Factor structure investigation of perceived facilitators and barriers in end-of-life care among Korean nurses

Aim The aim of this study was to assess the validity and reliability of the Korean version of a questionnaire assessing facilitators/barriers in end‐of‐life care that was originally developed for nurses in the USA. Methods Back‐translation was undertaken to produce the Korean version. A principal co...

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Published in:Japan journal of nursing science : JJNS 2014-04, Vol.11 (2), p.135-143
Main Authors: Lee, JuHee, Choi, Mona, Kim, So-sun, Beckstrand, Renea
Format: Article
Language:English
Subjects:
end-of-life
Humans
Infant, Newborn
Nurses
Nursing
Nursing Staff, Hospital
palliative care
Principal Component Analysis
psychometrics
questionnaire
Questionnaires
Republic of Korea
Settlements & damages
statistical factor analysis
Surveys and Questionnaires
Terminal Care
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container_end_page 143
container_issue 2
container_start_page 135
container_title Japan journal of nursing science : JJNS
container_volume 11
creator Lee, JuHee
Choi, Mona
Kim, So-sun
Beckstrand, Renea
description Aim The aim of this study was to assess the validity and reliability of the Korean version of a questionnaire assessing facilitators/barriers in end‐of‐life care that was originally developed for nurses in the USA. Methods Back‐translation was undertaken to produce the Korean version. A principal component analysis with varimax rotation and Cronbach's alpha was used to test factorial validity and reliability, respectively. Results The analysis examined data from 383 nurses in a tertiary hospital in Korea. For end‐of‐life care facilitators, five factors accounted for 59% of the total variance. The factors were labeled “family preparedness”, “support for nurses”, “nurse–patient relationship”, “transition after death”, and “decision‐making”. Six factors, explaining 59% of the variance, were extracted for end‐of‐life care barriers. These factors were “misunderstanding patient's will”, “preoccupied nursing workload”, “lack of institutional support”, “dealing with family's maladaptive coping”, “visiting hours”, and “communication about patient's status with family members”. Cronbach's alpha was 0.89 for the 23 facilitator items and 0.90 for the 24 barrier items. Conclusion Overall, the findings demonstrate that the questionnaire has measurement properties in a sample of Korean nurses. Further studies are needed with different populations to reflect end‐of‐life care in various clinical settings.
doi_str_mv 10.1111/jjns.12014
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Methods Back‐translation was undertaken to produce the Korean version. A principal component analysis with varimax rotation and Cronbach's alpha was used to test factorial validity and reliability, respectively. Results The analysis examined data from 383 nurses in a tertiary hospital in Korea. For end‐of‐life care facilitators, five factors accounted for 59% of the total variance. The factors were labeled “family preparedness”, “support for nurses”, “nurse–patient relationship”, “transition after death”, and “decision‐making”. Six factors, explaining 59% of the variance, were extracted for end‐of‐life care barriers. These factors were “misunderstanding patient's will”, “preoccupied nursing workload”, “lack of institutional support”, “dealing with family's maladaptive coping”, “visiting hours”, and “communication about patient's status with family members”. Cronbach's alpha was 0.89 for the 23 facilitator items and 0.90 for the 24 barrier items. Conclusion Overall, the findings demonstrate that the questionnaire has measurement properties in a sample of Korean nurses. Further studies are needed with different populations to reflect end‐of‐life care in various clinical settings.</description><identifier>ISSN: 1742-7932</identifier><identifier>EISSN: 1742-7924</identifier><identifier>DOI: 10.1111/jjns.12014</identifier><identifier>PMID: 24698649</identifier><language>eng</language><publisher>Japan: Blackwell Publishing Ltd</publisher><subject>end-of-life ; Humans ; Infant, Newborn ; Nurses ; Nursing ; Nursing Staff, Hospital ; palliative care ; Principal Component Analysis ; psychometrics ; questionnaire ; Questionnaires ; Republic of Korea ; Settlements &amp; damages ; statistical factor analysis ; Surveys and Questionnaires ; Terminal Care</subject><ispartof>Japan journal of nursing science : JJNS, 2014-04, Vol.11 (2), p.135-143</ispartof><rights>2013 The Authors. 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Methods Back‐translation was undertaken to produce the Korean version. A principal component analysis with varimax rotation and Cronbach's alpha was used to test factorial validity and reliability, respectively. Results The analysis examined data from 383 nurses in a tertiary hospital in Korea. For end‐of‐life care facilitators, five factors accounted for 59% of the total variance. The factors were labeled “family preparedness”, “support for nurses”, “nurse–patient relationship”, “transition after death”, and “decision‐making”. Six factors, explaining 59% of the variance, were extracted for end‐of‐life care barriers. These factors were “misunderstanding patient's will”, “preoccupied nursing workload”, “lack of institutional support”, “dealing with family's maladaptive coping”, “visiting hours”, and “communication about patient's status with family members”. Cronbach's alpha was 0.89 for the 23 facilitator items and 0.90 for the 24 barrier items. 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subjects end-of-life
Humans
Infant, Newborn
Nurses
Nursing
Nursing Staff, Hospital
palliative care
Principal Component Analysis
psychometrics
questionnaire
Questionnaires
Republic of Korea
Settlements & damages
statistical factor analysis
Surveys and Questionnaires
Terminal Care
title Factor structure investigation of perceived facilitators and barriers in end-of-life care among Korean nurses
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