J Korean Acad Nurs.  2019 Oct;49(5):613-630. 10.4040/jkan.2019.49.5.613.

Development of the Patient-Centered Nursing Culture Scale for Hospitals

Affiliations
  • 1Department of Nursing, Inje University, Busan, Korea. nurysh@inje.ac.kr
  • 2Institute for Health Science Research, Inje University, Busan, Korea.

Abstract

PURPOSE
This study aimed to develop a scale measuring the Patient-Centered Nursing Culture (PCNC) and provide a basic tool to improve PCNC in Korea.
METHODS
A conceptual framework and construct factors were extracted through extensive literature review and in-depth interviews with nursing professionals. In total, 59 items were derived based on the pilot survey. Data were collected from 357 nurses working at general hospitals and analyzed for verifying the reliability and validity of the scale.
RESULTS
Nine factors containing 54 items were extracted from the exploratory factor analysis to verify the construct validity. The nine factors were top management leadership, policy and procedure, education and training, middle management leadership, supportive teamwork, nursing workplace environment, professional competence, patient-centered nursing activity, and nurses' values. These items were verified by convergent, discriminant, and concurrent validity testing. The internal consistency reliability was acceptable (Cronbach's α=.96).
CONCLUSION
The developed PCNC scale is expected to be used as the tool for the development of theory and improvement of PCNC, the empirical testing for cause and effect of PCNC, the development of interventions, education and training programs for improving PCNC, and indicators for evaluation or accreditation of hospital service quality.

Keyword

Patient-Centered Nursing; Culture; Reliability and Validity; Hospitals

MeSH Terms

Accreditation
Education
Hospitals, General
Korea
Leadership
Nursing
Patient-Centered Care*
Professional Competence
Reproducibility of Results
Full Text Links
  • JKAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2022 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr