J Korean Acad Nurs Adm.  2016 Jan;22(1):11-21. 10.11111/jkana.2016.22.1.11.

Reliability and Validity of the Korean Version of Nurses' Attitudes and Preparedness towards Delegation

Affiliations
  • 1Division of Nursing Science, College of Health Sciences, Ewha Womans University, Korea. mykim0808@ewha.ac.kr
  • 2Department of Nursing, College of Nursing, Catholic University of Daegu, Korea.
  • 3Department of Nursing, Graduate School, Ewha Womans University, Korea.

Abstract

PURPOSE
The purpose of this study was to develop and test the validity and reliability of the Korean version of nurses' attitudes toward delegation and preparedness to delegate (APD).
METHODS
The Korean version of APD was developed through forward-backward translation methods. Internal consistency reliability, criterion validity, and construct validity using exploratory and confirmatory factor analysis were conducted using IBM SPSS Statistics 19 and AMOS 20.0. Survey data were collected from 161 nurses working in 2 general hospitals.
RESULTS
The Korean version of APD showed Cronbach's alphas of .68 and .85. Factor loadings of the 8 attitude items on the 3 subscales ranged from .60 to .86 and the 15 preparedness items on the 4 subscales ranged from .47 to .90. The model of 3 subscales for the Korean nurses' attitude toward delegation and the model of 4 subscales for the Korean nurses' preparedness to delegate were both validated by confirmatory factor analysis(NC<3, CFI>.90, RMSEA<.10). Criterion validity compared to job satisfaction showed significant correlation.
CONCLUSION
The findings of this study demonstrate that this modified Korean version of APD is applicable for measuring Korean nurses' attitude toward delegation and preparedness to delegate.

Keyword

Delegation; Measurement; Nurses

MeSH Terms

Hospitals, General
Job Satisfaction
Reproducibility of Results*

Reference

1. Kærnested B, Bragadóttir H. Delegation of registered nurses revisited: Attitudes towards delegation and preparedness to delegate effectively. Nord J Nurs Res Clin Stud. 2012; 32(1):10–15.
2. Bulechek GM, Butcher HK, Dochterman JM. Nursing interventions classification (NIC). 5th ed. St. Louis: Mosby Elsevier;2008.
3. Grohar-Murray ME, DiCroce HR. Leadership and management in nursing. 2nd ed. Stamford, Connecticut: Appleton & Lange;1997.
4. Corrazzini KN, Anderson RA, Rapp CG, Mueller C, McConnell ES, Lekan D. Delegation in long-term care: Scope of practice or job description? Online J Issues Nurs. 2010; 15(2):4.
5. Bystedt M, Eriksson M, Wilde-Larsson B. Delegation within municipal health care. J Nurs Manag. 2011; 19:534–541. DOI: 10.1111/j.1365-2834.2010.01202.x.
6. Gravlin G, Bittner NP. Nurses' and nursing assistants' reports of missed care and delegation. J Nurs Adm. 2010; 40(7/8):329–335. DOI: 10.1097/NNA.0b013e3181e9395e.
7. Kalisch BJ. Missed nursing care: A qualitative study. J Nurs Care Qual. 2006; 21(4):306–313. quiz 314-305
8. Berkow S, Virkstis K, Stewart J, Conway L. Assessing new graduate nurse performance. J Nurs Adm. 2008; 38(11):468–474. DOI: 10.1097/01.NNA.0000339477.50219.06.
9. American Nurses Association. Principles for delegation [internet]. Silver Spring, MD: American Nurses Association;2005. cited 2013 April 28. Available from: http://www.nursingworld.org/principles.
10. Lee JS. A Phenomenological study on the burnout experience for nurse in geriatric hospital. [master's thesis]. Catholic University of Pusan;2010.
11. Park SE. Nursing activities and delegation status of registered nurses in geriatric hospital. [master's thesis]. Daejon: Chungnam National University;2011.
12. Quallich SA. A bond of trust: Delegation. Urol Nurs. 2005; 25(2):120–123.
13. McInnis LA, Parsons LC. Thoughtful nursing practice: Reflections on nurse delegation decision-making. Nurs Clin North Am. 2009; 44(4):461–470. DOI: 10.1016/j.cnur.2009.07.002.
14. Kim MH, Jeong CY. A survey of the nursing activities performed by nursing staffs in long-term care hospitals. J Korea Acad Ind Coop Soc. 2014; 15(2):940–951. DOI: 10.5762/KAIS.2014.15.2.940.
15. Yang YS, Kim DH. Nurses' professionalism and job satisfaction on the level of delegation of nursing activities in longterm care hospitals. J Korean Gerontol Nurs. 2013; 15(2):175–184.
16. Parsons LC. Building RN confidence for delegation decisionmaking skills in practice. J Nurses Staff Dev. 1999; 15(6):263–269. DOI: 10.1097/00124645-199911000-00009.
17. Schiriesheim CA, Neider LL, Scandur TA. Delegation and leader-member exchange: Main effects, moderators, and measurement issues. Acad Manage J. 1998; 41(3):298–318. DOI: 10.2307/256909.
18. Krein TJ. How to improve delegation habits. Manage Rev. 1982; 5. 58–61.
19. Geirsdóttir TI. The allocation projects of nursing. [master's thesis]. Iceland: University of Iceland; 1998. Cited by Kærnested B, Bragadóttir H. Delegation of registered nurses revisited: Attitudes towards delegation and preparedness to delegate effectively. Nord J Nurs Res Clin Stud. 2012; 32(1):10–15.
20. Anderson JC, Gerbing DW. The effect of sampling error on convergence, improper solutions, and goodness-of-fit indices for maximum likelihood confirmatory factor analysis. Pyshometrika. 1984; 49(2):155–183.
21. Stamps PL, Piedmont EB, Slavitt DB, Haase AM. Measurement of work satisfaction among health professionals. Medical Care. 1978; 16(4):337–352.
22. Park HT. Transformational and transactional leadership styles of the nurse administrators and job satisfaction, organizational commitment in nursing service. J Nurs Acad Soc. 1997; 27(1):228–241.
23. Bollen KA. Structural equations with latent variables. New York: Willey;1989.
24. Loehlin JC. Latent variable models: an introduction to factor, path, and structural analysis. 3rd ed. Mahwah, N.J.: Lawrence Erlbaum;1998.
25. Kang YS, Shin MJ, Kwon YM, Kim DW, Kim EK, Seomun GA, et al. Nursing management and leadership. Rev ed. Seoul: Hyunmoonsa;2012. p. 252–261.
26. Merenda PF. A guide to the proper use of factor analysis in the conduct and reporting of research: Pitfalls to avoid. Meas Eval Couns Dev. 1997; 30:156–164.
27. Standing T, Anthony M, Hertz J. Nurses' narratives of outcomes after delegation to unlicensed assistive personnel. Outcomes Manag Nurs Pract. 2001; 5(1):18–23.
28. Potter P, Deshields T, Kuhrik M. Delegation practices between registered nurses and nursing assistive personnel. J Nurs Manag. 2010; 18:157–165. DOI: 10.1111/j.1365-2834.2010.01062.x.
29. Zimmermann PG. Delegating to assistive personnel. J Emerg Nurs. 1996; 22(3):206–212.
Full Text Links
  • JKANA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr