International Journal of Nursing Practice最新文献

{"title":"Investigation of the Relationship Between Perceived Leadership Behaviours of Nurses and Hospital Safety Culture: A Study With the Structural Equation Model","authors":"Aysun Ünal,&nbsp;Nezaket Yıldırım,&nbsp;Selma Öncel","doi":"10.1111/ijn.13324","DOIUrl":"10.1111/ijn.13324","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Work environments that support patient safety initiatives are important for quality service and patient outcomes. The relationship between the leadership behaviours of nurse managers and safety culture, which has the potential to support these initiatives, constitutes one of the most important knowledge gaps.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The study aimed to determine the relationship between nurses' perceived leadership behaviours and hospital safety culture and the factors affecting them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>We tested the theoretical model using structural equation modelling with the AMOS 21 program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The research was conducted with 134 nurses in two public hospitals in the south of Türkiye. Data were collected between October and December 2021 using the Leadership Behaviour Questionnaire and the Patient Safety Culture Hospital Questionnaire. Descriptive statistical analysis used to evaluate the data of the study. Structural equation modelling analysis and confirmatory factor analysis performed to test the research hypotheses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study found that non-punitive attitudes towards the mistakes had a full mediating effect on overall perception of safety interaction with employee-oriented leadership and high-level hospital interventions (β = −0.510, 95% CI −1.006/−0.076), and change had partly mediating effect on overall perception of safety interaction with change-oriented leadership (β = −0.510, 95% CI −1.043/−0.053).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>It is clear that if nurse managers are to improve the staff's patient safety culture, they should develop change-oriented leadership skills by identifying adverse events and risks and motivating staff to learn from errors without taking punitive measures. In this context, healthcare organizations should evaluate the leadership qualities of managers. Managers at all levels can make plans to develop leadership behaviours that will play a facilitating role in improving patient safety.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated With Low Childbirth Self-Efficacy for Vaginal Birth in High-Risk Pregnant Women","authors":"Yılmaz Sarıboğa,&nbsp;Zeynep Gürkan,&nbsp;Remzi Sarıkaya","doi":"10.1111/ijn.13323","DOIUrl":"10.1111/ijn.13323","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Low childbirth self-efficacy is a significant indicator of vaginal birth and is closely related to adverse perinatal outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to evaluate factors associated with low childbirth self-efficacy for vaginal birth in high-risk pregnant women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This descriptive study was conducted between July and December 2022 in Van, Turkey, with a total of 200 participants. Data collection instruments included a Socio-demographic Questionnaire and the Self-Efficacy Regarding Vaginal Birth (SEVB) scale. Independent <i>t</i>-test, chi-square test and multivariable binary logistic regression were employed for data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean age of the participants was 27.74 ± 5.12 years, and the mean gestational age was 33.22 ± 4.28 weeks. Unplanned pregnancy status (<i>p</i> = 0.002), a history of caesarean section (<i>p</i> = 0.013), multiparity (<i>p</i> = 0.001), age (<i>p</i> &lt; 0.01) and gestational age (<i>p</i> = 0.001) were associated with low childbirth self-efficacy for vaginal birth. In multivariate analysis, only age (B: 1111; 95% CI: 1038–1189; <i>p</i> = 0.002) and gestational age (B: 1120; 95% CI: 1034–1214; <i>p</i> = 0.004; and <i>p</i> = 0.005) were independently associated with low childbirth self-efficacy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Low childbirth self-efficacy for vaginal birth was associated with higher maternal age and gestational ages. Identifying high-risk pregnant women with low childbirth self-efficacy will improve the care process for women and their newborns.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Technology-Based Interventions for Pain in Children Undergoing Surgery: A Systematic Review and Meta-Analysis","authors":"Mustafa Volkan Düzgün,&nbsp;Cafer Özdemir,&nbsp;Ayşegül İşler,&nbsp;Ebru Karazeybek","doi":"10.1111/ijn.13322","DOIUrl":"10.1111/ijn.13322","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This systematic review and meta-analysis aimed to evaluate the effect of technology-based interventions on the pain of paediatric surgery patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Recently, the number of technology-based interventions involving multimodal nonpharmacological methods tailored to pain management in paediatric surgery patients has increased. It is crucial to determine the effectiveness of these interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A systematic review and meta-analysis of randomized controlled trials following Cochrane methods was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Review Methods</h3>\u0000 \u0000 <p>We performed a literature search in the Web of Science, PubMed, CINAHL, Science Direct, MEDLINE, ProQuest and Cochrane Library databases. Two independent researchers screened the literature using specific keywords and selected randomized controlled trials based on the inclusion and exclusion criteria. Each researcher extracted data and assessed the risk of bias in the randomized controlled trials using the Cochrane bias risk assessment tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>We conducted a meta-analysis on 14 randomized controlled trials included in the study. The results showed that technology-based interventions reduced pain scores in paediatric surgery patients. Cochran's <i>Q</i> test results pointed to a high level of heterogeneity among the randomized controlled trials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A meta-analysis result of 14 randomized controlled trials showed that technology-based interventions are effective methods for reducing pain in paediatric surgery patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Registration Number</h3>\u0000 \u0000 <p>CRD42021226666.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity and Reliability of the Turkish Version of the Maternal Ambivalence Scale","authors":"Nülüfer Erbil,&nbsp;Hilal Gül Boyraz Yanık","doi":"10.1111/ijn.13319","DOIUrl":"10.1111/ijn.13319","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study was to adapt the Maternal Ambivalence Scale (MAS) to Turkish culture and to conduct validity and reliability studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>The sample of the methodological type consisted of women (<i>n</i> = 302) who applied to the outpatient clinics of a university hospital in the north of Türkiye.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The data of the study were collected with the Personal Information Form, Depression Anxiety Stress Scale-21 and MAS. Explanatory and confirmatory factor analysis was used to analyse the data, and Cronbach's alpha coefficient and item-total correlation were used to analyse internal consistency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Language validity of the scales was ensured by the translation–back-translation method and content validity according to expert opinions. It was found that MAS consists of three sub-dimensions as the original structure, factor loadings are above 0.30 and the explained variance is 55.219%. It was found that the fit index values of the scale were x2/SD value 2.74, CFI 0.895, RMSA 0.0761 and SRMR 0.0679 and the model was acceptable. Cronbach's alpha reliability coefficient of MAS was found to be 0.824, and the mean score was 23.04 ± 6.96.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It was determined that Turkish MAS is valid and reliable measurement tool.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Management Behaviours in Rheumatoid Arthritis Patients: What Role Do Health Beliefs Play?","authors":"Huiling Hu,&nbsp;Anqi Xu,&nbsp;Zhenqing Wang,&nbsp;Chao Gao,&nbsp;Xue Wu","doi":"10.1111/ijn.13320","DOIUrl":"10.1111/ijn.13320","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Self-management is the intrinsically controlled ability of an active, responsible, informed and autonomous individual to live with the medical, role and emotional consequences of his chronic conditions in partnership with his social network and the healthcare providers. This study evaluated the self-management behaviours of patients with rheumatoid arthritis and assess the association between health beliefs and self-management behaviours.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study investigated 269 rheumatoid arthritis patients' self-management behaviours using the Self-Care Behaviours Scale with a score of 0–4 for each item and a total score of 0–100 points, and health beliefs using the Arthritis Health Belief Inventory with a score of 1–5 for each item and a total score of 0–165 points. Structural equation modelling with maximum likelihood method was used to explore the mediating effect of health beliefs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The patients' mean score for self-management behaviours was at the intermediate level (2.49 ± 0.60). Sex, marital status, per capita monthly income, payment of medical expenses, social status, disease staging, duration of morning stiffness, joint pain score, treatment, receiving health education, perceived severity, perceived benefits, cue to action and health motivation were significant predictors of the average score of self-management behaviour of the rheumatoid arthritis patients. Perceived severity, perceived benefits, cues to action and health motivation directly affected self-management behaviours; perceived severity influenced self-management behaviours through the mediating effect of cues to action; and health motivation affected self-management behaviours through the chain mediating effect of perceived benefits and cues to action.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Self-management behaviour of rheumatoid arthritis patients was at a moderate level, and health beliefs can effectively explain the differences in self-management behaviour scores. Health providers should pay attention to patients with different sociodemographic characteristics and disease-related characteristics, evaluate their health belief level, and develop targeted intervention measures to further improve patients' self-management behaviour level and improve their disease prognosis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Sensory-Based Interventions on Delirium Prevention in Critically Ill Patients: A Systematic Review and Meta-Analysis","authors":"Chenli Xu,&nbsp;Yan Zhang,&nbsp;Dajiang Yuan,&nbsp;Cuiling Wang,&nbsp;Xiaoru Wang,&nbsp;Xiaojuan Liang,&nbsp;Junli Wang,&nbsp;Junfang Duan","doi":"10.1111/ijn.13321","DOIUrl":"10.1111/ijn.13321","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To identify, appraise and synthesize current evidence on different sensory-based interventions on delirium prevention in critically ill patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data Sources</h3>\u0000 \u0000 <p>A comprehensive electronic literature search was performed in the PubMed, Embase, Cumulative Index of Nursing and Allied Health Literature, Cochrane Library, China Biology Medicine, China National Knowledge Infrastructure, Wanfang and WeiPu databases from inception to 2 June 2022. The data were updated on 24 December 2022. The study was registered on PROSPERO (CRD 42021254328).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Review Methods</h3>\u0000 \u0000 <p>Randomized controlled trials were included. Participants in the included studies were critically ill patients aged 18 years or older, and the interventions involved care by sensory-based intervention. And the outcome was the incidence of delirium rated by the Confusion Assessment Method for the ICU Tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The 14 studies included in the systematic review indicated a reduction in the effectiveness of sensory-based intervention on the incidence of delirium. Subgroup analyses showed significant effects for auditory stimulation (OR, 0.46; 95% confidence interval [CI], 0.27–0.79; <i>p</i> = 0.005) and tactile stimulation (OR, 0.53; 95% CI, 0.33–0.87; <i>p</i> = 0.01) but not for the effectiveness of visual intervention on the incidence of delirium (OR, 0.71; 95% CI, 0.38–1.30; <i>p</i> = 0.27).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Sensory-based interventions significantly reduce the incidence of delirium in critical patients. It is suggested that when choosing sensory-based interventions, auditory intervention should be preferred.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and Validity Study of the Turkish Version of the Motivation and Attitude to Change Health (MATCH) Scale","authors":"Duygu Ayhan Başer,&nbsp;Ezgi Ağadayı,&nbsp;İzzet Fidancı,&nbsp;Hilal Aksoy,&nbsp;Mustafa Cankurtaran","doi":"10.1111/ijn.13317","DOIUrl":"10.1111/ijn.13317","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aims to culturally adapt the ‘Motivation and Attitudes Towards Changing Health (MATCH)’ scale into Turkish and assess its reliability and validity within the Turkish population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The Turkish version of the MATCH questionnaire, designed to gauge patient motivation for initiating or sustaining behaviour changes, was created through translation and adaptation. A total of 305 patients diagnosed with chronic illnesses completed the questionnaire and scale to evaluate its validity and reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The Turkish version of MATCH demonstrated strong internal consistency and reliability. The Cronbach's alpha coefficient for the entire scale was 0.737, with subdimensions ranging between 0.69 and 0.75. Notably, no item displayed a total correlation value below 0.40. Furthermore, test–retest analysis indicated high intraclass correlation coefficients. Consequently, no items were removed due to their consistently high reliability values among all nine items.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Turkish-adapted MATCH scale proves to be a valid and reliable instrument for assessing motivational status within the Turkish population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise and Sexuality in Women With Menopausal Symptoms: A Systematic Review and Meta-Analyses of Randomized Controlled Trials","authors":"Aysu Yıldız Karaahmet,&nbsp;Duygu Dişli Çetinçay,&nbsp;Nevin Hotun Şahin","doi":"10.1111/ijn.13318","DOIUrl":"10.1111/ijn.13318","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This systematic review and meta-analysis study aim to assess the impact of different exercise modalities interventions in postmenopausal women on sexuality and the severity of menopausal symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The preparation of this systematic review and meta-analysis rigorously adhered to the PRISMA 2020. This systematic review of the literature was conducted between May and June 2023, utilizing four electronic databases: PubMed, Cochrane Library, Web of Science and ULAKBİM. Articles were screened using MeSH-based keywords. Randomized Controlled Trials conducted within the last decade were included in the screening. Data analysis was performed using the Review Manager computer program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis encompassed eight studies involving 1127 postmenopausal women. According to the results of the pooled random-effects model, applied to women after 12 weeks of exercise, the data were significant, indicating a positive impact on sexuality (MD: 0.86, 95% CI: 0.72 to 1.01, Z = 11.47, <i>p</i> &lt; 0.00001). Concerning the psychological symptoms of menopause, the data were also found to be significant, with improvements observed after 12 weeks of exercise in women (MD: 0.25, 95% CI: 0.02 to 0.49, Z = 2.15, <i>p</i> = 0.03).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study provides evidence that a 12-week exercise regimen administered during the postmenopausal period positively influences postmenopausal women's sexuality and ameliorates psychological menopausal symptoms. However, it does not appear to have an effect on vasomotor menopausal symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> PROSPERO Number</h3>\u0000 \u0000 <p>CRD42023427991.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Testing of the Cross-Culturally Adapted Thai Version of the Caregiver Self-Efficacy in Contributing to Patient Self-Care Scale in Caregivers of Patients With Chronic Illnesses","authors":"Saowannee Chaiyawan,&nbsp;Jom Suwanno,&nbsp;Chonchanok Bunsuk,&nbsp;Wanna Kumanjan,&nbsp;Nuntaporn Klinjun,&nbsp;Kannika Srisomthrong,&nbsp;Ladda Thiamwong","doi":"10.1111/ijn.13310","DOIUrl":"10.1111/ijn.13310","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate the psychometric properties of the Caregiver Self-Efficacy in Contributing to Patient Self-Care Scale (CSE-CSC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The CSE-CSC scale was developed congruently with the Caregiver Contribution to Self-Care of Patient with Chronic Illness Inventory (CC-SC-CII) to assess caregiver self-efficacy (CSE), the motivation factor of caregiving. Its applicability in Asian populations, including Thailand, was limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Psychometric tests were guided by COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) principles. This included translating the English version into Thai, following the principles of good practice for the translation and cultural adaptation process for patient-reported outcome (PRO) measures. Nine nursing experts evaluated the content validity. The analysis included caregivers of patients with chronic conditions from 16 primary care centres in Thailand. We tested the structural validity using exploratory factor analysis (EFA), confirmatory factor analysis (CFA) and concurrent validity for CC-SC-CII-v2. We tested the scale's reliability with methods for multidimensional and unidimensional constructs, the intraclass correlation coefficients (ICCs) and measurement error variance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Kappa coefficient (<i>k</i> = 1.00) indicated the scale's excellent content validity. The final analysis included a total of 407 samples. The EFA with the first split-half subsample (<i>n</i> = 194) extracted a two-dimensional structure. One reflected CSE in Maintenance and Monitoring behaviour and another captured CSE in Management behaviour. CFA with the second split-half subsample (<i>n</i> = 213) and the overall sample (<i>n</i> = 407) supported the scale's bidimensional model with high factor loadings. Each dimension and the overall CSE-CSC scale positively correlated with each scale and the overall CC-SC-CII-v2. McDonald's ω and Cronbach's α (both ranged from 0.91–0.94) indicated excellent internal reliability. Test–retest reliability showed ICCs between 0.95 and 0.96. Measurement error yielded satisfactory results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Testing of the Thai CSE-CSC scale supported validity and reliability, indicating that the scale can apply to Thai caregivers. This scale can be used in clinical practice and research to evaluate CSE in contribution to patient self-care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"30 6","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishment of Evidence-Based Nursing Indices for Dysphagia After Anterior Cervical Spine Surgery","authors":"Chen Yu,&nbsp;Chunmei Luo,&nbsp;Caiping Song","doi":"10.1111/ijn.13308","DOIUrl":"10.1111/ijn.13308","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To select and obtain relevant evidence for the management of dysphagia after anterior cervical spine surgery both domestically and internationally, clinical quality evaluation indicators were developed based on evidence-based nursing practices, and obstacles and promoting factors in evidence-based nursing practices were analysed. This research was aimed to provide a basis for evidence-based nursing practices to promote standardized management of dysphagia after anterior cervical surgery.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Dysphagia is the most common complication following anterior cervical surgery, but there is a lack of standard protocols and guidelines to direct clinical practice.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Mixed methods were employed for the translational research to support evidence-based practice.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Data Sources&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study was based on the JBI evidence-based health care model. According to the ‘6S Evidence Resource Pyramid Model’, we searched from top to bottom.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study is guided by the knowledge to action (KTA) evidence-based practice model. Utilizing a comprehensive evidence-based approach and following the 6S evidence resource pyramid model, relevant evidence on the management of swallowing disorders after cervical anterior surgery was selected from both domestic and international sources. Based on the best available evidence, the Delphi expert consultation method was used to establish a management plan for swallowing disorders post-cervical anterior surgery. Semi-structured interviews were then conducted to identify barriers to clinical implementation, and clinical quality evaluation indicators, as well as promoting factors, were subsequently developed.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Based on the 31 best evidence points, 12 evaluation indicators were developed. The baseline results of these indicators reveal that, apart from evaluation indicator 8, which has a compliance rate of 72.2%, the compliance rates for most of the other indicators are relatively low. Based on the results of the clinical quality review, the following main obstacles were analysed: negative behaviours and attributes, lack of professional knowledge, and lack of standardized management.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Effective manag","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"30 6","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}