1Graduate School, College of Nursing, Hanyang University, Seoul
2College of Nursing, Hanyang University, Seoul, Korea
Copyright © 2016 Korean Society of Adult Nursing
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Item Contents and Reliability of the K-HCAT (N=154)
| Factor /Item | Item contents | M±SD | Corrected item-total correction | Cronbach's ⍺ if item deleted | Cronbach's ⍺ |
|---|---|---|---|---|---|
| Factor 1 1 | Relationship Building ․ The SN introduced her-/himself to patient (and/or family) | 4.68±0.56 | .41 | .84 | .84 |
| 2 | ․ The SN explained the reason for the nurse's visit in patient/family appropriate terms. | 4.58±0.58 | .70 | .80 | |
| 3 | ․ The SN used positive communication including smile to encourage interaction. | 4.44±0.61 | .62 | .81 | |
| 4 | ․ The SN maintained eye contact when talking with patient and/or family. | 4.66±0.53 | .71 | .80 | |
| 5 | ․ The SN communicated what she/he was about to do prior to doing it. | 4.65±0.59 | .67 | .81 | |
| 10 | ․ The SN used appropriate vocal tone and volume for the situation. | 4.67±0.49 | .70 | .80 | |
| 15 | ․ The SN avoided healthcare jargon (vital signs, respiratory, etc.) | 4.47±0.62 | .53 | .82 | |
| Factor 2 | Empowering | .74 | |||
| 6 | ․ The SN listened more than talked. | 4.25±0.65 | .33 | .76 | |
| 11 | ․ The SN spent equal or more time on psychosocial aspects of patient/family care as on clinical (biological) aspects. | 3.77±0.83 | .61 | .64 | |
| 13 | ․ The SN recognized conflict and tried to gain information and find opportunities to minimize or manage it. | 3.63±0.80 | .58 | .64 | |
| 14 | ․ The SN maintained, enhanced, or developed an interpersonal relationship with the patient and/or family member (via communication and professionalism). | 4.12±0.75 | .58 | .64 | |
| Factor 3 | Empathy·Response | .75 | |||
| 9 | ․ The SN recognized and responded appropriately to the patient's and/or family member's nonverbal (frowns, tears, hysteria, silence, etc.)and verbal behaviors. | 3.72±0.68 | .62 | .77 | |
| 12 | ․ The SN inquired about the patient's/family members feelings regarding the situation. | 3.83±0.77 | .60 | .68 | |
| Factor 4 | Education·Feedback | .73 | |||
| 7 | ․ The SN effectively educated the patient and/or family member about the procedure, disease, &/or treatment. | 4.53±0.66 | .44 | .75 | |
| 8 | ․ The SN asked questions to encourage feedback and enhance clarity. | 4.10±0.75 | .57 | .66 | |
| Total | 4.27±0.32 | .85 |
Result of Factor Analysis (N=154)
| No. of item | Factor 1 | Factor 2 | Factor 3 | Factor 4 |
|---|---|---|---|---|
| 4 | 0.75 | |||
| 10 | 0.75 | |||
| 15 | 0.74 | |||
| 3 | 0.72 | |||
| 5 | 0.65 | |||
| 2 | 0.65 | |||
| 1 | 0.61 | |||
| 14 | 0.83 | |||
| 13 | 0.81 | |||
| 11 | 0.72 | |||
| 6 | 0.50 | |||
| 12 | 0.80 | |||
| 9 | 0.69 | |||
| 8 | 0.81 | |||
| 7 | 0.52 | |||
| Eigen value | 4.27 | 2.58 | 1.31 | 1.24 |
| Variance | 28.49 | 17.18 | 8.72 | 8.26 |
| Cummulative (%) | 28.49 | 45.67 | 54.39 | 62.65 |
Kaiser-Meyer-Olkin test=0.72; Bartlett's test of sphericity=900.11 (p＜.001)
Correlations between K-HCAT and Yoo (2001)'s Communication Assessment Tool (N=154)
| Variables | Categories | M±SD | Sum±SD | Yoo's tool |
|---|---|---|---|---|
| r (p) | ||||
| K-HCAT | Factor 1 | 5.35±0.47 | 32.15±2.87 | .76 (＜.001) |
| Factor 2 | 3.94±0.57 | 15.77±2.28 | .22 (.006) | |
| Factor 3 | 3.77±0.59 | 7.55±1.18 | .28 (＜.001) | |
| Factor 4 | 4.31±0.56 | 8.62±1.12 | .50 (＜.001) | |
| Total | 4.27±0.32 | 64.11±4.91 | .74 (＜.001) |
K-HCAT=korean health communication assessment tool.
Kaiser-Meyer-Olkin test=0.72; Bartlett's test of sphericity=900.11 (p＜.001)
K-HCAT=korean health communication assessment tool.
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