Nursing Reports最新文献

{"title":"Hemodialysis Patients' Emotional Profiles and Associated Symptomatology: A Cross-Sectional Multicenter Study.","authors":"Ana Casaux-Huertas, Pilar Mori Vara, Maria Del Carmen Hernández-Cediel, David Hernán-Gascueña, Rosa M Cárdaba-García, Veronica Velasco-Gonzalez, Lucía Pérez-Pérez, Miguel Madrigal, Inmaculada Pérez, Carlos Durantez-Fernández","doi":"10.3390/nursrep15050152","DOIUrl":"10.3390/nursrep15050152","url":null,"abstract":"<p><p><b>Background</b>: Chronic kidney disease (CKD) has a significant impact on patients' physical, psychological, and social well-being. Emotional disorders are common and contribute to a higher prevalence of symptoms compared to that in the general population. This study aimed to analyze the relationship between the emotional profiles and symptomatology in patients undergoing hemodialysis (HD). <b>Methods</b>: A multicenter, cross-sectional, observational/analytical study was developed in seven centers of the Spanish Renal Foundation in the Community of Madrid (Spain). The study protocol was reviewed and approved by the Clinical Research Ethics Committee of Hospital Clínico San Carlos, Madrid (C.I. 20/685-E). In the study, two validated measurement scales were used: the Mood Rating Scale (EVEA) to assess the \"emotional profile\" and the Palliative care Outcome Scale, Renal Symptoms (POS-S Renal) to evaluate \"symptomatology\". <b>Results</b>: The sample (245 patients) was predominantly male (65.7%; n = 161), with a mean age of 63.52 years (SD = 14.99) and an average HD treatment duration of 81.44 months (SD = 96.62). The analysis of the symptom-emotion relationships revealed that patients with a sadness-depression profile had a higher probability of experiencing weakness or a lack of energy (OR = 1.741; CI 95% 1.01-3.00) and feelings of depression (OR = 3.236; CI 95% 1.98-5.30). Additionally, patients with an anger-hostility profile exhibited a significant association with pain (OR = 3.463; CI 95% 1.34-8.94) and excessive sleepiness (OR = 3.796; CI 95% 1.21-11.95), indicating that this emotional state substantially increases the likelihood of developing these symptoms. <b>Conclusions</b>: The emotional profiles of CKD patients undergoing HD significantly influence their symptomatology. While positive emotions may play a protective role in preventing debilitating symptoms, negative emotions increase the risk of their onset. These findings highlight the importance of addressing emotional well-being as part of comprehensive care for HD patients.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing the Application Effects of Immersive and Non-Immersive Virtual Reality in Nursing Education: The Influence of Presence and Flow.","authors":"Choon-Hoon Hii, Cheng-Chia Yang","doi":"10.3390/nursrep15050149","DOIUrl":"10.3390/nursrep15050149","url":null,"abstract":"<p><p><b>Background:</b> This study extends the theoretical framework based on the Cognitive-Affective Model of Immersive Learning (CAMIL) by incorporating flow state and cognitive absorption to investigate the effectiveness of virtual reality (VR) in nursing education. <b>Methods:</b> A randomized experimental design was adopted. A total of 209 students from three nursing assistant training centers in Taiwan were recruited through convenience sampling and randomly assigned to either immersive virtual reality (IVR) or Desktop VR groups for nasogastric tube feeding training. Data were collected through structured questionnaires and analyzed using partial least squares structural equation modeling (PLS-SEM). <b>Results:</b> The results revealed that immersion, curiosity, and control significantly impacted presence, which, in turn, positively influenced the flow state (β = 0.81, <i>p</i> < 0.001). Flow demonstrated positive effects on intrinsic motivation (β = 0.739, <i>p</i> < 0.001), situational interest (β = 0.742, <i>p</i> < 0.001), and self-efficacy (β = 0.658, <i>p</i> < 0.001) while negatively affecting extraneous cognitive load (β = -0.54, <i>p</i> < 0.001). Multigroup analysis showed that IVR had a stronger control-presence effect (|diff| = 0.337, <i>p</i> = 0.016), and flow had a great effect on motivation (|diff| = 0.251, <i>p</i> = 0.01), interest (|diff| = 0.174, <i>p</i> = 0.035), and self-efficacy (|diff| = 0.248, <i>p</i> = 0.015). Desktop VR more effectively reduced cognitive load (|diff| = 0.217, <i>p</i> = 0.041). <b>Conclusions:</b> These findings provide theoretical insights into the role of flow in VR learning and practical guidance for implementing VR technology in nursing education.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12113878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perception of the Rural Community Regarding the Role of Nursing Professionals: A Study in the High Andean Regions of Peru.","authors":"Nelly Martha Rocha Zapana, Elsa Gabriela Maquera Bernedo, William Harold Mamani Zapana, Angela Rosario Esteves Villanueva, Nury Gloria Ramos Calisaya","doi":"10.3390/nursrep15050148","DOIUrl":"10.3390/nursrep15050148","url":null,"abstract":"<p><p>Access to healthcare services in rural areas of Peru remains a challenge, with marked differences compared to urban areas. Despite the importance of primary healthcare (PHC) in these communities, the rural population has a negative perception of the role of nursing staff. This study aimed to assess the perceptions of residents in the highland communities of Huata and Ichu, Province of Puno, located in southern Peru, regarding the role of nursing professionals. The general perception of the residents was first analyzed, followed by an evaluation of two dimensions (Fieldwork and Health Education), which allowed for the development of the REFCO (Role of the Nursing professional in the community) scale. The sample included 329 rural adults, mainly between 30 and 59, predominantly female, with incomplete secondary education. The results showed an unfavorable perception (54%) of nursing staff performance. The fieldwork dimension reported low visibility of nursing activities in the community, such as home visits and health programs. The second dimension demonstrated that educational interventions were perceived as infrequent and of low impact, with insufficient adaptation to local needs. These results highlight the need to strengthen the presence and educational strategies of nursing staff in alignment with the cultural and demographic realities of rural communities. Furthermore, it suggests a greater need for interinstitutional collaboration and a more personalized approach to community activities to improve the perception and effectiveness of healthcare services in these areas.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Nursing Diagnoses and Mortality in Hospitalized Patients with COVID-19: A Retrospective Cohort Study.","authors":"José Ángel Hernández-Mariano, Olivia Mendoza-Macario, María Del Carmen Velázquez-Núñez, María Del Carmen Cedillo-Ordaz, Blanca Estela Cervantes-Guzmán, Dulce Milagros Razo-Blanco-Hernández, Erick Alberto Landeros-Olvera, Fani Villa-Rivas, Rocío Castillo-Díaz, Guillermo Cano-Verdugo","doi":"10.3390/nursrep15050147","DOIUrl":"10.3390/nursrep15050147","url":null,"abstract":"<p><p>Previous studies suggest that nursing diagnoses (NDs) could predict clinical outcomes, such as mortality, among patients with non-communicable diseases. However, evidence in patients with COVID-19 is still scarce. <b>Objective:</b> To evaluate the association between NDs and COVID-19 mortality among hospitalized patients. <b>Methods:</b> A retrospective cohort study was conducted on 498 paper clinical records of patients hospitalized for at least 72 h in the internal medicine unit for COVID-19 from June to December 2020. The interest association was assessed using logistic regression models. <b>Results:</b> NDs focused on COVID-19 pulmonary responses, such as impaired gas exchange (OR = 3.04; 95% CI = 1.87, 4.95), impaired spontaneous ventilation (OR = 3.67; 95% CI = 2.17, 6.21), or ineffective airway clearance (OR = 2.47; 95% CI = 1.48, 4.12), were significant predictors of mortality. NDs on COVID-19 extrapulmonary responses, such as risk for unstable blood glucose level (OR = 2.45; 95% CI = 1.45, 4,15), risk for impaired liver function (OR = 2.02; 95% CI = 1.11, 3.63), hyperthermia (OR = 2.08; 95% CI = 1.29, 3.35), decreased cardiac output (OR = 2.95; 95% CI = 1.42, 6.11), or risk for shock (OR = 3.03; 95% CI = 1.28, 7.13), were associated with a higher risk of in-hospital mortality. Conversely, patients with NDs of fear (OR = 0.56; 95% CI = 0.35, 0.89) and anxiety (OR = 0.44; 95% CI = 0.26, 0.77) had a lower risk of death. <b>Conclusions:</b> NDs on pulmonary and extrapulmonary responses to COVID-19 were associated with in-hospital mortality, suggesting that they are indicators of the severity of these patients. Therefore, NDs may help nursing staff identify individuals who require closer monitoring and guide early interventions for their recovery.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of the Nursing Nutritional Care Behaviors Scale (B-NNC) in Italian and Psychometric Validation of Its German Translation in Austria.","authors":"Rosario Caruso, Loris Bonetti, Silvia Belloni, Cristina Arrigoni, Arianna Magon, Gianluca Conte, Valentina Tommasi, Silvia Cilluffo, Maura Lusignani, Stefano Terzoni, Silvia Bauer","doi":"10.3390/nursrep15050146","DOIUrl":"10.3390/nursrep15050146","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Malnutrition among older adults remains a significant healthcare issue, yet existing questionnaires primarily measure knowledge and attitudes rather than actual behaviors. This study aimed to develop the Nursing Nutritional Care Behaviors Scale (B-NNC Scale) in its original Italian version, translate it into German, and evaluate its psychometric properties in registered nurses and nurse assistants in Austria. <b>Methods</b>: This study followed a two-phase, multi-method design. In Phase 1 (Development Phase), the scale was developed in Italian through a scoping review, expert focus group, and content validation involving 18 clinical nutrition experts using the Content Validity Ratio (CVR). In Phase 2 (Validation Phase), the scale was translated into German through a cross-cultural adaptation process, pilot-tested, and psychometrically validated in a sample of 1072 nurses and nurse assistants working in Austrian hospitals across various clinical settings. Exploratory and confirmatory factor analyses (EFA and CFA) were performed to assess construct validity, measurement invariance between professional roles was tested, and internal consistency was measured using McDonald's Omega. <b>Results</b>: Content validity was confirmed with a mean CVR of 0.634. EFA suggested a three-factor solution-(1) Nutritional Assessment and Calculation Skills, (2) Nutritional Evaluation and Care Planning, and (3) Nutritional Support and Care Implementation-leading to the retention of 19 items. CFA supported this structure, and McDonald's Omega indicated high internal consistency across subgroups. Partial measurement invariance revealed some differences in response patterns between registered nurses and nurse assistants. <b>Conclusions</b>: The B-NNC Scale demonstrated robust validity and reliability in measuring self-reported nursing behaviors related to nutritional care in older adults. It addresses a notable gap in existing instruments and may serve as a valuable tool for research and practice to improve malnutrition management.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12113720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of a Living-Learning Community on Nursing Student Outcomes-A Prospective Cohort Study.","authors":"Mary Bennett, Melissa Travelsted, Vickie Shoumake, Matthew Atkinson","doi":"10.3390/nursrep15050144","DOIUrl":"10.3390/nursrep15050144","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Prior studies have shown that most students seeking entry into a nursing program (also known as pre-nursing students) do not make it into the nursing profession, mostly due to failing one or more science courses in their first year of college. These students give up on nursing, dropping out of college or changing to a less challenging major. <b>Objectives:</b> We aimed to determine the effect of a living learning community (LLC) on the retention and success of students seeking entry into a Baccalaureate Science Nursing (BSN) program. <b>Methods:</b> The aim of this descriptive, prospective cohort project was to improve student retention and success by creating a living-learning community (LLC) for first-year students preparing to apply to a BSN program. The effectiveness of this intervention was determined by comparing retention and success for those in the LLC with those who were not in the LLC over a period of 4 years. <b>Results:</b> Fewer students in the LLC dropped out of or failed college (21% vs. 33%), fewer changed majors (24% vs. 27%), and more were ultimately admitted to the BSN program (42% vs. 36%) during their 3rd year of college. Of those not admitted within the study's timeframe, there were more students still preparing to apply to a BSN program than those not in the LLC (13% vs. 3%). Regarding minority outcomes, fewer LLC underrepresented minority (URM) students dropped out of college or failed (29% vs. 43%), but more of them changed majors and remained in college, working towards a college degree in another field of study (43% vs. 29%). There was no apparent effect of participation in the LLC program on minority student nursing program admission success. An equal percentage (29%) of minority students from the LLC group and the non-LLC group were admitted to the BSN program during this study. <b>Conclusions:</b> The limitations affecting this study include the prohibition of large face-to-face gatherings during the initial part of this study and the lingering effects of the pandemic and infection control efforts on student learning outcomes. As reported in prior research, first-year nursing students have a high risk of failing or dropping out of college. However, the students who were able to participate in the LLC demonstrated better student outcomes than those who did not, resulting in more students who were able to move towards their goal of becoming a nurse.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Propensity Score Matching: Identifying Opportunities for Future Use in Nursing Studies.","authors":"Helena Blažun Vošner, Peter Kokol, Jernej Završnik","doi":"10.3390/nursrep15050142","DOIUrl":"10.3390/nursrep15050142","url":null,"abstract":"<p><p><b>Background:</b> The frequency of propensity score matching (PSM) use in research is exponentially increasing; however, its use in nursing has not yet been explored and is possibly underused. <b>Methods:</b> Synthetic knowledge synthesis has been used on two corpora of publications from the Web of Science bibliographic database for the following purposes: first, to identify the content of the current nursing PSM studies; second, to identify the content of nursing observational, retrospective, or other quasi-experimental studies; and finally, based on the above analyses, to explore new possibilities for further use of PSM in nursing. Findings: The use of PSM in nursing is very sparse, but the number and content of observational, retrospective, and similar nursing research is increasing and becoming more extensive. Ten prolific themes in observational nursing studies were identified. Based on these studies, several influential studies in which PSM has already been successfully used in comparable healthcare topics have been selected as opportunities for extended PSM use in nursing. <b>Conclusions:</b> As shown in the healthcare disciplines, the extended use of PSM in nursing research might make nursing research more consistent, relevant, internally and externally valid, and consequently more useful in clinical practice and research.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12113798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High Amount of Physical Activity on Work Days Is Associated with More Intense Musculoskeletal Symptoms in Nurses: Seven-Day Observational Study.","authors":"Sarah Luna, David Douphrate, Byeong Yeob Choi, Bertha Flores, Rupal Patel, Lisa Pompeii","doi":"10.3390/nursrep15050143","DOIUrl":"10.3390/nursrep15050143","url":null,"abstract":"<p><p><b>Background:</b> Musculoskeletal problems contribute to nurse attrition, which compromises patient safety and costs healthcare organizations millions of dollars. Recent research describes a physical activity paradox in which high amounts of work-related physical activity may be detrimental to health; however, there is a lack of evidence on the physical activity paradox with respect to musculoskeletal health in nurses. The purpose of this study was to examine the relationship between musculoskeletal symptoms (MSSs) and high amounts of physical activity at work in nurses. <b>Methods:</b> This was a 7-day observational design using direct measurement of physical activity and self-reported MSSs in nurses. Physical activity was measured in step counts using a wearable accelerometer and MSSs were reported using ecological momentary assessment. Step counts and MSSs were compared between work days and days off, and a regression model analyzed the combined effect of physical activity and work days on MSSs while controlling for age, exercise, and body mass index. <b>Results:</b> Musculoskeletal symptoms and step counts were significantly higher on work days compared to days off. Higher step counts on work days resulted in significantly higher expected MSS ratings than the same number of steps taken on a day off. <b>Conclusions:</b> This study supports the existence of a physical activity paradox in nurses with respect to MSSs. Understanding this paradox in the nursing workforce can translate to interventions that reduce the detrimental health effects of high levels of physical activity at work, which can minimize nurse attrition, improve patient outcomes, and reduce costs in healthcare organizations.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12113665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Development and Testing of an Assessment Scale for Insufficiencies in Family Resilience.","authors":"Naohiro Hohashi, Natsumi Kijima","doi":"10.3390/nursrep15050145","DOIUrl":"10.3390/nursrep15050145","url":null,"abstract":"<p><p><b>Background and purpose:</b> When a family becomes aware of family symptoms, family resilience is defined as its power to autonomously and actively improve its own family functions. A quantitative assessment of family resilience is essential in the practice of family nursing. The purpose of this study was to develop a self-assessment scale for family resilience based on the theoretical foundation of the Concentric Sphere Family Environment Theory (CSFET), and to examine the scale's reliability and validity. <b>Methods:</b> Based on 23 categories obtained from previous studies clarifying family conditions demonstrating family resilience, the Assessment Scale for Insufficiencies in Family Resilience (IFR), consisting of 21 items, was developed through content validity examinations by an expert committee and through face validity examinations for family members. The reliability and validity of the IFR were examined for families with children or with family members requiring care. <b>Results:</b> Temporal stability over a 2-week interval, which was assessed in 26 subjects, was supported by a high and significant correlation coefficient. The following statistical analysis was performed based on the responses of 206 subjects. The Cronbach's alpha coefficient showed high internal consistency reliability. The total IFR score showed a moderately significant correlation with the family function score and the family support demands score, demonstrating acceptable criterion-related validity. Exploratory factor analysis confirmed the fit of a five-factor model based on the five systems of CSFET, and construct validity was supported. <b>Conclusions:</b> The reliability and validity of the IFR, which is composed of five factors and 21 items based on the CSFET, were confirmed, making the IFR a viable self-assessment scale for determining the level of family resilience.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The CHANT's Conceptual and Psychometric Validity in Switzerland: A Descriptive Three-Round Multicentre e-Delphi Study.","authors":"Omar Portela Dos Santos, Paulo Jorge Pereira Alves, Henk Verloo","doi":"10.3390/nursrep15050141","DOIUrl":"10.3390/nursrep15050141","url":null,"abstract":"<p><p>To effectively mitigate the health impacts of climate change, future nurses must be equipped with the requisite knowledge and competencies. Knowing their levels of eco-literacy would help to make them more effective. <b>Background/Objectives</b>: This descriptive study will use a three-round, multicentre, modified e-Delphi survey to establish an expert panel's consensus on the Climate, Health, and Nursing Tool's (CHANT) item-level and scale-level content validity indices. It will also examine potential associations between the expert panel members' sociodemographic and professional characteristics and their content validity index assessments of the CHANT. <b>Methods</b>: The study will be conducted in the French-speaking regions of Switzerland, running its three-round e-Delphi survey between January and April 2025. After each round, the CHANT's overall scale-level and individual item-level content validity indices will be computed. Comparisons between different types of healthcare professionals' profiles will also be conducted. <b>Results</b>: The three-round modified e-Delphi survey should allow the expert panel to reach a consensus on the CHANT's overall content validity index. The tool should then be considered suitable for pilot testing. The first round brought together 16 experts from different regions, namely French-speaking Switzerland, France, and Belgium. <b>Conclusions</b>: To ensure that the nursing discipline is well positioned to meet future challenges, the development of eco-literacy must be integrated into nursing education. Ensuring the CHANT's conceptual and psychometric validity will be essential in strengthening nursing competencies in and knowledge about planetary health and in implementing future educational interventions.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}