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Psychometric properties of the Turkish version of the Stress Scale for Nurses Providing End-of-Life Care for Children

Published online by Cambridge University Press:  02 February 2023

Gülsün Ayran Open the ORCID record for Gülsün Ayran [Opens in a new window]  and
Hamide Nur Çevik Özdemir Open the ORCID record for Hamide Nur Çevik Özdemir [Opens in a new window]
Gülsün Ayran*
Affiliation:
Faculty of Health Sciences, Erzincan Binali Yıldırım University, Erzincan, Turkey
Hamide Nur Çevik Özdemir
Affiliation:
Faculty of Health Science, Afyon Karahisar Health Science University, Afyon, Turkey
*
Author for correspondence: Gülsün Ayran, Faculty of Health Sciences, Erzincan Binali Yıldırım University, Erzincan 24000, Turkey. Email: gulsun_ayran@hotmail.com
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Abstract

Objectives

This study was carried out to evaluate the validity and reliability of the Stress Scale for Pediatric Nurses Performing End-of-Life Care for Children in Turkey.

Methods

This was a methodological study conducted with 222 pediatric nurses. Data were collected using the information form for pediatric nurses and the “stress scale for nurses performing end-of-life care for children.” Content and construct validity, item analysis, confirmatory factor analysis and internal consistency were used to evaluate the data. The Global Pharmaceutical Regulatory Affairs Summit checklist was followed in this study.

Results

The content validity index of the scale was 0.93. Item-total score correlation values ranged from 0.594 to 0.885. The 5-factor structure of the scale was confirmed as a result of confirmatory factor analysis. Factor loads were greater than 0.30, and fit indices were greater than 0.80. The Cronbach’s alpha coefficient of the Turkish version of the scale was 0.97.

Significance of results

The stress scale for nurses performing end-of-life care for children is a valid and reliable measurement tool for the Turkish sample. This scale facilitates the assessment of the stress levels of pediatric nurses who provide end-of-life care to children. Also, this scale can be used in interventional studies to improve the well-being of pediatric nurses.

Keywords

ChildEnd-of-life careStressNurseScale
Type
Original Article
Information
Palliative & Supportive Care , Volume 22 , Issue 1 , February 2024 , pp. 128 - 136
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Copyright
© The Author(s), 2023. Published by Cambridge University Press.

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References

Adistie, F, Lumbantobing, VBM and Maryam, NNA (2019) The needs of children with terminal illness: A qualitative study. Child Care in Practice 26, 257–271.CrossRefGoogle Scholar
Akay, G and Aytekin Özdemir, A (2021) Validity and reliability of the neonatal palliative care attitude scale in Turkey. Florence Nightingale Journal of Nursing 29(2), 212–220. doi:10.5152/FNJN.2021.20041CrossRefGoogle ScholarPubMed
Aksakal, H (2018) Palyatif bakim hemşireliği. In Aksakal, H, Kahveci, K and Koç, O (eds), Palyatif Bakım Hemşireliği El Kitabı. Ankara: Akademisyen Kitabevi, 15–23.Google Scholar
Almanasreh, E, Moles, R and Chen, TF (2019) Evaluation of methods used for estimating content validity. Research in Social & Administrative Pharmacy: RSAP 15(2), 214–221. doi:10.1016/j.sapharm.2018.03.066CrossRefGoogle ScholarPubMed
Alshammari, F, Sim, J, Lapkin, S, et al. (2022) Registered nurses’ knowledge, attitudes and beliefs about end-of-life care in non-specialist palliative care settings: A mixed studies review. Nurse Education in Practice 59, 1–13. doi:10.1016/j.nepr.2022.103294CrossRefGoogle ScholarPubMed
Aroian, KJ and Norris, AE (2007) Assessing PTSD in Arab immigrants. Paper presented at the 21st Annual Meeting of the American Psychiatric Nurses Association (APNA), Kissimee, FL.Google Scholar
Bayram, N (2011) Introduction to Structural Equation Modeling- Amos Applications. Istanbul: Ezgi Bookstore.Google Scholar
Bloomer, MJ, O’Connor, M, Copnell, B, et al. (2015) Nursing care for the families of the dying child/infant in paediatric and neonatal ICU: Nurses’ emotional talk and sources of discomfort. A mixed methods study. Australian Critical Care 28(2), 87–92. doi:10.1016/j.aucc.2015.01.002CrossRefGoogle ScholarPubMed
Boateng, GO, Neilands, TB, Frongillo, EA, et al. (2018) Best practices for developing and validating scales for health, social, and behavioral research: A primer. Frontiers in Public Health 6, . doi:10.3389/fpubh.2018.00149CrossRefGoogle ScholarPubMed
Brown, TA (2015) Confirmatory Factor Analysis for Applied Research, 2nd edn. New York: The Guilford Press.Google Scholar
Browne, MW and Cudeck, R (1993) Alternative ways of assessing model fit. In Bollen, KA and Long, JS (eds), Testing Structural Equation Models. Newbury Park, CA: Sage, 136–162.Google Scholar
Büyüköztürk, Ş (2002) Faktör analizi: Temel kavramlar ve ölçek geliştirmede kullanımı. Kuram Ve Uygulamada Egitim Yönetimi 32(32), 470–483.Google Scholar
Chakrabartty, S and Nath Chakrabartty, S (2013) Best split-half and maximum reliability. Journal of Research & Method in Education 3(1), 1–8.Google Scholar
Chan, WL, Lam, KO, Siu, WK, et al. (2016) Chemotherapy at end-of-life: An integration of oncology and palliative team. Supportive Care in Cancer 24(3), 1421–1427.CrossRefGoogle ScholarPubMed
Chew, YJM, Ang, SLL, Shorey, S, et al. (2021) Experiences of new nurses dealing with death in a paediatric setting: A descriptive qualitative study. Journal of Advanced Nursing 77(1), 343–354. doi:10.1111/jan.14602CrossRefGoogle Scholar
Connor, SR, Downing, J and Marston, J (2017) Estimating the Global Need for Palliative Care for Children: A Cross-sectional Analysis. Journal of Pain and Symptom Management 53, 171–177.CrossRefGoogle ScholarPubMed
Davis, LL (1992) Instrument review: Getting the most from a panel of experts. Applied Nursing Research 5, 194–197. doi:10.1016/S0897-1897(05)80008-4CrossRefGoogle Scholar
Erci, B and Aslan, H (2022) Validity and reliability of the Turkish version of the spiritual needs assessment scale of patients with cancer. Palliative & Supportive Care 20(5), 671–677. doi:10.1017/S1478951521001103Google ScholarPubMed
Fernando, GMVC and Hughes, S (2019) Team approaches in palliative care: A review of the literature. International Journal of Palliative Nursing 25(9), 444–451. doi:10.12968/ijpn.2019.25.9.444CrossRefGoogle ScholarPubMed
Ferrell, B, Virani, R, Paice, JA, et al. (2010) Evaluation of palliative care nursing education seminars. European Journal of Oncology Nursing 14, 74–79. doi:10.1016/j.ejon.2009.08.004CrossRefGoogle ScholarPubMed
Finch, HW (2019) Exploratory Factor Analysis. Sage Publications.Google ScholarPubMed
Geum, MJ, Ahn, JH, Kim, JS, et al. (2019) Interprofessional collaboration between a multidisciplinary palliative care team and the team pharmacist on pain management. American Journal of Hospice and Palliative Medicine 36(7), 616–622. doi:10.1177/1049909119829047CrossRefGoogle Scholar
Hair, J, Black, W, Babin, B, et al. (2010) Multivariate Data Analysis, 7th edn. Prentice-Hall.Google Scholar
Harrington, D (2009) Confirmatory Factor Analysis. New York: Oxford University Press.Google Scholar
Jang, SH (2013). Neonatal intensive care unit nurses’ stress of end-of-life care for high-risk newborn. Master’s thesis. Seoul, Korea: Ewha Womans University.Google Scholar
Jang, SK, Park, WH, Kim, H-I, et al. (2019) Exploring nurses’ end-of-life care for dying patients in the ICU using focus group interviews. Intensive and Critical Care Nursing 52(1), 3–8. doi:10.1016/j.iccn.2018.09.007CrossRefGoogle ScholarPubMed
Kim, H and Kim, K (2020) Palliative cancer care stress and coping among clinical nurses who experience end-of-life care. Journal of Hospice & Palliative Nursing 22(2), 115–122. doi:10.1097/NJH.0000000000000624CrossRefGoogle ScholarPubMed
Knaul, FM, Farmer, PE, Krakauer, EL, et al. (2018) Alleviating the access abyss in palliative care and pain relief-an imperative of universal health coverage: The Lancet Commission report. The Lancet 391, 1391–1454.CrossRefGoogle ScholarPubMed
Kudubeş, A, Özkan, S, Semerci, R, et al. (2022) Status of palliative care course in undergraduate and postgraduate nursing programs: Practice of Turkey. Turkish Journal of Pediatric Emergency and Intensive Care Medicine 9, 17–26. doi:10.4274/cayd.galenos.2021.00922CrossRefGoogle Scholar
Marsh, HW, Guo, J, Dicke, T, et al. (2020) Confirmatory factor analysis (CFA), exploratory structural equation modeling (ESEM), and set-ESEM: Optimal balance between goodness of fit and parsimony. Multivariate Behavioral Research 55(1), 102–119. doi:10.1080/00273171.2019.1602503CrossRefGoogle ScholarPubMed
Mayland, C, Sunderland, K, Fraser, L (2022) Measuring quality of dying, death and end-of-life care for children and young people: A scoping review of available tools. Palliative Medicine 36(8), 1186–1206.CrossRefGoogle Scholar
Meydan, CH and Şenen, H (2011) Structural Equation Modeling, AMOS Applications. Ankara: Detay Publishing.Google Scholar
Morgado, FFR, Meireles, JF, Neves, CM, et al. (2017) Scale development: Ten main limitations and recommendations to improve future research practices. Psicologia: Reflexao E Critica 30(1), 1–20. doi:10.1186/s41155-016-0057-1Google ScholarPubMed
Muscat, DM, Shepherd, HL, Morony, S, et al. (2016) Can adults with low literacy understand shared decision making questions? A qualitative investigation. Patient Education and Counseling 99(11), 1796–1802. doi:10.1016/j.pec.2016.05.008CrossRefGoogle ScholarPubMed
Nia, HS, Lehto, RH, Ebadi, A, et al. (2016) Death anxiety among nurses and health care professionals: A review article. International Journal of Community Based Nursing and Midwifery 4(1), 2–10.Google ScholarPubMed
Nunnally, JC and Bernstein, IH (2010) Psychometric Theory. McGraw-Hill.Google Scholar
O’Brien, MR, Kinloch, K, Groves, KE, et al. (2019) Meeting patients’ spiritual needs during end-of-life care: A qualitative study of nurses’ and healthcare professionals’ perceptions of spiritual care training. Journal of Clinical Nursing 28(1–2), 182–189.CrossRefGoogle ScholarPubMed
Park, SY (2018). Development of stress scale for nurses caring dying children. Dissertation. Busan, Korean: Dong-A University.Google Scholar
Park, KY and Jeong, JH (2021) The relationships of end-of-life care stress with compassionate competence and attitudes toward end-of-life care among pediatric nurses. The Korean Journal of Hospice and Palliative Care 24, 235–244. doi:10.14475/jhpc.2021.24.4.235CrossRefGoogle ScholarPubMed
Park, SY and Ju, HO (2020) Development of an instrument to measure stress in Korean nurses performing end-of-life care for children. Journal of Pediatric Nursing 54, 84–90. doi:10.1016/j.pedn.2020.05.006CrossRefGoogle ScholarPubMed
Pearson, HN (2013) You’ve only got one chance to get it right: Children’s cancer nurses’ experiences of providing palliative care in the acute hospital setting. Issues in Comprehensive Pediatric Nursing 36(3). doi:10.3109/01460862.2013.797520CrossRefGoogle ScholarPubMed
Peters, L, Cant, R, Payne, S, et al. (2013) How death anxiety impacts nurses’ caring for patients at the end of life: A review of literature. The Open Nursing Journal 7, 14–21. doi:10.2174/1874434601307010014CrossRefGoogle ScholarPubMed
Peterson, JL, Johnson, MA, Halvorsen, B, et al. (2010) What is it so stressful about caring for a dying patient? A qualitative study of nurses’ experiences. International Journal of Palliative Nursing 16, 181–187. doi:10.12968/ijpn.2010.16.4.47784CrossRefGoogle Scholar
Polit, DF, Beck, CT, Owen, SV, et al. (2007) Focus on research methods: Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing & Health 30, 459–467. doi:10.1002/nur.20199CrossRefGoogle ScholarPubMed
Polit, D and Hungler, BP (1999) Nursing Research: Principles and Methods. Philadelphia: Lippincott Company.Google Scholar
Ranallo, L (2017) Improving the quality of end-of-life care in pediatric oncology patients through the early implementation of palliative care. Journal of Pediatric Oncology Nursing 34(6), 374–380. doi:10.1177/1043454217713451CrossRefGoogle ScholarPubMed
Sansó, N, Vidal-Blanco, G and Galiana, L (2021) Development and Validation of the Brief Nursing Stress Scale (BNSS) in a Sample of End-of-Life Care Nurses. Nursing Reports 11(2), 311–319.CrossRefGoogle Scholar
Seçer, İ (2020). Psikolojik test geliştirme ve uyarlama süreci: SPSS ve LISREL uygulamaları. Anı yayıncılık.Google Scholar
Şencan, H (2005) Sosyal Ve Davranışsal Ölçümlerde Güvenilirlik Ve Geçerlilik, 1st edn. Ankara: Seçkin Yayıncılık.Google Scholar
Şimşek, ÖF (2007) Introduction to Structural Equation Modeling, Basic Principles and LISREL Applications. Ankara: Equinox, 4–22.Google Scholar
Tabachnick, BG and Fidell, LS (2007) Using Multivariate Statistics, 5th edn. Boston, MA: Allyn & Bacon.Google Scholar
Tamaki, T, Inumaru, A, Yokoi, Y, et al. (2019) The effectiveness of end-of-life care simulation in undergraduate nursing education: A randomized controlled trial. Nurse Education Today 76, 1–7.CrossRefGoogle ScholarPubMed
Xia, Y and Yang, Y (2019) RMSEA, CFI, and TLI in structural equation modeling with ordered categorical data: The story they tell depends on the estimation methods. Behavior Research Methods 51(1), 409–428. doi:10.3758/s13428-018-1055-2CrossRefGoogle ScholarPubMed
Zheng, R, Lee, SF, Bloomer, MJ, et al. (2016) How new graduate nurses experience patient death: A systematic review and qualitative meta-synthesis. International Journal of Nursing Studies 53, 320–330. doi:10.1016/j.ijnurstu.2015.09.013CrossRefGoogle Scholar