2020 Volume 24 Issue 1 Pages 32-42
Purpose: The purposes of this study were to clarify the competency of nurses in supporting a transition to home care in an integrated community care system, develop a scale to measure that competency, and test its reliability and validity.
Methods: An interview survey was conducted on the competency of nurses who make hospital to home care transitions possible. The results were integrated with the results of a literature review on hospital discharge support, and draft questions were prepared. The questions were then examined by an expert panel and the questionnaire was completed through a pilot study. A survey of 1,348 nurses nationwide was conducted using this questionnaire. To assess the questionnaire's reliability, Cronbach's α coefficient was calculated and a test-retest method was implemented. To assess its validity, concurrent validity was examined by calculating the correlation coefficient with the Nurses' Discharge Planning Ability Scale and construct validity was examined from the results of factor analysis.
Results: An analysis was done using 614 valid responses (45.5%) from the national survey. This scale was created with 35 items and 4 factors: Factor 1, "Optimization for the hospital to home transition"; Factor 2, "Coordination with the patient and family as the principal axis"; Factor 3, "Specialized assessment and practices that respect the values of the patient and family"; and Factor 4, "Planning in order to achieve targets." Cronbach's α coefficient for the scale overall was 0.963, and the correlation of the test-retest method was r = 0.682. The correlation with the Nurses' Discharge Planning Ability Scale was r = 0.768. The status of agreement between the extracted factors and the construct of the draft questionnaire, and the structure of each factor, were confirmed.
Conclusion: This scale consists of 4 factors and 35 items, and its reliability and validity were confirmed.
