Development of a well-dying awareness scale for middle-aged adults in Korea: a mixed-methods study.

Purpose: This study aimed to develop a valid and reliable tool to measure awareness of well-dying among middle-aged adults. Methods: A mixed-methods approach was adopted, consisting of a qualitative phase to identify the characteristics of well-dying and a quantitative phase to validate the instrume...

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Publicado en:Journal of Korean Academy of Nursing Vol. 55; no. 2; pp. 285 - 301
Autores principales: Yu Jin Jung, Eun Joung Choi
Formato: research tables/charts Journal Article
Publicado: Korean Society of Nursing Science May2025
Acceso en línea:Ver este registro en EBSCOhost
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        20053673
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      dt: May2025
      vid: 55
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      pub: Korean Society of Nursing Science
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        10.4040/jkan.24121
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        atl: Development of a well-dying awareness scale for middle-aged adults in Korea: a mixed-methods study.
      aug:
        au:
          Yu Jin Jung
          Eun Joung Choi
        affil: Department of Nursing, Kyungnam College of Information & Technology, Busan, Korea
      sug:
        subj:
          Instrument Construction
          Instrument Validation
          Reliability and Validity
          Attitude to Death
          Aging
          Death Psychosocial Factors
          Right to Die Legislation and Jurisprudence
          Human
          Male
          Female
          Middle Age
          Aged
          Multimethod Studies
          Interviews
          Surveys
          Quota Sample
          South Korea
          Exploratory Research
          Factor Analysis
          Coefficient alpha
          Scales
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Purpose: This study aimed to develop a valid and reliable tool to measure awareness of well-dying among middle-aged adults. Methods: A mixed-methods approach was adopted, consisting of a qualitative phase to identify the characteristics of well-dying and a quantitative phase to validate the instrument with middle-aged participants. Initially, 76 items were generated through a literature review and in-depth interviews, and these were reduced to 35 items through expert validation. A pilot survey was conducted with 112 individuals aged 40--65, selected via quota sampling from 17 administrative regions in South Korea. Based on the pilot survey results, the instrument was refined to 32 items for the main survey. The main survey included 314 participants recruited through quota sampling in Busan and Ulsan Metropolitan Cities and Gyeongsang Region. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and reliability testing were performed to validate the instrument. Results: The final scale comprised 23 items across six factors. EFA demonstrated an explanatory power of 69.1%, with factor loadings ranging from .53 to .88 CFA confirmed the instrument's validity, and reliability was established with a Cronbach's α of .93. Conclusion: This instrument is a validated and reliable tool for measuring middle-aged individuals' awareness of well-dying. It can serve as an effective resource for evaluating and assessing well-dying awareness in the middle-aged population.
      pubtype: Academic Journal
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        research
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        Journal Article
      ougenre: Article
    language: Korean
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