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Development and Validation of a Measurement to Assess Person-centered Critical Care Nursing

중환자실 간호사의 인간중심 간호 측정도구 개발

  • 강지연 (동아대학교 간호학과) ;
  • 조영신 (고신대학교 복음병원 외과계 중환자실) ;
  • 정연진 (동아대학교 간호학과) ;
  • 김수경 (고신대학교 복음병원 외과계 중환자실) ;
  • 윤선영 (영산대학교 간호학과) ;
  • 심미영 (서울대학교병원 간호부)
  • Received : 2018.03.05
  • Accepted : 2018.05.30
  • Published : 2018.06.30

Abstract

Purpose: The purpose of this study was to develop a scale to measure person-centered critical care nursing and verify its reliability and validity. Methods: A total of 38 preliminary items on person-centered critical care nursing were selected using content validity analysis of and expert opinion on 72 candidate items derived through literature review and qualitative interviews. We conducted a questionnaire survey with 477 nurses who worked in intensive care units. The collected data were analyzed using exploratory factor analysis (EFA) and confirmative factor analysis (CFA) with SPSS and AMOS 24.0 program. Results: EFA was performed with principal axis factor analysis and Varimax rotation. The 15 items in 4 factors that accounted for 50.8% of the total variance were identified by deleting the items that were not meet the condition that the commonality should be .30 or more and the factor loading over .40. We named the factors as compassion, individuality, respect, and comfort, respectively. The correlation coefficient between this scale and the Caring Perception Scale was r=.57 (p<.001), which determined concurrent validity. The item-total correlation values ranged from .39 to .63, and the internal consistency for the scale was Cronbach's ${\alpha}=.84$. Conclusion: The reliability and validity of the 15 item person-centered critical care nursing scale were verified. It is expected that the use of this scale would expand person-centered care in critical care nursing.

Keywords

References

  1. World Health Organization. The world health report 2000: Health systems: Improving performance. Geneva: World Health Organization; 2000. p. xi-xix.
  2. Seoul University R&DB Foundation. A study on the development of patient-centered medicine evaluation model. Wonju: Health Insurance Review & Association Services; 2015 May. Report No.: G000E70-2015-87.
  3. Lusk JM, Fater K. A concept analysis of patient-centered care. Nursing Forum. 2013;48(2):89-98. https://doi.org/10.1111/nuf.12019
  4. Morgan S, Yoder LH. A concept analysis of person-centered care. Journal of Holistic Nursing. 2012;30(1):6-15. https://doi.org/10.1177/0898010111412189
  5. Sidani S, Collins L, Harbman P, MacMillan K, Reeves S, Hurlock-Chorostecki C, et al. Development of a measure to assess healthcare providers' implementation of patient-centered care. Worldviews on Evidence-Based Nursing. 2014;11(4):248-257. https://doi.org/10.1111/wvn.12047
  6. Charmel PA, Frampton SB. Building the business case for patient-centered care. Healthcare Financial Management. 2008;62(3):80-85.
  7. Suhonen R, Valimaki M, Katajisto J. Developing and testing an instrument for the measurement of individual care. Journal of Advanced Nursing. 2000;32(5):1253-1263. https://doi.org/10.1046/j.1365-2648.2000.01596.x
  8. Edvardsson D, Fetherstonhaugh D, Nay R, Gibson S. Development and initial testing of the Person-centered Care Assessment Tool (P-CAT). International Psychogeriatrics. 2010;22(1):101-108. https://doi.org/10.1017/S1041610209990688
  9. Tak YR, Woo HY, You SY, Kim JH. Validity and reliability of the person-centered care assessment tool in long-term care facilities in Korea. Journal of Korean Academy of Nursing. 2015;45(3):412-419. https://doi.org/10.4040/jkan.2015.45.3.412
  10. Jakimowicz S, Perry L. A concept analysis of patient-centred nursing in the intensive care unit. Journal of Advanced Nursing. 2015;71(7):1499-1517. https://doi.org/10.1111/jan.12644
  11. O'Connell E. Therapeutic relationships in critical care nursing: A reflection on practice. Nursing in Critical Care. 2008;13(3):138-143. https://doi.org/10.1111/j.1478-5153.2008.00273.x
  12. Petty J. Learning from narrative to understand the person-centred experience in neonatal nursing: A literature review. Journal of Neonatal Nursing. 2016;22(6):297-308. https://doi.org/10.1016/j.jnn.2016.08.005
  13. Ranse K, Bloomer M, Coombs M, Endacott R. Family centred care before and during life-sustaining treatment withdrawal in intensive care: A survey of information provided to families by Australasian critical care nurses. Australian Critical Care. 2016;29(4):210-216. https://doi.org/10.1016/j.aucc.2016.08.006
  14. Mitchell ML, Coyer F, Kean S, Stone R, Murfield J, Dwan T. Patient, family-centred care interventions within the adult ICU setting: An integrative review. Australian Critical Care. 2016;29(4):179-193. https://doi.org/10.1016/j.aucc.2016.08.002
  15. Kitson A, Marshall A, Bassett K, Zeitz K. What are the core elements of patient-centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing. Journal of Advanced Nursing. 2013;69(1):4-15. https://doi.org/10.1111/j.1365-2648.2012.06064.x
  16. Kamdar BB, Needham DM, Collop NA. Sleep deprivation in critical illness: Its role in physical and psychological recovery. Journal of Intensive Care Medicine. 2012;27(2):97-111. https://doi.org/10.1177/0885066610394322
  17. Hinkin TR. A brief tutorial on the development of measures for use in survey questionnaires. Organizational Research Methods. 1998;1(1):104-121. https://doi.org/10.1177/109442819800100106
  18. Costello AB, Osborne JW. Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation. 2005;10(7):1-9.
  19. Myers ND, Ahn S, Jin Y. Sample size and power estimates for a confirmatory factor analytic model in exercise and sport: A Monte Carlo approach. Research Quarterly for Exercise and Sport. 2011;82(3):412-423. https://doi.org/10.1080/02701367.2011.10599773
  20. Suh EH. Statistical analysis using SPSS 21. Paju: Freeacademy; 2013. p. 357-381.
  21. Arthur D, Pang S, Wong T, Alexander MF, Drury J, Eastwood H, et al. Caring attributes, professional self concept and technological influences in a sample of Registered Nurses in eleven countries. International Journal of Nursing Studies. 1999;36(5):387-396. https://doi.org/10.1016/S0020-7489(99)00035-8
  22. Song HR. Comparative study of professional self-concept and caring perception in nurses and nursing student. [master's thesis]. Daejeon: Eulji University; 2010. p. 1-89.
  23. Yu JP. The concept and understanding of structural equation modeling. Seoul: Hannare Publishing Co.; 2012. p. 160-370.
  24. Ji EG, Kim MJ. Development and practice of social welfare measurement. Seoul: Hakjisa; 2015. p. 231-247.
  25. Cohen J. A power primer. Psychological Bulletin. 1992;112(1):155-159. https://doi.org/10.1037/0033-2909.112.1.155
  26. Schilling LS, Dixon JK, Knafl KA, Grey M, Ives B, Lynn MR. Determining content validity of a self-report instrument for adolescents using a heterogeneous expert panel. Nursing Research. 2007;56(5):361-366. https://doi.org/10.1097/01.NNR.0000289505.30037.91
  27. Kim K, Kim S, Hong S, Kim J. The evaluation of the Korean Advance Directives (K-AD). Korean Journal of Hospice and Palliative Care. 2016;19(2):109-118. https://doi.org/10.14475/kjhpc.2016.19.2.109
  28. Tembo AC, Higgins I, Parker V. The experience of communication difficulties in critically ill patients in and beyond intensive care: Findings from a larger phenomenological study. Intensive and Critical Care Nursing. 2015;31(3):171-178. https://doi.org/10.1016/j.iccn.2014.10.004
  29. Jakimowicz S, Perry L, Lewis J. An integrative review of supports, facilitators and barriers to patient-centred nursing in the intensive care unit. Journal of Clinical Nursing. 2017;26(23-24):4153-4171. https://doi.org/10.1111/jocn.13957
  30. Jakimowicz S, Perry L, Lewis J. Insights on compassion and patient-centred nursing in intensive care: A constructivist grounded theory. Journal of Clinical Nursing. 2018;27(7-8):1599-1611. https://doi.org/10.1111/jocn.14231

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