Published online Dec 31, 2015.
https://doi.org/10.11111/jkana.2015.21.5.542
Validity and Reliability of the Korean Version of the Expanded Nursing Stress Scale
Abstract
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.
Table 1
Characteristics of Participants (N=285)
Table 2
Model Fitness Test Results from Confirmatory Factor Analysis (N=285)
Table 3
Factor Loading and AVE of ENSS (N=285)
Table 4
Intercorrelation with ENSS Subscales (N=285)
Table 5
Reliability of ENSS (N=285)
References
-
OECD. Society at a Glance 2009: OECD Social Indicators. Paris: OECD Publishing; 2009. pp. 122-123.
-
-
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. [doi: 10.5901/mjss.2013.v4n10p480]
-
-
Sauter S, Murphy L, Colligan M, Swanson N, Hurrell J, Scharf F, et al. Report No.: 99-101. In: Stress at work. DHHS (NIOSH) Publication. Cincinnati, OH: National Institute for Occupational Safety and Health; 1999 Jan.
-
-
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.
-
-
Ministry of Health & Welfare. Ministry of Health & Welfare Statistical Year Book 2015. Sejong: Minister of Health and Welfare; 2015. pp. 12-13.
-
-
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. [doi: 10.5807/kjohn.2013.22.2.83]
-
-
Lee MH. Analysis of studies on work stress in clinical nurses. J Korean Acad Adult Nurs 1996;8(1):180–200.
-
-
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.
-
-
Yi Y, Lee B. Research trend of nurses' job stress: A comparative study. Korean J Occup Health Nurs 2013;22(1):13–23. [doi: 10.5807/kjohn.2013.22.1.13]
-
-
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. [doi: 10.5807/kjohn.2012.21.1.27]
-
-
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.
-
-
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.
-
-
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. [doi: 10.11111/jkana.2013.19.1.63]
-
-
Cooper CL, Sloan SJ, Williams S. In: Occupational stress indicator: management guide. Windsor: NFER-Nelson; 1988.
-
-
Gray-Toft P, Anderson JG. The nursing stress scale: Development of an instrument. J Behav Assess 1981;3(1):11–23.
-
-
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. [doi: 10.1016/j.ijnurstu.2004.02.003]
-
-
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. [doi: 10.2478/10004-1254-63-2012-2140]
-
-
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. [doi: 10.1111/nhs.12108]
-
-
Tabachnick BG, Fidell LS, editors. Using multivariate statistics. 5th ed. Boston: Pearson/Allyn & Bacon; 2007. pp. 651-670.
-
-
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/.
-
-
Harrington D. In: Confirmatory factor analysis. Pocket guides to social work research methods. New York: Oxford University Press; 2008. pp. 78-99.
-
-
Hair JE, Black WC, Babin BJ, Anderson RE. In: Multivariate data analysis. 7th ed. New Jersey: Prentice Hall Inc; 2009. pp. 51-92.
-
-
Fornell C, Larcker DF. Evaluating structural equation models with unobservable variables and measurement error. J Mark Res 1981;18:39–50.
-
-
Spreng RA, MacKenzie SB, Olshavsky RW. A reexamination of the determinants of consumer satisfaction. J Mark 1996;60:15–32.
-
-
Lee YJ. In: An analysis of the factors affecting general hospital nurses' intention to leave the job [master's thesis]. Seoul: Hanyang University; 2003.
-