Purpose
This study aimed to develop a colleague solidarity scale for nurses and to verify its validity and reliability.
Methods
Initial items were extracted through an extensive literature review and in-depth interviews with twelve clinical nurses. These items were subjected to content validity testing by ten experts and face validity testing by five nurses. Subsequently, the final tool was developed using a validity and reliability test comprising 53 preliminary items. Survey data were collected from 548 hospital nurses.
Results
In the exploratory factor analysis, four factors and 33 items were selected, yielding a total cumulative variance ratio of 66.7%. Through the confirmatory factor analysis, the final tool consisting of 4 factors and 31 items was developed. The factors were as follows: “mutually beneficial community,” “nurse identity.” “rigid organizational experience,” and “supportive interaction.” These factors were verified through convergent and discriminant validity testing. The internal consistency reliability was acceptable (Cronbach’s ⍺= .94).
Conclusion
This tool can serve as the basis for developing programs and strategies to strengthen solidarity among nurses by identifying the current level of colleague solidarity among hospital nurses and enhancing their understanding of it.

Purpose
To develop a Korean version of the practice environment scale that can verify the practice environment of advanced practice registered nurses (APRN) by verifying the validity and reliability of the Nurse practitioner's primary care organizational climate questionnaire developed by Poghosyan et al.
Methods
After translation using a committee approach and an expert group’s verification of the content validity, items were classified as 'professional visibility', 'APRN-administration relations', 'APRN-physician relations', 'independent practice and support' A total of 29 questionnaire items were developed for the four factors. Data were collected from 200 advanced practice registered nurses working at two advanced general hospitals and six general hospitals.
Results
In the confirmatory factor analysis, CFI, TLI, and RMSR evaluation indices were appropriate except for RMSEA. Partial validity was shown in convergent validity, and discriminant validity. Exploratory factor analysis revealed that the questions were well organized with four factors. Cronbach's ⍺ of the whole instrument was .93.
Conclusion
As a first attempt to measure the practice environment of the APRN in Korea, the results show that this questionnaire provides basic data for correct role setting and improvement of practice environment. This research will ultimately serve as a basis for cost-effective quality care.

Citations

• Development and validation of a quality of healthy work environment instrument for shift nurses
  Sun-Hwa Shin, Eun-Hye Lee
  BMC Nursing.2024;[Epub]     CrossRef
• Job Roles of the Physician Assistants Working in the Surgical Departments of Tertiary Hospitals in Korea: Content Analysis
  Hyun Sook Lim, Hyang-In Cho Chung, Kyung Joo Choi
  Journal of Korean Academy of Nursing Administration.2023; 29(2): 155.     CrossRef

PURPOSE
As Korean society has rapidly become multicultural in the last few decades, it is essential for nurses to become culturally competent to provide effective care for ethnically and culturally diverse populations. Considering the advantages of standardized instrument, there is a need to evaluate current cultural competence instruments to assess adaptability to Korean nurses.
METHODS
Using Macdowell's instrument evaluation guideline, a review and evaluation was done of the Inventory for Assessing the Process of Cultural Competence among Healthcare Professionals (IAPCC) and Cultural Competence Assessment (CCA), which were both developed based on cultural competence theoretical models and have been commonly used in nursing research. Two other Korean instruments were also evaluated.
RESULTS
The instruments reviewed have limitations in reliability and validity, as well as cultural background and development process, for measurement of cultural competence in Korean nurses.
CONCLUSION
The results of this study indicate that it is necessary to discuss and agree on a definition of what cultural competence is and to develop instruments to measure cultural competence in Korean nurses.

Citations

• Evaluation of the psychometric properties of the Korean version of the Cultural Competence Assessment
  Duckhee Chae, Kyeong‐Hwa Kang, Ramona Benkert, Ardith Z. Doorenbos
  Japan Journal of Nursing Science.2018; 15(1): 56.     CrossRef
• Cultural Competence and Factors Influencing Cultural Competence in Nursing Students
  Duck Hee Kim, Seong Eun Kim
  Journal of Korean Academy of Psychiatric and Mental Health Nursing.2013; 22(3): 159.     CrossRef