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Il-Sun Ko 2 Articles
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
AbstractAbstract PDF
Purpose
This 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 scale
    Jiayi 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 patients
    So-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 analysis
    Seon-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 Tools
    Leah McCann Klug
    Illness, Crisis & Loss.2023; 31(4): 736.     CrossRef
  • 1,663 View
  • 46 Download
  • 2 Web of Science
  • 4 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
AbstractAbstract PDF
Abstract 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  
  • Spiritual Care Expectations Among Cancer and Noncancer Patients With Life-Threatening Illnesses
    Kyung-Ah Kang, Shin-Jeong Kim
    Cancer Nursing.2024; 47(4): E269.     CrossRef
  • Development of Colleague Solidarity Scale for Nurses
    Moon 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 study
    Sunghee 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 study
    Ji-Young Kim, Eun-Hi Choi
    BMC Palliative Care.2022;[Epub]     CrossRef
  • The Development of a Tool for Assessment of Spiritual Distress in Cancer Patients
    Jin 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 Study
    Sung-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
  • 1,462 View
  • 47 Download
  • 5 Web of Science
  • 8 Crossref
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