Abstract
High-quality nursing care must be provided for women with infertility, and their nursing care needs must be identified. Although scales have been developed to assess infertility-related stress, quality of life, and psychosocial status, there is a lack of scales that assess the nursing care needs of women with infertility. The purpose of this study was to develop a needs assessment scale for nursing care in women with infertility and to verify its reliability and validity. The 250 subjects in this study were women with infertility recruited from four hospitals. The scale was developed following the framework of DeVellis, through a literature review, in-depth interviews, development of preliminary items, verification of content validity, development of secondary items, verification of construct validity, and extraction of the final items. Date were analyzed using item analysis, factor analysis, confirmatory factor analysis, Pearson correlation coefficients, and Cronbach's alpha. Reliability was tested using Cronbach's alpha, and validity was evaluated using item analysis, exploratory factor analysis, and criterion validity. The final version of the nursing needs assessment scale for woman with infertility consisted of 18 items. Four factors (physical and psychological nursing needs, needs for information regarding treatment, needs for infertility-related understanding and concern, and supportive needs) explained 66.0% of the total variance. Cronbach's alpha was .92 for the overall instrument and ranged from .88 to .91 for the subscales. These results suggest that this needs assessment scale for nursing care in women with infertility demonstrated acceptable validity and reliability and contained items suitable for assessing the level of nursing care needed by women with infertility.
Highlights
난임 진단과 더불어 배란 유도, 배아 이식 등의 난임 시술 과정과 같은 치료 관련 검사 및 처치는 난임 여성의 신체적 고통 및 정서적 부담을 가중시킨다[3]. 또한 임신이 난임 치료의 최종 목표이므로 [4] 성 만족도 감소 및 관계의 결여, 결혼 만족도의 감소 등을 초래 하기도 한다. 이에, 다양한 난임 시술 관련 정보[5] 및 의료적 지원 [6]과 같은 난임 관련 상담 및 간호가 필요한 실정이다
What is already known about this topic? Women with infertility have multiple needs
Scales have been developed to assess infertility-related stress, quality of life, and psychosocial status, there is a lack of scales that assess the nursing care needs of women with infertility
Summary
What is already known about this topic? Scales have been developed to assess infertility-related stress, quality of life, and psychosocial status, there is a lack of scales that assess the nursing care needs of women with infertility. What this paper adds A nursing needs assessment scale for women with infertility was developed, with 18 items distributed among four factors: physical and psychological nursing needs, needs for information on treatment, needs for infertility-related understanding and concern, and supportive needs. Implications for practice, education, and/or policy Nursing quality will be enhanced by improving the ability of nurses who provide infertility-related health services to identify patients’ nursing needs
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