본문 바로가기
KERD
논문KCI 등재

한국어판 연민어린 돌봄 경험 척도(K-SCCCS)의 타당도와 신뢰도

Validity and Reliability of Korean Version of the Schwartz Center Compassionate Care Scale

0

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류의학일반

초록

본 연구는 한국어판 연민어린 돌봄 경험 척도(Schwartz Center Compassionate Care Scale, K-SCCCS)의 타당도와 신뢰도를 검증하기 위해 시행되었다. 연구대상은 최근 3개월 이내 종합병원 또는 상급종합병원에 24시간 이상 입원한 성인(15세 이상, 65세 미만) 306명이었다. 척도의 신뢰도와 타당도를 위한 평가는 내적 일관성 및 안정성, 신뢰도, 구성타당도(탐색적 및 확인적 요인분석) 및 기준타당도를 적용하였다. 또한 Rasch 모형을 기반으로 문항적합도와 난이도, 평가척도의 적합성을 검증하였다. 연구결과, K-SCCCS는 일차원의 요인으로 구성되었으며, 확인적 요인분석을 통해 양호한 적합도임이 확인되었다(RMSEA=.08, CFI=97, TLI=.96). K-SCCCS와 개별화된 간호(r=.70, p<.001), 임상적 연민(r=.67, p<.001), 주관적 연민어린 돌봄만족도(r=.66, p<.001) 사이에는 유의한 상관관계가 있었다. 문항의 내적 일관성 신뢰도(Cronbach’s alpha=.97)와 검사-재검사 신뢰도(.66)는 양호했다. 문항적합도를 분석한 결과, 12번 문항을 제외한 모든 문항에서 적합하였으며, 문항 난이도도 적절한 것으로 나타났다. 범주확률곡선을 통해 10점의 평정척도도 적합한 것을 확인하였다. 결론적으로 K-SCCCS는 한국의 입원환자의 연민어린 돌봄 수혜를 평가하는 데 유용하고 신뢰할 수 있는 척도임을 확인하였다.

Abstract

This study was conducted to evaluate the validity and reliability of the Korean version of Schwartz Center Compassionate Care Scale (K-SCCCS) in recent hospitalizations. Participants were 306 adults (15 – 64 years old), who had been hospitalized for more than 24 hours at general or tertiary hospital within the last 3 months. Internal consistency, stability, reliability, construct validity (ex-ploratory and confirmatory factor analysis), and criterion validity were evaluated. Using the Rasch model, the persons and items fit, distribution of item difficulty, and appropriateness of the rating scale were also investigated. The confirmatory factor analysis showed a reasonable fit (RMSEA=0.08, CFI=97, TLI=0.96). There were significant correlations between K-SCCCS and individualized care (0.70, p <.001), clinical compassion (0.67, p <.001) and subjective satisfaction with compas-sionate care (0.66, p <.001). Overall internal reliability (Cronbach’s alpha=0.97) and test-retest reliability (0.66) were good. All items and scales adjusted well to the model (fit indices range: 0.66~1.22) except for item 12. The K-SCCCS had satisfactory person separation reliability (0.97) and item separation reliability (0.93). There were no disordered thresholds in the 10-point rating scale. The K-SCCCS is a useful and reliable scale to assess compassionate care in Korean inpatient populations.

참고문헌 (44)

  1. Clara Strauss, "What is compassion and how can we measure it? A review of definitions and measures", Clinical Psychology Review, 47, pp.15~27 (2016), Elsevier BV[DOI]
  2. Gilbert P, "Mindful compassion: how the science of compassion can help you understand your emotions, live in the present, and connect deeply with others", pp.156~ (2014), New Harbinger Publications
  3. Shane Sinclair, "Compassion: a scoping review of the healthcare literature", BMC Palliative Care, 15(1), pp.1~16 (2016), Springer Science and Business Media LLC[DOI]
  4. Roach MS, "The human act of caring: A blueprint for the health professions", pp.163~ (1987), Canadian Hospital Association
  5. "Adult Inpatient Survey: Quality and Methodology Report" (2017)[URL]
  6. Sima Babaei, "Compassionate care challenges and barriers in clinical nurses: A qualitative study", Iranian Journal of Nursing and Midwifery Research, 24(3), pp.213~219 (2019), Medknow[DOI]
  7. Leila Valizadeh, "Nurse’s perceptions of organisational barriers to delivering compassionate care: A qualitative study", Nursing Ethics, 25(5), pp.580~590 (2016), SAGE Publications[DOI]
  8. Shane Sinclair, "Measuring Compassion in Healthcare: A Comprehensive and Critical Review", The Patient - Patient-Centered Outcomes Research, 10(4), pp.389~405 (2016), Springer Science and Business Media LLC[DOI]
  9. Kevin W Eva, "An admissions OSCE: the multiple mini-interview", Medical Education, 38(3), pp.314~326 (2004), Wiley[DOI]
  10. Alison Callwood, "Developing and piloting the multiple mini-interview in pre-registration student midwife selection in a UK setting", Nurse Education Today, 34(12), pp.1450~1454 (2014), Elsevier BV[DOI]
  11. Mary K Walton, "Person- and family-centred care", British Journal of Nursing, 23(17), pp.949~949 (2014), Mark Allen Group[DOI]
  12. Beth A. Lown, "Can compassionate healthcare be measured? The Schwartz Center Compassionate Care Scale™", Patient Education and Counseling, 98(8), pp.1005~1010 (2015), Elsevier BV[DOI]
  13. David Rakel, "Perception of empathy in the therapeutic encounter: Effects on the common cold", Patient Education and Counseling, 85(3), pp.390~397 (2011), Elsevier BV[DOI]
  14. Wendy M. Mager, "Communication in the cancer ?bad news? consultation: patient perceptions and psychological adjustment", Psycho-Oncology, 11(1), pp.35~46 (2002), Wiley[DOI]
  15. Stefano Del Canale, "The Relationship Between Physician Empathy and Disease Complications", Academic Medicine, 87(9), pp.1243~1249 (2012), Ovid Technologies (Wolters Kluwer Health)[DOI]
  16. Mohammadreza Hojat, "Physiciansʼ Empathy and Clinical Outcomes for Diabetic Patients", Academic Medicine, 86(3), pp.359~364 (2011), Ovid Technologies (Wolters Kluwer Health)[DOI]
  17. Jennifer W. Mack, "Measuring therapeutic alliance between oncologists and patients with advanced cancer", Cancer, 115(14), pp.3302~3311 (2009), Wiley[DOI]
  18. Kelley JM, "The Influence of the Patient-Clinician Relationship on Healthcare Outcomes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials", PLoS ONE, 9(6), pp.e101191~ (2014), Public Library of Science (PLoS)[DOI]
  19. Ana Maria Rodriguez, "Measuring compassionate healthcare with the 12-item Schwartz Center Compassionate Care Scale", PLOS ONE, 14(9), pp.e0220911~ (2019), Public Library of Science (PLoS)[DOI]
  20. Youngjin Lee, "Development and validation of an instrument to measure nurses' compassion competence", Applied Nursing Research, 30, pp.76~82 (2016), Elsevier BV[DOI]
  21. Caroline B. Terwee, "Rating the methodological quality in systematic reviews of studies on measurement properties: a scoring system for the COSMIN checklist", Quality of Life Research, 21(4), pp.651~657 (2011), Springer Science and Business Media LLC[DOI]
  22. Suhonen R, "Developing and testing an instrument for the measurement of individual care", Journal of Advanced Nursing, 32(5), pp.1253~1263 (2000)[DOI]
  23. Suhonen R, "Development and psychometric properties of the Individualized Care Scale", Journal of Evaluation in Clinical Practice, 11(1), pp.7~20 (2005)[DOI]
  24. Yang IS, "Individualized care, satisfaction with nursing care and health-related quality of life-focusing on heart disease", The Korean Academic Society of Women’s Health, 9(1), pp.37~56 (2008)
  25. Brian W. Roberts, "Development and Validation of a Tool to Measure Patient Assessment of Clinical Compassion", JAMA Network Open, 2(5), pp.e193976~ (2019), American Medical Association (AMA)[DOI]
  26. "Process of translation and adaptation of instruments" (2015)[URL]
  27. Marx RG, "A comparison of two time intervals for test-retest reliability of health status instruments", Journal of Clinical Epidemiology, 56(8), pp.730~735 (2003)
  28. David Andrich, "A rating formulation for ordered response categories", Psychometrika, 43(4), pp.561~573 (1978), Springer Science and Business Media LLC[DOI]
  29. Yu JP, "The concept and understanding of structural equation modeling", pp.160~370 (2012), Hannare Publishing Co
  30. Browne MW, "Testing structural equation models", pp.136~162 (1993), Sage
  31. Li‐tze Hu, "Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives", Structural Equation Modeling: A Multidisciplinary Journal, 6(1), pp.1~55 (1999), Informa UK Limited[DOI]
  32. Bond TG, "Applying the Rasch model:Fundamental measurement in the human sciences", pp.1~12 (2007), Lawrence Erlbaum
  33. Wright BD, "Reasonable meansquare fit values", Rasch Measurement Transactions, 8, pp.370~371 (1994)
  34. Christine M. Fox, "Uses of Rasch modeling in counseling psychology research.", Journal of Counseling Psychology, 45(1), pp.30~45 (1998), American Psychological Association (APA)[DOI]
  35. 강현철, "구성타당도 평가에 있어서 요인분석의 활용", Journal of Korean Academy of Nursing, 43(5), pp.587~594 (2013), 한국간호과학회
  36. Susan B Frampton, "Compassion as the foundation of patient-centered care: the importance of compassion in action", Journal of Comparative Effectiveness Research, 2(5), pp.443~455 (2013), Becaris Publishing Limited[DOI]
  37. Stephanie Morgan, "A Concept Analysis of Person-Centered Care", Journal of Holistic Nursing, 30(1), pp.6~15 (2011), SAGE Publications[DOI]
  38. 정현, "상급종합병원 간호사의 환자중심간호 예측모형", Journal of Korean Academy of Nursing, 49(2), pp.191~202 (2019), 한국간호과학회[DOI]
  39. Mukaka MM, "Statistics corner : a guide to appropriate use of correlation coefficient in medical research", Malawi Medical Journal, 24(3), pp.69~71 (2012)
  40. 홍세희, "역기능적 신념검사 단축판의 구성: Rasch 평정척도모형의 적용", Korean Journal of Clinical Psychology, 25(3), pp.865~880 (2006), 한국임상심리학회
  41. Sehee Hong, "A Psychometric Revision of the European American Values Scale for Asian Americans Using the Rasch Model", Measurement and Evaluation in Counseling and Development, 37(4), pp.194~207 (2005), Informa UK Limited[DOI]
  42. 조성현, "간호·간병통합서비스 제공을 위한 간호인력 배치기준 개발", 간호행정학회지, 23(2), pp.211~222 (2017), 간호행정학회[DOI]
  43. Karabatsos G, "Omit inconsequential responses", Rasch Measurement Trans, 10, pp.523~ (1997)
  44. Boone WJ, "Rasch analysis in the human sciences", pp.423~448 (2014), Springer

관련 논문AI추천

이 간행물의 다른 논문 (1건)