J Korean Acad Nurs.  2019 Feb;49(1):1-13. 10.4040/jkan.2019.49.1.1.

Development and Validation of the Communication Behavior Scale for Nurses Caring for People with Dementia

Affiliations
  • 1College of Nursing, Chungnam National University, Daejeon, Korea. mhgang@cnu.ac.kr

Abstract

PURPOSE
The purpose of this study was to develop and validate the Communication Behavior Scale for nurses caring for people with Dementia (CBS-D).
METHODS
Based on communication accommodation theory, the initial items were generated through a literature review and interviews with 20 experts. Content and face validity of the initial items were assessed. Data from 486 nurses caring for people with dementia were analyzed using item analysis, exploratory and confirmatory factor analysis, criterion-related validity, and internal consistency.
RESULTS
The final scale consisted of 18 items and four factors (discourse response management, interpersonal control, emotional expression, and interpretability) that explained 57.6% of the variance. Confirmatory factor analysis indicated that the theoretical model with 18 items satisfied all goodness-of-fit parameters. Criterion-related validity was shown by the Global Interpersonal Communication Competence Scale (r=.506, p < .001). Cronbach's alpha for the total scale was .88.
CONCLUSION
The CBS-D can be used to measure the communication behavior of nurses caring for people with dementia.

Keyword

Dementia; Communication; Behavior; Nurses; Surveys and Questionnaires

MeSH Terms

Dementia*
Mental Competency
Models, Theoretical
Reproducibility of Results
Surveys and Questionnaires

Figure

  • Figure 1. Flow of this study.


Reference

References

1. World Health Organization (WHO), Alzheimer’s Disease International. Dementia: A public health priority [Internet]. Geneva: WHO;c2012. [cited 2018 Oct 10]. Available from:. https://www.who.int/mental_health/publications/dementia_report_2012/en/.
2. National Institute of Dementia (NID). Korean dementia obser- vatory 2016 [Internet]. Seongnam: NID;c2018. [cited 2018 Apr 3]. Available from:. https://www.nid.or.kr/info/dataroom_view.aspx?bid=160.
3. Kovach CR, Noonan PE, Schlidt AM, Wells T. A model of consequences of need‐driven, dementia‐compromised behavior. Journal of Nursing Scholarship. 2005; 37(2):134–140. https://doi.org/10.1111/j.1547-5069.2005.00025_1.x.
Article
4. Cerejeira J, Lagarto L, Mukaetova-Ladinska E. Behavioral and psychological symptoms of dementia. Frontiers in Neurology. 2012; 3:73. https://doi.org/10.3389/fneur.2012.00073.
Article
5. Yi M, Yih BS. A conversation analysis of communication between patients with dementia and their professional nurses. Journal of Korean Academy of Nursing. 2006; 36(7):1253–1264. https://doi.org/10.4040/jkan.2006.36.7.1253.
Article
6. Dragojevic M, Gasiorek J, Giles H. Communication accommodation theory. Berger CR, Roloff ME, Wilson SR, Dillard JP, Caughlin J, Solomon D, editors. The International Encyclopedia of Interpersonal Communication. Chichester: Wiley Blackwell;2015. p. 1–22.
Article
7. Kuraleva T. Communicative behavior: Constants and variables. Scientist Young, editor. Young Scientist USA. Humanities. Auburn (WA): Lulu Press;2014. p. 189–195.
8. Ryan T, Gardiner C, Bellamy G, Gott M, Ingleton C. Barriers and facilitators to the receipt of palliative care for people with dementia: The views of medical and nursing staff. Palliative Medicine. 2012; 26(7):879–886. https://doi.org/10.1177/0269216311423443.
Article
9. Stans SE, Dalemans R, de Witte L, Beurskens A. Challenges in the communication between ‘communication vulnerable’ people and their social environment: An exploratory qualitative study. Patient Education and Counseling. 2013; 92(3):302–312. https://doi.org/10.1016/j.pec.2013.05.021.
Article
10. Williams K, Kemper S, Hummert ML. Enhancing communication with older adults: Overcoming elderspeak. Journal of Psychosocial Nursing and Mental Health Services. 2005; 43(5):12–16. https://doi.org/10.3928/02793695-20050501-02.
Article
11. Chao HC, Yang YP, Huang MC, Wang JJ. Development and psychometric testing of the caregiver communication competence scale in patients with dementia. Journal of Gerontological Nursing. 2015; 42(1):32–39. https://doi.org/10.3928/00989134-20151008-36.
Article
12. Williams KN, Herman RE. Linking resident behavior to dementia care communication: Effects of emotional tone. Behavior Therapy. 2011; 42(1):42–46. https://doi.org/10.1016/j.beth.2010.03.003.
13. Broughton M, Smith ER, Baker R, Angwin AJ, Pachana NA, Copland DA, et al. Evaluation of a caregiver education program to support memory and communication in dementia: A controlled pretest–posttest study with nursing home staff. International Journal of Nursing Studies. 2011; 48(11):1436–1444. https://doi.org/10.1016/j.ijnurstu.2011.05.007.
Article
14. Conway ER, Chenery HJ. Evaluating the MESSAGE communication strategies in dementia training for use with community-based aged care staff working with people with dementia: A controlled pretest-post-test study. Journal of Clinical Nursing. 2016; 25(7-8):1145–1155. https://doi.org/10.1111/jocn.13134.
Article
15. Sprangers S, Dijkstra K, Romijn-Luijten A. Communication skills training in a nursing home: Effects of a brief intervention on residents and nursing aides. Clinical Interventions in Aging. 2015; 10:311–319. https://doi.org/10.2147/CIA.S73053.
16. Kim H, Woods DL, Mentes JC, Martin JL, Moon A, Phillips LR. The nursing assistants’ communication style and the behavioral symptoms of dementia in Korean-American nursing home residents. Geriatric Nursing. 2014; 35(2 Suppl):S11–S16. https://doi.org/10.1016/j.gerinurse.2014.02.016.
Article
17. Gasiorek J, Giles H, Soliz J. Accommodating new vistas. Language & Communication. 2015; 41:1–5. https://doi.org/10.1016/j.langcom.2014.10.001.
Article
18. Chevalier BA, Watson BM, Barras MA, Cottrell WN. Examining hospital pharmacists’ goals for medication counseling within the communication accommodation theoretical framework. Research in Social and Administrative Pharmacy. 2016; 12(5):747–755. https://doi.org/10.1016/j.sapharm.2015.10.008.
Article
19. Polit DF, Beck CT. Nursing research: Generating and assessing evidence for nursing practice. 9th Kor. Ed.Park JW, Kim J, Kim H, Park JH, Bae SH, Song JE, et al, translators. Paju: Soomoonsa;c2015. p. 1–48.
20. Costello AB, Osborne JW. Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation. 2005; 10(7):1–9.
21. Yu JP. Structural equation models: Concepts and understanding. Seoul: Hannarae Publishing Company;2012. p. 1–567.
22. Netemeyer RG, Bearden WO, Sharma S. Scaling Procedures: Issues and applications. Thousand Oaks (CA): Sage Publications;2003. p. 1–206.
23. Elo S, Kyngäs H. The qualitative content analysis process. Journal of Advanced Nursing. 2008; 62(1):107–115. https://doi.org/10.1111/j.1365-2648.2007.04569.x.
Article
24. Kline RB. Principles and practice of structural equation modeling. New York: Guilford Press;1998. p. 60–63.
25. Noh KS. Statistical analysis of thesis writing properly: SPSS & AMOS 21. Seoul: Hanvit Academy Press;2014. p. 109–367.
26. Lee HS, Kim JK. Relationship among communication competence, communication types, and organizational commitment in hospital nurses. Journal of Korean Academy of Nursing Administration. 2010; 16(4):488–496. https://doi.org/10.11111/jkana.2010.16.4.488.
Article
27. DeVellis RF. Scale development: Theory and applications. 4th ed. Thousand Oaks (CA): Sage Publications;2016. p. 1–205.
28. Jones L, Woodhouse D, Rowe J. Effective nurse parent communication: A study of parents’ perceptions in the NICU environment. Patient Education and Counseling. 2007; 69(1-3):206–212. https://doi.org/10.1016/j.pec.2007.08.014.
Article
29. Giles H, Coupland J, Coupland N. Contexts of accommodation: Developments in applied sociolinguistics. Cambridge: Cambridge University Press;1991. p. 1–68.
30. Bourgeois MS, Hickey EM. Dementia: From diagnosis to management: A functional approach. New York: Psychology Press;2011. p. 1–429.
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