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"Validity"

Original Articles
Validity and Reliability of Translated Version of the Chronic Hepatitis B Self-Management Scale
Eun Vi Kim, Heeyoung Oh
Korean J Adult Nurs 2022;34(6):555-564.   Published online December 31, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.6.555
Purpose
This study aimed to evaluate the validity and reliability of the revised Korean version of the Chronic Hepatitis B Self-Management Scale-K16 (CHBSMS-K16). Methods Using the convenience sampling method, the data of chronic hepatitis B patients (N=200) were collected from August to October 2021. The participants were recruited from two hospitals in D metropolitan city and 3 internet cafes for hepatitis patients. The data were analyzed using SPSS 26.0 and AMOS programs. The content, structure, item-convergent/discriminant, and convergent validities and internal consistency were evaluated. Results Based on the statistical analysis, 9 items from the original version were excluded-resulting in 4 subscales with a total of 16 items. The confirmatory factor analysis demonstrated adequate model fit indices. The items convergence and discrimination validity were verified using extracted mean variance (.46~.65) and composition reliability (.81~.88). The convergent validity was satisfactory, as demonstrated by its correlation with the New General Self Efficacy scale (r=.63, p<.001). The Cronbach’s α for the overall scale was .88, and that of the four subscales ranged from .63 to .74. Conclusion The CHBSMS-K16 is a valid and reliable instrument. Therefore, this tool can be used to measure the level of self-management of Korean patients with chronic hepatitis B. Additionally, this scale can be used in clinical settings as well as in educational and research settings.
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Validity and Reliability of a Korean Version of the Psychological Adaptation Scale for Patients on Hemodialysis
Minju Kim, Sunae Joung
Korean J Adult Nurs 2020;32(6):560-570.   Published online December 31, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.6.560
Purpose
The aim of this study was to evaluate the validity and reliability of a Korean version of the Psychological Adaptation Scale (K-PAS) for patients on hemodialysis. Methods: The PAS was translated into Korean with the forward and backward translation method. The data were collected from 171 patients on hemodialysis at eight general hospitals in South Korea. Content, construct, criterion validity were evaluated. Cronbach's ⍺ coefficients were used to examine the scale’s reliability. Jamovi 1.1.9 software was used for data analysis. Results: The K-PAS consists of 15 items in four domains, including coping efficacy, self-esteem, social integration, and spiritual well-being. The results of the confirmatory factor analysis of the K-PAS showed good fitness and reliability (x2 = 235.00 (p<.001), df=84, normed x2=2.79, root mean square error of approximation=.10, comparative fit index=.92, Tucker-Lewis index=.90). The K-PAS was significantly correlated with depression (r=-.32, p<.001), social support (r=.32, p<.001), and quality of life (r=.46, p<.001). Internal consistency, depicted by Cronbach's ⍺, was .94 for the total scale and ranged from .82 to .90 for all subscales. Conclusion: The K-PAS is a valid and reliable measure to assess psychological adaptation in patients on hemodialysis. Owing to its simplicity and ease of use, it may also prove to be a good assessment tool for psychological adaptation in the context of other chronic diseases.

Citations

Citations to this article as recorded by  
  • Predictors of psychosocial adaptation in haemodialysis patients according to haemodialysis vintage: a quantitative study
    Ae Kyung Chang, Ah Young Kim
    Contemporary Nurse.2025; : 1.     CrossRef
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  • 3 Download
  • 1 Crossref
Validity and Reliability of Korean Version of the Attitude Measurement Tool for Family Presence during Resuscitation
Mi-Ran Lee, Mi Ha Chung
Korean J Adult Nurs 2020;32(2):209-219.   Published online April 30, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.2.209
Purpose
The purpose of this study is to examine the validity and reliability of Korean version of the attitude measurement tool for Family Presence during Resuscitation (K-FPDR).
Methods
Data were collected from 299 nurses working at a tertiary hospital located in Seoul via structured-questionnaire and analyzed using SPSS 24.0 and AMOS 21.0. To examine the validity and reliability of K-FPDR, content/construct validity using exploratory/ confirmatory factor analysis and reliability test and criterion validity using Pearson correlation coefficient were conducted.
Results
There were 6 of the 30 items deleted through content/construct validity test. The Korean version of K-FPDR was composed of three dimensions: benefits, negative effects, and decision-making on K-FPDR. K-FPDR was validated by confirmatory factor analysis (CFI=.82, GFI=.86, AGFI=.83, RMR=.07, and RMSEA= .07), and factor loading of the 24 items ranged from .40 to .82. In terms of criterion validity, the K-FPDR positively correlated with Family Presence Self-Confidence Scale. Also, the reliability of the scale was confirmed with Cronbach's ⍺=.85.
Conclusion
The K-FPDR is a reliable and valid scale; therefore, this scale is expected to be useful in measuring the attitude toward family presence during resuscitation among Korean nurses.
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Validity and Reliability of the Korean Version of the Basic Physical Capability Scale for Older Adults
Eun Ok Song, Gwi Ryung Son Hong
Korean J Adult Nurs 2020;32(1):21-34.   Published online February 29, 2020
DOI: https://doi.org/10.7475/kjan.2020.32.1.21
PURPOSE
This study aimed to verify the validity and reliability of the Korean version of the Basic Physical Capability Scale (BPCS-K).
METHODS
The BPCS was translated into Korean using forward and back translations. Data were collected from January 16 to May 10, 2019. The study participants comprised 285 older adults, with 147 recruited from an acute care setting, and 138, who had dementia, were from long-term care facilities. Data analysis included KR-20, intraclass correlation coefficient, independent t-test, Kruskal-Wallis H test, hierarchical multiple regression, and Rasch analysis (item difficulty, infit/outfit, separation index, reliability index, and differential item function analysis), and were conducted using SPSS/WIN 25.0 and R programs. The criterion-related validity was examined using the Barthel Index.
RESULTS
The KR-20 reliability coefficient was .93 and the intraclass correlation coefficient for 2-week test-retest reliability was .97. The BPCS-K scores were significantly different compared to the known groups. Moreover, controlling for age, gender, and cognitive status, the Barthel Index score was significantly associated with the BPCS-K scores. Rasch analysis supported good construct validity.
CONCLUSION
The findings suggest that the 16-item BPCS-K is an appropriate instrument to measure basic physical capability in Korean older adults. The BPCS-K can establish individualized physical activity goals for the elderly in a variety of clinical settings and can also serve to measure changes of physical function in physical activity interventions for older adults.

Citations

Citations to this article as recorded by  
  • Validity and Reliability of the Korean Version of Assessment of Health Literacy in Breast and Cervical Cancer Screening
    Hye Sook Shin, Eunlim Chi, Hae-Ra Han
    Journal of Korean Academy of Nursing.2021; 51(6): 769.     CrossRef
  • 334 View
  • 4 Download
  • 1 Crossref
  • 1 Scopus
Psychometric Evaluation of Self-management Scale for Hemodialysis Patients with Arteriovenous Fistula
Kyungmi Lee, Semi Lim, Younhee Kang
Korean J Adult Nurs 2017;29(6):637-646.   Published online December 31, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.6.637
PURPOSE
The purpose of this study was to develop a Self-Management Scale for Hemodialysis Patients on Arteriovenous Fistula (SMHDP) and to verify its validity and reliability.
METHODS
Items for the preliminary instrument of the SMHDP-scale were created through a literature review and in-depth interviews with hemodialysis patients and hemodialysis unit nurses. A convenient sample was utilized for this study. The questionnaire was distributed to 200 hemodialysis patients with arteriovenous fistula. Content validity, construct validity, criterion validity, convergent validity, and discriminative validity were evaluated respectively. Cronbach's α was used to evaluate the reliability of the SMHDP-scale.
RESULTS
Five factors were identified through factor analysis. The factors included dietary knowledge of hemodialysis (8 items), compliance with hemodialysis (7 items), knowledge of hemodialysis (6 items), dietary compliance of hemodialysis (6 items), and compliance with hemodialysis order (3 items).These five factors explained 58.9% of the total variance. The correlation coefficient between criterion instrument and SMHDP-scale was .66 Reliability analysis showed Cronbach's α coefficient was .90.
CONCLUSION
Results show that the SMHDP-scale had good reliability and validity and thus SMHDP-scale may be a useful scale for clinical practices and for research as a measure of self-management of hemodialysis patient on arteriovenous fistula.

Citations

Citations to this article as recorded by  
  • Effects of an arteriovenous fistula stenosis prevention program in patients receiving hemodialysis
    Haegyeong Lee, Gyuli Baek, Eunju Lee
    Osong Public Health and Research Perspectives.2023; 14(4): 279.     CrossRef
  • 124 View
  • 1 Download
  • 1 Crossref
  • 2 Scopus
Quality of Nursing Work Life Scale-Korean: Validity and Reliability
Insook Kim, Hyoungshim Choi, Yeongyi Yim, Seonae Won, Jungwoo Kim, Sanga Lee
Korean J Adult Nurs 2016;28(6):646-658.   Published online December 31, 2016
DOI: https://doi.org/10.7475/kjan.2016.28.6.646
PURPOSE
The aim of this study was to test the validity and reliability of the Korean version of the Quality of Nursing Work Life (QNWL-K) scale. The scale measures the reported quality of the nurse' work life among Korean nurses.
METHODS
The QNWL-K was developed through forward-backward translation techniques. An internal consistency reliability and construct validity using exploratory analysis were conducted using SPSS/WIN (21.0). Survey data were collected from 309 nurses who worked in two tertiary hospitals, four general hospitals, and two hospitals in Seoul and Gyeonggi, South Korea.
RESULTS
Factor analysis results of the revised QWNL-K demonstrated that it has a four-factor structure (work context, support systems for home/work life, work design, and staffing) that supports construct validity. Factor loadings of the 36 items ranged from .30~.77. The QNWL-K showed reliable internal consistency from Cronbach's α for the total scale of .93.
CONCLUSION
The findings support that the QNWL-K has satisfactory construct validity and is a reliable measure of nursing work life in Korea.

Citations

Citations to this article as recorded by  
  • Assessing the Development and Validity of Educational Videos in Educating Dental Infection Control Coordinators
    Na‐Young Lee, Han‐Na Kim
    International Journal of Dental Hygiene.2025;[Epub]     CrossRef
  • Influences of Organizational Culture, Nursing Workplace Spirituality, and Nurses’ Perceived Health Status on Quality of Nursing Work Life according to Nursing Clinical Ladder
    Hyun Sook Lee, Ju Hyun Jin, Ju Ri Lee, Hye Jin Kim, Yeon Jae Jung
    Journal of Korean Academy of Nursing Administration.2024; 30(1): 31.     CrossRef
  • The Effects of Disaster Nursing Core Competence and Coping Flexibility on the Quality of Work Life of Emergency Room Nurses during Long COVID-19
    Yu Jin Lee, Chung Hee Woo
    Journal of Korean Academy of Nursing Administration.2024; 30(3): 259.     CrossRef
  • High-Risk Symptom Cluster Groups for Work-Life Quality and Turnover Intention among Nurses
    Chiyoung Cha, Miran Lee
    Western Journal of Nursing Research.2023; 45(3): 192.     CrossRef
  • The instruments for evaluation the quality of nursing work life
    Katarína Mišovičová, Martina Tomagová
    Pielegniarstwo XXI wieku / Nursing in the 21st Century.2023; 22(2): 108.     CrossRef
  • Evaluating the Quality of Work Life Among Nurses: A Systematic Review
    Abbas Ebadi, Zeinab Tabanejad
    Journal of Archives in Military Medicine.2022;[Epub]     CrossRef
  • Relationship between a University Hospital Nurses’ Structural Empowerment and Quality of Nursing Work Life: Mediating Effect of Psychological Empowerment
    Eun Bee Baek, Sun Hyoung Bae
    Journal of Health Informatics and Statistics.2022; 47(2): 159.     CrossRef
  • A Study of Knowledge, Attitudes, and Educational Needs for Gerontological Nursing in Cancer Hospital Nurses
    Su Ah Lee, Young Whee Lee
    Journal of Korean Gerontological Nursing.2021; 23(4): 384.     CrossRef
  • Effect of Workplace Spirituality on Quality of Work Life of Nurse Cancer Survivors in South Korea
    Juhyun Jin, Eunju Lee
    Asia-Pacific Journal of Oncology Nursing.2020; 7(4): 346.     CrossRef
  • Factors Affecting Quality of Work Life in a Sample of Cancer Survivor Female Nurses
    Ju Hyun Jin, Eun Ju Lee
    Medicina.2020; 56(12): 721.     CrossRef
  • Factors Influencing Ageism in General Hospital Nurses
    Juah Kim, Jiyeon Ha
    Journal of Korean Academy of Nursing Administration.2019; 25(5): 393.     CrossRef
  • 140 View
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  • 11 Crossref
  • 10 Scopus
Validity and Reliability Test of the Korean Version of the Oncology Patients' Perception of the Quality of Nursing Care Scale
Jiyoung Kang, Heiyoung Kang, Nanyeon Kim, Mijung Lee, Youjine Kim, Juhyeon Kim, Sujeong Yeo, Yunye Seo, E Eunyoung Suh
Korean J Adult Nurs 2016;28(2):191-201.   Published online April 30, 2016
DOI: https://doi.org/10.7475/kjan.2016.28.2.191
PURPOSE
The purpose of this methodological study was to examine the validity and reliability of a translated Korean version of The Oncology Patients' Perception of the Quality of Nursing Care Scale.
METHODS
The translated scale was pilot tested and then administered to 360 patients with cancer. Exploratory and confirmatory factor analyses were utilized to assess the factor structure. Internal consistency reliability was determined using coefficient α.
RESULTS
Two of the 40 items were deleted with a principal component method of exploratory factor analysis because they did not meet the factor-loading criterion. The 38 items were again analyzed and, four factors were validated (KMO=.96, Bartlett χ2=10809.81, df=780, p<.001). The four factors accounted for 60.9% of the variance. Factor loadings of the scale on the four subscales ranged from .65 to .91. The scale showed reliable internal consistency with a Cronbach's α, total 38 items (α=.96) in four subscales: individualization (18 items, α=.96), proficiency (10, .91), responsiveness (7, .90), and coordination (3, .80).
CONCLUSION
The findings of this study demonstrate that the scale has satisfactory construct validity and reliability to measure quality of cancer nursing care from the patient's perspective in Korea.

Citations

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  • The Nursing-Home Care Quality Perceived Levels from Patients and Caregivers: An Explanatory Study
    Elsa Vitale, Rocco Mea, Yun-Chen Chang
    Patient Preference and Adherence.2023; Volume 17: 1237.     CrossRef
  • The Quality of Patient-centered Nursing Care Perceived by Cancer Patients Who Have Had an Operation
    Keum Hyun Wang, Eun Young Park
    Asian Oncology Nursing.2021; 21(2): 65.     CrossRef
  • A scale to measure nurses’ and providers’ patient centered care in primary care settings
    Laurel E. Radwin, Howard Cabral, Barbara G. Bokhour, Marjory Nealon Seibert, Kelly Stolzmann, Ann Annis, David C. Mohr
    Patient Education and Counseling.2019; 102(12): 2302.     CrossRef
  • Analysis of a Survey on Public Perceptions and Preferences of the “Smart Green Office” to Help Encourage Creation of the Program
    Sang Im Oh, Sung Won Cho, Ja Hee Lee, Ae Kyung Lee
    Flower Research Journal.2019; 27(1): 60.     CrossRef
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Reliability and Validity of the Assessment Tool for Measuring Communication Skills in Nursing Simulation Education
Hee Mo Yang, Seon Young Hwang
Korean J Adult Nurs 2016;28(1):95-105.   Published online February 29, 2016
DOI: https://doi.org/10.7475/kjan.2016.28.1.95
PURPOSE
This study was conducted to test whether Health Communication Assessment Tool (HCAT) developed by Campbell et al. in 2013 can be applied to assess Korean nursing students' communication skills in simulation education.
METHODS
The content validity of the Korean version of HCAT (K-HCAT) was evaluated through expert's assessment and a principal component analysis was conducted for testing construct validity. The convergent validity was tested by measuring relationship between the K-HCAT and those of existing communication assessment tool for standardized patient instruction. The evaluation was done by surveying 154 senior students from four different nursing colleges.
RESULTS
The K-HCAT was condensed into 15 items from the original 22 HCAT items. Four factors were extracted from the principal component analysis; factor loadings ranged from .50 to .83; cumulative explained variance was 62.65%. Four factors were entitled as 'relationship building', 'empowering', 'empathy/response', and 'education/feedback'. Cronbach's α for sub-dimensions ranged from .73 to .84. An evaluation of convergent validity showed that the scores of the K-HCAT were moderately correlated with those of an assessment tool for standardized patient instruction.
CONCLUSION
The K-HCAT can be used as an effective tool for assessing nursing students' communication skills in various kinds of simulation educations Further research is needed to test the consistency of the K-HCAT.

Citations

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  • Impact of grit, empathy, and communication competence on the clinical competence of nursing students in the post-COVID-19 era in Korea: a cross-sectional study
    Soo-Hyun Nam, Seurk Park
    Journal of Korean Biological Nursing Science.2025; 27(1): 115.     CrossRef
  • The effects of problem-based learning integrated with the nursing process on clinical reasoning, communication skills attitude and nursing process competency among nursing students: A quasi-experimental study
    Ji Sun Lee, Hae Kyoung Son
    Nurse Education in Practice.2024; 81: 104131.     CrossRef
  • Development and Validation of the Therapeutic Communication Scale in Nursing Students
    Soolgi Han, Jinhee Yoo, Kyonghwa Kang
    Healthcare.2024; 12(3): 394.     CrossRef
  • The Development, Implementation, and Evaluation of a Geriatric Disaster Nursing Simulation Intervention With Supportive Debriefing
    Joo-Young Jin, Yun-Jung Choi
    Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare.2024; 19(5): e84.     CrossRef
  • Communication training program for nurses caring for patients with aphasia: a quasi-experimental study
    Yujin Hur, Younhee Kang
    BMC Nursing.2024;[Epub]     CrossRef
  • Technology-based interactive communication simulation addressing challenging communication situations for nursing students
    Yeseul Jeon, Heeseung Choi, Ujin Lee, Hannah Kim
    Journal of Professional Nursing.2024; 53: 71.     CrossRef
  • The Validity and Reliability of Nursing Assessment Communication-Competence Scale for Clinical Nurses
    Hyojin Kim, Heeyoung Oh
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(1): 78.     CrossRef
  • Technology-based interactive communication simulation for Korean nurses: A randomized controlled repeated-measures design
    Heeseung Choi, Yeseul Jeon, Ujin Lee, Junggeun Ahn, Hannah Kim
    Nurse Education Today.2023; 128: 105879.     CrossRef
  • The effects of simulation-based education on the communication and clinical judgment of nursing students and nurses: A systematic review and meta-analysis
    Jung Min Park, Sangeun Jun
    The Journal of Korean Academic Society of Nursing Education.2023; 29(3): 203.     CrossRef
  • Effects of simulation problem-based learning based on Peplau's Interpersonal Relationship Model for cesarean section maternity nursing on communication skills, communication attitudes and team efficacy
    Jeongim Lee, Hae Kyoung Son
    Nurse Education Today.2022; 113: 105373.     CrossRef
  • The effects of a home-visit nursing simulation for older people with dementia on nursing students' communication skills, self-efficacy, and critical thinking propensity: Quantitative research
    Yun-Jung Choi, Youn-Joo Um
    Nurse Education Today.2022; 119: 105564.     CrossRef
  • An Integrative Review of Simulation Programs for Nursing Students: Patient and Caregiver-Centered Communication
    Soolgi Han, Jinhee Yoo, Kyongwha Kang
    Korean Journal of Stress Research.2021; 29(3): 168.     CrossRef
  • Testing the Validity and Reliability of the Adapted Health Communication Assessment Tool©
    Tamara Baird, Virginia Ruth Corey, Jenna Sissom, Jennifer Weber, Suzanne Hetzel Campbell
    Clinical Simulation in Nursing.2021; 52: 50.     CrossRef
  • The Effects of Empathy and Gender Role Identity on Communication Competence in Nursing College Students
    Hyun Sook Choi, Kyung Ae Kim, SankBok Lee, Hyeyoung Joung
    Journal of Korean Critical Care Nursing.2020; 13(3): 41.     CrossRef
  • Effect of SEGUE-based communication education on nursing simulation practice: a quasi-experimental design
    Hae Kyoung Son, Dong Hee Kim
    Contemporary Nurse.2019; 55(4-5): 330.     CrossRef
  • Comparison of Standardized Patient and Faculty Agreement in Evaluating Nursing Students’ Assessment and Communication Skills
    Young Ju Kim
    Journal of Korean Academy of Fundamentals of Nursing.2017; 24(3): 189.     CrossRef
  • 200 View
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  • 16 Crossref
Validity of Korean Version of Clinical Decision Making Short Form Scale
Myoung Soo Kim, Hyun Kyeong Jung
Korean J Adult Nurs 2014;26(4):403-412.   Published online August 31, 2014
DOI: https://doi.org/10.7475/kjan.2014.26.4.403
PURPOSE
The purpose of this study was to validate the Korean version of shortened Nursing Decision-Making Instrument developed by Lauri & Salantera(2002).
METHODS
The subjects were 247 nurses working in eight hospitals of Korea. Data were collected by questionnaires from June to July, 2012 and were analyzed by Principal Component Analysis for construct validity and Cronbach's . coefficient for reliability.
RESULTS
Factor loadings of the four subscales ranged from .32 to .73. The explained variance from the four factors was 48.54% of the total variance. The factors were named 'implementation of plan, monitoring and evaluation', 'plans of action', 'data collection', and 'data processing and identification'. The first factor consisted of 6 items which explained 13.21% of the total variance and the second factor contained 8 items. The Cronbach's alpha coefficients of the four subscales were from .64 to .81.
CONCLUSION
The Korean version of the shortened Nursing Decision-Making Instrument has satisfactory construct validity and reliability. However, that the scores of the analytic items weren't reversed unlike the analysis method of the original tools is the biggest limitation of this study. In addition, based on the fact that there were several discrepancies for item interpretation of Korean comparing to the findings of the instrument development study, repetitive researches would be suggested.

Citations

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  • Development of a Korean clinical decision-making ability scale for hospital nurses
    Sunyoung Oh, Minkyung Gu, Sohyune Sok
    BMC Nursing.2025;[Epub]     CrossRef
  • Cultural Adaptation and Psychometric Evaluation of the Nursing Decision-Making Instrument Into European Portuguese
    Ivo Cristiano Soares Paiva, Teresa Margarida Almeida Neves, Filipa Isabel Quaresma Santos Ventura, António Carlos Lopes Vilela, Isabel Maria Pinheiro Borges Moreira
    SAGE Open Nursing.2024;[Epub]     CrossRef
  • Communication training program for nurses caring for patients with aphasia: a quasi-experimental study
    Yujin Hur, Younhee Kang
    BMC Nursing.2024;[Epub]     CrossRef
  • Work climate from the perspective of nurses: qualitative research
    Justyna Kosydar-Bochenek, Sabina Krupa, Tomasz Semań, Wioletta Mędrzycka-Dąbrowska
    Frontiers in Medicine.2023;[Epub]     CrossRef
  • A Concept Analysis of Nurses’ Clinical Decision Making: Implications for Korea
    Sunyoung Oh, Minkyung Gu, Sohyune Sok
    International Journal of Environmental Research and Public Health.2022; 19(6): 3596.     CrossRef
  • Canonical correlations between individual self-efficacy/organizational bottom-up approach and perceived barriers to reporting medication errors: a multicenter study
    Myoung Soo Kim, Chul-Hoon Kim
    BMC Health Services Research.2019;[Epub]     CrossRef
  • 93 View
  • 1 Download
  • 6 Crossref
  • 7 Scopus
Comparison of the Reliability and Validity of Fall Risk Assessment Tools in Patients with Acute Neurological Disorders
Sung Reul Kim, Sung Hee Yoo, Young Sun Shin, Ji Yoon Jeon, Jun Yoo Kim, Su Jung Kang, Hea Sook Choi, Hea Lim Lee, Young Hee An
Korean J Adult Nurs 2013;25(1):24-32.   Published online February 28, 2013
DOI: https://doi.org/10.7475/kjan.2013.25.1.24
PURPOSE
The aim of the study was to identify the most appropriate fall-risk assessment tool for neurological patients in an acute care setting.
METHODS
This descriptive study compared the reliability and validity of three fall-risk assessment tools (Morse Fall Scale, MFS; St Thomas's Risk Assessment Tool in Falling Elderly Inpatients, STRATIFY; Hendrich II Fall Risk Model, HFRM II). We assessed patients who were admitted to the Department of Neurology, Neurosurgery, and Rehabilitation at Asan Medical Center between July 1 and October 31, 2011, using a constructive questionnaire including general and clinical characteristics, and each item from the three tools. We analyzed inter-rater reliability with the kappa value, and the sensitivity, specificity, predictive value, and the area under the curve (AUC) of the three tools.
RESULTS
The analysis included 1,026 patients, and 32 falls occurred during this study. Inter-rater reliability was above 80% in all three tools. and the sensitivity was 50.0% (MFS), 84.4%(STRATIFY), and 59.4%(HFRM II). The AUC of the STRATIFY was 82.8. However, when the cutoff point was regulated as not 50 but 40 points, the AUC of the MFS was higher at 83.7.
CONCLUSION
These results suggest that the STRATIFY may be the best tool for predicting falls for acute neurological patients.

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  • Effects of Forest Environment on Peak Cough Flow and Dyspnea in Patients with Neurological Disorders
    Jung Woo Shin, Jong Hwan Choi
    Journal of People, Plants, and Environment.2025; 28(2): 209.     CrossRef
  • Changes in Health Risks, Daily Activities and Antipsychotic Use After Humanitude Care for People With Dementia: A Retrospective Study
    Sungjun Kim, Jiyoung Kim, SungWoo Chung, Ju Young Sim
    Journal of Clinical Nursing.2025;[Epub]     CrossRef
  • Sensitivity of Fall Risk Perception and Associated Factors in Hospitalized Patients with Mental Disorders
    Ji Young Kim, Sung Reul Kim, Yusun Park, Jin Kyeong Ko, Eunmi Ra
    Asian Nursing Research.2024; 18(5): 443.     CrossRef
  • Congruency and its related factors between patients' fall risk perception and nurses' fall risk assessment in acute care hospitals
    Jieun Choi, Sujin Lee, Eunjin Park, Sangha Ku, Sunhwa Kim, Wonhye Yu, Eunmi Jeong, Sookhee Park, Yusun Park, Sung Reul Kim
    Journal of Nursing Scholarship.2024; 56(4): 507.     CrossRef
  • Falls in Patients of Medical Institutions in South Korea: A Literature Review
    Jongwon Choi, Woochol Joseph Choi
    Physical Therapy Korea.2023; 30(1): 1.     CrossRef
  • Development and validation of interpretable machine learning models for inpatient fall events and electronic medical record integration
    Soyun Shim, Jae Yong Yu, Seyong Jekal, Yee Jun Song, Ki Tae Moon, Ju Hee Lee, Kyung Mi Yeom, Sook Hyun Park, In Sook Cho, Mi Ra Song, Sejin Heo, Jeong Hee Hong
    Clinical and Experimental Emergency Medicine.2022; 9(4): 345.     CrossRef
  • Factors included in adult fall risk assessment tools (FRATs): a systematic review
    Hendrika de Clercq, Alida Naudé, Juan Bornman
    Ageing and Society.2021; 41(11): 2558.     CrossRef
  • Factors Influencing Falls in High- and Low-Risk Patients in a Tertiary Hospital in Korea
    Young-Shin Lee, Eun-Ju Choi, Yeon-Hee Kim, Hyeoun-Ae Park
    Journal of Patient Safety.2020; 16(4): e376.     CrossRef
  • Predictors of Health-related Quality of Life among Spouses of Older Adults with Dementia in the Community-dwelling
    Hye-Young Jang, Song Yi Han
    Journal of Korean Academy of Community Health Nursing.2019; 30(4): 518.     CrossRef
  • Effects of Fall Prevention Education Program on Attitudes, Prevention Behaviors, and Satisfaction among Elderly Inpatients
    Young Ok Kang, Rhayun Song
    Korean Journal of Adult Nursing.2018; 30(1): 49.     CrossRef
  • Risk factors of falling in patients with neurological diseases
    Michaela Miertová, Ivana Bóriková, Martina Tomagová, Katarína Žiaková
    Kontakt.2018; 20(3): e217.     CrossRef
  • Characteristics and Risk Factors for Falls in Tertiary Hospital Inpatients
    Eun-Ju Choi, Young-Shin Lee, Eun-Jung Yang, Ji-Hui Kim, Yeon-Hee Kim, Hyeoun-Ae Park
    Journal of Korean Academy of Nursing.2017; 47(3): 420.     CrossRef
  • A prediction model of falls for patients with neurological disorder in acute care hospital
    Sung-Hee Yoo, Sung Reul Kim, Yong Soon Shin
    Journal of the Neurological Sciences.2015; 356(1-2): 113.     CrossRef
  • Validation of Fall Risk Assessment Scales among Hospitalized Patients in South Korea using Retrospective Data Analysis
    Young Ok Kang, Rhayun Song
    Korean Journal of Adult Nursing.2015; 27(1): 29.     CrossRef
  • Evaluation of Clinical Usefulness of Delirium Assessment Tools for Elderly Patients after Neurosurgery
    Su-Jung Kim, Jun-Ah Song
    Journal of Korean Gerontological Nursing.2015; 17(1): 38.     CrossRef
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  • 15 Crossref
  • 11 Scopus
Development of a Cardiovascular Disease Resilience Scale
Su Jin Shin
J Korean Acad Adult Nurs 2010;22(2):161-170.   Published online April 30, 2010
PURPOSE
The purpose of this study was to develop a Cardiovascular Disease Resilience (CDR) scale to evaluate disease specific resilience for recovery.
METHODS
The study was conducted as follows: items generation, and test of validity and reliability. Items were developed via literature review, review of instruments, and data acquired from the interviews. In order to test validity and reliability, seven panels of experts reviewed the preliminary questionnaire and then data were collected from 550 cardiovascular disease patients. Factor analysis, Pearson correlation, ANOVA, and Cronbach's alpha were used to analyze the data.
RESULTS
In the preliminary stage, forty-four items were generated. A reduction to 40 items was accomplished through content validity analysis. Factor analysis extracted 7 factors with a total of 25 items. The CDR items were moderately correlated with the subscales of the CD-RISC (Connor-Davidson Resilience Scale) and the mean score of CDR was associated with quality of life measured with CD-QOL (Cardiovascular Disease Quality of Life). Cronbach's alpha=.84.
CONCLUSION
Content validity, construct validity, criterion validity, and reliability of the CDR were established. The CDR is a reliable and valid instrument which the resilience of cardiovascular disease specific recovery state can be evaluated.
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The Reliability and Validity of Patient-Generated Subjective Global Assessment (PG-SGA) in Stroke Patients
Sung Hee Yoo, Eui Guem Oh, Mi Jung Youn
J Korean Acad Adult Nurs 2009;21(6):559-569.   Published online December 31, 2009
PURPOSE
This study was to examine the reliability and validity of Patient-Generated Subjective Global Assessment (PG-SGA) as a nutritional measurement for stroke patients.
METHODS
This was a methodological study performed from May 6 to June 10, 2009 at a tertiary university hospital in Seoul. For reliability of PG-SGA, inter-rater reliability was used for statistics. For concurrent validity, BMI and biomarkers were compared between PG-SGA 0 ~ 8 and > or = 9. In addition, sensitivity, specificity, and predictive value of PG-SGA compared with SGA were calculated using a contingency table. For predictive validity, hospital day, complications, and readmission within 1-month after discharge were compared between PG-SGA 0 ~ 8 and > or = 9.
RESULTS
Correlation of PG-SGA score between two observers was 0.83, and kappa value for the agreement of severe malnutrition was 0.78(all p(s) < .001). The scored PG-SGA showed high sensitivity and specificity (100% and 96.7%, respectively). Severe undernourished patients (PG-SGA > or = 9) had significantly low TLC, protein, albumin, and prealbumin (all p(s) < .01) compared with non-undernourished patients (PG-SGA 0 ~ 8). Also, in severe undernourished patients, complications and readmission (all p(s) = 0.01) were more often represented, and hospital days (p = .013) were significantly delayed.
CONCLUSION
PG-SGA is a reliable and valid measurement to assess nutritional status for stroke patients.
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Criterion-Related Validity of the Critical Patients' Severity Classification System Developed by the Hospital Nurses' Association
Hyun Soo Oh, Wha Sook Seo, Jong Suk Park, Eun Kyung Bae, Su Jing Lee, Youn Yee Chung, Young Eun Choi, Hee Jeong Choi
J Korean Acad Adult Nurs 2009;21(5):489-503.   Published online October 31, 2009
PURPOSE
This study was conducted to test criterion-related validity of the Critical Patients' Severity Classification System (CPSCS) developed by the Hospital Nurses' Association by examining relationships with brain injury severity measured by Glasgow Coma Scale (GCS), recovery state measured by Glasgow Outcome Scale (GOS), and days of stay in ICU of brain injury patients.
METHODS
Prospective correlational research design was adopted by including 194 brain injury patients admitted to ICU of one university hospital.
RESULTS
The score of CPSCS appeared to significantly discriminate the severity of brain injury. Among nursing activities in CPSCS, Respiratory therapy, IV Infusion and Medication, Monitoring, Activities of Daily Living (ADL), Treatment and Procedure were significant to discriminate the severity of brain injury. Respiratory therapy, Vital Signs, and Monitoring appeared to significantly discriminate the recovery states of 1- and 3-months. Nursing activities significantly contributed to predict the days of ICU stay were Respiratory therapy, ADL, and Teaching and Emotional Support.
CONCLUSION
CPSCS developed by the Hospital Nurses Association appeared to be valid to discriminate or predict brain injury severity, recovery states, and days of stay in ICU for brain injury patients.
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The Validity and Reliability of a Korean Version of the Summary of Diabetes Self-Care Activities Questionnaire for Older Patients with Type 2 Diabetes
Sunju Chang, Misoon Song
J Korean Acad Adult Nurs 2009;21(2):235-244.   Published online April 30, 2009
PURPOSE
This research was carried out to evaluate the validity and reliability of the Korean version of the Summary of Diabetes Self-Care Activities Questionnaire (SDSCA) for Korean older adults with type 2 diabetes.
METHODS
Translation and back-translation were performed to develop the Korean version of the SDSCA. Then the Korean version SDSCA was applied to a sample of 112 older adults who had participated in diabetes self management education in Seoul. The internal consistency and the test-retest reliability were examined to test the reliability. Factor analysis was used to examine the construct validity.
RESULTS
The internal consistency measured with Cronbach's alpha was .77 and the total test-retest reliability was .68 with items ranging from .21 to 1.00. As the result of the factor analysis, six factors -foot care, diet, exercise, blood sugar test, medication, and smoking- were revealed as the original instrument subcategories. These six factors explained 81.17% of total variance.
CONCLUSION
The reliability and validity of the Korean version SDSCA Questionnaire was supported for use in older patients with type 2 diabetes in Korea.
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Evaluating the Predictive Validity for the New Pressure Sores Risk Assessment Scale
Si Sook Kim, Kyung Sook Choi
J Korean Acad Adult Nurs 2004;16(2):183-190.   Published online June 30, 2004
PURPOSE
The purpose of this study was To exam the skin and pressure sore and To evaluate the predictive validity for the new pressure sores risk assessment scale. METHOD: There was finally 211 neurosurgery subject admitted in Chung-Ang Univ. Hospital from Nov, 11, 2002 to Feb, 11, 2003. Data was collected three times per week from 48-72hr after admission until incidence of pressure sores or discharge or die. Inclusion criteria were; (1) no pressure sores at admittance, (2) at least 3 times assessment, (3) adults older than 16yrs, (4) patients consent to participate in study. RESULT: 1. 34 case of 211 developed pressure sores(11.6%). 2. The coccyx area was the most common occurrence site of pressure sores. 3. At the cutoff point 23 of sensitivity 100%, specificity 76.3% was higher in 2003 than specificity 63.8% at the cutoff point 26 of sencitivity 100% in 1991. 4. "Moisture" of subscale for pressure sores risk factor was the strongest predictor. CONCLUSION: This study shows that the New Pressure Sores Risk Assessment Scale still predict the risk of developing pressure sores in neurosurgical subject.
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