005). Comprehension and utilize of statistic analysis. Daegu: Daemyung Press.
  13. Korean Accreditation Board of Nursing. (2011). Nursing education core competency assessment. Seoul: Author.
  14. Kwak, M. K., Kim, E. J., Lee, E. R., Kwon, I. G., & Hwang, M. S. (2010). Characteristics and quality of life in patients with chemotherapy-induced peripheral neuropathy. Journal of Korean Oncology Nursing, 10, 231-239. http://dx.doi.org/10.5388/jkon.2010.10.2.231
  15. Lee, I. S., Hong, S. H., & Shin, E. K. (2007). Rasch rating scale modeling of the disability identity scale. Korean Journal of Social Welfare, 59(4), 273-296. https://doi.org/10.20970/kasw.2007.59.4.011
  16. Lenburg, C. B. (1999). The framework, concepts and methods of the competency outcomes and performance assessment (COPA) model. Online Journal of Issues in Nursing, 4, Manuscript 2.
  17. Lenburg, C. B., Klein, C., Abdur-Rahman, V., Spencer, T., & Boyer, S. (2009). The COPA model: A comprehensive framework designed to promote quality care and competence for patient safety. Nursing Education Perspectives, 30, 312-317.
  18. Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35, 382-385.
  19. National Cancer Center, & Ministry of Health & Welfare. (2011). Cancer facts & figures 2011. Gyeonggi-do: Author.
  20. Park, E. Y., & Park, S. Y. (2008). The analysis of the child-rearing attitude test appropriateness by Rasch rating scale modeling. Korean Journal of Physical and Multiple Disabilities, 51(4), 117-136.
  21. Peppercorn, J. M., Smith, T. J., Helft, P. R., Debono, D.J., Berry, S. R., Wollins, D. S., et al. (2011). American Society of Clinical Oncology statement: Toward individualized care for patients with advanced cancer. Journal of Clinical Oncology, 29, 755-760. http://dx.doi.org/10.1200/JCO.2010.33.1744
  22. Scott Tilley, D. D. (2008). Competency in nursing: A concept analysis. The Journal of Continuing Education in Nursing, 39, 58-64. http://dx.doi.org/10.3928/00220124-20080201-12
  23. Shin, H. S., Kim, B. J., & Kang, H. S. (2009). Use of physical assessment skills and education needs of advanced practice nurses and nurse specialists. Journal of Korean Academy of Nursing, 39, 709-719. http://dx.doi.org/10.4040/jkan.2009.39.5.709
  24. Webb, P. M., Cummings, M. C., Bain, C. J., & Furnival, C. M. (2004). Changes in survival after breast cancer: Improvements in diagnosis or treatment? The Breast, 13, 7-14. http://dx.doi.org/10.1016/S0960-9776(03)00129-2

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