{"title":"Cultural adaptation and content validation of the Watson Caritas patient instrument for a Latin American Spanish context.","authors":"Mayut Delgado-Galeano, Beatriz Villamizar-Carvajal, Luz-Eugenia Ibáñez-Alfonso, Fabio Camargo-Figuera","doi":"10.1177/17449871251333620","DOIUrl":"https://doi.org/10.1177/17449871251333620","url":null,"abstract":"<p><strong>Background: </strong>Humanisation in health services, central to global healthcare systems, emphasises making care more person-centred and compassionate. Person-centred care is central to nursing practice. The transpersonal Caritas relationship exemplifies such person-centred care, and can be evaluated using the Watson Caritas Patient Score (WCPS), which captures patients' subjective perceptions of nursing behaviours.</p><p><strong>Aims: </strong>To evaluate the validity and reliability of the WCPS instrument in a Spanish context, with hospitalised patients. An analysis was undertaken using the Rasch methodology to test the robustness of the tool in diverse conditions and populations.</p><p><strong>Methods: </strong>A validation study was undertaken to assess the WCPS tool's cultural adaptation, reliability, and validity. Ethical approval was obtained, alongside authorisation to use the instrument. The Rasch methodology was chosen as it provides a robust and theoretically grounded approach to instrument validation.</p><p><strong>Results: </strong>The global content validity index was 0.80. Cronbach's α was 0.84 in the first and 0.86 in the second. Factor analysis extracted a single factor with an explanatory power of 65%. The Rasch reliability was 0.88 for items with adequate fit.</p><p><strong>Conclusions: </strong>The Spanish version of the WCPS has been validated and is a useful tool for measuring the Caritas transpersonal relationship in hospitals, promoting person-centred nursing care. However, the Rasch model validation highlighted the need for further refinement, including adding more questions to address measurement gaps and collapsing categories to reduce data variability under a unidimensional construct.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871251333620"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12317968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785639","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":"Commentary: Cultural adaptation and content validation of the Watson Caritas patient instrument for a Latin American Spanish context.","authors":"Albert Westergren","doi":"10.1177/17449871251333623","DOIUrl":"https://doi.org/10.1177/17449871251333623","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871251333623"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776527","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}
Walaa R Almallah, Tamilyn Bakas, Elizabeth Shaughnessy, Caroline F Morrison
{"title":"Determinants of initiating cancer treatment among breast cancer survivors: A descriptive qualitative study.","authors":"Walaa R Almallah, Tamilyn Bakas, Elizabeth Shaughnessy, Caroline F Morrison","doi":"10.1177/17449871251329002","DOIUrl":"https://doi.org/10.1177/17449871251329002","url":null,"abstract":"<p><strong>Background: </strong>The timing of cancer treatment initiation is a critical factor impacting cancer metastasis, recurrence, morbidity, mortality and overall survival rates. Based on the Health Belief Model, health beliefs and cues to action may influence treatment initiation in women with breast cancer.</p><p><strong>Aim: </strong>This study aimed to explore health beliefs and cues to initiate treatment among breast cancer survivors.</p><p><strong>Methods: </strong>Breast cancer survivors undergoing cancer treatment were recruited for a descriptive qualitative study. Semi-structured interviews were conducted. A content analysis was undertaken.</p><p><strong>Results: </strong>Breast cancer survivors (<i>N</i> = 25) had a mean age of 51.6 years, were primarily Caucasian (<i>n</i> = 17; 68%), and on average 31 months post-diagnosis. Health belief subcategories emerged: (1) personal, social and cancer-related benefits; (2) personal, social, physical/health, financial/health insurance-related, treatment-related, facility-related and community-related barriers; (3) perceived threats involving death, cancer spreading, recurrence and more aggressive treatments and (4) self-efficacy influenced by a support system, trusted healthcare professionals, and life responsibilities. The cues to initiate treatment were social, mental, individual, and healthcare-related.</p><p><strong>Conclusion: </strong>Women's health beliefs and cues to initiate treatment could be assessed by nurses and other disciplines working collaboratively to minimise the challenges that may cause delayed treatment initiation. Advocating for policies is recommended.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871251329002"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776528","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":"Maintaining well-being during COVID-19: a follow-up study of community dwelling older people in New Zealand.","authors":"Susan Waterworth, Deborah Raphael","doi":"10.1177/17449871251342179","DOIUrl":"https://doi.org/10.1177/17449871251342179","url":null,"abstract":"<p><strong>Background: </strong>Older people are often viewed as a vulnerable group, particularly during the COVID-19 pandemic, with associated images of passivity and lack of agency. In contrast, we know that older people are resilient and have ways of managing adversity. This study aimed to explore how older people managed their well-being during the COVID-19 pandemic in New Zealand.</p><p><strong>Methods: </strong>This study applied a unique approach by following up a sample of older people from our previous research exploring their well-being and how they managed their well-being. Semi-structured interviews were conducted building on the participant's previous interviews and earlier responses.</p><p><strong>Results: </strong>Fourteen participants participated in the follow-up study. Despite the challenges associated with lockdown, participants were creative in adapting to their situation, maintaining their positivity, connecting with others using social media, and continuing to engage in activities they valued.</p><p><strong>Conclusions: </strong>Understanding the approaches and factors that influenced older people's well-being can be a guide for nurses working with older people, providing health communication and adapting approaches to meet their needs. The need for access to technology and being able to use the technology to enhance well-being practices are important factors. As disparities can arise, in for example access and ability to use technology, individualised assessments by nurses are required.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":"30 4","pages":"344-355"},"PeriodicalIF":1.6,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592648","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":"Commentary: Maintaining well-being during COVID-19: a follow-up study of community dwelling older people in New Zealand.","authors":"Julie Cooke","doi":"10.1177/17449871251347333","DOIUrl":"https://doi.org/10.1177/17449871251347333","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":"30 4","pages":"356-358"},"PeriodicalIF":1.6,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592645","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":"Commentary: Reaching everyone: school nurses' experiences of including refugee and migrant students in the extended school-based HPV vaccination programme in Sweden.","authors":"Sarah Bekaert","doi":"10.1177/17449871251355319","DOIUrl":"https://doi.org/10.1177/17449871251355319","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":"30 4","pages":"371-373"},"PeriodicalIF":1.6,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592646","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":"Editorial: Nursing has always been a form of resistance.","authors":"Pernilla Garmy","doi":"10.1177/17449871251347858","DOIUrl":"https://doi.org/10.1177/17449871251347858","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":"30 4","pages":"303-305"},"PeriodicalIF":1.6,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592647","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":"Barriers to providing low-intensity cognitive behavioural therapy to individuals with schizophrenia by home-visiting nurses in Japan: a qualitative descriptive study of nurses' experiences.","authors":"Yuki Taga-Shikuri, Hiroki Tanoue, Yoshifumi Kido, Naoki Yoshinaga","doi":"10.1177/17449871251333288","DOIUrl":"https://doi.org/10.1177/17449871251333288","url":null,"abstract":"<p><strong>Background: </strong>Although cognitive behavioural therapy (CBT) is recommended for managing individuals with schizophrenia, it has been underutilised in clinical practice. Low-intensity CBT (fewer sessions provided by non-specialists) is expected to offer a partial solution; however, its implementation within community-based care settings remains limited.</p><p><strong>Aims: </strong>To explore the difficulties and barriers faced by home-visiting nurses when providing low-intensity CBT to individuals with schizophrenia.</p><p><strong>Methods: </strong>A qualitative descriptive study was conducted through semi-structured interviews with six nurses in Japan who had experience in delivering low-intensity CBT, including CBTs for psychosis (CBt-p) and individualised metacognitive training for psychosis (MCT+). Data were analysed using a qualitative descriptive method.</p><p><strong>Results: </strong>Three main categories of difficulties/barriers were identified: 'Difficulties in learning low-intensity CBT', 'Difficulties in applying low-intensity CBT to individual clients' and 'Difficulties in providing low-intensity CBT due to the unique structures and functions of home-visiting nursing'.</p><p><strong>Conclusions: </strong>The findings suggest the need for refining the implementation manuals with simplified terminology and familiar examples; creating a work environment that allows continuous consultation with supervisors and mutual learning; revising reimbursement systems under the national health insurance scheme to allow for longer visit times; and training non-specialist nurses as co-therapists to ensure the continuity of care.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":"30 4","pages":"326-340"},"PeriodicalIF":1.6,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592643","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":"Commentary: Barriers to providing low-intensity cognitive behavioural therapy to individuals with schizophrenia by home-visiting nurses in Japan: a qualitative descriptive study of nurses' experiences.","authors":"Tharaa Ananzeh","doi":"10.1177/17449871251334386","DOIUrl":"https://doi.org/10.1177/17449871251334386","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":"30 4","pages":"341-343"},"PeriodicalIF":1.6,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592644","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":"Perspectives: Digital media use in children with autism: balancing benefits and risks. A nursing perspective.","authors":"Björn Ljungberg, Albert Westergren","doi":"10.1177/17449871251334419","DOIUrl":"https://doi.org/10.1177/17449871251334419","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":"30 4","pages":"406-410"},"PeriodicalIF":1.6,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592649","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}