Nursing Reports最新文献

{"title":"Changes in Patient Safety Knowledge During Undergraduate Nursing Education: A Scoping Review Protocol.","authors":"João Daniel de Souza Menezes, Matheus Querino da Silva, Yuri Sacardo, Rodrigo Soares Ribeiro, Stela Regina Pedroso Vilela Torres de Carvalho, Emerson Roberto Dos Santos, Marcos Sanches Rodrigues, André Bavaresco Gonçalves Cristóvão, Nathalia Bavaresco Gonçalves Cristóvão, Helena Landim Gonçalves Cristóvão, Alexandre Lins Werneck, Alex Bertolazzo Quitério, Ana Caroline Santos Costa, Emilia Batista Mourão Tiol, Isabela Amaral Almeida Bistafa, Sônia Maria Maciel Lopes, Marli Carvalho Jerico, Patrícia da Silva Fucuta, Marielza Regina Ismael Martins, Clemente Neves Sousa, Tiago Filipe Cardoso Oliveira Casaleiro, Vânia Maria Sabadoto Brienze, Alba Regina de Abreu Lima, Rita Cássia Helú Mendonça Ribeiro, Júlio César Andre","doi":"10.3390/nursrep14040266","DOIUrl":"https://doi.org/10.3390/nursrep14040266","url":null,"abstract":"<p><strong>Background/objectives: </strong>Patient safety is a critical component of healthcare quality, yet there remains a significant gap in understanding how patient safety knowledge progresses among nursing students throughout their educational journey. This scoping review aims to map and analyze the existing literature on the development of patient safety knowledge in undergraduate nursing education.</p><p><strong>Methods: </strong>This study will follow the Joanna Briggs Institute methodology for scoping reviews and adhere to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Scoping Reviews) guidelines. A comprehensive search strategy will be employed across multiple databases, including CINAHL (Cumulative Index to Nursing and Allied Health Literature), ERIC (Education Resources Information Center), PubMed, Embase, SCOPUS, and Web of Science. The review will include studies published from 2019 to 2024 in English, Portuguese, and Spanish. Two independent reviewers will conduct study selection and data extraction. The data will be synthesized narratively, with quantitative data summarized using descriptive statistics and qualitative data analyzed thematically.</p><p><strong>Results: </strong>The review is expected to identify key patterns in the progression of patient safety knowledge among nursing students, including critical periods for knowledge acquisition, challenges in translating theoretical knowledge into practice, and effective educational strategies. The findings will be presented in both tabular and narrative forms, providing a comprehensive overview of the current state of patient safety education in nursing programs.</p><p><strong>Conclusions: </strong>The anticipated outcomes of this review have significant implications for nursing education, healthcare policy, and clinical practice. For educators, the findings will inform curriculum development and the design of targeted interventions to enhance patient safety competencies. From a policy perspective, the results could support the standardization of patient safety education across nursing programs. In clinical practice, the study may emphasize the importance of continuous professional development in patient safety. This scoping review aims to fill a critical gap in the literature by providing a comprehensive understanding of how patient safety knowledge progresses among nursing students. The findings are expected to contribute significantly to the advancement of nursing education and patient safety, ultimately fostering a culture of safety that benefits both healthcare providers and recipients.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3643-3651"},"PeriodicalIF":2.4,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the Santa Clara Ethics Scale (SCES) in Nursing Students: The Role of Ethics as a Protector of Student Compassion.","authors":"Gabriel Vidal-Blanco, Javier Sánchez-Ruiz, Laura Galiana, Antonia Pades, Noemí Sansó","doi":"10.3390/nursrep14040265","DOIUrl":"https://doi.org/10.3390/nursrep14040265","url":null,"abstract":"<p><strong>Background: </strong>Ethics is one of the essential concepts associated with professional nursing practice, and can play a part in the development of compassion. Although a number of instruments have been developed for the measurement of ethics, most are context-specific or excessively lengthy. The Santa Clara Ethics Scale (SCES) overcomes these problems. The goal is to translate, adapt, and validate the Spanish version of the Santa Clara Ethics Scale and to study the role of ethics, as a moral resource, in the prediction of the levels of compassion of nursing students.</p><p><strong>Methods: </strong>This study is a translation, adaptation, and validation study, with a cross-sectional design. A total of 924 Spanish nursing students participated in this study. Ethics and compassion for others were measured. Analyses included a confirmatory factor analysis, reliability estimates, and a structural equation model in which ethics explained the five correlated dimensions of compassion for others.</p><p><strong>Results: </strong>The confirmatory factor analysis had an adequate fit: <i>χ</i>²(35) = 173.56 (<i>p</i> < 0.01), CFI = 0.94, TLI = 0.92, RMSEA = 0.07 [90% CI = 0.06, 0.08], and SRMR = 0.05. Internal consistency was adequate (α = 0.74; ω = 0.83). The predictive model pointed to positive and statistically significant relationships between ethics and all dimensions of compassion for others.</p><p><strong>Conclusions: </strong>The SCES can be considered a suitable instrument for the assessment of ethics in the Spanish nursing population and, thus, can be used as a tool for the measurement of key ethical competencies during the nursing degree. Moreover, the development of ethics is likely to improve the compassion levels of students. Ethics is, then, a key internal resource for both nursing students' compassionate care skills and, consequently, must be taken into account when redefining nursing students' curricula.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3631-3642"},"PeriodicalIF":2.4,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognostic Scores for Acute Kidney Injury in Critically Ill Patients.","authors":"Wisble Pereira Sousa, Marcia Cristina da Silva Magro, Alberto Augusto Martins Paiva, Ruth Silva Rodrigues Vasconcelos, Abraão Alves Dos Reis, Wellington Luiz de Lima, Tayse Tâmara da Paixão Duarte","doi":"10.3390/nursrep14040264","DOIUrl":"https://doi.org/10.3390/nursrep14040264","url":null,"abstract":"<p><strong>Background: </strong>Numerous prognostic scores have been developed and used in intensive care; however, the applicability and effectiveness of these scores in critically ill patients with acute kidney injury may vary due to the characteristics of this population.</p><p><strong>Objective: </strong>To assess the predictive capacity of the Simplified Acute Physiology Score III (SAPS III), Sequential Sepsis-related Organ Failure Assessment (SOFA) and Nursing Activities Score (NAS) prognostic scoring systems for acute kidney injury in critically ill patients.</p><p><strong>Methods: </strong>Cohort, prospective and quantitative study with follow-up of 141 critical patients in intensive care. A questionnaire was used to collect information about the capacity of prognostic scoring systems to predict AKI. Mann-Whitney, Kruskal-Wallis and Bonferroni-corrected Mann-Whitney tests were used and the statistical significance was considered to be at two-sided <i>p</i> < 0.05.</p><p><strong>Results: </strong>It was revealed that 41.85% of patients developed acute kidney injury during their stay in the Intensive Care Unit and indicated greater severity assessed by the medians of prognostic scoring systems-SAPS III [55 (42-65 vs. 38 (32-52), <i>p</i> < 0.001], SOFA [3.3 (2.26-5.00) vs. 0.66 (0.06-2.29), <i>p</i> < 0.001] and NAS [90 (75-95) vs. 97 (91-103), <i>p</i> < 0.001]-when compared to patients without kidney damage.</p><p><strong>Conclusions: </strong>The SAPS III, SOFA and NAS prognostic scoring systems showed good predictive capacity for acute kidney injury in critically ill patients. This study was not registered.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3619-3630"},"PeriodicalIF":2.4,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increasing Access to Palliative Care in Cameroon: Progress, Gaps, and Recommendations.","authors":"Nahyeni Bassah, Anna Santos Salas, Niba Clinton Ambe, Ndzi Eric Ngah","doi":"10.3390/nursrep14040263","DOIUrl":"https://doi.org/10.3390/nursrep14040263","url":null,"abstract":"<p><strong>Background/objectives: </strong>Access to palliative care is an urgent global need. Countries with the greatest palliative care needs have limited access. In Cameroon, demand for palliative care is growing due to the rising incidence of life-limiting conditions. Identifying available palliative care services and programs could provide an understanding of access gaps and inform future roadmaps for palliative care development in the country. We aim to map available palliative care services, identify gaps and inform recommendations to promote early access to palliative care in Cameroon.</p><p><strong>Methods: </strong>We undertook a literature review of articles reporting any aspects of palliative care in Cameroon. We searched Embase, MEDLINE, Scopus, PsycINFO, CINAHL, PubMed and gray literature. Data were analyzed thematically using the World Health Organization model for the assessment of palliative care development.</p><p><strong>Results: </strong>We identified 41 articles reporting 21 organizations with some form of palliative care services such as clinical services, education, advocacy and research. These were led mostly by individual health care providers or private and faith-based organizations. Major palliative care initiatives included training in the form of workshops, and adult and pediatric outpatient, in-patient and community-based palliative care. There were few reports of oral morphine production, community engagement, advocacy and palliative care research.</p><p><strong>Conclusions: </strong>Progress in palliative care development was reported in five regions of Cameroon over the last two decades. Findings suggest the need for an intersectoral approach including government, community, and health care stakeholders to achieve sustainable palliative care. This could potentially ensure equitable access to palliative care in Cameroon.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3606-3618"},"PeriodicalIF":2.4,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electronic Nursing Records: Importance for Nursing and Benefits of Implementation in Health Information Systems-A Scoping Review.","authors":"Daniela Ivova Taneva, Vasilka Todorova Gyurova-Kancheva, Angelina Georgieva Kirkova-Bogdanova, Diana Angelova Paskaleva, Yovka Tinkova Zlatanova","doi":"10.3390/nursrep14040262","DOIUrl":"https://doi.org/10.3390/nursrep14040262","url":null,"abstract":"<p><p><b>Introduction</b>: The advancement of nursing science and practice necessitates the documentation of information, which is increasingly being recorded in electronic mediums due to the progress of information technology. Various countries around the world have implemented electronic nursing records (ENRs) or are in the process of implementing them. This study aims to ascertain the significance of electronic nursing records and consolidate their primary benefits for nursing. <b>Methods</b>: The study utilized an established scoping review methodology (Arksey and O'Malley protocol; JBI method; PRISMA ScR (2018)). <b>Results</b>: Out of 6970 initial articles extracted from four databases, 36 were included in the study. Several essential elements for structuring, introducing, and emphasizing the importance of ENRs have been recognized, including the availability of standardized terminology, enhancement of nursing care quality, advancement of research activity, integration with electronic systems, optimization of healthcare, and conditions for ENR integration. <b>Conclusions</b>: Electronic nursing records are indispensable and beneficial for enhancing care quality, improving patient safety, and affirming the autonomy of the nursing profession.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3585-3605"},"PeriodicalIF":2.4,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Attitudinal Beliefs Held by Medical and Nursing Students Towards Suicidal Behavior.","authors":"Thelma Beatriz González-Castro, María Lilia López-Narváez, Ana Fresán, Carlos Alfonso Tovilla-Zárate, Alma Delia Genis-Mendoza, Humberto Nicolini, Juan Pablo Sánchez de la Cruz, Yazmín Hernández-Díaz","doi":"10.3390/nursrep14040261","DOIUrl":"https://doi.org/10.3390/nursrep14040261","url":null,"abstract":"<p><strong>Background/objectives: </strong>A favorable attitude towards suicidal behavior is associated with an increased risk of suicidal behavior in youth populations. Hence, the aim of the present study was to analyze attitudinal beliefs about suicidal behavior among Mexican medical and nursing students. We also compared attitudinal beliefs about suicidal behavior according to the religious affiliation of the participants.</p><p><strong>Methods: </strong>This is a cross-sectional observational study. Attitudinal beliefs about suicidal behavior were assessed using the Attitudinal Beliefs Questionnaire about Suicide Behavior (CCCS-18). We evaluated personal and family histories of suicide using the Spanish version of the MINI International Neuropsychiatric Interview. Comparative analysis between nursing and medical students was performed, using Chi-square tests for categorical variables and Student <i>t</i>-tests for continuous variables.</p><p><strong>Results: </strong>A total of 195 (52.2%) medical students and 178 (47.8%) nursing students participated. Medicine students reported a higher prevalence of a family history of suicide attempts and knowing someone who had tried to die by suicide compared to nursing students (<i>p</i> = 0.001). Regarding attitudinal beliefs-specifically, suicide in terminal patients-medical students reported higher scores than nursing students (9.50 ± 5.91 vs. 11.23 ± 6.38, <i>p</i> < 0.001), while the latter exhibited higher scores in attitudinal beliefs related to suicide itself (9.55 ± 4.45 vs. 7.28 ± 4.09, <i>p</i> < 0.001). Both groups display similar scores when compared by religious affiliation.</p><p><strong>Conclusions: </strong>Our findings show differences in attitudinal beliefs about suicidal behavior between medical and nursing students. Medical students exhibited more positive responses toward suicide in terminal patients, while nursing students had higher values for attitudinal beliefs related to suicide itself. These results could be considered in the planning of health sciences curricula in order to positively impact future suicide prevention efforts. This study was retrospectively registered at the Universidad Juarez Autónoma de Tabasco, with the registration number 20240063 on 8 June 2024.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3575-3584"},"PeriodicalIF":2.4,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transformational Leadership and Its Impact on Job Satisfaction and Personal Mastery for Nursing Leaders in Healthcare Organizations.","authors":"Ippolito Notarnicola, Blerina Duka, Marzia Lommi, Eriola Grosha, Maddalena De Maria, Laura Iacorossi, Chiara Mastroianni, Dhurata Ivziku, Gennaro Rocco, Alessandro Stievano","doi":"10.3390/nursrep14040260","DOIUrl":"https://doi.org/10.3390/nursrep14040260","url":null,"abstract":"<p><strong>Background: </strong>Transformational leadership fosters trusting relationships; new visions; and personal, professional, and cultural growth. Effective leaders support their team's motivational growth and organizational goals. This study aims to underscore the importance of transformational leadership and its various dimensions, focusing on its impact on job satisfaction and personal mastery among nursing leaders in healthcare organizations.</p><p><strong>Method: </strong>A cross-sectional design with convenience sampling was used. The evaluation tools included the Multifactor Leadership Questionnaire (MLQ-6S), the Satisfaction of Employees in Health Care (SEHC) questionnaire, and the Personal Mastery Scale (PMS).</p><p><strong>Results: </strong>The findings indicate that job satisfaction is influenced by transformational leadership, emphasizing the importance of tailored leadership development strategies within healthcare organizations. The laissez-faire leadership style was the only one showing no correlation with nurses' job satisfaction. Other leadership styles showed significant positive or negative correlations with the analyzed variables.</p><p><strong>Conclusions: </strong>Transformational leaders are essential for fostering trust and enhancing job satisfaction in healthcare settings. Positive leadership styles contribute to higher levels of job satisfaction and personal mastery among nursing leaders. Conversely, laissez-faire and autocratic leadership styles can negatively impact performance and staff satisfaction. These findings highlight the critical role of leaders in creating positive work environments and supporting employee development and well-being in healthcare.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3561-3574"},"PeriodicalIF":2.4,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of Competencies in Emergency Nursing: Comparison Between Self-Assessment and Tutor Evaluation Before and After a Training Intervention.","authors":"Marta Manero-Solanas, Noelia Navamuel-Castillo, Nieves López-Ibort, Ana Gascón-Catalán","doi":"10.3390/nursrep14040259","DOIUrl":"https://doi.org/10.3390/nursrep14040259","url":null,"abstract":"<p><strong>Background/objectives: </strong>Nursing competence encompasses the integration of knowledge, skills, and attitudes essential for comprehensive and safe patient care. This study aimed to compare self-assessment and tutor evaluation of nurses' competencies in a hospital emergency department before and after a training intervention.</p><p><strong>Methods: </strong>A quasi-experimental design was employed, involving 63 newly hired nurses who participated in a mentorship program. The intervention included theoretical and practical sessions on critical care skills. Data were collected through self-assessment questionnaires and objective evaluations by tutors using validated rubrics.</p><p><strong>Results: </strong>The results indicated significant differences between self-assessment and tutor evaluations in pre- and post-intervention phases, particularly in competencies related to orotracheal intubation and fibrinolytic therapy for ischemic stroke. Post-intervention, discrepancies between self-assessment and tutor evaluations decreased, suggesting improved self-awareness and competence among participants.</p><p><strong>Conclusions: </strong>This study highlights the importance of combining self-assessment and external evaluation to ensure accurate competency assessment and effective educational interventions, ultimately enhancing the quality of patient care.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3550-3560"},"PeriodicalIF":2.4,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Psychological Distress and Coping Styles in Family Caregivers of People with Intellectual Disability or Chronic Mental Disorder in Mongolia.","authors":"Delgermaa Sendmaa, Namuun Ganbaatar, Orgilmaa Regzedmaa, Erdenetuul Nuden, Enkhtuul Chuluun, Sundui-Yanjmaa Luvsangenden, Gankhuyag Gochoosuren, Dolgorjav Myagmarjav, Oyungoo Badamdorj, Khishigsuren Zuunnast, Myagmartseren Dashtseren, Naranbaatar Nyam, Fiona Nolan","doi":"10.3390/nursrep14040257","DOIUrl":"https://doi.org/10.3390/nursrep14040257","url":null,"abstract":"<p><p>Around the world, family caregivers are an important source of support for people with intellectual disability (ID) and for those with severe mental disorder (SMD), although the level of support can be influenced by the culture and government healthcare systems in each country. However, there is little evidence about the mental health and coping mechanisms of these caregivers in low-income countries. To address this need, we aimed to elicit whether there are potential links between coping style, mental health, and perceived burden experienced by this group, using a sample from a central Asian upper middle-income country.</p><p><strong>Methods: </strong>We recruited 120 participants, of which 60 were caregivers of people with ID and 60 of people with SMD. All participants were recruited from Ulaanbaatar, the capital city of Mongolia, Central Asia, and were asked to complete of the Depression, Anxiety and Stress Scale (DASS) and the Coping Orientation to Problems Experienced inventory scale (COPE). Multiple regression analyses were used to investigate associations between these measures.</p><p><strong>Results: </strong>We found that DASS scores were significantly higher among the sample of caregivers of individuals with ID than in those of SMD. Mental and behavioral disorders were associated with higher DASS scores in the sample of caregivers of those with SMD. Good coping styles, indicated by higher scores in the COPE, were associated with increased age in caregivers of individuals with ID.</p><p><strong>Conclusion: </strong>Although overall the carers of people with SMD appeared to have better active coping skills and better acceptance of the caring role, they demonstrated comparatively high levels of stress. This study was not registered.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3524-3538"},"PeriodicalIF":2.4,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring Parental Response Styles to Child Stress in Severe Pediatric Illness: A Validation Study.","authors":"Carlos Pitillas, Blanca Egea Zerolo, Rafael Jódar, Ana Ribeiro","doi":"10.3390/nursrep14040258","DOIUrl":"https://doi.org/10.3390/nursrep14040258","url":null,"abstract":"<p><strong>Background: </strong>Pediatric illnesses not only impose physical challenges on affected children, but also profoundly impact their emotional well-being. Understanding how parents respond to their children's psychological distress during medical experiences is crucial for enhancing the overall support provided to these families.</p><p><strong>Aim: </strong>This study evaluated the internal structure of the Parental Response Styles Questionnaire (PRSQ), designed to differentiate parental responses to psychological distress in children with pediatric illnesses.</p><p><strong>Methods: </strong>A sample of 701 parents of children with medical issues responded to the PRSQ, reporting their different emotional expressions and responses to their children's expressions of distress during the medical experience.</p><p><strong>Results: </strong>Factor analysis confirmed, in three of the five subsamples, an internal scale structure consisting of four factors: apathy and dysphoria, irritability and rejection, overprotectiveness, and perceived maladjustment. The invariance analyses revealed that congenital heart disease and neurological disorders are more similar in function to each other than pediatric cancer. Parents of children with neurological disorders exhibited a notably insecure pattern of parental responsiveness.</p><p><strong>Conclusions: </strong>In pediatric contexts, parental responses to their children's emotional distress are significant factors in the process of adaptation. These responses can be measured, differentiated, and, ideally, managed by nurses and other healthcare professionals. The Parental Response Styles Questionnaire (PRSQ) is a promising tool for assessing parental reactions during their children's treatment, and its structure appears to be particularly robust across diagnoses such as pediatric cancer, congenital heart disease, and neurological disorders.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3539-3549"},"PeriodicalIF":2.4,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}