Development and Validation of a Resilience Scale for Nursing Home Staff

IF 2.2 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Sung Ok Chang, Eun Young Kim
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引用次数: 0

Abstract

Introduction

Nursing home staff experience sustained emotional and physical stress. Existing resilience scales, developed for the general population or hospital-based, do not capture the specific demands of nursing home care, including chronic staffing shortages, emotional labour and end-of-life care complexities. This study developed and validated a resilience scale tailored to nursing home staff.

Methods

Following DeVellis's scale development guidelines, 26 preliminary items were generated and refined to 21 through expert content validation. Data were collected from 302 nursing home staff (registered nurses, nurse assistants and care workers) employed at 25 nursing homes in Seoul, South Korea, between 1 July and 31 August, 2023. The validity and reliability were examined using exploratory and confirmatory factor analyses.

Results

The final scale comprised 17 items across four factors: Emotional Self-Regulation and Self-Efficacy; Meaning and Personal Growth through Caregiving; Support-Seeking and Meaning-Based Coping; and Professional Growth Orientation. The model demonstrated good fit (CMIN/DF = 1.76, CFI = 0.95, RMSEA = 0.07; SRMR = 0.08), strong internal consistency (α = 0.88) and significant correlation with CD-RISC (r = 0.68, p < 0.001).

Conclusion

This validated context-specific scale reflects the unique resilience of nursing home practices and offers a tool for assessing and strengthening psychological resources among staff in nursing home settings.

疗养院工作人员心理弹性量表的开发与验证。
导言:养老院工作人员经历持续的情绪和身体压力。现有的复原力量表是为一般人群或医院编制的,不能反映养老院护理的具体需求,包括长期人员短缺、情绪劳动和临终关怀的复杂性。本研究开发并验证了一套适合养老院工作人员的弹性量表。方法:按照devlis量表编制指南,生成26个初步题项,经专家内容验证细化为21个。数据收集于2023年7月1日至8月31日期间,来自韩国首尔25家养老院的302名养老院工作人员(注册护士、护士助理和护工)。采用探索性因子分析和验证性因子分析来检验效度和信度。结果:最终量表包含17个条目,涵盖4个因素:情绪自我调节和自我效能;照顾的意义与个人成长支持寻求与基于意义的应对专业成长导向。模型拟合良好(CMIN/DF = 1.76, CFI = 0.95, RMSEA = 0.07, SRMR = 0.08),内部一致性强(α = 0.88),与CD-RISC显著相关(r = 0.68, p)。结论:经验证的情境特定量表反映了养老院实践的独特弹性,为评估和加强养老院工作人员的心理资源提供了一个工具。
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来源期刊
CiteScore
3.60
自引率
9.10%
发文量
77
期刊介绍: International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.
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