Department of Nursing, Dong-Eui Institute of Technology, Busan, Republic of Korea.
Department of Nursing, Dong-A University, Busan, Republic of Korea.
J Pediatr Nurs. 2020 Sep-Oct;54:e84-e90. doi: 10.1016/j.pedn.2020.05.006. Epub 2020 Jun 16.
This study aims to develop a scale to assess the stress of nurses caring for terminally ill children and to test the validity and reliability of the scale.
Nurses caring for children experience various stressors that are different from those experienced by nurses caring for adult patients. It is important to understand the level of stress of nurses caring for dying children and their families. Instruments to measure these stress levels, however, are not available.
This study used a methodological approach.
The initial items were identified through literature reviews and in-depth interviews. Content validation of the items was evaluated by seven experts. Participants were 357 pediatric nurses working at 11 institutions in six cities. Data were analyzed using item analysis, exploratory and confirmatory factor analysis, internal consistency, and test-retest. This study followed the STROBE checklist.
The final scale consisted of 22 items chosen and classified into 5 factors (psychological difficulties, conflict with parents, difficulties in communication, lack of end-of-life care knowledge, and restricted working environment), which explained 61.13% of the total variance. The 5-subscale model was validated by confirmatory factor analysis. Cronbach's alpha for the total item was 0.90, and the intra-class correlation coefficient was 0.89.
This scale can be used to contribute toward the assessment of stress among nurses performing end-of-life care for children.
This scale will contribute to the improvement of the quality of life of not only nurses, but also children and their families in pediatric settings.
本研究旨在开发一种评估护理临终儿童护士压力的量表，并检验该量表的效度和信度。
护理儿童的护士会经历各种与护理成人患者不同的压力源。了解临终儿童及其家庭护理人员的压力水平很重要。然而，目前还没有用于测量这些压力水平的工具。
本研究采用了一种方法学方法。
通过文献回顾和深入访谈确定初始项目。通过七名专家评估项目的内容效度。参与者为在六个城市的 11 家机构工作的 357 名儿科护士。使用项目分析、探索性和验证性因素分析、内部一致性和测试-重测来分析数据。本研究遵循 STROBE 清单。
最终量表由 22 个项目组成，分为 5 个因素（心理困难、与家长的冲突、沟通困难、缺乏临终关怀知识和受限的工作环境），解释了总方差的 61.13%。验证性因子分析验证了 5 个分量表模型。总项目的克朗巴赫α系数为 0.90，组内相关系数为 0.89。
该量表可用于评估从事儿童临终关怀护士的压力。
该量表将有助于提高儿科环境中护士、儿童及其家庭的生活质量。
