Reliability and Validity of the Assessment Tool for Measuring Communication Skills in Nursing Simulation Education

시뮬레이션 교육에서 간호학생의 의사소통능력 측정도구의 신뢰도와 타당도 검증

  • Received : 2015.12.11
  • Accepted : 2016.02.11
  • Published : 2016.02.29


Purpose: This study was conducted to test whether Health Communication Assessment Tool (HCAT) developed by Campbell et al. in 2013 can be applied to assess Korean nursing students' communication skills in simulation education. Methods: The content validity of the Korean version of HCAT (K-HCAT) was evaluated through expert's assessment and a principal component analysis was conducted for testing construct validity. The convergent validity was tested by measuring relationship between the K-HCAT and those of existing communication assessment tool for standardized patient instruction. The evaluation was done by surveying 154 senior students from four different nursing colleges. Results: The K-HCAT was condensed into 15 items from the original 22 HCAT items. Four factors were extracted from the principal component analysis; factor loadings ranged from .50 to .83; cumulative explained variance was 62.65%. Four factors were entitled as 'relationship building', 'empowering', 'empathy/response', and 'education/feedback'. Cronbach's ${\alpha}$ for sub-dimensions ranged from .73 to .84. An evaluation of convergent validity showed that the scores of the K-HCAT were moderately correlated with those of an assessment tool for standardized patient instruction. Conclusion: The K-HCAT can be used as an effective tool for assessing nursing students' communication skills in various kinds of simulation educations Further research is needed to test the consistency of the K-HCAT.


Health communication;Reliability and validity;Statistical factor analysis;Patient simulation;Nursing education


  1. Park YI, Kim JA, Ko JK, Chung MS, Bang KS, Choe MA, et al. An identification study on core nursing competency. Journal of Korean Academic Society of Nursing Education. 2013;19 (4):663-74.
  2. Lee SO, Eom MR, Lee JH. Use of simulation in nursing education. Journal of Korean Academic Society of Nursing Education. 2007;13(1):90-4.
  3. Lim KC. Planning and applying simulation-based practice for the achievement of program outcomes in nursing students. Journal of Korean Academic Society of Nursing Education. 2015;21(3):393-405.
  4. Kim JH, Park IH, Shin SJ. Systematic review of korean studies on simulation within nursing education. Journal of Korean Academic Society of Nursing Education. 2013;19(3):307-19.
  5. Kardong-Edgren S, Adamson KA, Fitzgerald C. A review of currently published evaluation instruments for human patient simulation. Clinical Simulation in Nursing. 2010;6(1):e25-e35.
  6. Adamson KA, Kardong-Edgren S, Willhaus J. An updated review of published simulation evaluation instruments. Clinical Simulation in Nursing. 2013;9(9):e393-e400.
  7. Lee JS, Park SM, Jeon SS, Choi JS, Kim MO, Kim R, et al. Communication experiences between psychiatric nurses and patients. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2002;11(4):596-608.
  8. Cho YE, Kim KS. Effects of assertiveness training program for intensive care units nurses. Journal of Korean Clinical Nursing Research. 2013;19(2):255-64.
  9. Campbell S, Daley K. Simulation scenarios for nursing educators: making it real. 2nd ed. New York: Springer Publishing Company; 2012.
  10. Han YI. Effects of nursing simulation-based practice education on learning outcome and classes experience in nursing students. Journal of Korean Health Service Management. 2014; 8(1):135-50.
  11. Hyun KS, Kang HS, Kim WO, Park S, Lee J, Sok S. Development of a multimedia learning DM diet education program using standardized patients and analysis of its effects on clinical competency and learning satisfaction for nursing students. Journal of Korean Academy of Nursing. 2009;39(5):249-58.
  12. Kim JY, Hur NR, Jeon HJ, Jung DY. Effects of simulation education on the communication competence, academic selfefficacy, and attitude about the elderly for nursing students: a learning approach based on an elderly-withcognition-disorder scenario. Journal of Korean Academic Society of Nursing Education. 2015;21(1):54-64.
  13. Hur KH. Construction and validation of a global interpersonal communication competence scale. Journal of Korean Journalism & Communication Studies. 2003;47(6):380-408.
  14. Yoo MS. The effectiveness of standardized patient managed instruction for a fundamentals of nursing course. Journal of Nursing Query. 2001;10(1):89-109.
  15. Bong EJ. Effect of interpersonal relationships and communication curriculum were utilized group activities on interpersonal relationships and communication self-efficacy among nursing student. Journal of The Korea Contents Association. 2013;13(10):394-402.
  16. Campbell SH, Pagano MP, O'Shea ER, Connery C, Caron C. Development of the health communication assessment tool: enhancing relationships, empowerment, and power-sharing skills. Clinical Simulation in Nursing. 2013;9(11):e543-e50.
  17. Tabachnick BG, Fidell LS. Using multivariate statistics. Boston: Allyn and Bacon; 2001.
  18. Song MR, Kim EM, Yu SJ. Analysis on the competency of nursing students' basic nursing skills. Journal of The Korea Contents Association. 2012;12(6):390-401.
  19. Lee SE. Evaluation of the standardized patients managed instruction for a clinical maternity nursing course. Journal of Korean Academic Society of Nursing Education. 2011;17(1):14-24.
  20. Sok SR, Kang HS, Kim WO, Hyun KS, Lee J, Park S. Effects and development of clinical competency evaluation using standardized patients among nursing students: based on abdominal surgical patients. Journal of Korean Academic Society of Adult Nursing. 2009;21(5):468-76.
  21. Dunn JD. Powerlessness regarding health service barriers: construction of an instrument. International Journal of Nursing Terminologies and Classifications. 1998;9(s2):136-43.
  22. Waltz CF, Bausell BR. Nursing research: design statistics and computer analysis. Philadelphia: FA Davis Company; 1981.
  23. Han SS, Lee SC. Nursing & health statistical analysis. 2nd ed. Seoul: Fornursebook; 2008.
  24. Nunnally JC, Bernstein IH. Psychometric theory. New York: McGraw-Hill; 1996.
  25. Maguire MB, Bremner MN, Yanosky DJ. Reliability and validity testing of pilot data from the TeamSTEPPS$^{(R)}$ performance observation tool. Journal of Nursing and Care. 2014;3(202):1-6.
  26. Lisa KH. Communication for nurses. Korea University Nursing Research Institute, translator, Seoul: Koonja publisher; 2010.
  27. Won YH, Kang JY. Intensive care unit nurse's communication experience. Journal of Korean Academic Society of Adult Nursing. 2014;26(3):352-61.
  28. Xu Y, Shen J, Bolstad AL, Covelli M, Torpey M. Evaluation of an intervention on socio-cultural communication skills of international nurses. Nursing Economics, 2010;28(6):386-92.
  29. Joo GE, Song KE, Kim HJ. Effects of a standardized patient simulation program for nursing students on nursing competence, communication skill, self-efficacy and critical thinking ability for blood transfusion. Journal of Korean Fundamentals of Nursing. 2015;22(1):49-58.
  30. Park SY, Kweon YR. The effect of using standardized patients in psychiatric nursing practical training for nursing college students. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2012;21(1):79-88.

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Supported by : 한국연구재단