호스피스 간호서비스 만족도 측정도구(HNSSS) 개발

Development of Hospice Nursing Service Satisfaction Scale(HNSSS) for Hospice Units

Purpose: This study was performed to develop Hospice Nursing Service Satisfaction Scale(HNSSS) for hospice units in general hospitals. Methods: This study was done with two steps, the development and the verification of reliability and validity of the scale. For the development of items, literature review and In-depth interviews with ten hospice clients were done. An item analysis and factor analysis were done to verity the reliability and validity of a 5-point preliminary scale. For this procedure, 200 hospice clients who received hospice nursing services in a hospice unit of an university hospital participated. Data for the verification of the scale were collected with telephone interviews. Results: In the process of the item development, 53 items were selected after evaluating content validity of the items. The preliminary HNSSS which was developed using 53 items with 5 point scale was examined for its reliability and validity. Finally 52 items in six factors remained for HNSSS. The Cronbach a of HNSSS for the reliability of the scale was .959. As the results of Factor Analysis for the construct validity of the scale, six factors were identified and their total variance was 59.1%. Histogram of the scores in the subjects showed normal distribution. Conclusion: HNSSS was verified in reliability and validity and it could be an useful tool for the improvement of the quality of hospice nursing service and for the studies about the quality of hospice nursing services.