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

Jia Lee

doi:10.4040/jkan.2008.38.3.474

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

Original Article

Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2008; 38(3): 474-482.

Published online: 30 June 2008

DOI: https://doi.org/10.4040/jkan.2008.38.3.474

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

Jia Lee

Assistant Professor, College of Nursing Science, Kyung Hee University, Seoul, Korea.

Address reprint requests to: Lee, Jia. College of Nursing Science, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-701, Korea. Tel: 82-2-961-0894, Fax: 82-2-961-9398, leejia@khu.ac.kr

Received 6 May 2008 Accepted 28 May 2008

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: Validity, Reliability, Nursing home, Quality

Figures and Tables

Table 1

General Characteristics of Nursing Homes (N=98)

Table 2

Factor Loading of Each Item (N=98)

Table 3

Reliability Tests of Internal Consistency and Equivalence

Table 4

Evaluation of Nursing Home Quality by the Korean Version of the Observable Indicators of Nursing Home Care Quality Instrument (N=98)

Notes

This work was supported by the Korea Research Foundation Grant funded by the Korean Government (MOEHRI), Basic Research Promotion Fund (KRF-2007-331-E00289).

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