Lee Jia
College of Nursing Science, Kyung Hee University, Seoul, Korea.
Taehan Kanho Hakhoe Chi. 2008 Jun;38(3):474-82. doi: 10.4040/jkan.2008.38.3.474.
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.
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.
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.
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.
本研究的目的为：1）检验韩国版兰茨养老院护理质量可观察指标工具（ONHQ）的有效性和可靠性；2）评估韩国养老院的质量。
本研究采用三阶段方法学研究设计。1）将兰茨ONHQ的原始工具翻译成韩语，并由韩国养老院专家进行修改。2）使用修改后的工具在20家养老院进行了一项试点研究，以检验评分者间信度。3）在98家养老院对有效性和可靠性进行了测试。
通过因子分析提取了七个因子：“沟通”、“护理提供”、“仪容整洁”、“气味”、“基本环境”、“环境便利性”和“家庭般的环境”。这些因子解释了总方差的86.07%。30个条目的克朗巴哈α系数为0.97，表明该工具具有较高的内部一致性。根据卡帕值计算的评分者间信度为0.82。养老院质量的平均得分为112.07，表明质量水平处于平均范围。
韩国版ONHQ被确定为具有高度有效性和可靠性的工具。该工具可有效地用于专业人员以及家庭成员评估养老院的质量。
