Questionnaire Development of a Good Nurse and Better Nursing From Korean Nurses' Perspective

10.1097/jnr.0000000000000393

Mihyun PARK；Eun-Jun PARK

surveys and questionnaires ； validation studies ； nurses ； nursing ； nursing care

The Journal of Nursing Research

28卷6期（2020 / 12 / 01）

1 - 12

英文

Background: The concepts of ＂good nurse＂ and ＂better nursing＂ have changed over time and should be investigated from the perspective of nurses. Purpose: The aim of this study was to develop and assess the psychometric properties of two questionnaires used to assess ＂good nurse＂ and ＂better nursing.＂ Methods: The interview data of 30 registered nurses (RNs) from a previous study were reviewed to develop the questionnaire items, and content validity was examined. One hundred seventeen RNs participated in a pilot survey for pretesting the constructs, 469 RNs participated in a main survey to explore these constructs using exploratory factor analysis (EFA), and 468 RNs participated in model refining and validation using confirmatory factor analysis. Results: After a critical review of RN interview data and content validity evaluation, 73 of 124 statements on ＂good nurse＂ and 56 of 57 statements on ＂better nursing＂ were selected. In the pilot survey, the number of items was reduced to 45 for both questionnaires using an EFA. In the main survey, EFA was used to load 34 items on the five factors of the good nurse questionnaire and 26 items on the three factors of the better nursing questionnaire. In the confirmatory factor analysis, to obtain better fitting models, the good nurse questionnaire consisted of 17 items on the five factors of collaboration, professional competency, self-efficacy, a sense of achievement, and compassion, whereas the better nursing questionnaire consisted of 16 items on the three factors of person-centered nursing, proactive nursing, and expertise in caring. The construct reliability, convergent validity, and discriminant validity of the questionnaires were achieved. Conclusions/Implications for Practice: The concept of ＂good nurse＂ from the perspectives of the nurses in this study was similar with those of patients in previous studies, while including individual traits such as sense of achievement. Better nursing is conceptualized with the exemplary performance of nursing focusing on the nature of nursing and leading excellence and power in clinical practice. The study findings inform what nursing education and workforce development should focus on for nursing to continuously progress. Furthermore, it is recommended that the concepts of a good nurse and better nursing be compared across different countries using the questionnaires.

1. Aydin Er, R.,Sehiralti, M.,Akpinar, A.(2017).Attributes of agood nurse.Nursing Ethics,24(2),238-250.
2. Begley, A. M.(2010).On being a good nurse: Reflections on thepast and preparing for the future.International Journal of Nursing Practice,16(6),525-532.
3. Benner, P.(1984).From novice to expert: Excellence and power inclinical nursing practice.Addison-Wesley.
4. Billet, S.(Ed.),Harteis, C.(Ed.),Gruber, H.(Ed.)(2014).International handbook of research in professional and practice-based learning.Springer.
5. Catlett, S.,Lovan, S. R.(2011).Being a good nurse and doingthe right thing: A replication study.Nursing Ethics,18(1),54-63.
6. Çelik, S.,Hisar, F.(2012).The influence of the professionalism behaviour of nurses working in health institutions on job satisfaction.International Journal of Nursing Practice,18(2),180-187.
7. Cho, N. O.,Hong, Y. S.,Han, S. S.,Um, Y. R.(2006).Attributes perceived by cancer patients as a good nurse.Clinical Nursing Research,11(2),149-162.
8. Chou, H. C.,Chen, S. Y.,Tsai, H. Y.,Chou, H. H.(2007).Treating patients as relatives: Cancer patients' perspectives on the good nurse.Journal of Evidence-Based Nursing,3(3),188-194.
9. Gallagher, A.,Horton, K.,Tschudin, V.,Lister, S.(2009).Exploring the views of patients with cancer on what makes a goodnurse-A pilot study.Nursing Times,105(23),24-27.
10. Gastmans, C.,Dierckx de Casterle, B.,Schotsmans, P.(1998).Nursing considered as moral practice: A philosophical-ethical interpretation of nursing.Kennedy Institute of Ethics Journal,8(1),43-69.
11. Guerrero, S.,Chênevert, D.,Kilroy, S.(2017).New graduatenurses' professional commitment: Antecedents and outcomes.Journal of Nursing Scholarship,49(5),572-579.
12. Haddock, G.,Maio, G. R.(2004).Contemporary perspectives onthe psychology of attitudes.Psychology Press.
13. Hair, J. F.,Black, W. C.,Babin, B. J.,Anderson, R. E.(2010).Multivariate data analysis.Pearson Prentice Hall.
14. Han, S.,Um, Y.,Hong, Y.,Cho, N.(2006).Korean patients' conceptions of a good nurse.Korean Journal of Medical Ethics Education,9(2),125-142.
15. International Council of Nurses. (2012). The ICN code of ethics fornurses. Retrieved from https://www.aynla.org/2012/12/icncode-of-ethics-for-nurses-2012/
16. Izumi, S.,Konishi, E.,Yahiro, M.,Kodama, M.(2006).Japanese patients' descriptions of "the good nurse": Personal involvement and professionalism.Advances in Nursing Science,29(2),E14-E26.
17. Kang, H.(2013).Discussions on the suitable interpretation of model fit indices and the strategies to fit model in structural equation modeling.Journal of the Korean Data Analysis Society,15(2),653-668.
18. Khushf, G.(Ed.)(2004).Handbook ofbioethics: Taking stock of the field from a philosophical perspective.Springer Netherlands.
19. Kim, G.,Jung, E.,Cho, M.,Han, S. Y.,Jang, M.,Lee, M.,Shim,M. S.(2019).Revisiting the meaning of a good nurse.The Open Nursing Journal,13,75-84.
20. Korean Nurses Association(2013).The code of ethics for nurses.KNA.
21. Kyriazos, T. A.(2018).Applied psychometrics: Sample size and sample power considerations in factor analysis (EFA, CFA) and SEM in general.Psychology,9,2207-2230.
22. Mooi, E.,Sarstedt, M.,Mooi-Reci, I.(2018).Market research: Theprocess, data, and methods using Stata.Springer Singapore.
23. Morgan, S.,Yoder, L. H.(2012).A concept analysis of personcentered care.Journal of Holistic Nursing,30(1),6-15.
24. Park, E. J.,Kim, M. H.(2016).Characteristics of nursing and caring concepts measured in nursing competencies or caring behaviorstools.Journal of Korean Academy of Nursing Administration,22(5),480-495.
25. Pett, M. A.,Lackey, N. R.,Sullivan, J. J.(2003).Making sense offactor analysis: The use of factor analysis for instrument development in health care research.Sage.
26. Polit, D. F.,Beck, C. T.(2006).The content validity index: Are yousure you know what's being reported? Critique and recommendations.Research in Nursing & Health,29(5),489-497.
27. Rchaidia, L.,Dierckx de Casterlé, B.,De Blaeser, L.,Gastmans,C.(2009).Cancer patients' perceptions of the good nurse: A literature review.Nursing Ethics,16(5),528-542.
28. Um, Y.,Song, K.,Park, M.(2017).A good nurse, better nursing.Jongdam Media.
29. Van der Elst, E.,Dierckx de Casterlé, B.,Gastmans, C.(2012).Elderly patients' and residents' perceptions of 'the good nurse': A literature review.Journal of Medical Ethics,38(2),93-97.

1. Ruey-Hsia WANG,Li-Min WU,Hui-Chen TSENG,Hsun-Kuei KO,Hsiu-Hung WANG(2022).Psychometric Evaluation of the Capstone Core Competency Scale on Nursing Students in Taiwan.The Journal of Nursing Research,30(5),1-8.