Construction and validation of the quality of oncology nursing care scale (QONCS)
Repository Posting Date2015-02-23T17:36:08Z
Lead Author Sigma AffliationNon-member
Level of EvidenceN/A
MeSH HeadingsQuality of Nursing Care; Oncologic Nursing; Nursing Care; Instrument Construction; Instrument Validation; Scales; Patient Satisfaction
There is scarcity of questionnaires specifically on the quality of the nursing care provided to patients diagnosed with cancer. The available questionnaires have been developed without attributing a holistic approach to the care provided with important patient’s needs remaining without assessment. The main aim was to develop a self-administered cancer specific questionnaire exploring patients’ views on quality nursing care provided in oncology settings.
The development of the scale proceeded through three phases. As part of the first development phase areas of concern and items of interest were identified through a literature review. The second phase included a pilot study of the QONCS and a subsequent validation phase through a multicentre study in 3 hospitals, 4 departments and 418 patients diagnosed with cancer and receiving care as inpatients. The study was designed to select items, identify dimensions, measure reliability, content and construct validity.
The QONCS consisted of 34 items. A factorial analysis grouped the items into five categories that define quality nursing care: a) Being supported and confirmed, b) Spiritual caring c) Sense of belonging, d) Being valued and e) Being respected. Cronbach’s alpha was 0.95 for the entire questionnaire. The factor solution explained 68.53% of the variance.
QONCS appears to measure with adequate reliability and validity the attributes of quality nursing care within the oncological settings and to patients with a variety of cancer diagnoses and at different phases of the cancer trajectory. The instrument is quick to disseminate and easy to complete, making it a suitable instrument for nursing professionals to evaluate patients’ self-perceived quality of nursing care as a mean to promote the quality of the care provided in oncological settings.
DescriptionA. Charalambous was responsible for the conception and design of the study, interpretation of the data and drafted the manuscript. Theodoula Adamakidou was responsible for the acquisition of the data and critically revised the manuscript. Both authors read and approved the final manuscript.
The authors wish to thank all the participants in this study. The authors would like to thank Mr. Lefkios Paikousis MSc (O.R) for editing the statistical aspects of the manuscript and Mrs Staphanie Robb MA (English Literature) for providing English language editing for the manuscript. The manuscript is supported by the Cyprus University of Technology Open Access Author Fund.
Date of Publication2014-12-19
Citation of Original PublicationCharalambous, A., & Adamakidou, T. (2014). Construction and validation of the quality of oncology nursing care scale (QONCS). BMC Nursing, 13(1), 1-19. doi:10.1186/s12912-014-0048-4. Retrieved from http://www.nursinglibrary.org/vhl/handle/10755/344992
Version of PublicationPublisher's Version
NotesThis item appears and is indexed in the Virginia Henderson Global Nursing e-Repository by way of the author’s decision to publish with BMC Nursing, an open access journal, under a Creative Commons Attribution License 4.0. The license allows users to freely share and adapt the author’s material for any purpose, even commercially. Please refer to the attached license (the icon at the bottom of this entry) for further information and terms. All terms of the license have been followed. There are no changes in this article from the original posting. Neither STTI nor the Henderson Repository has any affiliation with BMC Nursing. Each shares only a mutual desire to distribute nursing research in an open access venue.
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