Kim Jung Ran, Fisher Murray, Elliott Doug
Faculty of Nursing and Midwifery, University of Sydney, Sydney, NSW, Australia.
J Clin Nurs. 2006 May;15(5):574-80. doi: 10.1111/j.1365-2702.2006.01348.x.
To develop and examine the reliability and validity of an instrument assessing knowledge levels of Korean intensive care unit nurses. To conduct a survey with Korean ICU nurses.
Organ donation from brain dead patients is a contentious issue in Korea following recent legal recognition of brain death, given the context of a Confucian belief system. Implementation of the new Organ Transplant Act has highlighted the importance of identifying Korean intensive care unit nurses' knowledge regarding brain death and organ donation.
Multi-stage multi-method development of an original instrument with a cross-sectional analysis survey of participants.
An 18-item instrument was developed based on previous literature and key informant interviews, and validated by an expert panel and a pilot study. A survey was conducted with Korean intensive care unit nurses (n=520). Principal component analysis with varimax rotation was used to determine construct validity. Item-to-total correlations and Cronbach's coefficient alpha were used to determine the scale's internal consistency.
Principal component analysis yielded a two-component structure: Diagnostic testing and Co-morbid factors of brain death. The scale demonstrated acceptable internal consistency for the two components (alpha=0.74, 0.64, respectively). Most of the participants had a sound knowledge of diagnostic testing for brain death, but demonstrated a lack of knowledge regarding co-morbid factors of brain dead patients.
The knowledge scale was reliable and valid for this cohort. Further research is warranted in related areas of nursing practice.
Effective education for intensive care unit nurses is necessary to increase the organ donor pool in Korea.
开发并检验一种评估韩国重症监护病房护士知识水平的工具的可靠性和有效性。对韩国重症监护病房护士进行一项调查。
在韩国，鉴于儒家信仰体系的背景，自最近法律承认脑死亡以来，脑死亡患者的器官捐赠一直是一个有争议的问题。新的《器官移植法》的实施凸显了确定韩国重症监护病房护士关于脑死亡和器官捐赠知识的重要性。
对一种原始工具进行多阶段多方法开发，并对参与者进行横断面分析调查。
基于先前的文献和关键 informant 访谈开发了一个包含 18 项的工具，并通过专家小组和预试验进行了验证。对韩国重症监护病房护士（n = 520）进行了一项调查。使用主成分分析和方差最大化旋转来确定结构效度。使用项目与总分相关性和克朗巴赫系数α来确定量表的内部一致性。
主成分分析产生了一个两成分结构：脑死亡的诊断测试和共病因素。该量表在这两个成分上显示出可接受的内部一致性（α分别为 0.74、0.64）。大多数参与者对脑死亡的诊断测试有扎实的知识，但对脑死亡患者的共病因素表现出知识不足。
该知识量表对于这一队列是可靠且有效的。在护理实践的相关领域有必要进行进一步研究。
为增加韩国的器官捐赠者库，对重症监护病房护士进行有效教育是必要的。
