Development of an end-of-life care competency scale for nurses in long-term care hospitals: a psychometric validation study.
Purpose: This study aimed to develop a scale to measure end-of-life care (EOLC) competency among nurses working in long-term care hospitals and to evaluate its validity and reliability. Methods: Preliminary items were developed based on attributes and indicators identified through a conceptual analy...
| Publicado en: | Journal of Korean Academy of Nursing Vol. 55; no. 4; pp. 598 - 613 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Korean Society of Nursing Science
Nov2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189893225&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189893225 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20053673 ATS7 jtl: Journal of Korean Academy of Nursing issn: 20053673 maglogo: N pubinfo: dt: Nov2025 vid: 55 iid: 4 pid: 42744 pub: Korean Society of Nursing Science place: , <Blank> artinfo: ui: 189893225 189893225 189893225 10.4040/jkan.25113 189893225 ppf: 598 ppct: 15 formats: fmt: @attributes: type: P tig: atl: Development of an end-of-life care competency scale for nurses in long-term care hospitals: a psychometric validation study. aug: au: Son, Sookyeon Jeon, Mi-Kyeong affil: Department of Nursing, Kaya University, Gimhae, Korea sug: subj: Terminal Care Standards Nursing Staff, Hospital Psychosocial Factors Scales Instrument Construction Long Term Care Clinical Competence Psychometrics Reliability and Validity Instrument Validation Human Male Female Adult Middle Age Marital Status Age Factors Sex Factors Surveys Content Validity Item Analysis Exploratory Research Factor Analysis Criterion-Related Validity Discriminant Validity Reliability Construct Validity Internal Consistency Coefficient alpha Test-Retest Reliability Intraclass Correlation Coefficient Confidence Intervals Educational Measurement Professional Competence Hospice Care Education, Nursing Health Services Needs and Demand South Korea Descriptive Statistics Data Analysis Software Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Purpose: This study aimed to develop a scale to measure end-of-life care (EOLC) competency among nurses working in long-term care hospitals and to evaluate its validity and reliability. Methods: Preliminary items were developed based on attributes and indicators identified through a conceptual analysis of EOLC competency. The initial version of the scale was refined through expert content validity assessment, item revision, and a pilot test. The main survey was conducted among 460 nurses in long-term care hospitals, and 409 valid responses were analyzed after excluding 51 incomplete or invalid cases. Data were analyzed using software-assisted item analysis, exploratory and confirmatory factor analyses, and assessments of convergent, discriminant, and criterion-related validity, as well as reliability testing. Results: The initial 55 items were reduced to a final set of 30 items across seven dimensions. Model fit indices indicated good construct validity (χ ²/degrees of freedom=1.91, standardized root mean square residual=.06, root mean square error of approximation=.07, Tucker-Lewis index=.90, comparative fit index=.91), with a total explained variance of 70.2%. The scale demonstrated strong criterion-related validity (r=.76, p<.001), high internal consistency (Cronbach's α=.95; McDonald's ω=.95), acceptable test-retest reliability (r=.56, p<.001), and an intraclass correlation coefficient of .72 (95% confidence interval, .51-.84; p<.001). Conclusion: The developed scale is a valid and reliable instrument for assessing EOLC competency among nurses in long-term care hospitals. It can be effectively utilized for educational assessment, training evaluation, and the measurement of program effectiveness in end-of-life care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: Korean refInfo: holdings: @attributes: islocal: N |
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