노인요양시설 거주노인 자아통합감 사정도구 개발
Development of Assessment Tool for Ego-Integrity in Nursing Home Residents
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Purpose The existing ego-integrity assessment tools are mostly self-report tools for elderly community-dwelling individuals. The tools do not sufficiently reflect the various characteristics of elders residing in nursing homes. It is necessary to develop a valid and reliable assessment scale that nursing home nurses can use to measure the ego-integrity of residents. Methods The assessment tool was tested on 200 elders residing in nursing homes. The 22 nurses in each facility assessed the scale as a measure of ego-integrity in residents in nursing homes. Data were analyzed using SPSS and AMOS 21.0. Results Through an explorative factor analysis of the ego-integrity assessment tool items, the following 3 factors were extracted: ‘development of relationships with others’, ‘fulfillment of basic needs’, and ‘attitude towards life in general’; and with the cumulative variance of 68.2%, the tool consisting of 3 factors was found to have a sufficient explanatory power. Further confirmatory factor analysis was performed to examine how well the components were evaluated through the items. Testing showed for items’ construct-concept validity through a discriminant-convergent validity analysis, 18 items were found to correspond to each of the 3 factors targeted. The scale’s Cronbach’s ⍺ coefficient was .89, and it had a test-retest reliability coefficient of .88 (p<.001), and analysis of inter-observer reliability coefficient was .94 (p<.001). Conclusion As a valuable tool for nursing theory and research as well as nursing practice field and education, the assessment tool is anticipated to contribute to the field of geriatric nursing care.
Abstract
Purpose The existing ego-integrity assessment tools are mostly self-report tools for elderly community-dwelling individuals. The tools do not sufficiently reflect the various characteristics of elders residing in nursing homes. It is necessary to develop a valid and reliable assessment scale that nursing home nurses can use to measure the ego-integrity of residents. Methods The assessment tool was tested on 200 elders residing in nursing homes. The 22 nurses in each facility assessed the scale as a measure of ego-integrity in residents in nursing homes. Data were analyzed using SPSS and AMOS 21.0. Results Through an explorative factor analysis of the ego-integrity assessment tool items, the following 3 factors were extracted: ‘development of relationships with others’, ‘fulfillment of basic needs’, and ‘attitude towards life in general’; and with the cumulative variance of 68.2%, the tool consisting of 3 factors was found to have a sufficient explanatory power. Further confirmatory factor analysis was performed to examine how well the components were evaluated through the items. Testing showed for items’ construct-concept validity through a discriminant-convergent validity analysis, 18 items were found to correspond to each of the 3 factors targeted. The scale’s Cronbach’s ⍺ coefficient was .89, and it had a test-retest reliability coefficient of .88 (p<.001), and analysis of inter-observer reliability coefficient was .94 (p<.001). Conclusion As a valuable tool for nursing theory and research as well as nursing practice field and education, the assessment tool is anticipated to contribute to the field of geriatric nursing care.
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