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Original Article

Validity and Reliability of the Korean Version of the Expanded Nursing Stress Scale

Kyoung Mi Kim1, Kyoung A Nam2, Eunhee Lee2, Geum Hee Jeong2
Journal of Korean Academy of Nursing Administration 2015;21(5):542-551.
Published online: December 31, 2015

1College of Nursing, Hanyang University, Korea.

2Division of Nursing, Hallym University, Korea.

Corresponding author: Jeong, Geum Hee. Division of Nursing, Hallym University, 1 Hallymdaehak-gil, Chuncheon 200-702, Korea. Tel: +82-33-248-2713, Fax: +82-33-248-2734, ghjeong@hallym.ac.kr
• Received: October 25, 2015   • Revised: December 8, 2015   • Accepted: December 9, 2015

Copyright © 2015 Korean Academy of Nursing Administration

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    This study was done to evaluate validity and reliability of the Korean version of the expanded nursing stress scale (ENSS).
  • Methods
    Forward-backward translation of ENSS from English to Korean was conducted. The translated instrument was pilot-tested and administrated to 285 nurses who worked in five general hospitals in Korea. Internal consistency reliability was assessed using Cronbach's α and composite reliability. Validity was evaluated through construct validity with confirmatory factor analysis, convergent and discriminant validity.
  • Results
    The Korean version of ENSS showed a reliable internal consistency with Cronbach's α.95 and composite reliability .99. Model fit indexes for 46 items were validated by confirmatory factor analysis(goodness of fit index .82, Tucker-Lewis index .92, root mean square error of approximation .04), indicating suitable construct validity. Factor loading of the 48 items (.47~.88) and average variance extracted out of nine factors (.52~.71.) indicated satisfactory convergent validity. Some values of square of the correlation coefficient between factors (.12~.89) were higher than average variance extracted values of each factor (.52~.71) so that it partly satisfied discriminant validity.
  • Conclusion
    Findings show that the Korean version ENSS has good reliability and suitable validity; therefore, can be used to assess and identify Korean nurses' job stress.
  • Key Words: Nurses; Psychological stress; Statistical factor analysis; Translations
  • 1. OECD. Society at a Glance 2009: OECD Social Indicators. Paris: OECD Publishing; 2009. p. 122-123.
  • 2. Abbas SG, Farah A, Apkinar-Sposito C. Measuring the immeasurable: An overview of stress and strain measuring instruments. Mediterr J Soc Sci. 2013;4(10):480-489.
  • 3. Sauter S, Murphy L, Colligan M, Swanson N, Hurrell J, Scharf F, et al. Report No.: 99-101. Stress at work. DHHS (NIOSH) Publication. Cincinnati, OH: National Institute for Occupational Safety and Health; 1999. January.
  • 4. Heo KS. A study on the relationships between job characteristics and organizational commitment of hospital organization. J Hum Resour Manag Res. 2005;12:21-45.
  • 5. Golubic R, Milosevic M, Knezevic B, Mustajbegovic J. Workrelated stress, education and work ability among hospital nurses. J Adv Nurs. 2009;65(10):2056-2066.
  • 6. Ministry of Health & Welfare. Ministry of Health & Welfare Statistical Year Book 2015. Sejong: Minister of Health and Welfare; 2015. p. 12-13.
  • 7. Kim JH, Jo HS. A comparative study on job stress and satisfaction between ward nurses and outpatient nurses. Korean J Occup Health Nurs. 2013;22(2):83-92.
  • 8. Lee MH. Analysis of studies on work stress in clinical nurses. J Korean Acad Adult Nurs. 1996;8(1):180-200.
  • 9. Choi SR, Jung HS. An analysis of studies on clinical nurses' job stress: A comparative study. Korean J Occup Health Nurs. 2004;13(1):40-47.
  • 10. Yi Y, Lee B. Research trend of nurses' job stress: A comparative study. Korean J Occup Health Nurs. 2013;22(1):13-23.
  • 11. Lee B. Trend analysis of nurses' stress based on last 10 years of international research. Korean J Occup Health Nurs. 2012;21(1):27-36.
  • 12. Kim MJ, Gu MO. The development of the stress measurement tool for staff nurses working in the hospital. J Nurs Acad Soc. 1984;14(2):28-37.
  • 13. Chang SJ, Koh SB, Kang D, Kim SA, Kang MG, Lee CG, et al. Developing an occupational stress scale for Korean employees. Korean J Occup Environ Med. 2005;17(4):297-317.
  • 14. Cho W, You M. Problems and prospects of nursing research on job stress in Korea. J Korean Acad Nurs Adm. 2013;19(1):63-75.
  • 15. French SE, Lenton R, Walters V, Eyles J. An empirical evaluation of expanded nursing stress scale. J Nurs Meas. 2000;8(2):161-178.
  • 16. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-396.
  • 17. Cooper CL, Sloan SJ, Williams S. Occupational stress indicator: management guide. Windsor: NFER-Nelson; 1988.
  • 18. Gray-Toft P, Anderson JG. The nursing stress scale: Development of an instrument. J Behav Assess. 1981;3(1):11-23.
  • 19. Lambert VA, Lambert CE, Itano J, Inouye J, Kim S, Kuniviktikul W, et al. Cross-cultural comparison of workplace stressors, ways of coping and demographic characteristics as predictors of physical and mental health among hospital nurses in J apan, Thailand, South Korea and the USA (Hawaii). Int J Nurs Stud. 2004;41:671-684.
  • 20. McGilton KS, McGillis HL, Wodchis WP, Petroz U. Supervisory support, job stress, and job satisfaction among long-term care nursing staff. J Nurs Adm. 2007;37:366-372.
  • 21. Milutinović D, Golubović B, Brkić N, Prokeš B. Professional stress and health among critical care nurses in Serbia. Arh Hig Rada Toksikol. 2012;63(2):171-180.
  • 22. Galdikiene N, Asikainen P, Balciunas S, Suominen T. Do nurses feel stressed?: A perspective from primary health care. Nurs Health Sci. 2014;16(3):327-334.
  • 23. Principal components and factor analysis: Complete example of FA. In: Tabachnick BG, Fidell LS, editors. Using multivariate statistics. 5th ed. Boston: Pearson/Allyn & Bacon; 2007. p. 651-670.
  • 24. World Health Organization. Process of translation and adaptation of instruments [Internet]. Geneva, World Health Organization. 2013;cited 2013 J une 2. Available from: http://www.who.int/substance_abuse/research_tools/translation/en/
  • 25. Harrington D. Confirmatory factor analysis. Pocket guides to social work research methods. New York: Oxford University Press; 2008. p. 78-99.
  • 26. Hair JE, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. 7th ed. New Jersey: Prentice Hall Inc; 2009. p. 51-92.
  • 27. Fornell C, Larcker DF. Evaluating structural equation models with unobservable variables and measurement error. J Mark Res. 1981;18:39-50.
  • 28. Spreng RA, MacKenzie SB, Olshavsky RW. A reexamination of the determinants of consumer satisfaction. J Mark. 1996;60:15-32.
  • 29. Lee YJ. An analysis of the factors affecting general hospital nurses' intention to leave the job [master's thesis]. Seoul: Hanyang University; 2003.
  • 30. Yau SY, Xiao XY, Lee LYK, Tsang YK, Wong SL, Wong KF. J ob stress among nurses in China. Appl Nurs Res. 2012;25:60-64.
Table 1

Characteristics of Participants (N=285)

jkana-21-542-i001.jpg

BSN=Bachelor of Science in Nursing

Table 2

Model Fitness Test Results from Confirmatory Factor Analysis (N=285)

jkana-21-542-i002.jpg

Criteria: GFI≥.90, TLI≥.90, CFI≥.90, RMSEA≤.10; GIF=goodness of fit index; TLI=Tucker-Lewis index; CFI=comparative fit index; RMSEA=root mean square error of approximation.

Table 3

Factor Loading and AVE of ENSS (N=285)

jkana-21-542-i003.jpg

AVE=Average variance extracted; *Original item: experiencing discrimination because of race or ethnicity.

Table 4

Intercorrelation with ENSS Subscales (N=285)

jkana-21-542-i004.jpg

ENSS=Expanded nursing stress scale.

Table 5

Reliability of ENSS (N=285)

jkana-21-542-i005.jpg

ENSS=Expanded nursing stress scale.

Figure & Data

References

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    Validity and Reliability of the Korean Version of the Expanded Nursing Stress Scale
    J Korean Acad Nurs Adm. 2015;21(5):542-551.   Published online December 31, 2015
    DOI: https://doi.org/10.11111/jkana.2015.21.5.542
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    Validity and Reliability of the Korean Version of the Expanded Nursing Stress Scale
    J Korean Acad Nurs Adm. 2015;21(5):542-551.   Published online December 31, 2015
    DOI: https://doi.org/10.11111/jkana.2015.21.5.542
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    Related articles

    Validity and Reliability of the Korean Version of the Expanded Nursing Stress Scale
    Validity and Reliability of the Korean Version of the Expanded Nursing Stress Scale

    Characteristics of Participants (N=285)

    BSN=Bachelor of Science in Nursing

    Model Fitness Test Results from Confirmatory Factor Analysis (N=285)

    Criteria: GFI≥.90, TLI≥.90, CFI≥.90, RMSEA≤.10; GIF=goodness of fit index; TLI=Tucker-Lewis index; CFI=comparative fit index; RMSEA=root mean square error of approximation.

    Factor Loading and AVE of ENSS (N=285)

    AVE=Average variance extracted; *Original item: experiencing discrimination because of race or ethnicity.

    Intercorrelation with ENSS Subscales (N=285)

    ENSS=Expanded nursing stress scale.

    Reliability of ENSS (N=285)

    ENSS=Expanded nursing stress scale.
    Table 1 Characteristics of Participants (N=285)

    BSN=Bachelor of Science in Nursing

    Table 2 Model Fitness Test Results from Confirmatory Factor Analysis (N=285)

    Criteria: GFI≥.90, TLI≥.90, CFI≥.90, RMSEA≤.10; GIF=goodness of fit index; TLI=Tucker-Lewis index; CFI=comparative fit index; RMSEA=root mean square error of approximation.

    Table 3 Factor Loading and AVE of ENSS (N=285)

    AVE=Average variance extracted; *Original item: experiencing discrimination because of race or ethnicity.

    Table 4 Intercorrelation with ENSS Subscales (N=285)

    ENSS=Expanded nursing stress scale.

    Table 5 Reliability of ENSS (N=285)

    ENSS=Expanded nursing stress scale.

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

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