Development of the Hospital Nurses’ Silence Behavior Scale

Purpose@#This study aimed to develop a scale to measure hospital nurses’ silence behavior and examine its validity and reliability. @*Methods@#A total of 52 preliminary items on hospital nurses’ silence behavior were selected using a content validity test by seven experts on 53 candidate items derived from a literature review and in-depth interviews with 14 nurses. A total of 405 hospital nurses participated in a psychometric testing. Data analysis comprised item analysis, exploratory and confirmatory factor analyses, and convergent and discriminant validity tests. Pearson’s correlation coefficient was used for assessing concurrent validity, and Cronbach’s alpha was used for the reliability test. @*Results@#The final scale consisted of nine factors with 31 items, exhibiting acceptable model fit indices, convergent validity, and discriminant validity. The score of the entire scale was positively correlated with the ‘Organizational Silence Scale (OSS)-the issues on which nurses remain silent’ (r = .60, p < .001) and ‘OSS-the reasons why nurses remain silent’ (r = .68, p < .001). Cronbach’s α of the scale was .92, and α of each subscale ranged from .71 to .90. @*Conclusion@#The Hospital Nurses’ Silence Behavior Scale is a useful tool for assessing multifaceted silence behavior among nurses. It can provide basic data for developing better communication strategies among nurses and other hospital staff.

Psychometric Properties of the Korean Version of the Infertility Self-Efficacy Scale

PURPOSE: The Infertility Self-Efficacy scale (ISE) is an instrument used to identify infertility-related self-efficacy. The purpose of this study was to assess the reliability and validity of the Korean version of the ISE developed by Cousineau et al. in 2006. METHODS: The translated instrument was pilot-tested and administered to 314 women and men with a diagnosis of infertility. For estimating reliability, testeretest and the internal consistency reliability coefficients were calculated. Validity was evaluated through content validity, concurrent validity, and construct validity with exploratory and confirmatory factor analyses. RESULTS: The internal consistency reliability was satisfactory (Cronbach's alpha = .92, item-total correlations = .44–.80), and the intra-class correlation coefficient was .84 (p < .001). The overall content validity index was 98.1%, and the concurrent validity coefficient (correlations between the ISE scale and general self-efficacy scale) was .31 (p < .001). The final model's fit indexes were acceptable (CFI = .96, NFI = .93, RMSEA = .07, GFI = .94, and SRMR = .03), indicating good construct validity. CONCLUSION: The Korean version of the ISE has high reliability (stability and homogeneity), and good content, concurrent, and construct validity (EFA and CFA). Validated Korean version of the ISE may help nurses identify infertility-related self-efficacy.

Patients' Experience of Participation in Hospital Care / 간호행정학회지

PURPOSE: The aim of this study was to explore patients' experience of participation in their hospital care. METHODS: Face-to-face interviews using a semi-structured interview guide were conducted with a total of 21 patients in a tertiary hospital in Seoul, South Korea. Collected data were analyzed using a qualitative content analysis. RESULTS: Two categories of patients' experience of participation in hospital care emerged: 1) Reactive participatory activity, 2) active participatory activity. Major participatory activities included ‘complying with medical instructions’, ‘listening’, ‘responding’ and ‘questioning’. Healthcare professionals' attentive attitudes and explanation, and availability of care equipment were facilitating factors affecting patient participation in their care, whereas limited accessibility to and poor communication with healthcare professionals, inconvenient patient room, and patient factors were barriers to their participation. CONCLUSION: The findings in this study reveal that patients tend to participate in their care in a reactive way and that healthcare professionals have a significant role in facilitating patients' participation. Furthermore, the care environment and patient factors need to be considered to promote patient participation in hospital care.

Effects of Maternal Sociodemographic Characteristics and Parenting Stress on a Child's Self-Concept: Parenting Style as a Mediating Factor

OBJECTIVES: The aim of this study was to examine the effects of maternal sociodemographic characteristics, especially education and employment, and parenting stress on the child's self-concept. Attention was also paid to the mediating impact of parenting style on the relationship between the maternal variables and a child's self-concept. METHODS: A questionnaire and three scales were completed by fifth graders and their mothers, and 270 sets of paired data were analyzed. RESULTS: The results showed that mothers with higher education experienced less child-related parenting stress, were perceived to be more achievement-oriented and rational by their children, and also had children with more positive selfconcept. The relationship between maternal education and child's self-concept was mediated by the rationality dimension of parenting style. Maternal employment was not related to parenting stress, parenting style and most aspects of the child's self-concept. Lastly, child-related parenting stress had a negative effect on the child's self-concept, and this effect was mediated by the warmth and rationality dimensions of parenting style. CONCLUSION: Parenting style had a mediating effect on the relationships between the child's self-concept and maternal education and child-related parenting stress.