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Development and Psychometric Evaluation of the End-of-Life Nursing Competency Scale for Clinical Nurses.

ABSTRACT: This study aimed to develop and establish psychometric properties of the End-of-Life Nursing Competency Scale for Clinical Nurses. The initial items were derived from an in-depth literature review and field interviews. The content validation of these items was assessed over three rounds by experts in end-of-life nursing care. The study included 437 clinical nurses from four hospitals in S, E, and D cities in South Korea. The final exploratory factor analysis resulted in a scale consisting of 21 items with the following five factors that explained 68.44% of the total variance: Physical care-imminent end-of-life, legal and administrative processes, psychological care-patient and family, psychological care-nurses' self, and ethical nursing. The final model with these five subscales was validated through confirmatory factor analysis. Both item convergent-discriminant validity and known-group validity, which compared two groups based on clinical experience (p < 0.008) and working department (p < 0.008), were satisfactory. The internal consistency, as measured by Cronbach's α, ranged from 0.62 to 0.89 for the subscales and was 0.91 for the total scale. This scale has been validated as a reliable and effective instrument for clinical nurses to self-assess their end-of-life nursing competencies in a clinical setting.

SUBMITTER: Kim JY

PROVIDER: S-EPMC11354138 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature

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Development and Psychometric Evaluation of the End-of-Life Nursing Competency Scale for Clinical Nurses.

Kim Ji-Yeon JY Kim Hyun-Sun HS Kang Mi-Jung MJ Oh Hee-Young HY Jo Mi-Rae MR

Healthcare (Basel, Switzerland) 20240808 16

This study aimed to develop and establish psychometric properties of the End-of-Life Nursing Competency Scale for Clinical Nurses. The initial items were derived from an in-depth literature review and field interviews. The content validation of these items was assessed over three rounds by experts in end-of-life nursing care. The study included 437 clinical nurses from four hospitals in S, E, and D cities in South Korea. The final exploratory factor analysis resulted in a scale consisting of 21 ...[more]

PMID: 39201139

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Project description:BackgroundNursing teachers, as a group with high emotional labor, report heightened levels of negative emotions and burnout. Focusing on the emotional labor of nursing teachers is essential for improving their emotional well-being and job satisfaction. However, there is a lack of assessment tools specifically tailored to the emotional labor of nursing teachers. Therefore, this study aimed to develop a scale for assessing nursing teachers' emotional labor and to examine its psychometric properties.MethodsThe Nursing Teacher Emotional Labor Scale was developed in three phases. First, the scale's dimensions and items were formulated based on concept analysis, qualitative research and a review of existing literature, followed by expert evaluation and a pretest. The second phase involved item analysis and exploratory factor analysis to evaluate the items and explore the scale's factor structure. The third phase included testing for reliability and validity. Reliability was determined by internal consistency and test-retest reliability. Content validity, criterion-related validity, convergent and discriminant validity were employed to evaluate the validity.ResultsThe final version of the scale comprised 20 items across four dimensions. The I-CVI for all items ranged from 0.857 to 1.000, and the S-CVI was 0.993. Convergent and discriminant validity results indicated that the average variance extracted for each dimension exceeded 0.5, the composite reliability values surpassed 0.7, and the square root of the average variance extracted values was greater than their respective correlation coefficients. The principal component analysis identified four factors accounting for 70.962% of the total variance. The fit indices from the confirmatory factor analysis met the criteria. The scale demonstrated good internal consistency, with a Cronbach's α coefficient of 0.907 and a test-retest reliability of 0.865.ConclusionThe Nursing Teacher Emotional Labor Scale has satisfactory reliability and validity. It serves as an effective tool for nursing teachers to evaluate their emotional labor levels within the context of nursing education. Additionally, it offers a valuable metric for nursing education administrators to develop interventions aimed at enhancing the emotional well-being of teachers.

Dataset Information

Development and Psychometric Evaluation of the End-of-Life Nursing Competency Scale for Clinical Nurses.

Publications

Development and Psychometric Evaluation of the End-of-Life Nursing Competency Scale for Clinical Nurses.

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