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장기요양시설 간호종사자의 완화·생애말기 돌봄 준비도 측정도구의 한국어판 타당도와 신뢰도: 방법론적 연구

Validity and reliability of Korean version of the nursing staff preparedness for palliative and end-of-life care in long-term care homes: A methodological study

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Purpose: Globally, the issue of palliative and end-of-life care (PEOLC) in nursing homes is a com-mon concern, and the need to measure the preparedness of nursing staff for end-of-life care is in-creasing. This study aimed to verify the validity and reliability of the Korean version of the self-re-ported scale for the Staff Preparedness for PEOLC in long-term care homes. Methods: A total of 161 staff took part in the study; among them were nine nurses, 19 nursing assistants, 133 care workers at four nursing homes located in Wonju and Seongnam cities, South Korea. The scale was translated ac-cording to the guidelines of World Health Organization guidelines and Consensus-Based Standards for the Selection of Health Measurement Instruments, and its reliability and validity were evaluated through assessing its internal consistency, stability, and construct validity (confirmatory factor analy-sis, CFA). Results: CFA confirmed that the measurement tool had a good fit (comparative fit in-dex=.96, Turker-Lewis index=.95, root mean-squared error of approximation=.07). The items’ inter-nal consistencies of the items were found to be reliable with Cronbach’s alpha=.94; the Pearson’s correla-tion coefficient between test and retest of the tool was .86 (p<.001); and the intraclass correlation coeffi-cient value was .91 (95% confidence interval: .85~.96). Conclusion: The Korean version of the Staff Pre-paredness for PEOLC in long-term care homes was confirmed to be a useful and reliable scale for mea-suring the preparedness of nursing staff in Korean long-term care facilities in Korea for PEOLC.

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