1.A Scale for Continuity of Care in Home Health Care: A Development and Validation Study
Journal of Korean Academy of Community Health Nursing 2025;36(1):35-48
Purpose:
This study aims to develop and test the psychometric properties of a scale for measuring the continuity of care specific to home health care patients in the context of Korean long-term care insurance services.
Methods:
In phase 1, the initial item pool was created based on the concept analysis results using a literature review and in-depth interviews. Phase 2 evaluated the psychometric properties of the scale in the survey conducted in 2021 using a sample of 202 receiving longterm care visiting nursing services. Exploratory factor analysis (EFA) was used to examine the construct validity. An internal consistency was examined using Cronbach’s α. Known group validity and criterion validity were assessed.
Results:
The EFA suggested five factors: therapeutic relationship, coordination of care, service availability, customized care plan, and consistency in service provision. The internal consistency reliability of the continuity of care scale was satisfactory (Cronbach’s α=.96). Known-group validity was established by comparing the continuity of care scores for high utilizers of home-visiting nursing services and low utilizers of home-visiting nursing services. Criterion validity was confirmed through the correlation between the developed scale and the performance of the visiting nurse service scale.
Conclusion
The developed scale was found to be reliable and relatively valid for measuring the patient’s perceived continuity of care within the Korean long-term care visiting nursing system.
2.A Scale for Continuity of Care in Home Health Care: A Development and Validation Study
Journal of Korean Academy of Community Health Nursing 2025;36(1):35-48
Purpose:
This study aims to develop and test the psychometric properties of a scale for measuring the continuity of care specific to home health care patients in the context of Korean long-term care insurance services.
Methods:
In phase 1, the initial item pool was created based on the concept analysis results using a literature review and in-depth interviews. Phase 2 evaluated the psychometric properties of the scale in the survey conducted in 2021 using a sample of 202 receiving longterm care visiting nursing services. Exploratory factor analysis (EFA) was used to examine the construct validity. An internal consistency was examined using Cronbach’s α. Known group validity and criterion validity were assessed.
Results:
The EFA suggested five factors: therapeutic relationship, coordination of care, service availability, customized care plan, and consistency in service provision. The internal consistency reliability of the continuity of care scale was satisfactory (Cronbach’s α=.96). Known-group validity was established by comparing the continuity of care scores for high utilizers of home-visiting nursing services and low utilizers of home-visiting nursing services. Criterion validity was confirmed through the correlation between the developed scale and the performance of the visiting nurse service scale.
Conclusion
The developed scale was found to be reliable and relatively valid for measuring the patient’s perceived continuity of care within the Korean long-term care visiting nursing system.
3.A Scale for Continuity of Care in Home Health Care: A Development and Validation Study
Journal of Korean Academy of Community Health Nursing 2025;36(1):35-48
Purpose:
This study aims to develop and test the psychometric properties of a scale for measuring the continuity of care specific to home health care patients in the context of Korean long-term care insurance services.
Methods:
In phase 1, the initial item pool was created based on the concept analysis results using a literature review and in-depth interviews. Phase 2 evaluated the psychometric properties of the scale in the survey conducted in 2021 using a sample of 202 receiving longterm care visiting nursing services. Exploratory factor analysis (EFA) was used to examine the construct validity. An internal consistency was examined using Cronbach’s α. Known group validity and criterion validity were assessed.
Results:
The EFA suggested five factors: therapeutic relationship, coordination of care, service availability, customized care plan, and consistency in service provision. The internal consistency reliability of the continuity of care scale was satisfactory (Cronbach’s α=.96). Known-group validity was established by comparing the continuity of care scores for high utilizers of home-visiting nursing services and low utilizers of home-visiting nursing services. Criterion validity was confirmed through the correlation between the developed scale and the performance of the visiting nurse service scale.
Conclusion
The developed scale was found to be reliable and relatively valid for measuring the patient’s perceived continuity of care within the Korean long-term care visiting nursing system.
4.A Scale for Continuity of Care in Home Health Care: A Development and Validation Study
Journal of Korean Academy of Community Health Nursing 2025;36(1):35-48
Purpose:
This study aims to develop and test the psychometric properties of a scale for measuring the continuity of care specific to home health care patients in the context of Korean long-term care insurance services.
Methods:
In phase 1, the initial item pool was created based on the concept analysis results using a literature review and in-depth interviews. Phase 2 evaluated the psychometric properties of the scale in the survey conducted in 2021 using a sample of 202 receiving longterm care visiting nursing services. Exploratory factor analysis (EFA) was used to examine the construct validity. An internal consistency was examined using Cronbach’s α. Known group validity and criterion validity were assessed.
Results:
The EFA suggested five factors: therapeutic relationship, coordination of care, service availability, customized care plan, and consistency in service provision. The internal consistency reliability of the continuity of care scale was satisfactory (Cronbach’s α=.96). Known-group validity was established by comparing the continuity of care scores for high utilizers of home-visiting nursing services and low utilizers of home-visiting nursing services. Criterion validity was confirmed through the correlation between the developed scale and the performance of the visiting nurse service scale.
Conclusion
The developed scale was found to be reliable and relatively valid for measuring the patient’s perceived continuity of care within the Korean long-term care visiting nursing system.
5.A Scale for Continuity of Care in Home Health Care: A Development and Validation Study
Journal of Korean Academy of Community Health Nursing 2025;36(1):35-48
Purpose:
This study aims to develop and test the psychometric properties of a scale for measuring the continuity of care specific to home health care patients in the context of Korean long-term care insurance services.
Methods:
In phase 1, the initial item pool was created based on the concept analysis results using a literature review and in-depth interviews. Phase 2 evaluated the psychometric properties of the scale in the survey conducted in 2021 using a sample of 202 receiving longterm care visiting nursing services. Exploratory factor analysis (EFA) was used to examine the construct validity. An internal consistency was examined using Cronbach’s α. Known group validity and criterion validity were assessed.
Results:
The EFA suggested five factors: therapeutic relationship, coordination of care, service availability, customized care plan, and consistency in service provision. The internal consistency reliability of the continuity of care scale was satisfactory (Cronbach’s α=.96). Known-group validity was established by comparing the continuity of care scores for high utilizers of home-visiting nursing services and low utilizers of home-visiting nursing services. Criterion validity was confirmed through the correlation between the developed scale and the performance of the visiting nurse service scale.
Conclusion
The developed scale was found to be reliable and relatively valid for measuring the patient’s perceived continuity of care within the Korean long-term care visiting nursing system.
6.Development of Theory of Uncertainty on COVID-19: Theory Derivation Based on Uncertainty in Illness Theory
Journal of Korean Academy of Community Health Nursing 2024;35(3):272-283
Purpose:
The purpose of this study is to develop the Theory of Uncertainty on COVID-19 using the strategy of theory derivation.
Methods:
Theory derivation was carried out in the following steps: review the literature to explore the phenomena related to uncertainty on COVID-19; select a parent theory that provides valuable concepts and a useful structure for derivation, and identify the concepts and structure of the parent theory to use in derivation; modify and redefine the concepts and structure of the parent theory to create a derived theory. In the literature review process, relevant findings were synthesized to support the propositions of the derived theory.
Results:
The Theory of Uncertainty on COVID-19 was derived from the Uncertainty in Illness Theory to make it relevant and applicable to a specific aspect of uncertainty on COVID-19, health-related uncertainty perceived by a person who has not contracted COVID-19. It is a middle-range theory targeting the general population and consists of a linear and unidirectional model centered on three themes: antecedents of uncertainty, appraisal of uncertainty, and coping with uncertainty.
Conclusion
The Theory of Uncertainty on COVID-19 will be able to contribute to efforts to manage perceived uncertainty on pandemic diseases and improve individual biopsychosocial health in the future.
7.Development of Theory of Uncertainty on COVID-19: Theory Derivation Based on Uncertainty in Illness Theory
Journal of Korean Academy of Community Health Nursing 2024;35(3):272-283
Purpose:
The purpose of this study is to develop the Theory of Uncertainty on COVID-19 using the strategy of theory derivation.
Methods:
Theory derivation was carried out in the following steps: review the literature to explore the phenomena related to uncertainty on COVID-19; select a parent theory that provides valuable concepts and a useful structure for derivation, and identify the concepts and structure of the parent theory to use in derivation; modify and redefine the concepts and structure of the parent theory to create a derived theory. In the literature review process, relevant findings were synthesized to support the propositions of the derived theory.
Results:
The Theory of Uncertainty on COVID-19 was derived from the Uncertainty in Illness Theory to make it relevant and applicable to a specific aspect of uncertainty on COVID-19, health-related uncertainty perceived by a person who has not contracted COVID-19. It is a middle-range theory targeting the general population and consists of a linear and unidirectional model centered on three themes: antecedents of uncertainty, appraisal of uncertainty, and coping with uncertainty.
Conclusion
The Theory of Uncertainty on COVID-19 will be able to contribute to efforts to manage perceived uncertainty on pandemic diseases and improve individual biopsychosocial health in the future.
8.Development of Theory of Uncertainty on COVID-19: Theory Derivation Based on Uncertainty in Illness Theory
Journal of Korean Academy of Community Health Nursing 2024;35(3):272-283
Purpose:
The purpose of this study is to develop the Theory of Uncertainty on COVID-19 using the strategy of theory derivation.
Methods:
Theory derivation was carried out in the following steps: review the literature to explore the phenomena related to uncertainty on COVID-19; select a parent theory that provides valuable concepts and a useful structure for derivation, and identify the concepts and structure of the parent theory to use in derivation; modify and redefine the concepts and structure of the parent theory to create a derived theory. In the literature review process, relevant findings were synthesized to support the propositions of the derived theory.
Results:
The Theory of Uncertainty on COVID-19 was derived from the Uncertainty in Illness Theory to make it relevant and applicable to a specific aspect of uncertainty on COVID-19, health-related uncertainty perceived by a person who has not contracted COVID-19. It is a middle-range theory targeting the general population and consists of a linear and unidirectional model centered on three themes: antecedents of uncertainty, appraisal of uncertainty, and coping with uncertainty.
Conclusion
The Theory of Uncertainty on COVID-19 will be able to contribute to efforts to manage perceived uncertainty on pandemic diseases and improve individual biopsychosocial health in the future.
9.Development of Theory of Uncertainty on COVID-19: Theory Derivation Based on Uncertainty in Illness Theory
Journal of Korean Academy of Community Health Nursing 2024;35(3):272-283
Purpose:
The purpose of this study is to develop the Theory of Uncertainty on COVID-19 using the strategy of theory derivation.
Methods:
Theory derivation was carried out in the following steps: review the literature to explore the phenomena related to uncertainty on COVID-19; select a parent theory that provides valuable concepts and a useful structure for derivation, and identify the concepts and structure of the parent theory to use in derivation; modify and redefine the concepts and structure of the parent theory to create a derived theory. In the literature review process, relevant findings were synthesized to support the propositions of the derived theory.
Results:
The Theory of Uncertainty on COVID-19 was derived from the Uncertainty in Illness Theory to make it relevant and applicable to a specific aspect of uncertainty on COVID-19, health-related uncertainty perceived by a person who has not contracted COVID-19. It is a middle-range theory targeting the general population and consists of a linear and unidirectional model centered on three themes: antecedents of uncertainty, appraisal of uncertainty, and coping with uncertainty.
Conclusion
The Theory of Uncertainty on COVID-19 will be able to contribute to efforts to manage perceived uncertainty on pandemic diseases and improve individual biopsychosocial health in the future.
10.Development of Theory of Uncertainty on COVID-19: Theory Derivation Based on Uncertainty in Illness Theory
Journal of Korean Academy of Community Health Nursing 2024;35(3):272-283
Purpose:
The purpose of this study is to develop the Theory of Uncertainty on COVID-19 using the strategy of theory derivation.
Methods:
Theory derivation was carried out in the following steps: review the literature to explore the phenomena related to uncertainty on COVID-19; select a parent theory that provides valuable concepts and a useful structure for derivation, and identify the concepts and structure of the parent theory to use in derivation; modify and redefine the concepts and structure of the parent theory to create a derived theory. In the literature review process, relevant findings were synthesized to support the propositions of the derived theory.
Results:
The Theory of Uncertainty on COVID-19 was derived from the Uncertainty in Illness Theory to make it relevant and applicable to a specific aspect of uncertainty on COVID-19, health-related uncertainty perceived by a person who has not contracted COVID-19. It is a middle-range theory targeting the general population and consists of a linear and unidirectional model centered on three themes: antecedents of uncertainty, appraisal of uncertainty, and coping with uncertainty.
Conclusion
The Theory of Uncertainty on COVID-19 will be able to contribute to efforts to manage perceived uncertainty on pandemic diseases and improve individual biopsychosocial health in the future.

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