Global Exemplar SeriesCross-cultural Validation of the Spiritual Interests Related to Illness Tool-Korean VersionKang, Kyung-Ah PhD, RN; Mamier, Iris PhD, RN; Chun, Jiyoung PhD, RN; Taylor, Elizabeth Johnston PhD, RN, FAANAuthor Information Kyung-Ah Kang, PhD, RN, is professor, College of Nursing, Sahmyook University, Seoul, Republic of Korea. Iris Mamier, PhD, RN, is associate professor, School of Nursing, Loma Linda University, CA. Jiyoung Chun, PhD, RN, is assistant professor, College of Nursing, Sahmyook University, Seoul, Republic of Korea. Elizabeth Johnston Taylor, PhD, RN, FAAN, is professor, School of Nursing, Loma Linda University, CA. Address correspondence to Jiyoung Chun, PhD, RN, College of Nursing, Sahmyook University, 815, Hwarang-ro, Nowon-gu, Seoul 01795, Republic of Korea ([email protected], [email protected]). The authors have no conflicts of interest to disclose. This article was supported by the Sahmyook University Research Fund in 2019. Author Contributions:Study conception and design: K.A.K. and I.M. Data collection: K.A.K. and J.Y.C. Data analysis and interpretation: K.A.K. and J.Y.C. Drafting of the article: K.A.K., J.Y.C., and E.J.T. Critical revision of the article: E.J.T., K.A.K., and I.M. Journal of Hospice & Palliative Nursing: February 2021 - Volume 23 - Issue 1 - p 98-108 doi: 10.1097/NJH.0000000000000718 Buy Metrics Abstract Living with a terminal illness, whether as a patient or as the family member of a patient, often involves spiritual challenges. The ability to ascertain and meet the spiritual needs of terminally ill patients and their loved ones is an essential part of providing compassionate and competent whole person care. This study aimed to adapt the original Spiritual Interests Related to Illness Tool (SpIRIT) for use in Korea (SpIRIT-K) and to assess its reliability and validity as a tool to determine the spiritual needs of terminally ill Korean patients and their caregivers. After translation–back-translation and content validity indexing, SpIRIT-K was administered to 106 terminally ill patients and 105 family caregivers in 20 sites across South Korea. SPSS and AMOS were used for evaluating validity and reliability. The 37-item SpIRIT-K consisted of 8 factors (subscales), with each subscale consisting of between 3 and 8 items. Evidence for structural and convergent validity was observed. Internal reliability of the overall scale was 0.95. The findings showed patients and family caregivers reported no significant difference in 7 of the 8 subscales, demonstrating known-groups validity. The rigorous process of establishing cross-cultural validity for this scale provided evidence supporting its validity and reliability. The findings suggest that SpIRIT-K is suitable for research and for clinical purposes in palliative care settings in South Korea. This development also allows for comparisons between Korean and North American cultures in terms of spiritual needs among terminally ill patients and their caregivers. Copyright © 2020 by The Hospice and Palliative Nurses Association. All rights reserved.