Development of Nurses' Practical Educational Needs Scale for Women with Infertility

Jummi Park; Nayeon Shin; Kyungmi Lee; Junghyun Choi

doi:10.4069/kjwhn.2019.25.1.99

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Park, Shin, Lee, and Choi: Development of Nurses' Practical Educational Needs Scale for Women with Infertility

Original Article

Korean Journal of Women Health Nursing 2019; 25(1): 99-111.

Published online: 13 March 2019

DOI: https://doi.org/10.4069/kjwhn.2019.25.1.99

Development of Nurses' Practical Educational Needs Scale for Women with Infertility

Jummi Park¹

, Nayeon Shin²

, Kyungmi Lee³

, Junghyun Choi¹

¹Professor, Namseoul University, Cheonan, Korea.

²Unit Manager, Bundang CHA Hospital, Seoul, Korea.

³Registered Nurse, Samsung Medical Center, Seoul, Korea.

Corresponding author: Nayeon Shin. Nursing Department, Bundang CHA Hospital, 59 Yatap-ro, Bundang-gu, Seongnam 13496, Korea. Tel: +82-31-780-5835, Fax: +82-31-780-5845, nabong78@hanmail.net

Received 7 February 2019 Revised 27 February 2019 Accepted 2 March 2019

Korean Society of Women Health Nursing

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To develop nurses' educational needs scale for woman with infertility.

Methods

A total of 201 nurses in charge of infertility health services in 4 infertility hospitals and 1 public health center were enrolled for this study. The scale was developed through literature review, in-depth interview, development of preliminary items, verification of content validity, development of secondary items, verification of construct validity, and extraction of final items. Data were analyzed using item analysis, exploratory factor analysis, Pearson's correlation coefficients, and Cronbach's α.

Results

Nurses' educational needs scale for women with infertility consisted of 41 items. Three factors (education for disease and symptom of infertility, supporting and counselling for infertility patients, and education for daily life of infertile patients) explained 63.7% of the total variance.

Conclusions

Nurses' educational needs scale for woman with infertility demonstrated acceptable validity and reliability. Its items could be used to assess the level of educational needs for nurses in charge of infertility health services.

Keywords: Needs assessment, Education, Nurses, Infertility

Figures and Tables

Table 1

General Characteristics (N=201)

Characteristics		n(%)
Age (year)
	21–30	75 (37.3)
	31–40	70 (34.8)
	41–50	35 (17.4)
	≥51	21 (10.4)
Religion
	Protestant	86 (42.7)
	Buddhism	12 (5.9)
	Catholic	21 (10.4)
	None	82 (40.7)
Location
	Seoul	112 (55.7)
	Gyeonggi-do	89 (44.2)
Education
	College	136 (67.6)
	Graduate school	65 (32.3)
Hospital
	Clinic	17 (8.4)
	Women's hospital	87 (43.2)
	General hospital	39 (19.4)
	Public health center	58 (28.8)
Career(year)
	≤1	19 (9.4)
	1–3	34 (16.9)
	3–5	33 (16.4)
	≥5	115 (57.2)
Position
	Nurse	108 (53.7)
	Charge nurse	76 (37.8)
	≥Head nurse	17 (8.4)

Table 2

Exploratory Factor Analysis (N=201)

Factor	Item No.	Item	1	2	3
I (21)	M8	The cause of infertility and the treatment method, period in women	.951
	M9	The cause of infertility and the treatment method, period in men	.942
	M13	Purpose of administration of ovulation induction agent (clomiphene), adaptation subjects, methods, side effects	.859
	M15	Types and purpose of infertility treatment, side effects	.840
	M11	Objective, method of administration, adverse effects of implantation drug (progesterone)	.826
	M12	Infertility treatment procedure and intervention	.825
	M18	Mechanism and effect of infertility drug	.816
	M7	Types and methods of infertility diagnosis	.800
	M14	Mechanism of action and effects of hormone replacement drugs (premarin), side effects	.786
	M21	Precautions and side effects after infertility treatment	.729
	M23	Emergency symptoms and remedies for infertility treatment	.722
	M3	Cause of infertility in both partners	.718
	M1	Definition of infertility	.665
	M2	Right time to start for infertility treatment	.638
	M31	Methods and procedures for pregnancy through frozen embryos	.630
	M30	Indication for government funded fertility treatments and surgery	.609
	M34	Self-injection and ovulation check methods	.592
	M19	Precautions before and after infertility treatment	.552
	M32	Conservation period and pregnancy probability of frozen embryos	.540
	M25	The timing and method of pregnancy test	.513
	M35	Complication of assisted reproductive technology (fever, nausea, vomiting, bleeding)	.506
II (15)	S12	Information on infertility related web sites		.920
	S4	Stress relief		.908
	S11	Infertility-related emotional support counseling		.868
	S5	Economic assistance information and application method		.868
	S16	Psychological, emotional anxiety, depression, anger, deterioration of self-esteem		.848
	S6	Information on autogenic training		.839
	S13	Infertility administrative support consultation		.768
	S1	How to form a supportive relationship with your spouse		.749
	S2	Family support system		.747
	S17	Providing support for healthy life of women and information about pregnancy		.731
	S9	Question and answer site guide		.726
	S8	Infertility Support Program Counseling		.715
	S10	Convenience information for local residents		.712
	S7	Information on complementary therapy		.690
	S14	Infertility related education program guide		.638
III (5)	G3	Drinking			.992
	G4	Smoking			.937
	G5	Exercise			.613
	G2	Diet			.572
	G1	Sexual life			.553
Initial eigenvalue			21.71	3.46	1.99
Explained variance (%)			51.95	7.32	4.42
Accumulative variance (%)			51.95	59.27	63.68
Kaiser-Meyer-Olkin			.95
Bartlett's test of sphericity			8,144.87 (p<.001)

Table 3

Convergent and Discriminant Validity (N=201)

Factors	Items	Factors
Factors	Items	1	2	3
Factor 1	M8	0.841	0.574	0.442
	M9	0.844	0.588	0.441
	M13	0.784	0.515	0.446
	M15	0.815	0.604	0.446
	M11	0.812	0.601	0.435
	M12	0.812	0.565	0.513
	M18	0.801	0.542	0.453
	M7	0.762	0.518	0.464
	M14	0.782	0.583	0.458
	M21	0.803	0.574	0.483
	M23	0.813	0.614	0.464
	M3	0.752	0.498	0.452
	M1	0.704	0.441	0.464
	M2	0.754	0.555	0.477
	M31	0.760	0.535	0.493
	M30	0.759	0.542	0.504
	M34	0.770	0.563	0.539
	M19	0.724	0.544	0.516
	M32	0.738	0.573	0.522
	M25	0.713	0.524	0.579
	M35	0.773	0.582	0.644
Factor 2	S12	0.561	0.843	0.510
	S4	0.561	0.861	0.562
	S11	0.585	0.862	0.566
	S5	0.609	0.874	0.578
	S16	0.568	0.857	0.598
	S6	0.521	0.806	0.503
	S13	0.626	0.832	0.568
	S1	0.637	0.819	0.554
	S2	0.641	0.827	0.560
	S17	0.594	0.827	0.606
	S9	0.568	0.802	0.516
	S8	0.627	0.821	0.534
	S10	0.632	0.834	0.597
	S7	0.456	0.707	0.471
	S14	0.641	0.812	0.631
Factor 3	G3	0.549	0.544	0.906
	G4	0.523	0.500	0.864
	G5	0.608	0.661	0.861
	G2	0.519	0.636	0.848
	G1	0.515	0.586	0.831

Table 4

Reliability (N=201)

Reliability	Total	Factors
Reliability	Total	1	2	3
Cronbach's α	.96	.93	.91	.90

Notes

^Funding This article was supported by the National Research Foundation of Korea (NRF) grant 2018.

^{Conflict of Interest} The authors declared no conflict of interest.

^{Author Contributions}

Conceptualization: Park J.
Formal analysis: Lee K.
Writing - original draft: Shin N.
Writing - review & editing: Choi J.

Summary Statement

• What is already known about this topic?

Nurses who care for infertile patients have complex educational needs. However, there is a lack of instruments to adequately measure their educational needs.
• What this paper adds?

This paper developed a scale to assess nurses' educational needs to care for patients with infertility. The developed scale consisted of 41 items and demonstrated acceptable reliability and validity.
• Implications for practice, education and/or policy

By using nurses' educational needs scale for woman with infertility developed in this study, educational needs for nurses in charge of infertility health services can be assessed and identified to care for patients with infertility, thus improving their nursing quality.

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ORCID iDs

Jummi Park
https://orcid.org/0000-0002-9321-8716

Nayeon Shin
https://orcid.org/0000-0002-3994-5867

Kyungmi Lee
https://orcid.org/0000-0002-0381-0071

Junghyun Choi
https://orcid.org/0000-0002-9892-5022

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