Development and Psychometric Evaluation of the End-of-Life Nursing Competency Scale for Clinical Nurses

Author:

Kim Ji-yeon1ORCID,Kim Hyun-sun1,Kang Mi-jung1ORCID,Oh Hee-young1,Jo Mi-rae2

Affiliation:

1. College of Nursing, Eulji University, 712, Dongil-ro, Uijeongbu-si 11759, Gyeonggi-do, Republic of Korea

2. Department of Nursing, Jeonbuk Science College, Jeongeup-si 56204, Jeonbuk-do, Republic of Korea

Abstract

This study aimed to develop and establish psychometric properties of the End-of-Life Nursing Competency Scale for Clinical Nurses. The initial items were derived from an in-depth literature review and field interviews. The content validation of these items was assessed over three rounds by experts in end-of-life nursing care. The study included 437 clinical nurses from four hospitals in S, E, and D cities in South Korea. The final exploratory factor analysis resulted in a scale consisting of 21 items with the following five factors that explained 68.44% of the total variance: Physical care—imminent end-of-life, legal and administrative processes, psychological care—patient and family, psychological care—nurses’ self, and ethical nursing. The final model with these five subscales was validated through confirmatory factor analysis. Both item convergent-discriminant validity and known-group validity, which compared two groups based on clinical experience (p < 0.008) and working department (p < 0.008), were satisfactory. The internal consistency, as measured by Cronbach’s α, ranged from 0.62 to 0.89 for the subscales and was 0.91 for the total scale. This scale has been validated as a reliable and effective instrument for clinical nurses to self-assess their end-of-life nursing competencies in a clinical setting.

Funder

Eulji University

Publisher

MDPI AG

Reference52 articles.

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2. Kim, Y. (2001). Death and Life of Korean, Publishing Company on Philosophy and Life.

3. Hudacek, S. (2004). Making a Difference: Stories from the Point of Care, Sigma Theta Tau International Center Nursing Press.

4. Norlander, L. (2015). To Comfort Always: A Nurse’s Guide to End-of-Life Care, Sigma Theta Tau Intl. [2nd ed.].

5. (2024, February 28). Statistics Korea. Available online: http://www.kostat.go.kr.

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