DEVELOPMENT OF THE QUALITY OF NURSING CARE SCALE FOR HOSPITALIZED ACUTE RESPIRATORY INFECTION AMONG CHILDREN IN INDONESIA

Abstract

This study developed a scale to measure the quality of nursing care for hospitalized acute respiratory infection among children in Indonesia and to evaluate its reliability and validity. Following the derivation of scale items and pilot testing, the final version of the scale was administered to 807 pediatric nurses to establish its internal consistency and construct validity. The Cronbach's alpha coefficients of the overall scale and its four factors were 0.93, 0.87, 0.80, 0.77 and 0.76 respectively. Using an exploratory factor analysis, 37 items with a four-factor structure were retained to form the Quality of Nursing Care Scale. These factors illustrate physical (14 items), psychological (15 items), socio-cultural (3 items) and spiritual dimensions (5 items). The contrasted group result revealed that the mean scores of the scale were significantly different between two nurse groups having work experience of six years or more or less than six years. Though, it demonstrated to be of acceptable reliability and might claim some evidences for construct validity, items of the socio-cultural dimension was less prominent. Further study is needed to revise the items of the scale.