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Factors affecting Korean neonatal nurses’ pain care: Psychometric evaluation of three instruments
Author(s) -
Min Haeyoung,
Vincent Catherine,
Park Chang G.,
Matthews Alicia K.,
McCreary Linda L.,
Latimer Margot
Publication year - 2019
Publication title -
japan journal of nursing science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.363
H-Index - 17
eISSN - 1742-7924
pISSN - 1742-7932
DOI - 10.1111/jjns.12219
Subject(s) - confirmatory factor analysis , convergent validity , reliability (semiconductor) , construct validity , internal consistency , scale (ratio) , medicine , intensive care , nursing , clinical psychology , psychology , structural equation modeling , psychometrics , intensive care medicine , statistics , power (physics) , physics , mathematics , quantum mechanics
Aim The purpose of this study was to evaluate the psychometric properties of the Korean‐language versions of Pain Knowledge and Use (PKU‐K), Collaboration and Satisfaction About Care Decisions (CSACD‐K), and Environmental Complexity Scale (ECS‐K). Methods A cross‐sectional design was used with a convenience sample of 159 Korean nurses in seven neonatal intensive care units (NICUs). The data were collected by surveying the nurses with the PKU‐K, CSACD‐K, and ECS‐K. Internal consistency reliability was assessed and Horn's parallel analysis, a confirmatory factor analysis, and a convergent construct validity test were conducted in order to evaluate the psychometric properties of the instruments. Results The PKU‐K, CSACD‐K, and ECS‐K exhibited strong internal consistency reliability. Horn's parallel analysis showed four factor structures for the PKU‐K, one for the CSACD‐K, and three for the ECS‐K. The confirmatory factor analysis showed a good model fit for the PKU‐K and CSACD‐K, but the ECS‐K model showed a poor fit. Most factor loadings were statistically significant. The CSACD‐K's convergent validity was supported by significant correlations for collegial nurse–physician relations with a validated instrument. Conclusion The findings support the reliability and validity of the PKU‐K, CSACD‐K, and ECS‐K for measuring nurses’ knowledge about neonatal pain care, nurse–physician collaboration, and the work environment in NICUs. However, the ECS‐K needs further refinement before it is applied to Korean NICU nurses.