Development of an instrument to measure stress in Korean nurses performing end-of-life care for children

Title

Development of an instrument to measure stress in Korean nurses performing end-of-life care for children

Creator

Park S Y; Ju H O

Publisher

Journal of Pediatric Nursing

Date

2020

Subject

Child; Physiological stress; reproducibility of results; Terminal care

Description

PURPOSE: 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. BACKGROUND: 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. DESIGN: This study used a methodological approach. METHOD: 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. FINDINGS: 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. CONCLUSION: This scale can be used to contribute toward the assessment of stress among nurses performing end-of-life care for children. PRACTICE IMPLICATIONS: 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.

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Citation List Month

August 2020 List

Collection

Citation

Park S Y; Ju H O, “Development of an instrument to measure stress in Korean nurses performing end-of-life care for children,” Pediatric Palliative Care Library, accessed July 27, 2021, https://pedpalascnetlibrary.omeka.net/items/show/17180.

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