Development and validation of an instrument measuring deterioration in social and spiritual aspects among elderly patients in Indonesia hospitals

Abstract Objective This study to develop a valid instrument in measuring the occurrence of deterioration in social and spiritual aspects of health among the elderly's patients. Method Using cross-sectional data of 130 respondents aged 60 and above, a Confirmatory Factor Analysis method (CFA) were performed to analyze the unidimensionality and significance of all items in the instrument. Result It was found that 10 of the initially 18 items measuring social aspects fix the unidimensional model CFA (RMSEA = 0.036 and CFI 0.995 all factors loadings coefficient were significant). Conclusion A set of instrument consisting of 10 items measuring social and spiritual aspects of health deterioration among the elderly patient has been proven to be valid and can be used in nursing practice. However, a technical manual for administers, scoring, and interpretation of the result are currently under development processes.