Türkçe’ye Uyarlanan Sağlık Profesyonelleri için Kötü Haber Verme Ölçeğinin Geçerlilik ve Güvenirlik Çalışması

Year 2024, Volume: 27 Issue: 3, 248 - 258, 27.09.2024

Gonca Karataş Baran , Caner Kose , Yaprak Ustun

https://doi.org/10.17049/jnursology.1424868

Abstract

Amaç : Bu çalışmada hemşire ve ebelerin kötü haber verme konusundaki bilgi ve becerilerini değerlendirmek amacıyla kullanılabilecek olan kötü haber verme anketinin geçerlik ve güvenirlik çalışması yapılması amaçlanmıştır.

Yöntemler : Anket uyarlama çalışması 15/05/2022 ile 15/12/2022 tarihleri arasında bir kadın hastalıkları ve doğum hastanesinde gerçekleştirilmiştir. Anketin Türkçe’ye çevirisi yapılmış, daha sonra uzman görüşü alınmıştır. Anketin güvenirliği belirlemek için Cronbach alfa katsayısı kullanılmıştır. Anketin zaman içinde kararlılığı test-tekrar test ile değerlendirilmiştir. Anketin yapı geçerliğini sağlamak amacıyla açımlayıcı faktör analizi kullanılmıştır. Anketin geçerlik ve güvenirlik analizlerinde SPSS 17.00 ve AMOS programları kullanılmıştır.

Bulgular : Anketin 21 maddelik son versiyonunun (n=262) Cronbach Alpha değeri 0,87’dir. Grup içi korelasyon katsayısı değeri 0,95 (n=21) ve Cronbach alfa katsayısı 0,97’dir (P<,001). Beş bileşen elde edilmiş ve bu da anketin varyansının %53,631'ini açıklamıştır. Anketten alınan toplam puan 55,10±5,53 (min=35, max=63)’dir.

Sonuç : Çoklu uyum indekslerinin değerlendirilmesi sonucunda Kötü Haber Verme Anketi'nin hemşire ve ebeler için istatistiksel olarak anlamlı, geçerli ve güvenilir olduğu saptanmıştır.

Keywords

Hemşire, Ebe, Kötü haber, İletişim

Validity and Reliability Study of the Questionnaire on Communicating Bad News for Healthcare Professionals Adapted into Turkish

Abstract

Objective: In this study, it was aimed to make a validity and reliability study by adapting the questionnaire on communicating bad news to be used to evaluate the knowledge and skills of nurses and midwives in breaking bad news.

Methods: The questionnaire adaptation study was carried out in a gynecology and obstetrics hospital between 15/05/2022 and 15/012/2022. The questionnaire was translated into Turkish and then expert opinion was obtained. Cronbach's alpha coefficient was used for the reliability of the questionnaire. The stability of the questionnaire over time was evaluated by test-retest. For the purpose of construct validity of the questionnaire, exploratory factor analysis was used. SPSS 17.00 and AMOS programs were used for the validity and reliability analyzes of the questionnaire.

Results: The Cronbach Alpha value of the 21-items final version of the questionnaire (n=262) was 0.87. Intraclass Correlation Coefficient value was 0.95 (n=21) and Cronbach's alpha coefficient was 0.97 (P<.001). Five components were obtained, which explained 53.631% of the variance of the questionnaire. Total score obtained from the questionnaire was 55.10 ±5.53 (min=35, max=63).

Conclusion: As a result of the evaluation of multiple the fit indices, it showed that the Communicating Bad News Questionnaire was statistically significant, valid and reliable for nurses and midwives.

Keywords

Nurse, Midwives, Bad news, Communication

Ethical Statement

ETHICAL APPROVAL: Approval was obtained from the hospital where the study was conducted and from the Clinical Research Ethics Committee of the hospital (Date: 11.05.2022, Number:2022/65).

Thanks

ACKNOWLEDGEMENTS We thank the participants for their contributions.

References

• 1. Achury Saldaña DM, Pinilla Alarcón M, Alvarado Romero H. Aspects that facilitate or interfere in the communication process between nursing professionals and patients in critical state. Invest Educ Enferm. 2015;33:102-111. https://doi.org/10.17533/udea.iee.21893
• 2. Ramírez P, Müggenburg C. Relaciones personales entre la enfermera y el paciente. Enferm. Univ. 2015;12:134-143. https://doi.org/10.1016/j.reu.2015.07.004.
• 3. Adebayo PB, Abayomi O, Johnson PO, Oloyede T, Oyelekan AA. Breaking bad news in clinical setting-health professionals’ experience and perceived competence in southwestern Nigeria: A cross sectional study. Ann. Afr. Med. 2013;12:205-211. doi: 10.4103/1596-3519.122687. DOI: 10.4103/1596-3519.122687
• 4. Aein F, Delaram M. Giving bad news: a qualitative research exploration. Iran Red Crescent Med J. 2014;16(6):e8197. DOI: 10.5812/ircmj.8197
• 5. Abbaszadeh A, Ehsani SR, Begjani J, et al. Nurses’ perspectives on breaking bad news to patients and their families: A qualitative content analysiItem. J Med Ethics Hist Med. 2014;7:7-18.
• 6. Studer RK, Danuser B, Gomez P. Physicians’ psychophysiological stress reaction in medical communication of bad news: a critical literature review. Int J Psychophysiol. 2017;120:14-22. https://doi.org/10.1016/j.ijpsycho.2017.06.006
• 7. Baig L, Tanzil S, Ali SK, Shaikh S, Jamali S, Khan M. Breaking bad news: a con¬textual model for Pakistan. Pakistan J Med Sci. 2018;34(6):1336-1340. https://doi.org/10.12669/pjms.346.15663
• 8. González-Cabrera M, Ortega-Martínez AR, Martínez-Galiano JM, Hernández-Martínez A, Parra-Anguita L, Frías-Osuna A. Design and Validation of a Questionnaire on Communicating Bad News in Nursing: A Pilot Study. Int J Environ Res Public Health. 2020;10;17(2):457. DOI:10.3390/ijerph17020457
• 9. Laranjeira C, Afonso C, Querido AI. Communicating Bad News: Using Role-Play to Teach Nursing Students. SAGE Open Nurs. 2021 Oct 1;7:23779608211044589. doi: 10.1177/23779608211044589
• 10. Çevik B, Kav S. Attitudes and experiences of nurses toward death and caring for dying patients in Turkey. Cancer Nurs. 2013 Nov-Dec; 36(6):E58-65. DOI: 10.1097/NCC.0b013e318276924c
• 11. Mishelmovich N, Arber A, Odelius, A. Breaking significant news: the experience of clinical nurse specialists in cancer and palliative care. Eur J Oncol Nurs. 2016;21:153-159. https://doi.org/10.1016/j.ejon.2015.09.006
• 12. Durmaz Akyol A. Palliative Care In Patient With End Stage Renal Disease. Cumhuriyet Nurs J. 2013; 2(1):31-41. http://docplayer.biz.tr/34530947-Son-donem-bobrek-yetmezligi-sdby-olan-hastada-palyatif-bakim.html
• 13. Barikani A, Negarandeh R, Ghasemi E. The patients’ preferences in breaking bad news: A scoping review. Nursing Practice Today. 2024;11(2):92-106. https://doi.org/10.18502/npt.v11i2.15402
• 14. Farokhyar N, Shirazi M, Bahador H, Baradaran H R, Jahanshir A. Assessing the validity and reliability of spikes questionnaires regard in of medical residents awareness breaking bad news in TUMS 2012. Razi Journal of Medical Sciences. 2014;21:29-36. https://api.semanticscholar.org/CorpusID:80268198
• 15. dos Santos KL, Gremigni P, Casu G. et al. Development and validation of The Breaking Bad News Attitudes Scale. BMC Med Educ.2021;21:196. https://doi.org/10.1186/s12909-021-02636-5
• 16. Rassin M, Dado KP, Avraham M. The role of health care professionals in breaking bad news about death: the perspectives of doctors, nurses and social workers. International Journal of Caring Sciences, 2013 May 1;6(2):227-235.
• 17. Mohammadi S, Borhani F, Roshanzadeh M. Moral Sensitivity and Delivering Bad News Skills: A Study on Critical Care Unit Nurses. Medical Ethics Journal. Autumn 2016;10 (37): 7-16.
• 18. Nunnually JC. Psychometric theory. NewYork: McGraw-Hill Companie Item; 1978.
• 19. Wild D, Grove A, Martin M, et al. Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: Report of the ISPOR Task Force for Translation and Cultural Adaptation. Value in Health. 2005; 8(2):94-104. https://doi.org/10.1111/j.1524-4733.2005.04054.x
• 20. Hu LT, Bnetler PM. Cutoff criteria for fit indexes in covariance structural analysis: Conventional criteria versus new alternative item structural equation modeling. A Multidisciplinary Journal. 1999;6:1-55. http://dx.doi.org/10.1080/10705519909540118
• 21. Doğan İ, Özdamar K. The effect of different data structures, sample sizes on model fit measures. Commun Stat Simul Comput. 2017;46(9):7525-7533. https://doi.org/10.1080/03610918.2016.1241409
• 22. Çapık C. Use of confirmatory factor analysis in validity and reliability studies. Journal of Anatolia Nursing and Health Sciences. 2014;17(3):196-205.
• 23. Çokluk Ö, Şekercioğlu G, Büyüköztürk Ş. Multivariate statistics for the social sciences: Applications of SPSS and LISREL. 5th ed. Ankara: Pegem Publications; 2018.
• 24. Büyüköztürk Ş. Handbook of data analysis for the social sciences: Statistics, research design, SPSS applications and interpretation. 24th ed. Ankara: Pegem Publications; 2018.
• 25. Gray JR, Burns N, Grove SK, Sutherland S. Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence. 8th ed. St. Louis, Missouri: Elsevier; 2017.
• 26. Bursal M. SPSS ile temel veri analizleri. 2nd ed. Ankara: Anı Publications; 2023.
• 27. Tavakol M, Dennick R. Making sense of Cronbach's alpha. Int J Med Educ. 2011;2:53-55. http://dx.doi.org/10.5116/ijme.4dfb.8dfd
• 28. Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2):155-163. https://doi.org/10.1016/j.jcm.2016.02.012
• 29. Özdamar, K. Scale and Test Development Structural Equation Modeling IBM SPSS, IBM SPSS AMOS and MINTAB Applied. Eskişehir: Nisan Bookstore; 2017.
• 30. Yaşlıoğlu MM. Factor analysis and validity in social sciences: Using exploratory and confirmatory factor analyses. Istanbul University Journal of the School of Business. 2017;(46):74-85. http://dergipark.ulakbim.gov.tr/iuisletme
• 31. Tehran HA, Shirazi M, Kachoie A, Khalajinia Z, Nodoushan KA. Evaluation of general physicians’ skills in breaking bad news to the patient based on the SPIKES Questionnaire in Qom, 2016. Electron J Gen Med. 2019;16(1):em103. https://doi.org/10.29333/ejgm/1024155
• 32. Damak N. Karakoç Kumsar A. Nurses' knowledge levels about palliative care and their perceptions of a good death. Sakarya University Holistic Health Journal. 2010;3(1):1-14. https://dergipark.org.tr/en/pub/sauhsd/issue/58387/7543622
• 33. Kirca N, Bademli K. Relationship between communication skills and care behaviors of nurses. Perspect Psychiatr Care. 2019 Oct; 55(4):624-631. https://doi.org/10.1111/ppc.12381