Factor Analysis of the Processes Used by Nursing Home Staff in Developing Relationships with Abused Children

Monday, 30 July 2012

Yukiko Sato, PhD1
Shiho Sato, MS2
Eiko Suzuki, PhD3
Miyuki Saito, PhD, RN, PHN2
Akiko Maruyama, MN, RN4
(1)School of Nursing, Yamagata University, Yamagata City, Japan
(2)School of Nursing, Yamagata University, Yamagata, Japan
(3)Department of nursing, Nagano College, Komagane Nagano, Japan
(4)Dpertment of Nursing, Saitama Medical University, Saitama, Japan

Learning Objective 1: Factor analysis of the processes used by nursing home staff in developing relationships with abused children.

Learning Objective 2: To create a question sheet based on concrete examples of the framework concepts that were apparent in the qualitative studyD

Purpose:  Previously, we conducted a qualitative study on the processes used by the staff members of the nursing home to develop relationships with abused children, in which framework concepts were clarified. We have now expanded on our previous work in this study. The purpose of this study is to create a question sheet based on concrete examples of the framework concepts that were apparent in the qualitative study and conduct a factor analysis to verify the concepts.

Methods: In total, 305 staff members of nursing homes were selected randomly from 23 facilities as the subjects. The survey was conducted from November 2010 to January 2011, and a self-recording questionnaire method was used. The question sheets were sent to these facilities and returned. Question items included basic attributes, our question sheet (41 items on a 5-grade scale) created from the framework concepts of the previous study, an empathy scale, and the Parental Bonding Instrument (PBI). Informed consent was obtained on a voluntary basis after a written explanation was provided to the subjects.

Results: Nine factors were extracted from the analysis. These included “Receptive involvement of children”, “A feeling of difficulty in dealing with children”, “Staff attitude to work”, “understanding children”, “Advice from other staff”,“ Interpreting children’s feelings”, and“ Desire to live a normal life”. Furthermore, we observed a correlation between the empathy scale and PBI. 

 Conclusion: Moreover, it was apparent that the 7 items noted above were conceptually consistent with the results of the health study within the qualitative research. The framework concepts of the processes used by staff members of health institutions in developing relationships with abused children were revealed. In future, we will conduct surveys on the development of staff relationships and use these to aid staff with relationship difficulties.