한국형 사별돌봄자신감 척도 개발 = Development of a Korean version of the Bereavement Care Confidence Scale (K-BCCS)

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study is to evaluate the validity and reliability of the Korean Bereavement Care Confidence Scale (K-BCCS). Methods: The Perinatal Bereavement Care Confidence Scale (PBCCS) was translated into Korean according to an algorithm of cultural adaptation process and excluded six items which were specific to perinatal bereavement. A total of 229 clinical nurses participated in the study. Construct validity, convergent validity, discriminant validity, and group comparison validity were evaluated, and Cronbach’s α was calculated to estimate the reliability of the K-BCCS. Results: The K-BCCS consisted of 31 items in 7 factors, including knowledge and skills for bereavement care (12 items), organizational support (6 items), awareness of the needs (3 items), interpersonal skills (3 items), workload influence (2 items), continuous education (2 items), and understanding the grief process (3 items). The factor loading of 31 items within the 7 factors ranged from .60 to .86. For the convergent validity, the construct reliability (CR) ranged from .74 to .94, and the average variance extracted (AVE) ranged from .49 to .73, which is considered acceptable. The discriminant validity showed that the AVEs of the subscales were greater than the square of the correlation coefficient r. The nurses who had experience providing bereavement care (t=4.94, p<.001) or had received bereavement education (t=6.64, p<.001) showed higher K-BCCS values those without experience. The Cronbach’s α of 31 items was .93 and ranged from .60 to .94 per subscale. Conclusion: The K-BCCS is a valid and reliable tool for evaluating nurses' confidence in bereavement care.

국문 초록 (Abstract)

본 연구는 임상간호사의 사별돌봄자신감을 측정하기 위해 최근 국외에서 개발된 주산기 사별돌봄자신감 척도(PBCCS)를 한국어로 번역하고 도구를 수정한 후 타당도와 신뢰도를 검증하였다. 한국형 사별돌봄자신감 척도(K-BCCS)는 PBCCS의 주산기에 국한되는 항목을 제외하거나 수정하였고, 타당도 검증에서 요인적재량이 낮은 문항, 개념신뢰도와 평균분산추출값을 낮추는 문항을 제외하여 최종 31문항, 7개 하위척도로 구성되었다. K-BCCS는 구성타당도와 수렴타당도, 판별타당도, 신뢰도가 검증되어 국내 임상에서 사별돌봄자신감을 측정하는 도구로써 적용 가능함이 확인되었다. 본 도구를 이용하여 임상간호사의 사별가족 돌봄에 대한 자신감 정도를 파악하고 그 결과를 사별돌봄 교육 및 연구에 반영함으로써, 사별 가족들에게 질 높은 돌봄을 제공할 수 있을 것으로 기대된다.

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