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KMID : 1004620080140010139
Clinical Nursing Research
2008 Volume.14 No. 1 p.139 ~ p.150
Development of Relocation Stress Syndrome(RSS) Scale for Patients Transfered from Intensive Care Unit to General Ward
Son Youn-Jung

Abstract
Purpose: The aim of this study was to develop instrument measuring the relocation stress syndrome for patients
transferred from intensive care unit to general ward in Korea.

Methods: For item construction, components were drawn from an extensive review of the literature, existing instruments and the result of qualitative approach. A total 48 items were selected for the first draft. Ten experts evaluated this instrument for content validity and the number of items was reduced to 29. To refine and test reliability and validity of the instrument, data were collected from the 594 patients following transfer from intensive care unit.

Results: Preliminarily twenty-nine items were generated through content validity and a pilot study. Using corrected items to total correlation coefficient, this instrument was further shortened to a 25 item scale. Factor analysis extracted a total of 23 items with a 5-point Likert-type scale. Relocation Stress Syndrome (RSS) included three subscales; physical factors (12 items), Patient¡¯s recognition to health care providers (8 items), and emotional factors (3 items). The RSS established content validity, construct validity, and reliability.

Conclusions: This instrument demonstrates good reliability and validity, and therefore it is an appropriate measurement of assessing relocation stress syndrome in ICU to ward transition period.
KEYWORD
Transfer, Stress, Intensive care unit, General wards, Instruments
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