The aim of this study is to identify the factors of the healing environment for the elderly receiving long-term care, as perceived by healthcare providers in long-term care hospital and nursing home. The participants were 130 healthcare providers who worked at longterm care hospitals and a nursing home in a region. The data was collected by the structured questionnaire and analyzed by using SPSS/Win 22.0. The mean of the healing environmental importance perceived by participants were 4.76(±0.46). Among the healing environmental domains, comfort scored highest with 4.64 (±0.32) on average, followed by sociality with 4.41 (±0.58), stability with 4.35 (±0.53), territoriality with 4.31 (±0.61), and livability with 4.21 (±0.66). There was no significant difference in the mean importance of any domains in the healing environment between long-term care hospitals and nursing home where the respondents worked. The healing environmental factors affecting the perceived healing environmental importance of participants were natural view, safety/security, and privacy (R 2 = 0.29). The research findings suggest that healthcare providers in long-term care facilities need to make efforts to recognize the importance of the healing environment and to reflect it in the health care plans.
Background
The conventional Career Decision-Making Self-Efficacy Scale does not reflect the situation in Korea due to different sociocultural attributes and fails to account for the unique nursing profession and changes in healthcare. We aimed to develop and psychometrically test the Career Decision-Making Self-Efficacy Scale for Nursing Students.
Methods
A methodological study using a newly developed questionnaire tool and investigation of the validity and reliability of the preliminary instrument. Data were collected from 400 nursing students through an online survey conducted in May 2021. We identified 56 preliminary items through a literature review and focus group interviews. Of them, 40 were completed with a content validity index > .80. Content, construct, and criterion-related validity; internal consistency reliability; and test-retest reliability were used in the analysis.
Results
Exploratory factor analysis revealed three factors including 21 items: adapting to work (20.5%), understanding the major (20.2%), and goal setting (16.4%), explaining 57.1% of the total variance. As a result of confirmatory factor analysis, 17 items in the three-factor structure were validated. Reliability, as verified by the test-retest interclass correlation coefficient, was .86 and Cronbach’s α was .92. The final Career Decision-Making Self-Efficacy Scale for Nursing Students consists of 17 items: adapting to work (7 items); understanding the major (4 items); and goal setting (6 items).
Conclusion
The scale developed to measure the career decision-making self-efficacy of nursing students showed sufficient validity and reliability.
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