Asian Nursing Research最新文献

{"title":"The Effect of Progressive Relaxation Exercises on Pain and Bowel Movements in Patients Undergoing Laparoscopic Cholecystectomy: A randomized controlled trial.","authors":"Şuheda Zorer Yilmaz, Dilek Gürçayir","doi":"10.1016/j.anr.2025.08.004","DOIUrl":"https://doi.org/10.1016/j.anr.2025.08.004","url":null,"abstract":"<p><strong>Purpose: </strong>Postoperative pain and decreased bowel movements are common complications following laparoscopic cholecystectomy. The study aimed to investigate the effect of progressive relaxation exercises on pain and bowel movements after this procedure.</p><p><strong>Methods: </strong>The data of the randomized controlled experimental study were collected between January and April 2024 in the general surgery clinic of a university hospital. The study sample consisted of 80 patients (40 experimental and 40 control) selected by simple randomization and met the research criteria. Patients in the experimental group underwent progressive relaxation exercises in the fourth and sixth hours after the surgery. The Descriptive Information Form, Visual Analog Scale Pain Form, and Bowel Movement Monitoring Form were used to collect the data. Data were analyzed using Chi-square tests, independent samples t-tests, the Mann-Whitney U test, Generalized Estimating Equations (GEE), and Pearson correlation analysis.</p><p><strong>Results: </strong>The mean pain scores of the patients in the experimental group after the first application, before the second application, and after the second application were statistically significantly lower than the patients in the control group (p < .05). The GEE analysis revealed a statistically significant increase in the effect of progressive relaxation exercises on pain reduction over time (p < .05). The time of the first bowel sounds, first flatus, and first defecation were statistically and significantly earlier in the experimental group than in the control group (p < .05).</p><p><strong>Conclusion: </strong>Progressive relaxation exercises decreased postoperative pain and shortened the time to start bowel movements, the time of first flatus, and the time of first defecation in patients undergoing laparoscopic cholecystectomy.</p><p><strong>Clinical trial registration number: </strong>Clinical Trials Registration Number is NCT05969509. Registered on 07 December 2023. This study was registered with Clinical Trials ID (NCT05969509).</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitators and barriers to the implementation of school mental health collaboration in Sichuan province, China: a descriptive qualitative study.","authors":"Meiqi Luo, Ke Wang, Yuchuan Yue, Chunyan Chen","doi":"10.1016/j.anr.2025.07.007","DOIUrl":"https://doi.org/10.1016/j.anr.2025.07.007","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to interview stakeholders who participated in school mental health inter-professional collaboration (IPC) and determine the facilitators and obstacles for the development of school mental health inter-professional collaboration in Sichuan province, China.</p><p><strong>Method: </strong>Semi-structured interviews were conducted with 22 stakeholders, including psychiatrists, nurses, school mental health teachers, community workers, and hospital administrators. Data were analyzed using content analysis guided by the Exploration-Preparation-Implementation-Sustainment (EPIS) framework. This study adhered to the COREQ checklist for reporting qualitative research.</p><p><strong>Results: </strong>The analysis yielded 248 open codes, categorized into 10 barriers and 5 facilitators. Key barriers included insufficient funding, lack of intermediary organizations, interdisciplinary differences, communication gaps, and concerns about intellectual property rights. Facilitators encompassed policy support, existing cooperative frameworks, interprofessional education, perceived value of collaboration, and adequate infrastructure. Stakeholders emphasized the need for standardized processes and sustainable resource allocation to enhance the efficacy of IPC.</p><p><strong>Conclusion: </strong>Systemic obstacles, such as fragmented administrative systems and limited funding, hinder the sustainable implementation of IPC in Chinese school mental health services. Strengthening policy advocacy, establishing intermediary platforms, and prioritizing interprofessional training are critical to improving collaboration. This study highlights the urgency of integrating mental health resources across education and healthcare sectors to address the growing psychological needs of adolescents.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of virtual reality-guided imagery relaxation intervention in improving anxiety among lung cancer patients:A Randomized Controlled Trial.","authors":"Huiqin Li, Fengxia Liu, Shujun Li, Chuang Li, Ziqiang Tian","doi":"10.1016/j.anr.2025.08.003","DOIUrl":"https://doi.org/10.1016/j.anr.2025.08.003","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;To examine the effectiveness of virtual reality (VR)-guided imagery relaxation (VRGI) intervention in reducing anxiety among lung cancer surgery patients.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A randomized clinical trial was conducted at the Fourth Affiliated Hospital of Hebei Medical University (Shijiazhuang, Hebei, China) to recruit patients scheduled for their first elective endoscopic lung cancer surgery under general anesthesia between December 2023 and March 2024. Patients were randomly assigned in a 1:1 ratio to either the control group, receiving routine treatment and staged care in thoracic surgery, or the experimental group, receiving VRGI intervention in addition to the control group's protocol. The primary outcome was the State-Trait Anxiety Inventory (STAI) score for anxiety assessment. Secondary outcomes included physiological stress markers changes (systolic blood pressure[SBP], diastolic blood pressure [DBP], and heart rate [HR]). Outcome were assessed at 3 time points: on the day of admission (T1), immediately before surgery (T2), and at discharge (T3). A repeated-measures analysis of variance (ANOVA) was applied to compare changes in outcomes over time.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 98 participants (M [QIR] age, 60.00[54.25, 68.00]years; 39 men [39.8%] and 59 women [60.2%]) were recruited and randomized to the control group (53 participants) and experimental group (45 participants). The age (β, 6.29; 95%CI, 2.09 to 10.69; P=.005), education level (β, -5.57; 95%CI, -9.76 to -1.37; P=.011), awareness of the disease (β, 6.11; 95%CI, 1.80 to 10.62; P=.007), and gender (β, 5.75; 95%CI, 1.09 to 10.40; P=.018) was the major influencing factor of preoperative anxiety. Compared with the control group, the VRGI experimental group showed an even smaller increase in SAI (t=2.20; P=.003), SBP (t=2.75; P=.007), DBP (t=2.53; P=.013) and HR (t=2.17; P=.033) at T2, whereas showed significant decreases in SAI (t= 4.79; P &lt; .001), SBP (t=3.25; P=.0027), DBP (t=2.96; P=.004) and HR (t=4.26; P&lt;.001) at T3. The results of the repeated measures ANOVA demonstrated statistically significant differences in SAI score, SBP, DBP and HR across time effect, group effect and time×group interaction effect (P&lt;.05), the intervention group exhibited superior outcomes compared to the control group. However, no statistically significant difference was observed in the TAI score (P&gt;.05).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The findings of this study suggest that VRGI is a feasible and effective approach to reducing the anxiety in lung cancer patients undergoing elective endoscopic surgery. Furthermore, it demonstrates potential to alleviate physiological stress responses and enhance patient self-confidence. The positive outcomes observed in this investigation suggest that large-scale, multicenter randomized controlled trials are needed to confirm the intervention's efficacy across diverse clinical populations.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Trial reg","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and psychometric properties of the Korean version of the Novice Nursing Practitioner Role Transition scale.","authors":"Eun Sook Kim, Mi-Kyeong Jeon, Su Jung Choi, Onam Ok, Genehee Lee, Ahyeong Song","doi":"10.1016/j.anr.2025.07.005","DOIUrl":"https://doi.org/10.1016/j.anr.2025.07.005","url":null,"abstract":"<p><strong>Purpose: </strong>In this study, we aimed to develop and test the validity and reliability of the Korean version of the Novice Nursing Practitioner Role Transition (K-NNPRT) scale.</p><p><strong>Methods: </strong>This scale was developed through forward translation, expert panel endorsement, and back translation and revised based on cognitive interviews. Data for the psychometric test were collected from 248 nurses who provide advanced care in Korea. The construct validity was tested based on exploratory and confirmatory factor analyses, internal consistency reliability, and criterion-related validity.</p><p><strong>Results: </strong>The final version of the scale consisted of 33 items across four domains identified through exploratory and confirmatory factor analyses, with convergent and discriminant validity deemed acceptable. Criterion-related validity was supported by a positive correlation with the job satisfaction scale (r = 0.59). Internal consistency was high, with Cronbach's α = 0.93 for the total items and McDonald's Ω = 0.92 for all items.</p><p><strong>Conclusions: </strong>The K-NNPRT scale has demonstrated psychometrically valid and reliable. It is valuable instrument for assessing and understanding the degree of transition of new advanced practice nurses.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of Self-Control with Self-Management in Stroke Survivors:a Cross-Sectional Study.","authors":"Xiaoxuan Wang, Beilei Lin, Shanshan Wang, Hu Jiang, Zhiguang Ping, Qiushi Zhang, Yanfei Liu, Hui Wang, Yanchun Liu, Zhenxiang Zhang","doi":"10.1016/j.anr.2025.07.002","DOIUrl":"https://doi.org/10.1016/j.anr.2025.07.002","url":null,"abstract":"<p><strong>Purpose: </strong>To identify and explore the latent categories of self-control and clarify the relationship between self-control and self-management of stroke survivors under different categories.</p><p><strong>Methods: </strong>This cross-sectional study was conducted using a general information questionnaire, the Chinese version of the Dual-Mode Self-Control Scale, and the Stroke Self-Management Scale to measure sociodemographic data, self-control, and self-management. The questionnaires were administered face-to-face, and a convenience sampling method was used to collect the data. A total of 519 stroke survivors from a tertiary hospital in Henan Province, China, were included. Data were analyzed using latent profile analysis (LPA) and the Kruskal-Wallis H test.</p><p><strong>Results: </strong>The four-profile model was the most suitable. It was named as follows: low impulse-high control group (25.1%), low impulse-low control group (39.7%), high impulse-high control group (24.7%) and high impulse-low control group (10.6%). The self-management scores of the low impulse and high control group were significantly higher than those of the other three groups.</p><p><strong>Conclusion: </strong>Stroke survivors demonstrate moderate levels of self-control. In particular, patients with ambivalent self-control psychologies are noteworthy, as they require strategies to address this contradictory psychological situation. Healthcare providers should consider the unique self-control characteristics of stroke survivors to assist them in enhancing their self-control abilities. Future research should use more objective assessment methods to examine long-term changes in self-control among stroke survivors and their relationships with self-management.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age-group variations in the associations between technostress, job burnout, and work engagement among nurses: Evidence from a network analysis.","authors":"Haonan Zhang, Zhenduo Zhang, Huan Xiao, Ruoyi Qu, Zheng Zhou","doi":"10.1016/j.anr.2025.06.002","DOIUrl":"https://doi.org/10.1016/j.anr.2025.06.002","url":null,"abstract":"<p><strong>Background: </strong>While digital transformation has become a necessary trend for hospitals, it imposes technostress on nurses working on the health-care front lines. According to previous research, it increases conflict between nurses and patients but the mechanism and age difference are ignored.</p><p><strong>Methods: </strong>A total of 672 nurses recruited from five hospitals in Liaoning Province, China. Network analysis was adopted to analyze the network characteristics among technostress, job burnout, and work engagement, as well as to compare gender difference.</p><p><strong>Results: </strong>The expected influence of techno-induced invasion of privacy was highest for nurses aged below the age of 40 (1.145), while techno-induced role ambiguity was more significant for those who aged above 40 (0.984). The betweenness of job burnout was highest (emotional exhaustion = 1.341 and cynicism = 1.772). For nurses aged below 40, the betweenness of cynicism was higher (2.056) than that of older nurses, and it had a negative association with dedication (W = -0.079). Conversely, for older nurses, the betweenness of cynicism was higher (1.276) compared to nurses below 40 and was negatively associated with absorption (W = -0.055).</p><p><strong>Conclusion: </strong>(1) Younger nurses suffer more from invasion of privacy while older nurses are more concerned about role ambiguity. (2) Technostress is positively and directly associated with job burnout and has an indirect negative relationship with work engagement through job burnout. (3) Controlling cynicism is more important for younger nurses while emotional exhaustion is more important for older nurses. This research help understanding the complex interrelationships helps hospital administrators to better address nurses' stress and adapt targeted strategies during digital transformation.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Contributing Factors of Illicit Drug Use Among Youth Aged 18-24 in South Korea.","authors":"Chaehee Kim, Kihye Han, Jieun Kim, Alison M Trinkoff, Sihyun Park, Hyejin Kim","doi":"10.1016/j.anr.2025.07.003","DOIUrl":"https://doi.org/10.1016/j.anr.2025.07.003","url":null,"abstract":"<p><strong>Purpose: </strong>South Korea-despite its \"drug-free\" reputation-exhibits an increasing incidence of drug use, particularly among youths. In this age group, both environmental and individual factors influence illegal drug use. This study aimed to explore the prevalence of illicit drug use and examine the association between individual and environmental factors and drug use among Korean youths.</p><p><strong>Methods: </strong>We administered a cross-sectional survey among South Koreans aged 18-24 years through an online panel; the survey assessed participants' characteristics and drug use, as well as relevant individual and environmental factors. The synthetic minority oversampling technique addressed variable imbalance. Logistic regression models analyzed associations between factors and drug use, while Shapley values determined these factors' relative importance.</p><p><strong>Results: </strong>The lifetime prevalence of drug use among the participating youths was 3.9%, with prescription drugs and inhalants being the most prevalent. Negative attitudes toward drugs, a high awareness of South Korea's drug problem, and knowledge of drug use's consequences were associated with lower drug use. High peer pressure, perceived peer drug use, and drug availability were associated with elevated drug use, as were younger age, sexual minority status, living abroad, poor health, and high stress.</p><p><strong>Conclusion: </strong>The high prevalence of prescription drug and inhalant use among South Korean youths suggests that the perception that the country is drug-free is inaccurate and emphasizes the need for targeted intervention strategies. Effective prevention measures should include community education regarding drug risks, early detection of at-risk individuals, and enhanced access to tailored treatment alternatives.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of potential profiles of health literacy in chronic heart failure patients.","authors":"Lijie Yang, Jianxia Zhang, Haiting Li, Jing Tian","doi":"10.1016/j.anr.2025.07.006","DOIUrl":"https://doi.org/10.1016/j.anr.2025.07.006","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore health literacy profiles in patients with heart failure and identify heterogeneous subgroups within the chronic heart failure population. Through investigating the health literacy of heart failure patients, we analyzed the factors influencing patients' health literacy levels, aiming to provide evidence-based guidance for improving health literacy in this patient population.</p><p><strong>Methods: </strong>This study employed a cross-sectional design. A total of 220 patients with chronic heart failure hospitalized at a tertiary hospital in Shanxi Province were recruited via convenience sampling between January and June 2024. Participants were assessed using a General Characteristics Questionnaire, the Chinese Version of the Heart Failure Health Literacy Scale (CHF-HLS), and the Heart Failure Self-Care Behavior Scale. Data analysis included multinomial ordered logistic regression to identify factors influencing health literacy and latent profile analysis (LPA) to explore potential classes of health literacy among the patients.</p><p><strong>Results: </strong>The health literacy profiles were categorized into 3 potential profiles, including the low health literacy-resource-limited group (7.7%), the medium health literacy-communication barriers group (55.5%), and the high health literacy-high decision-making ability group (36.8%), respectively. The results of multi-categorical ordered regression analysis showed that occupation, literacy, per capita monthly household income, type of health insurance, and self-care ability were the influential factors in potential profile categories of health literacy in heart failure patients (P < 0.05).</p><p><strong>Conclusion: </strong>Chronic heart failure patients have variable health literacy, with better self-care behaviors associated with higher health literacy.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Latent Profile Analysis and Influencing Factors of Learned Helplessness in Maintenance Hemodialysis Patients: A Cross-sectional Study.","authors":"Shaona Cai, Huiqin Tao, Caixia Li, Zhenping Du, Shengzi Liu, Qiuzhen Tan, Huahui Zhou, Na Ji, Aihong Wang, Lifang Zhou, Yina Zhao, Yingying Li, Xia Fu","doi":"10.1016/j.anr.2025.07.004","DOIUrl":"https://doi.org/10.1016/j.anr.2025.07.004","url":null,"abstract":"<p><strong>Purpose: </strong>Maintenance hemodialysis (MHD) patients frequently experience psychological distress, including learned helplessness(LH), which impairs self-management and adversely affects health-related quality of life. This study aimed to investigate the latent profiles of LH among MHD patients and to identify the bio-psycho-social determinants influencing these profiles.</p><p><strong>Method: </strong>A cross-sectional survey was conducted in five hospitals in Guangdong, China, from May to July 2024, enrolling 548 MHD patients. Latent Profile Analysis (LPA) was applied to classify patients into distinct LH subgroups. Chi-square tests and multinomial logistic regression analyses were employed to identify factors influencing LH profiles.</p><p><strong>Results: </strong>LPA identified three distinct LH profiles: High Helplessness-Resigned Group (49.0%), Moderate Helplessness-Adaptive Group (36.4%) and Low Helplessness-Hopeful Group (14.6%). Regression analyses revealed that sex, income, history of kidney transplantation, symptom distress, hope, and family support were significant determinants of LH profiles. Patients with high symptom distress, lower levels of hope, and reduced family support were more likely to belong to the High Helplessness-Resigned Group.</p><p><strong>Conclusions: </strong>The findings underscore the complex nature of LH in MHD patients and emphasize the importance of symptom management, hope enhancement, and family support in interventions. Tailored psychological and social support strategies may alleviate LH, improving the mental health and quality of life of MHD patients. Future studies should examine the long-term impact of these interventions on patient outcomes.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posttraumatic Growth of First Responders Scale for Firefighters: Scale Development and Validation.","authors":"Youngshim Ko, Yeongmi Ha","doi":"10.1016/j.anr.2025.08.002","DOIUrl":"https://doi.org/10.1016/j.anr.2025.08.002","url":null,"abstract":"<p><strong>Purpose: </strong>Although firefighters are likely to experience various types of personal growth following traumatic events, there has been a lack of reliable measurements to assess their positive changes. Therefore, this study aimed to develop and validate a posttraumatic growth scale considering the unique occupational characteristics of firefighters as first responders.</p><p><strong>Methods: </strong>This is a methodological study to develop and validate the posttraumatic growth of first responders scale for firefighters (PTG-FIRSF). An item pool was generated after an extensive literature review including posttraumatic growth theory, and individual interviews. Content, exploratory and confirmatory factor analyses, convergent and discriminant validity, criterion validity, and known-group validity were conducted for the validity test. The scale was also evaluated for its internal consistency.</p><p><strong>Results: </strong>A four-factor structure was found with an eigenvalue >1, explaining 76.6% of the total variance. The final version of the PTG-FIRSF consisted of four factors with 21-item on a 6-point Likert scale: redefining of life's meaning (6 items), discovery of meaningful work (5 items), deepened interpersonal relationships (5 items), and growth in self-perception (5 items). The convergent validity and discriminant validity was established, and the criterion validity was confirmed by significant correlations between the posttraumatic growth inventory-extended and PTG-FIRSF. Regarding known-group validity, the scores of 'moderate and high level of PTG group' and 'low level of PTG group' were significantly different in all domains. The reliability of the scale, measured by Cronbach α, was .96.</p><p><strong>Conclusions: </strong>This study demonstrates that the PTG-FIRSF could be a valid, reliable, and user-friendly measurement to evaluate the posttraumatic growth of firefighters. The PTG-FIRSF can be useful for developing various posttraumatic growth programs and evaluating the effectiveness of interventions.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}