Journal List > Korean J Adult Nurs > v.28(1) > 1076441

Korean J Adult Nurs. 2016 Feb;28(1):95-105. Korean.
Published online February 29, 2016.
© 2016 Korean Society of Adult Nursing
Reliability and Validity of the Assessment Tool for Measuring Communication Skills in Nursing Simulation Education
Hee Mo Yang,1 and Seon Young Hwang2
1Graduate School, College of Nursing, Hanyang University, Seoul, Korea.
2College of Nursing, Hanyang University, Seoul, Korea.

Corresponding author: Hwang, Seon Young. College of Nursing, Hanyang University, 222 Wangsimni-ro, Seondong-gu, Seoul 04763, Korea. Tel: +82-2-2220-0702, Fax: +82-2-2220-1163, Email:
Received December 11, 2015; Revised February 09, 2016; Accepted February 11, 2016.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.



This study was conducted to test whether Health Communication Assessment Tool (HCAT) developed by Campbell et al. in 2013 can be applied to assess Korean nursing students' communication skills in simulation education.


The content validity of the Korean version of HCAT (K-HCAT) was evaluated through expert's assessment and a principal component analysis was conducted for testing construct validity. The convergent validity was tested by measuring relationship between the K-HCAT and those of existing communication assessment tool for standardized patient instruction. The evaluation was done by surveying 154 senior students from four different nursing colleges.


The K-HCAT was condensed into 15 items from the original 22 HCAT items. Four factors were extracted from the principal component analysis; factor loadings ranged from .50 to .83; cumulative explained variance was 62.65%. Four factors were entitled as 'relationship building', 'empowering', 'empathy/response', and 'education/feedback'. Cronbach's α for sub-dimensions ranged from .73 to .84. An evaluation of convergent validity showed that the scores of the K-HCAT were moderately correlated with those of an assessment tool for standardized patient instruction.


The K-HCAT can be used as an effective tool for assessing nursing students' communication skills in various kinds of simulation educations Further research is needed to test the consistency of the K-HCAT.

Keywords: Health communication; Reliability and validity; Statistical factor analysis; Patient simulation; Nursing education


Table 1
Item Contents and Reliability of the K-HCAT (N=154)
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Table 2
Result of Factor Analysis (N=154)
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Table 3
Correlations between K-HCAT and Yoo (2001)'s Communication Assessment Tool (N=154)
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This study was supported by the National Research Foundation of Korea funded by the Ministry of Education(NRF2013R1A1A2013389).

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