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Validity and Reliability of the Korean Version of the Observable Indicators of Nursing Home Care Quality Evaluation Instrument

Journal of Korean Academy of Nursing 2008³â 38±Ç 3È£ p.474 ~ 482
KMID : 0806120080380030474
ÀÌÁö¾Æ ( Lee Ji-A ) - °æÈñ´ëÇб³ °£È£°úÇдëÇÐ

Abstract

Purpose: The purposes of this study were; 1) to test the validity and reliability of the Korean version of Rantz¡¯s
Observable Indicators of Nursing Home Care Quality Instrument (ONHQ) and 2) to evaluate the quality of Korean nursing homes.

Methods: The study employed a three-phase methodological research design. 1) The original instrument of Rantz¡¯s ONHQ was translated into Korean and modified by Korean nursing home experts. 2) A pilot study using the modified instrument was done in 20 nursing homes to examine inter-rater reliability. 3) The validity and reliability were tested in 98 nursing homes.

Results: Seven factors were extracted through factor analysis: ¡®communication¡¯, ¡®care delivery¡¯, ¡®grooming¡¯, ¡®odor¡¯, ¡®environment-basics¡¯, ¡®environment-access¡¯, and ¡®environment-homelike¡¯. These factors explained 86.07% of the total variance. Cronbach¡¯s alpha coefficient of the 30 items was .97 indicating a high internal consistency of the instrument. Inter-rater reliability according to Kappa was .82. The average score of nursing home quality was 112.07 indicating an average range of quality level.

Conclusion: The Korean version of the ONHQ was identified as a tool with a high degree of validity and reliability. This tool can be effectively used to assess the quality of nursing homes by professions as well as family members.
KeyWords
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Validity, Reliability, Nursinghome, Quality
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