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				The Development of a Tool for Assessment of Spiritual Distress in Cancer Patients														
			
			Jin Sook Kim, Il-Sun Ko, Su Jin Koh			
				J Korean Acad Nurs 2022;52(1):52-65.   Published online February 28, 2022			
									DOI: https://doi.org/10.4040/jkan.21120
							
							 
				
										
										 Abstract  PDFPurposeThis study was conducted to develop a scale to measure spiritual distress in cancer patients.
 Methods
 A total of 69 preliminary items for the spiritaul distress assessment tool (SDAT) were compiled, based on a literature review, selection of empirically relevant items through concept analysis of hybrid models, confirmation of content validity by experts, cognitive interviews, and a pretest. Self-administered questionnaires were collected between April 1 and July 31, 2018, from 225 cancer patients at four medical institutions and one nursing home. The data were analyzed using item analysis, exploratory factor analysis, convergent and discriminant validity, and Pearson correlation for criterion validity. Reliability was tested by Cronbash’s α coefficient.
 Results
 The final version of the SDAT consisted of 20 items. Five-factors, loss of peace, burden of family, avoidance of confronting death, guilt and remorse, regret for not being able to apololgize and forgive were extracted, and showed 62.8% of total variance. The factors were confirmed through convergent and discriminant validity. Criterion validity was confirmed by functional assessment chronic illness therapy spiritual well-being scale 12 (FACIT-Sp12). The overall Cronbach’s α was .91, and the coefficients of each subscale ranged from .78~.83.
 Conclusion
 The SDAT for cancer patients is valid and reliable. It is suggested that the tool can be used to measure spiritual distress in cancer patients.
					Citations Citations to this article as recorded by   Development of a measurement of doctor-patient communication quality scaleJiayi Shao, Minhui Wen, Yuqing Zhang, Liping Zhang, Jiangjie Sun
 Frontiers in Public Health.2025;[Epub]     CrossRef
Validity and reliability of the integrated palliative care outcome scale (IPOS) in Korea: a multicenter study of terminally ill cancer patientsSo-Jung Park, Yujin Park, Mira Han, Sun-Hyun Kim, In Cheol Hwang, Go-un Woo, Yoo Jeong Lee, Young Sung Kim, Hyun Jung Jho, Yoon Jung Chang
 BMC Palliative Care.2024;[Epub]     CrossRef
Family caregivers’ perceived value of caring for older patient: A hybrid model of concept analysisSeon-Hye Heo, Hye-Ryoung Kim
 Journal of Korean Gerontological Nursing.2023; 25(2): 152.     CrossRef
Spiritual Distress in Patients with Dyspnea: A Review of Measurement ToolsLeah McCann Klug
 Illness, Crisis & Loss.2023; 31(4): 736.     CrossRef
 
		
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				Development and Validation of the New Version of Spirituality Assessment Scale														
			
			Il-Sun Ko, Soyoung Choi, Jin Sook Kim			
				J Korean Acad Nurs 2020;50(1):132-146.   Published online January 31, 2020			
									DOI: https://doi.org/10.4040/jkan.2020.50.1.132
							
							 
				
										
										 Abstract  PDFAbstract
Purpose:
The purpose of this study was to develop a new version of Spirituality Assessment Scale (N-SAS) and verify its reliability and validity.Methods: The total of 59 preliminary items for the N-SAS were selected through a literature review, two rounds of experts’ content validation, cognitive interviews, and pre-tests. Verification of its reliability and validity was divided into two phases. In Phase I, questionnaires were collected from 219 adults. Reliability was tested using Cronbach’s alpha, validity with item analysis, and exploratory factor analysis. In Phase II, questionnaires developed based on the results of Phase I were collected from 225 adults. Reliability was tested using Cronbach’s alpha, validity with confirmatory factor analysis, and criterion validity.Results: The final version of the N-SAS comprised two dimensions (vertical and horizontal), four domains (relationship with God; meaning of life and self-integration; self-transcendence; and relationship with others, neighborhoods, and nature), and 44 items were identified. Total Cronbach’s α was .97; those of each subscale ranged from .79 to .98. N-SAS scores were positively correlated with the scores of Howden’s Spiritual Assessment Scale (r=.81, p<.001).Conclusion Findings suggest that the N-SAS can be used to measure spirituality in adults. The use of N-SAS is expected to facilitate perceiving patient’s spiritual needs and providing spiritual care.
					Citations Citations to this article as recorded by   Factors Influencing Spirituality and Nursing Performance Ability and Their Effect on the Spiritual Care Competency of Nursing StudentsJinsook Kim
 Journal of Korean Public Health Nursing.2025; 39(2): 208.     CrossRef
Spiritual Care Expectations Among Cancer and Noncancer Patients With Life-Threatening IllnessesKyung-Ah Kang, Shin-Jeong Kim
 Cancer Nursing.2024; 47(4): E269.     CrossRef
Development of Colleague Solidarity Scale for NursesMoon Yeon Kong, Nah-Mee Shin
 Journal of Korean Academy of Nursing Administration.2024; 30(5): 504.     CrossRef
Nursing students' rights in clinical practice in South Korea: a hybrid concept-analysis studySunghee Park, Mi-Young Choi
 Child Health Nursing Research.2023; 29(4): 260.     CrossRef
Predictors of end-of-life care stress, calling, and resilience on end-of-life care performance: a descriptive correlational studyJi-Young Kim, Eun-Hi Choi
 BMC Palliative Care.2022;[Epub]     CrossRef
The Development of a Tool for Assessment of Spiritual Distress in Cancer PatientsJin Sook Kim, Il-Sun Ko, Su Jin Koh
 Journal of Korean Academy of Nursing.2022; 52(1): 52.     CrossRef
Development and Validation of the Nursing Students’ Rights Awareness Scale in Clinical Practice: A Scale Development StudySung-Hee Park, Mi-Young Choi
 Healthcare.2021; 9(10): 1323.     CrossRef
Validity and Reliability of the Korean Versions of the Duke University Religion Index (K-DUREL) and the Daily Spiritual Experience Scale (K-DSES)Suk-Sun Kim, Daeun Kim, Nan Young Moon, Ahyoung Seo, Minji Gil
 Journal of Korean Academy of psychiatric and Mental Health Nursing.2021; 30(2): 141.     CrossRef
Development of the Adult Pandemic Attitude Scale (A-PAS)Mihyeon Seong, Juyoung Park, Soojin Chung, Sohyune Sok
 International Journal of Environmental Research and Public Health.2021; 18(12): 6311.     CrossRef
 
		
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