J. Jpn. Acad. Nurs. Sci. 35: (2015)

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J. Jpn. Acad. Nurs. Sci., Vol. 35, pp. 257 266, 2015 DOI: 10.5630/jans.35.257 Development of Natural Disaster Preparedness Scale for Nursing Department of Hospital: Reliability and Validity as Scale Ayumi Nishigami Key wordsnatural disaster, nursing department of hospital, preparedness, scale Abstract Objective: The purpose of this study was to verify reliability and validity of the Natural Disaster Preparedness Scale for Nursing Department of Hospital that we had prepared. Method: The items for the scale were extracted from materials including literatures, and corrected and pretested by specialists. The scale consisted of the following 114 items: 49 in Plan, 11 in Organize, 14 in Equip, 22 in Train, 9 in Exercise and 9 in Evaluate and Improve. The subjects included nursing departments of 4,298 hospitals in Japan. The survey was made via postal mails, and analyses were made using correlation coefficient and reliability coefficient. The survey was conducted from May to June 2013. Results: Responses were obtained from 723 hospitals. Of these, 555 facilities (12.9%) had sent valid answers. For reliability, alpha-coefficient for the entire scale score was 0.987, and that for each subscale was 0.843 0.971. The criterion-referenced validity and construct validity were also verified. Conclusion: Although the number of items is still too large, this scale is useful to measure preparedness against natural disasters in hospital nursing departments. 49 11 14 22 9 9 114 4,298 2015 4 24 2015 11 8 Faculty of Health Science and Nursing, Baika Womens University E-maila-nishigami@baika.ac.jp 2015 Japan Academy of Nursing Science 257 J. Jpn. Acad. Nurs. Sci., Vol. 35, 2015

2013 56 723 555 12.9% 0.987, 0.8430.971 24 365 Department of Homeland Security 2008 Preparedness Cycle 6 Plan Organize Train Equip Exercise Evaluate and improve 114 4 1 2 3 4 5 6 6 25 114 2015a 900 27.0% 24.8 2015b 1 5 900 4,298 35 2015 258

2013 5 6 14 114 CMP IBM SPSS Statistics Ver. 20 2 CMP Niska 2006 Joint Commission on Accreditation of Healthcare Organization JCAHO t CMP 2004 SFC 2005 1200 CMP Spearman t I T G P A4 10 3 24 1 4,298 723 16.8% 723 114 167 1 168 555 12.9% 553 189.2 201000 259 J. Jpn. Acad. Nurs. Sci., Vol. 35, 2015

354 63.8%110 19.8% 259 46.7%131 23.6% 464 83.6% 403 3.2 110 432 77.8% 115 20.7% 13 3.0%16 3.7% 299 69.2% 37 8.6%55 12.7%11 2.5% 114 251.1SD 68.6 49 111.7SD 29.1 11 23.2SD 7.2 14 31.6SD 9.7 22 47.6SD 14.8 9 18.9SD 6.1 9 18.2SD 7.4 252 0.1710.496 Kolmogolov Smirnov Lilliefors p=0.069 114 24 3.5 SD 0.7 36 1.4 SD 0.6 70% I T 0.987 0.987 I T 0.2810.776, 0.4 98 0.281 0.2860.784 0.4 I T 98 0.286 114 0.987 1 49 0.971, 2 11 0.884, 3 14 0.930, 4 22 0.958, 5 9 0.843, 6 9 0.951 0.8 t 263 274.3SD 64.0 292 230.2 35 2015 260

261 J. Jpn. Acad. Nurs. Sci., Vol. 35, 2015

SD 65.9 Levene F 0.817, p=0.366 t 7.994 p<0.001 p<0.001 6 p<0.001 555 CMP 332 CMP 332 569.8SD 188.3CMP 35 2015 262

0.865 CMP 1000 2 CMP CMP Spearman r=0.730, p<0.001 CMP 6 6 Spearman p<0.001 t 546 100 302.9SD 57.5 446 239.4SD 65.7 p<0.001 548 2 96 452 t 307.7SD 58.3 239.4SD 64.2 p<0.001 t 554 278.9SD 71.5 242.4SD 65.3 p<0.001 t 554 279.7SD 68.2 238.3SD 64.9 p<0.001 0.971 0.9700.971 I T 0.3960.778 0.4 0.884 0.8670.879 I T 0.5250.701 0.4 0.930 0.9230.929 I T 0.5140.740 0.4 0.958 0.9550.958 I T 0.5120.815 0.4 0.843 0.8110.847 98 0.847 I T 0.3470.692 0.4360.795 I T 0.347 0.4 0.436 263 J. Jpn. Acad. Nurs. Sci., Vol. 35, 2015

0.4 0.951 0.9440.948 I T 0.7580.837 0.4 G P 251.1 252 251 114 t p<0.001 114 6 Kolmogolov Smirnov Lilliefors p=0.032 p=0.057 p=0.047p=0.050 p=0.067p=0.109 6 Spearman 16.8% 13.3% 2006 723 555 A4 10 114 0.987 6 0.8430.971 0.8 Polit 2004/2010, p. 4360.987 114 CMP CMP 0.7 1 2 34 4 114 I T I T 98 0.4 0.2 ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** 35 2015 264

1 0.286 0.4 0.8 Pan American Health Organization2008Hospital Safety Index 145 456 251.1 25 114 114 6 114 2 5 6 3 16.8% 114 265 J. Jpn. Acad. Nurs. Sci., Vol. 35, 2015

114 6 CMP 25 34 Department of Homeland Security (2008): National Response Framework, 27 32, http://www.fema.gov/pdf/ emergency/nrf/nrf-core.pdf 2006 MM 231 117 123. 2004 CMP 2004 8 40 48. SFC 2005 1 10. 2015a 172 2015b 202 222 232. Niska R. W., Burt C. W. (2006): Training for terrorismrelated conditions in hospitals: United States, Adv. Data, 380(380), 1 8. Pan American Health Organization (2008): Hospital Safety Index: Guide for Evaluators, 83 107, http://www.preven tionweb.net/files/8974_safehosevaluatorguideeng1.pdf (2015/6/20) Polit D. F., Beck C. T. 20042010 2 35 2015 266