Chung Mi Ja, Park Youngrye, Eun Young
Department of Nursing, Gwangyang Health Sciences University, Gwangyang, Korea.
Department of Nursing, Kunsan National University, Gunsan, Korea.
J Korean Acad Nurs. 2016 Dec;46(6):871-880. doi: 10.4040/jkan.2016.46.6.871.
The aim of this study was to examine the validity and reliability of the Korean Version of the Spiritual Care Competence Scale (K-SCCS).
A cross-sectional study design was used. The K-SCCS consisted of 26 questions to measure spiritual care competence of nurses. Participants, 228 nurses who had more than 3 years'experience as a nurse, completed the survey. Confirmatory factor analysis was used to examine the construct validity and correlations of K-SCCS and spiritual well-being (SWB) were used to examine the criterion validity of K-SCCS. Cronbach's alpha was used to test internal consistency.
The construct and the criterion-related validity of K-SCCS were supported as measures of spiritual care competence. Cronbach's alpha was .95. Factor loadings of the 26 questions ranged from .60 to .96. Construct validity of K-SCCS was verified by confirmatory factor analysis (RMSEA=.08, CFI=.90, NFI=.85). Criterion validity compared to the SWB showed significant correlation (r=.44, p<.001).
The findings suggest that K-SCCS serves as an appropriate measure of spiritual care competence with validity and reliability. However, further study is needed to retest the verification of the factor analysis related to factor 2 (professionalisation and improving the quality of spiritual care) and factor 3 (personal support and patient counseling). Therefore, we recommend using the total score without distinguishing subscales.
本研究旨在检验韩文版精神护理能力量表（K-SCCS）的有效性和可靠性。
采用横断面研究设计。K-SCCS由26个问题组成，用于测量护士的精神护理能力。228名有超过3年护士工作经验的护士参与了调查。采用验证性因素分析来检验K-SCCS的结构效度，并使用与精神幸福感（SWB）的相关性来检验K-SCCS的效标效度。使用Cronbach's alpha来测试内部一致性。
K-SCCS的结构效度和效标效度作为精神护理能力的测量方法得到了支持。Cronbach's alpha为0.95。26个问题的因子载荷范围为0.60至0.96。通过验证性因素分析验证了K-SCCS的结构效度（RMSEA = 0.08，CFI = 0.90，NFI = 0.85）。与SWB相比，效标效度显示出显著相关性（r = 0.44，p < 0.001）。
研究结果表明，K-SCCS作为精神护理能力的一种测量方法具有有效性和可靠性。然而，需要进一步研究重新检验与因子2（专业化和提高精神护理质量）和因子3（个人支持和患者咨询）相关的因素分析的验证。因此，我们建议使用总分而不区分子量表。
