한국형 노인요양시설 질 관찰평가도구의 타당도와 신뢰도 분석 = Validity and Reliability of the Korean Version of the Observable Indicators of Nursing Home Care Quality Evaluation Instrument

다국어 초록 (Multilingual Abstract)

Purpose: The purposes of this study were; 1) to test the validity and reliability of the Korean version of Rantz’s Observable
Indicators of Nursing Home Care Quality Instrument (ONHQ) and 2) to evaluate the quality of Korean nursing homes.
Methods: The study employed a three-phase methodological research design. 1) The original instrument of Rantz’s ONHQ
was translated into Korean and modified by Korean nursing home experts. 2) A pilot study using the modified instrument
was done in 20 nursing homes to examine inter-rater reliability. 3) The validity and reliability were tested in 98 nursing homes.
Results: Seven factors were extracted through factor analysis: ‘communication’, ‘care delivery’, ‘grooming’, ‘odor’, ‘environment-
basics’, ‘environment-access’, and ‘environment-homelike’. These factors explained 86.07% of the total variance.
Cronbach’s alpha coefficient of the 30 items was .97 indicating a high internal consistency of the instrument. Inter-rater
reliability according to Kappa was .82. The average score of nursing home quality was 112.07 indicating an average range
of quality level. Conclusion: The Korean version of the ONHQ was identified as a tool with a high degree of validity and
reliability. This tool can be effectively used to assess the quality of nursing homes by professions as well as family members.

다국어 초록 (Multilingual Abstract)

Purpose: The purposes of this study were; 1) to test the validity and reliability of the Korean version of Rantz’s Observable
Indicators of Nursing Home Care Quality Instrument (ONHQ) and 2) to evaluate the quality of Korean nursing homes.
Methods: The study employed a three-phase methodological research design. 1) The original instrument of Rantz’s ONHQ
was translated into Korean and modified by Korean nursing home experts. 2) A pilot study using the modified instrument
was done in 20 nursing homes to examine inter-rater reliability. 3) The validity and reliability were tested in 98 nursing homes.
Results: Seven factors were extracted through factor analysis: ‘communication’, ‘care delivery’, ‘grooming’, ‘odor’, ‘environment-
basics’, ‘environment-access’, and ‘environment-homelike’. These factors explained 86.07% of the total variance.
Cronbach’s alpha coefficient of the 30 items was .97 indicating a high internal consistency of the instrument. Inter-rater
reliability according to Kappa was .82. The average score of nursing home quality was 112.07 indicating an average range
of quality level. Conclusion: The Korean version of the ONHQ was identified as a tool with a high degree of validity and
reliability. This tool can be effectively used to assess the quality of nursing homes by professions as well as family members.

참고문헌 (Reference)

1 홍선우, "장기요양 노인환자의 노인전문요양시설 입소를 결정한 돌봄제공자의 경험" 한국간호과학회 37 (37): 724-735, 2007

2 송준아, "요양시설치매노인의배회행동" 한국간호과학회 38 (38): 29-38, 2008

3 정제인, "노인요양시설의 간호서비스 질 평가 지표 개발 및 적용" 한국간호과학회 37 (37): 401-413, 2007

4 Kim,S.J., "The effect of reminiscence therapy on recognition, response of emotion, communication ability of elderly patient with Alzheimer’s dementia" Unpublished master’s thesis, Daegu University 2006

5 Fleiss,J.L., "Statistical methods for rates and proportions (2nd)" Wiley 1981

6 Nunnally,J.C., "Psychometric theory (3rd)" McGraw-Hill Humanities 1994

7 Bryant,F.B., "Principal components analysis and exploratory and confirmatory factor analysis. In Reading and understanding multivariate statistics" American Psychological Association 1995

8 Gordon,M, "Nursing diagnosis. Process and application (3rd)" Mosby 1994

9 Korea Ministry of Health and Welfare, "National survey of living status and welfare needs of the elderly" Ministry of Health and Welfare 2007

10 Korea Ministry of Health and Welfare, "National status of elder care facilities 2008" Ministry of Health and Welfare 2008

11 Aud,M.A., "Introducing nursing students to quality assurance activities in skilled nursing facilities.Journal of Nursing Care" 21 : 121-123, 2006

12 Rantz,M, "International field test results of the observable indicators of nursing home care quality instrument" 49 : 234-242, 2002

13 Arling,G, "Future development of nursing home quality indicators" 45 : 147-156, 2005

14 Rantz, M. J., "Field testing, refinement, and psychometric evaluation of a new measure of nursing home care quality" 14 : 129-148, 2006

15 Hwang,S.C., "Evaluation of Korean nursing home quality" 6 : 66-84, 2001

16 Kim,K.A., "Development of an evaluation tool for the quality of nursing care in elderly facility" Unpublished doctoral dissertation, Chung-Ang University 2005

17 Park,T.R., "Criteria of evaluations of the rest homes and nursing homes" 7 : 61-86, 1999

18 Han,G.J., "A study on the interior design of the elderly care facilities" 6 (6): 21-31, 2003

19 Shim,M.J., "A study on the augmentation of private welfare facilities for the aged" Unpublished master’s thesis, Dan Kook University 2000

20 Kim,O.S., "A study of needs of private nursing home for elderly parents" 7 : 20-27, 2005

21 Rantz,M.J., "A new reliable tool for nurse administrators, nursing staff, regulators, consumers, and researchers for measuring quality of care in nursing homes" 30 : 178-181, 2006