TY - JOUR
T1 - Development of a scale for "difficulties felt by ICU nurses providing end-of-life care" (DFINE)
T2 - A survey study
AU - Kinoshita, Satomi
AU - Miyashita, Mitsunori
N1 - Funding Information:
This study was fully supported by the Grant-in-Aid for Scientific Research (KAKENHI) endowed to S.K. from the Japan Society for the Promotion of Science , Japan (JSPS); the JSPS played no further role in: study design; the collection, analysis and interpretation of data; the writing of the manuscript; or in the decision to submit the paper for publication.
PY - 2011/8
Y1 - 2011/8
N2 - Objectives: To develop a scale for assessing "difficulties felt by intensive care unit (ICU) nurses providing end-of-life care" (DFINE). Design and setting: A questionnaire survey of nurses in ICUs at general hospitals in the Kanto region, Japan. Main outcome measures: The scale was evaluated by exploratory factor analysis, calculation of Cronbach's α and test-retest reliability. The Frommelt Attitudes Toward Care of the Dying Scale (FATCOD-B-J) and the Nursing Job Stressor Scale (NJSS) were used to investigate concurrent validity. Results: Respondents were 224 ICU nurses (response rate, 78%) at 18 hospitals. Five factors comprising 28 items were identified, involving difficulties related to: "the purpose of the ICU is recovery and survival"; "nursing system and model nurse for end-of-life care"; "building confidence in end-of-life care"; "caring for patients and families at end-of-life"; and "converting from curative care to end-of-life care" Cronbach's α for each factor ranged from 0.61 to 0.8. In terms of test-retest reliability, intraclass correlations for each factor ranged from 0.62 to 0.72. "Building confidence in end-of-life care" in DFINE showed a negative correlation with "positive attitudes towards caring for dying patient" in the FATCOD-B-J (r = -0.4). "Nursing system and model nurse for end-of-life care" in DFINE showed a positive correlation with "conflict with other nursing staffs" (r = 0.32) and "conflict with physicians/autonomy" (r = 0.31) in the NJSS. Conclusion: DFINE demonstrated acceptable reliability and validity. However, additional surveys need to be conducted with a larger sample to further characterise the scale.
AB - Objectives: To develop a scale for assessing "difficulties felt by intensive care unit (ICU) nurses providing end-of-life care" (DFINE). Design and setting: A questionnaire survey of nurses in ICUs at general hospitals in the Kanto region, Japan. Main outcome measures: The scale was evaluated by exploratory factor analysis, calculation of Cronbach's α and test-retest reliability. The Frommelt Attitudes Toward Care of the Dying Scale (FATCOD-B-J) and the Nursing Job Stressor Scale (NJSS) were used to investigate concurrent validity. Results: Respondents were 224 ICU nurses (response rate, 78%) at 18 hospitals. Five factors comprising 28 items were identified, involving difficulties related to: "the purpose of the ICU is recovery and survival"; "nursing system and model nurse for end-of-life care"; "building confidence in end-of-life care"; "caring for patients and families at end-of-life"; and "converting from curative care to end-of-life care" Cronbach's α for each factor ranged from 0.61 to 0.8. In terms of test-retest reliability, intraclass correlations for each factor ranged from 0.62 to 0.72. "Building confidence in end-of-life care" in DFINE showed a negative correlation with "positive attitudes towards caring for dying patient" in the FATCOD-B-J (r = -0.4). "Nursing system and model nurse for end-of-life care" in DFINE showed a positive correlation with "conflict with other nursing staffs" (r = 0.32) and "conflict with physicians/autonomy" (r = 0.31) in the NJSS. Conclusion: DFINE demonstrated acceptable reliability and validity. However, additional surveys need to be conducted with a larger sample to further characterise the scale.
KW - Difficulties felt by ICU nurses
KW - End-of-life care
KW - Intensive care unit
KW - Scale development
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U2 - 10.1016/j.iccn.2011.04.006
DO - 10.1016/j.iccn.2011.04.006
M3 - Article
C2 - 21641222
AN - SCOPUS:79959864588
SN - 0964-3397
VL - 27
SP - 202
EP - 210
JO - Intensive and Critical Care Nursing
JF - Intensive and Critical Care Nursing
IS - 4
ER -