J Korean Acad Soc Nurs Educ.  2021 May;27(2):197-209. 10.5977/jkasne.2021.27.2.197.

Development of a Korean version of the Bereavement Care Confidence Scale (K-BCCS)

Affiliations
  • 1Professor, College of Nursing · Research Institute of Nursing Science, Kyungpook National University
  • 2Nurse, Chilgok Kyungpook National University Hospital Regional Hospice Center

Abstract

Purpose
The purpose of this study is to evaluate the validity and reliability of the Korean Bereavement Care Confidence Scale (K-BCCS).
Methods
The Perinatal Bereavement Care Confidence Scale (PBCCS) was translated into Korean according to an algorithm of cultural adaptation process and excluded six items which were specific to perinatal bereavement. A total of 229 clinical nurses participated in the study. Construct validity, convergent validity, discriminant validity, and group comparison validity were evaluated, and Cronbach’s α was calculated to estimate the reliability of the K-BCCS.
Results
The K-BCCS consisted of 31 items in 7 factors, including knowledge and skills for bereavement care (12 items), organizational support (6 items), awareness of the needs (3 items), interpersonal skills (3 items), workload influence (2 items), continuous education (2 items), and understanding the grief process (3 items). The factor loading of 31 items within the 7 factors ranged from .60 to .86. For the convergent validity, the construct reliability (CR) ranged from .74 to .94, and the average variance extracted (AVE) ranged from .49 to .73, which is considered acceptable. The discriminant validity showed that the AVEs of the subscales were greater than the square of the correlation coefficient r. The nurses who had experience providing bereavement care (t=4.94, p<.001) or had received bereavement education (t=6.64, p<.001) showed higher K-BCCS values those without experience. The Cronbach’s α of 31 items was .93 and ranged from .60 to .94 per subscale.
Conclusion
The K-BCCS is a valid and reliable tool for evaluating nurses' confidence in bereavement care.

Keyword

Terminal care, Bereavement, Validation study, Clinical competencies, Educational measurement; 임종 간호, 사별, 타당화 연구, 임상 역량, 교육학적 측정
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