DOI QR코드

DOI QR Code

Validation of Korean version of Professional quality of life(K-ProQOL) for nurses through confirmatory factor analysis

확인적 요인분석을 통한 한국어판 전문직 삶의 질(K-ProQOL) 도구의 타당화 : 간호사를 중심으로

  • Kim, Ju-I (Division of Strategy and Planning, Samsung Medical Center) ;
  • Choi, Hyoung-Shim (Division of Nursing, Hansei University)
  • Received : 2018.12.17
  • Accepted : 2019.03.08
  • Published : 2019.03.31

Abstract

This study was undertaken to validate and assess the reliability of the Korean version of professional quality of life scale (K-ProQOL) that measures the compassion satisfaction, compassion fatigue and burnout among clinical nurses in Korea. We conducted an internal consistency reliability and construct validity by applying confirmatory factor analysis using SPSS WIN (24.0) and AMOS (18.0). Survey data were collected from 210 nurses working at three tertiary hospitals located in Seoul. Reliable internal consistency was achieved for the K-ProQOL, with a Cronbach's alpha for the total scale and three sub scale values of 0.72-0.90. Factor loadings on three subscales of the 30 items considered ranged from 0.25 to 0.82. The model was validated by confirmatory factor analysis (RMSEA 0.05-0.1, GFI >0.7, CFI >0.7). The findings of this study demonstrate that the K-ProQOL has satisfactory construct validity and reliability to measure compassion satisfaction, compassion fatigue and burnout among clinical nurses in Korea. This is the first study assessing the validity and reliability of the Korean version of professional quality of life scale for clinical nurses in Korea.

본 연구는 한국어판 전문직 삶의 질 측정도구(Korean version of professional quality of life scale : K-ProQOL)가 한국 간호사의 공감만족, 공감피로와 소진을 측정하기에 타당한 도구인지를 검증하는 방법론적 연구이다. 조사 자료는 서울에 위치한 3개의 상급종합병원에서 근무한 210 명의 간호사로부터 수집되었으며, SPSS WIN (24.0)과 AMOS (18.0)를 이용하여 확인적 요인 분석과 Cronbach 's alpha 검정을 통해 도구의 타당도와 신뢰도를 측정하였다. K-ProQOL의 RMSEA는 .09로 .05~.1 사이의 값을 보였으며 GFI와 CFI는 각각 .72와 .71로 모형 적합도 최소 기준인 .7 이상의 값을 보였다. 각 문항별 요인 적재량을 분석한 결과 .25에서 .82의 수준을 보였다. K-ProQOL의 Cronbach 's alpha는 .72로 각 하위영역인 공감만족, 공감피로, 소진의 Cronbach's alpha값은 각각 .90, .78, .75 수준을 보였다. 본 연구결과를 종합해 볼 때, K-ProQOL 도구는 한국 간호사를 대상으로 공감만족, 공감피로, 소진을 측정함에 있어 일부 문항들에 제한이 존재하지만 최소 기준의 타당도와 신뢰도가 확보되었다. 본 연구는 국내 최초로 간호사를 대상으로 K-ProQOL 도구의 타당도와 신뢰도를 검정한데 의의가 있다.

Keywords

Table 1. General Characteristics

SHGSCZ_2019_v20n3_243_t0001.png 이미지

Table 2. Model Fit Indices for K-ProQOL

SHGSCZ_2019_v20n3_243_t0002.png 이미지

Table 3. Summary of Confirmatory Factor Analysis of the K-ProQOL

SHGSCZ_2019_v20n3_243_t0003.png 이미지

Tabel 4. Reliability Coefficients for K-ProQOL Subscales

SHGSCZ_2019_v20n3_243_t0004.png 이미지

Table 5. Convergent & Discriminant validity

SHGSCZ_2019_v20n3_243_t0005.png 이미지

References

  1. C. R. Figley, Compassion fatigue: coping with secondary traumatic stress disorder in those who treat the traumatizeded, Brunner/Mazel, New York, 1995.
  2. B. H. Stamm, The Concise ProQOLManual [Internet]. Pocatello: ProQOL.org; 2010[cited 2014 October 18]. Available from: http://proqol.org/uploads/ProQOL_Concise_2ndEd_12-2010.pdfed
  3. F. Cocker, N. Joss, "Compassion Fatigue among Healthcare, Emergency and Community Service Workers: A Systematic Review," International Journal of Environmental Research and Public Health, vol. 13, no. 6, 2016. DOI: https://dx.doi.org/10.3390/ijerph13060618
  4. G. Cetrano, F. Tedeschi, L. Rabbi et al., "How are compassion fatigue, burnout, and compassion satisfaction affected by quality of working life? Findings from a survey of mental health staff in Italy," BMC Health Services Research, vol. 17, no. 1, pp. 755, 2017. DOI: https://dx.doi.org/10.1186/s12913-017-2726-x
  5. A. L. Back, P. F. Deignan, P. A. Potter, "Compassion, compassion fatigue, and burnout: key insights for oncology professionals," American Society of Clinical Oncology Educational Book, pp. e454-459, 2014. DOI: https://dx.doi.org/10.14694/EdBook_AM.2014.34.e454
  6. S. Hunsaker, H. C. Chen, D. Maughan, S. Heaston, "Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurses," Journal of Nursing Scholarship, vol. 47, no. 2, pp. 186-194, 2015. DOI: https://dx.doi.org/10.1111/jnu.12122
  7. W. Dang, W. Cheng, H. Ma et al., "[Reliability and validity of Professional Quality of Life Scale among government staff in earthquake - stricken areas in China]," Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi, vol. 33, no. 6, pp. 440-443, 2015.
  8. T. Samson, E. Iecovich, P. Shvartzman, "Psycho- metric Characteristics of the Hebrew Version of the Professional Quality-of-Life Scale," Journal of Pain and Symptom Management, vol. 52, no. 4, pp. 575-581.e571, 2016. DOI: https://dx.doi.org/10.1016/j.jpainsymman.2016.03.019
  9. J. Kim, T. W. Lee, "The Influence of Nursing Practice Environment, Compassion Fatigue and Compassion Satisfaction on Burnout among Clinical Nurses," Journal of Korean Clinical Nursing Research, vol. 22, no. 2, pp. 109-117, 2016. DOI: https://doi.org/10.11111/jkana.2015.21.2.193
  10. Y. S. Kim, "Compassion Satisfaction and Compassion Fatigue among Social Workers," Korean Journal of Social Welfare, vol. 69, no. 2, pp. 271-294, 2017. https://doi.org/10.20970/kasw.2017.69.2.010
  11. H. Choi, K. Lee, E. Cho, "The Effects of Communication Skills, Compassion Satisfaction, Compassion Fatigue on Burnout among Staff of Long-term Care Insurance for the Elderly in National Health Insurance Services in Korea," Korean Journal of Occupational Health Nursing, vol. 25, no. 1, pp. 19-28, 2016. DOI: https://doi.org/10.5807/kjohn.2016.25.1.19
  12. J. H. Paek, S. Y. Hwang, "A Level between Compassion Fatigue and Compassion Satisfaction in Special Education Teachers and Their Relations," Journal of Emotional & Behavioral Disorders, vol. 31, no. 1, pp. 380-396, 2015.
  13. Y. S. Kim, H. W. Kwon, J. W. Lee, S. H. Kim, S. H. Won, H. J. Choi, "Validity and Reliability of the Korean Version of ProQOL: An Instrument to Measure the Results of Social Workers' Compassion," Journal of Korean Social Welfare Administration, vol. 18, no. 3, pp. 75-103, 2016. https://doi.org/10.22944/KSWA.2016.18.3.004
  14. H. S. Jang, S. H. Lee, S. N. Yang, S. Y. Park, "Examination on the Reliability and Validity of ProQOL(Compassion Fatigue/Compassion Satisfaction) scale for Korean crime-victim support police officers", The Korean Association of Police Science Review, Vol.64, pp. 187-213, 2017.
  15. H. Joo, Y. Cho, H. Ahn, "Validation of the Korean Version of Professional Quality of Life Scale 5(K-ProQOL 5) for Mental Health Professional," Cognitive Behavior Therapy in Korea, vol. 16, no. 3, pp. 269-298, 2016.
  16. D. Gardner, Z. D. Parzen, N. Stewart, "The nurse's dilemma: mediating stress in critical care units," Heart & lung, vol. 9, no. 1, pp. 103-106, 1980.
  17. K. Epp, "Burnout in critical care nurses: a literature review," Dynamics, vol. 23, no. 4, pp. 25-31, 2012.
  18. BG Tabachnick, LS Fidell. Using multivariate statistics, 5th. p. 644-646 Needham Height, MA: Allyn & Bacon. 2007.
  19. S. H. Kim, T. W. Lee, "A Study of the Relationship between Compassion Fatigue, Somatization and Silencing Response among Hospital Nurses: Focusing on the Mediating Effects of Silencing Response," Korean Journal of Adult Nursing, vol. 26, no. 3, pp. 362-371, 2014. DOI: http://dx.doi.org/10.7475/kjan.2014.26.3.362
  20. D. Harrington, Confirmatory factor analysis: Pocket guides to social work research methodsed, Oxford University Press, New York, 2009.
  21. D. F. Polite, C. T. Beck, Nursing research: Generating and assessing evidence for nursing practiced, Lippincott Williams & Wilkins, a Wolters Kluwer Business., Philadelphia, PA, 2008.
  22. J. F. Hair, R. L. Tatham, R. E. Anderson, W. Black, Multivariate data analysis, 5th ed, Prentice Hall Inc., New Jersey, 1998.
  23. P. F. Merenda, "A guide to the proper use of factor analysis in the conduct and reporting of research: Pitfalls to avoid," Measurement and Evaluation in Counseling and Development, vol. 30, pp. 156-164, 1997. https://doi.org/10.1080/07481756.1997.12068936
  24. J. A. Gliem, R. R. Gliem, "Calculating, Interpreting, and Reporting Cronbach's Alpha Reliability Coefficient for Likert-Type Scales. Midwest Research to Practice Conference in Adult, Continuing, and Community Education," 2003.
  25. L. Galiana, F. Arena, A. Oliver, N. Sanso, E. Benito, "Compassion Satisfaction, Compassion Fatigue, and Burnout in Spain and Brazil: ProQOL Validation and Cross-cultural Diagnosis," Journal of Pain and Symptom Management, vol. 53, no. 3, pp. 598-604, 2017. DOI: https://dx.doi.org/10.1016/j.jpainsymman.2016.09.014