DOI QR코드

DOI QR Code

Psychometric Test of Korean Version of Self-Efficacy and Outcome Expectations for Restorative Care Activities Scale among Nurses

한국판 기능유지간호에 대한 간호사의 자기효능감 및 결과기대감 측정도구의 타당도와 신뢰도

  • 정덕유 (이화여자대학교 건강과학대학 간호학부) ;
  • 변진이 (이화여자대학교 건강과학대학 간호학부) ;
  • 이민경 (이화여자대학교 건강과학대학 간호학부) ;
  • 김혜진 (이화여자대학교 건강과학대학 간호학부/School of Nursing, University of Pittsburgh)
  • Received : 2015.07.21
  • Accepted : 2015.09.01
  • Published : 2015.09.28

Abstract

The purpose of this study is to measure the validity and reliability of the Korean version of the self-efficacy for restorative care activity (K-SERCA) scale and the outcome expectations for restorative care activity (K-OERCA) scale. Psychometric testing was given to 187 nurses who have worked in 69 long-term care facilities in South Korea via post service and personal visit. Data were collected via structured-questionnaire and analyzed using SPSS/WIN 21.0 and AMOS 22.0. Content, construct validity using confirmatory factor analysis (CFA), criterion validity and internal consistency reliability were conducted. The K-SERCA scale had factor loading of the 10 items ranged from .74 to .87, and was validated by confirmatory factor analysis (CFI=.96, NFI=.94, RMSEA=.10). The K-SERCA scale was also a significantly positive correlation with 'Job satisfaction' (r=.32, p<.001). There was a reliable internal consistency with a Cronbach's ${\alpha}=.94$. The K-OERCA scale had factor loading of the 9 items ranging from .38 to .95, and was validated by confirmatory factor analysis (CFI=.98, NFI=.96, RMSEA=.09). The K-OERCA scale was also a positive correlation with 'Knowledge (r=.26, p<.001)', and 'Job satisfaction (r=.30, p<.001)'. There was a reliable internal consistency with a Cronbach's ${\alpha}=.89$. The results demonstrate that the K-SERCA and K-OERCA scales had satisfactory validity and reliability to measure self-efficacy and outcome expectations for restorative care activities among nurses who have worked in long-term care facilities in South Korea.

본 연구는 요양시설 직접돌봄제공자의 기능유지간호에 대한 자기효능감 및 결과기대감 도구를 번역한 한국판 기능유지간호에 대한 자기효능감 및 결과기대감 도구의 타당도 및 신뢰도 분석을 통해 문화적인 차이가 있는 원 도구를 한국의 노인 요양시설에 근무하는 간호사에게 적용할 수 있는지 검증하는데 그 목적이 있다. 본 연구의 대상자는 전국 69개의 요양시설에 근무하는 간호사 187명으로 자료수집은 구조화된 설문지를 이용하였다. 수집된 자료는 SPSS/WIN 21.0과 AMOS 22.0을 이용하여 분석하였으며 구성타당도 검정은 확인적 요인분석으로 시행하였고, 준거타당도 검증을 위해 기능유지간호에 대한 자기효능감 및 결과기대감과 기능유지간호에 대한 지식, 직무만족과의 상관관계를 이용하였다. 연구결과 확인적 요인분석을 통해 구성타당도가 입증되었고, 준거타당도가 검증되었다. 또한, 신뢰도 분석을 통해 도구의 신뢰도가 확인되었다. 본 연구를 통해 번역된 한국어판 기능유지간호에 대한 자기효능감 및 결과기대감 도구가 국내에서 사용할 수 있는 도구임이 검증되었고, 추후 시설 입소노인의 기능유지간호를 위한 초석이 될 것으로 사료된다.

Keywords

References

  1. http://www.mw.go.kr/front_new/jb/sjb030301vww.jsp.
  2. http://stat.mw.go.kr/front/statData/publicationView.jsp?menuId=41&topSelect=&bbsSeq=7&ntt
  3. 신경아, "노인 돌봄의 탈가족화와 노인의 경험", 한국사회학회, 제45권, 제4호, pp.64-69, 2011.
  4. 이지아, M. J. Rantz, "병원에서 요양시설로 입소한 노인의 3개월 후 일상생활 활동정도에 영향을 미치는 요인", 노인간호학회지, 제10권, 제1호, pp.68-76, 2008.
  5. E. R. Yumin, T. T. Şimsek, M. Sertel, A. Ozturk, and M. Yumin, "The effect of functional mobility and balance on health-related quality of life (HRQoL) among elderly people living at home and those living in nursing home," Archives of Gerontology & Geriatrics, Vol.52, No.3, pp.180-18, 2011. https://doi.org/10.1016/j.archger.2010.10.027
  6. T. M. Gill, H. G. Allore, E. A. Gahbauer, and T. E. Murphy, "Change in disability after hospitalization or restricted activity in older persons", Journal of American Medical Association, Vol.304, No.17, pp.1919-1928, 2010. https://doi.org/10.1001/jama.2010.1568
  7. B. Resnick, M. Boltz, E. Galik, and I. Pretzer-Aboff, Restorative care nursing for older adults: A guide for all care settings, Springer Publishing Company, 2012.
  8. B. Resnick, E. Galik, and M. Boltz, "Function focused care approaches: Literature review of progress and future possibilities", Journal of American Medical Directors Association, Vol.14, pp.313-318, 2013. https://doi.org/10.1016/j.jamda.2012.10.019
  9. B. Resnick, E. Galik, and E. Vigne, "Translation of function-focused care to assisted living facilities", Family Community Health, Vol.37, No.2, pp.155-165, 2014. https://doi.org/10.1097/FCH.0000000000000021
  10. M. Boltz, B. Resnick, E. Capezuti, J. Shuluk, and M. Secic, "Functional decline in hospitalized older adults: Can nursing make a difference?," Geriatric Nursing, Vol.33, No.4, pp.272-279, 2012. https://doi.org/10.1016/j.gerinurse.2012.01.008
  11. B. Resnick and M. Simpson, "Restorative care nursing activities: Pilot testing self-efficacy and outcome expectation measures", Geriatric Nursing, Vol.24, No.2, pp.82-89, 2003. https://doi.org/10.1067/mgn.2003.26
  12. B. Resnick, E. Galik, I. Pretzer-Aboff, V. Rogers, and A. L. Gruber-Baldini, "Testing the reliability and validity of self-efficacy and outcome expectations of restorative care performed by nursing assistants", Journal of Nursing Care Quality, Vol.23, No.2, pp.162-169, 2008. https://doi.org/10.1097/01.NCQ.0000313766.09891.43
  13. B. Resnick, M. Simpson, A. Bercovitz, E. Galik, A. Gruber-Baldini, S. Zimmerman, and J. Magaziner, "Pilot testing of the restorative care intervention: Impact on residents", Journal of Gerontological Nursing, Vol.32, No.3, pp.39-47, 2006. https://doi.org/10.3928/0098-9134-20060101-14
  14. B. Resnick, M. Simpson, A. Bercovitz, E. Galik, A. Gruber-Baldini, S. Zimmerman, and J. Magaziner, "Testing of the res-care pilot intervention: Impact on nursing assistants," Geriatric Nursing, Vol.25, No.5, pp.292-297, 2004. https://doi.org/10.1016/j.gerinurse.2004.08.002
  15. 채서일, 사회과학 조사방법론, 제3판, 학현사, 2013.
  16. B. Resnick, E. Galik, A. L. Gruber-Baldini, and S. Zimmerman, "Perceptions and performance of function and physical activity in assisted living communities", Journal of the American Medical Directors Association, Vol.11, No.6, pp.406-414, 2010. https://doi.org/10.1016/j.jamda.2010.02.003
  17. 한창복, 문희자, "임상간호사의 역할지각 및 직무만족에 관한 연구", 간호행정학회지, 제2권, 제1호, pp.115-124, 1996.
  18. P. L. Stamps and D. B. Slavitt. "Measurement of work satisfaction among health professionals", Medical Care, Vol.14, No.4, pp.337-352, 1978.
  19. D. Harrington, Confirmatory factor analysis: Pocket guides to social work research method, Oxford University Press, 1997.
  20. D. F. Polit and C. T. Beck, Nursing research generating and assessing evidence for nursing patience, 8th ed, Lippincott Williams & Wilkins, 2008.
  21. 이은옥, 임난영, 박현애 등, 간호연구와 통계분석, 수문사, 2009.
  22. http://www.elder.or.kr/.
  23. J. F. Hair, R. Tatham, R. F. Anderson, and W. Black, Multivariate data analysis. 5th ed, Prentice Hall INC, 1998.
  24. P. F. Merenda, "A guide to the proper use of factor analysis in the conduct and reporting of research: Pitfalls to avoid", Measurement & Evaluation in Counseling & Development, Vol.30, No.3, pp.156-164, 1997.
  25. E. Galik, B. Resnick, M. Hammersla, and J. Brightwater, "Optimizing function and physical activity among nursing home residents with dementia: Testing the impact of functionfocused care", The Gerontologist, Vol.54, No.6, pp.930-943, 2014. https://doi.org/10.1093/geront/gnt108
  26. B. Resnick, E. Galik, A. Gruber-Baldini, and S. Zimmerman, "Testing the effect of function-focused care in assisted living," Journal of American Geriatrics Society, Vol.59, No.12, pp.2233-2240, 2011. https://doi.org/10.1111/j.1532-5415.2011.03699.x
  27. 우종필, 우종필 교수의 구조방정식모델 개념과 이해, 한나래, 2012.
  28. M. Detweiler, P. Murphy, L. Myers, and K. Kim, "Does a wander garden influence inappropriate behaviors in dementia residents," American Journal of Alzheimer's Disease & Other Dementias, Vol.23, No.1, pp.31-45, 2008. https://doi.org/10.1177/1533317507309799
  29. A. Bandura, Self-efficacy in changing societies, Cambridge University Press, 1995.
  30. A. Bandura, "Perceived self-efficacy in cognitive development and functioning," Educational Psychologist. Vol.28, pp.117-148, 1993. https://doi.org/10.1207/s15326985ep2802_3