International Journal of Nursing Practice最新文献_第10页

Psychometric Properties of the Turkish Version of the Partners in Health Scale: Chronic Disease Self-Management in Primary Healthcare 土耳其版伙伴健康量表的心理测量特性：初级卫生保健中的慢性病自我管理。

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-03-20 DOI: 10.1111/ijn.70007

Julide Gulizar Yildirim, Sharon Lawn

Background

This study aimed to assess the psychometric properties of the Turkish version of the Partners in Health Scale (PIH-TR), which was developed to assess the perceptions of patients with chronic conditions in primary care. Accurate assessment of facilitators and barriers to self-management of chronic conditions, from the patients' perspective, is important for working effectively with them to promote better health outcomes.

Methods

A cross-sectional validation study was conducted and designed according to the STROBE guidelines. One hundred thirty-six patients, aged 30–90 years (86.7% aged > 60), were recruited from family care centres. Data were collected using the revised PIH, an adapted version of Model-2 (PIH-TR), which is a 12-item self-rated measure of self-management of chronic conditions. The PIH was translated into Turkish using Beaton et al.'s method. Content, construct validity and internal consistency analyses were undertaken to evaluate the data.

Results

The PIH-TR had satisfactory reliability and validity and revealed a four-factor structure appropriate to the original scale: knowledge, partnership in treatment, recognition and management of symptoms and coping. Omega coefficient (0.860), test–retest reliability (0.841) and comparative fit indices (CFI) (0.99) were high.

Conclusion

The PIH-TR has good specifics and is reliable and valid as an objective self-rated tool to assess self-management of Turkish patients' chronic conditions.

背景：本研究旨在评估土耳其版健康伙伴量表（PIH-TR）的心理测量特性，该量表旨在评估初级保健中慢性病患者的认知。从患者的角度准确评估慢性病自我管理的促进因素和障碍，对于与他们有效合作以促进更好的健康结果非常重要。方法：根据STROBE指南进行横断面验证研究。从家庭护理中心招募了136名年龄在30-90岁之间的患者（86.7%的患者年龄在60岁至60岁之间）。数据收集使用修订后的PIH，这是模型2 （PIH- tr）的改编版本，这是一个12项慢性疾病自我管理的自评测量。使用Beaton等人的方法将PIH翻译成土耳其语。对数据进行内容分析、结构效度分析和内部一致性分析。结果：PIH-TR具有满意的信效度，呈现出与原量表相适应的四因素结构：知识、治疗伙伴、症状的识别与管理、应对。Omega系数（0.860）、重测信度（0.841）、比较拟合指数（CFI）（0.99）均较高。结论：PIH-TR具有良好的特异性，作为评估土耳其慢性疾病患者自我管理的客观自评工具是可靠有效的。

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引用次数: 0

The Relationship Between Kinesiophobic Attitude and Frailty in Older People 老年人运动恐惧态度与虚弱的关系

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-03-16 DOI: 10.1111/ijn.70002

Fatma Zehra Genç, Naile Bilgili

Aim

To investigate the relationship between kinesiophobic attitudes and their causes and frailty in older people.

Methods

This descriptive, relationship-seeking study was conducted with 302 people aged over 65 years. The data were collected through face-to-face interviews between July and September 2023, using a personal information form, the Tampa Scale of Kinesiophobia, the Kinesiophobia Causes Scale (KCS) and the Edmonton Frail Scale (EFS). The data were analysed using Pearson's correlation test, linear regression and binary logistic regression.

Results

A total of 92.7% of older adults experienced high levels of kinesiophobia, while 80.5% presented various degrees of frailty. Most people's kinesiophobia is caused by psychological factors. There is a positive and significant correlation between kinesiophobia and frailty, as well as between the causes of kinesiophobia and frailty. The linear regression model showed that age, sex, physical activity, pain score, kinesiophobic attitudes and causes explained 52.1% of the variation in the EFS score. The binary logistic regression model, based on the frailty categorical variable (frail vs. non-frail), found that age, sex, physical activity, pain score and kinesiophobic attitudes accounted for 49.0% of the variation in the EFS score.

Conclusions

Kinesiophobic attitudes and causes are important risk factors for frailty and can predict an individual's frailty state.

目的探讨老年人运动恐惧态度及其成因与虚弱的关系。方法对302名65岁以上老年人进行描述性、寻求关系的研究。数据是在2023年7月至9月期间通过面对面访谈收集的，使用个人信息表，坦帕运动恐惧症量表，运动恐惧症原因量表（KCS）和埃德蒙顿虚弱量表（EFS）。采用Pearson相关检验、线性回归和二元logistic回归对数据进行分析。结果92.7%的老年人有高度的运动恐惧症，80.5%的老年人有不同程度的虚弱。大多数人的运动恐惧症是由心理因素引起的。运动恐惧症和虚弱之间，以及运动恐惧症和虚弱的原因之间，存在显著的正相关。线性回归模型显示，年龄、性别、体力活动、疼痛评分、运动恐惧态度和原因解释了52.1%的EFS评分变异。基于虚弱分类变量（虚弱与非虚弱）的二元逻辑回归模型发现，年龄、性别、体力活动、疼痛评分和运动恐惧症态度占EFS评分变化的49.0%。结论运动恐惧态度及其成因是虚弱的重要危险因素，可预测个体的虚弱状态。

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引用次数: 0

Validity and Reliability of the Turkish Version of the Contraceptive Use Stigma Scale 土耳其版避孕药具使用污名量表的效度和信度

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-03-14 DOI: 10.1111/ijn.70008

Hamide Arslan Tarus, Gonul Kurt, Zekiye Turan

Aims

The aim of this study was to adapt the contraceptive use stigma (CUS) scale into Turkish and review its validity and reliability.

Methods

This methodological study comprised of 140 women. For the adaptation of the CUS scale into Turkish, translation and cultural adaptation into the Turkish language was performed. Then, its psychometric properties were evaluated by confirmatory factor analysis.

Results

It was determined that the CUS scale consisted of seven items and one subscale. In the confirmatory factor analysis, the fit index values of the scale were found to be suitable. The intraclass correlation coefficient of test–retest reliability was 0.73, and Cronbach's alpha coefficient was 0.85.

Conclusion

The Turkish version of the CUS scale is a valid and reliable instrument that can be used to measure women's stigmatising beliefs and attitudes regarding the use of contraceptives.

目的本研究的目的是适应避孕使用耻辱（CUS）量表土耳其和审查其效度和信度。方法对140名女性进行方法学研究。为了将CUS量表改编成土耳其语，我们进行了土耳其语的翻译和文化改编。然后采用验证性因子分析对其心理测量特性进行评价。结果量表由7个条目和1个分量表组成。在验证性因子分析中，发现量表的拟合指数值是合适的。重测信度的类内相关系数为0.73,Cronbach’s alpha系数为0.85。结论土耳其版CUS量表是一种有效可靠的工具，可用于衡量妇女对使用避孕药具的污名化信念和态度。

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引用次数: 0

Revitalizing Minds: Exploring the Transformative Power of Mindfulness-Based Nursing Interventions on Depression and Resilience in Oncology Patients—A Quasiexperimental Approach 振兴心灵：探索以正念为基础的护理干预对肿瘤患者抑郁和恢复力的变革力量-一种准实验方法

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-03-11 DOI: 10.1111/ijn.70005

Ateya Megahed Ibrahim, Soma Ibrahim Ali, Mai El-Ghareap Hassan El-Metwally Omar

<div> <section> <h3> Aim</h3> <p>This study evaluated the impact of mindfulness-based nursing interventions (MBNIs) on reducing depression and enhancing resilience in oncology patients.</p> </section> <section> <h3> Background</h3> <p>Oncology patients face high levels of depression and weakened resilience, which significantly reduces their quality of life, affects their ability to adhere to treatment and worsens health outcomes. Additional stressors linked to the diagnosis, treatment side effects and future uncertainty may lead to emotional challenges. MBNIs offer an optimistic approach to these problems by inducing emotional regulation, depressive symptom reduction and the development of resilience through mindfulness practices. Although MBNIs have been increasingly recognized in mental health care, their effectiveness in oncology remains underinvestigated. Further research is needed concerning its potential benefits in fostering psychological well-being, improving patients' emotional coping with illness and enhancing the treatment experience.</p> </section> <section> <h3> Methods</h3> <p>This is a single-group quasiexperiment study adopting a pretest and posttest design, conducted at the Damietta Oncology Institute in Egypt between May and August 2023. This study recruited 88 patients who agreed to participate and were diagnosed with oncological diseases. The Patient Health Questionnaire-9 (PHQ-9) was used to measure depression, and the Connor–Davidson Resilience Scale (CD-RISC) was used to measure resilience. Data analysis was performed using paired <i>t</i>-tests and linear regressions. Pearson's correlation was also considered to establish the effects of the intervention and further provide correlations between depression and resilience.</p> </section> <section> <h3> Results</h3> <p>There was a significant improvement in depression and resilience following the MBNIs. The mean PHQ-9 score decreased significantly from 14.6 ± 3.2 to 9.7 ± 2.5, with <i>p</i> ≤ 0.001, indicating a significant reduction in depressive symptoms. Similarly, resilience scores increased from 56.4 ± 5.7 to 64.8 ± 6.3, with <i>p</i> ≤ 0.001 showing an improvement in resilience. The linear regression analysis showed that intervention accounted for 55% of changes in PHQ-9 scores and 41% in CD-RISC scores, thus suggesting that a significant portion of the observed changes in depressive symptomatology and resilience was due to the MBNIs. In addition, both levels of depressive symptomatology and resilience were highly inversely related at preintervention (<i>r</i> = 0.67 and <i>p</i> = 0.003) and postintervention (<i>r</i> = 0.58 and <i>p</i> = 0.012).</p>

目的本研究评估正念护理干预（MBNIs）对减少肿瘤患者抑郁和增强恢复力的影响。肿瘤患者面临高水平的抑郁和较弱的恢复力，这大大降低了他们的生活质量，影响了他们坚持治疗的能力，并恶化了健康结果。与诊断、治疗副作用和未来不确定性相关的额外压力源可能导致情感挑战。mbni提供了一种乐观的方法来解决这些问题，通过正念练习诱导情绪调节，减轻抑郁症状和发展恢复力。尽管mbni在精神卫生保健中得到越来越多的认可，但其在肿瘤学中的有效性仍未得到充分研究。它在促进心理健康、改善患者对疾病的情绪应对和提高治疗体验方面的潜在益处有待进一步研究。方法采用前测和后测设计的单组准实验研究，于2023年5月至8月在埃及Damietta肿瘤研究所进行。这项研究招募了88名同意参与并被诊断患有肿瘤疾病的患者。采用患者健康问卷-9 （PHQ-9）测量抑郁，采用康诺-戴维森心理弹性量表（CD-RISC）测量心理弹性。数据分析采用配对t检验和线性回归。Pearson的相关性也被认为是建立干预的效果，并进一步提供抑郁和恢复力之间的相关性。结果MBNIs治疗后抑郁和心理弹性均有显著改善。PHQ-9平均分由14.6±3.2降至9.7±2.5,p≤0.001，抑郁症状明显减轻。同样，心理弹性得分从56.4±5.7分提高到64.8±6.3分，p≤0.001表明心理弹性有所提高。线性回归分析显示，干预占PHQ-9评分变化的55%，CD-RISC评分变化的41%，因此表明观察到的抑郁症状和恢复力变化的很大一部分是由于MBNIs。此外，在干预前（r = 0.67和p = 0.003）和干预后（r = 0.58和p = 0.012），抑郁症状和恢复能力水平均呈高度负相关。结论MBNIs可显著减轻肿瘤患者的抑郁症状，增强患者的抗抑郁能力。MBNIs在癌症治疗中的应用可能会改善患者的情绪状态和生活质量。未来的研究应考虑这些干预措施在肿瘤治疗中更广泛背景下的长期效果和适用性。

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引用次数: 0

Explaining the Association Between Number of Teeth and Frailty in Older Chinese Adults: The Chain Mediating Effect of Nutritional Status and Cognitive Function 解释中国老年人牙齿数量与脆弱的关系：营养状况和认知功能的连锁中介作用

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-02-19 DOI: 10.1111/ijn.70001

Yanan Wang, Lifang Fan, Hui Zhou, Meimei Zhang, Tianyan Wang, Ying Sheng, Yuelan Zhu

Aims

The objective of this research is to investigate the association between the number of teeth and frailty in the geriatric population.

Design

This cross-sectional study was conducted in Shanghai Fifth People's Hospital, Fudan University, from May 2021 to September 2021.

Methods

A cohort of 538 community-dwelling older adults aged 60 years or above was included in the analysis. The Tilburg Frailty Indicator, Mini-Mental State Examination and Mini Nutritional Assessment Short-Form were employed to assess frailty, cognitive function and nutritional status, respectively. The statistics software SPSS v21.0 and its process plug-in were employed for statistical analysis, and the significance of intermediary effects was tested using the bootstrap sampling test method and the process plug-in.

Results

The number of teeth influenced frailty through three mediating pathways: (a) nutritional status (effect = −0.038); (b) cognitive function (effect = −0.021); (c) nutritional status and cognitive function combined (effect = −0.038). The total mediating effect accounted for 50.26% of the overall effect.

Conclusion

These findings highlight the need to raise awareness of oral health care among older adults and implement comprehensive interventions to promote active aging and improve their overall well-being.

目的本研究的目的是调查老年人口中牙齿数量和虚弱之间的关系。本横断面研究于2021年5月至2021年9月在复旦大学上海第五人民医院进行。方法对538名60岁及以上的社区老年人进行队列分析。采用蒂尔堡衰弱指数、简易精神状态测验和简易营养评估简表分别评估患者的衰弱、认知功能和营养状况。采用统计软件SPSS v21.0及其过程插件进行统计分析，采用自举抽样检验方法和过程插件检验中介效应的显著性。结果牙齿数量通过三种中介途径影响脆弱性：(a)营养状况（效应=−0.038）；(b)认知功能（effect =−0.021）；(c)营养状况和认知功能相结合（效应=−0.038）。总中介效应占总中介效应的50.26%。结论提高老年人口腔保健意识，实施综合干预措施，促进老年人积极老龄化，提高老年人整体健康水平。

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引用次数: 0

Predictive Models of Arteriovenous Endovascular Fistula Deterioration in Maintenance Haemodialysis Patients: A Systematic Review 维持性血液透析患者动静脉内瘘恶化的预测模型：系统综述

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-02-17 DOI: 10.1111/ijn.70004

Xuhui Dong, Defeng Chen, Wanlin Peng, Bei Li

Aims

The aim of this study is to systematically evaluates of risk prediction models for loss of arteriovenous endovascular fistula function in maintenance haemodialysis patients to provide guidance for establishing and improving the model.

Design

The PRISMA guidelines guided this systematic review. The review was registered with PROSPERO (CRD:42023416964).

Methods

This systematic review was conducted in accordance with the PRISMA 2020 guidelines. A comprehensive search was conducted on various databases, including Pubmed, Embase, Cochrane Library, Web of Science, China Knowledge Network, Wanfang Database, Vipshop Journal Repository and Chinese Biomedical Literature Database. The objective of this extensive search was to identify studies pertaining to predictive models for the occurrence of autogenous arteriovenous fistula failure. The search period extended from the creation of the databases to 4 April 2023. Two reviewers independently reviewed the literature to ensure the reliability of the findings. Extraction of relevant data and analysis of the risk of bias and applicability of the included literature were conducted using the Risk of Bias Assessment Tool for Predictive Modelling Studies. Outcome data were reported by narrative synthesis.

Results

Eight studies were included in the analysis. One study incorporated both internal and external validation, two studies employed internal validation and one study utilized external validation. The multivariate models reported that age, diabetes and hypotension on dialysis were the independent predictors in common. It is noteworthy that all studies exhibited some degree of bias. However, the applicability of the findings was deemed adequate.

Conclusion

The prediction model for the occurrence of arteriovenous endovascular fistula failure in patients with maintenance haemodialysis has good applicability. However, the overall bias is high, and the model's methodology contains defects. To address these issues, further research is necessary to construct the model in accordance with the PROBAST tool. Healthcare professionals should intervene promptly in high-risk patients with the aforementioned risk factors to minimize the incidence.

目的系统评价维持性血液透析患者动静脉血管内瘘功能丧失的风险预测模型，为模型的建立和完善提供指导。设计PRISMA指南指导了本次系统评价。该综述已在普洛斯彼罗注册（CRD:42023416964）。方法根据PRISMA 2020指南进行系统评价。综合检索Pubmed、Embase、Cochrane Library、Web of Science、中国知识网、万方数据库、唯品会期刊库、中国生物医学文献库等数据库。这项广泛研究的目的是确定与自体动静脉瘘失败发生的预测模型有关的研究。检索期从建立数据库延长至2023年4月4日。两位审稿人独立审查了文献，以确保研究结果的可靠性。使用预测建模研究偏倚风险评估工具提取相关数据，分析纳入文献的偏倚风险和适用性。结果数据采用叙事综合法报道。结果共纳入8项研究。一项研究采用内部验证和外部验证，两项研究采用内部验证，一项研究采用外部验证。多变量模型报告，年龄、糖尿病和透析低血压是共同的独立预测因素。值得注意的是，所有的研究都表现出一定程度的偏见。但是，调查结果的适用性被认为是充分的。结论对维持性血液透析患者发生动静脉内瘘失败的预测模型具有较好的适用性。但总体偏差较大，模型方法存在缺陷。为了解决这些问题，有必要进一步研究根据PROBAST工具构建模型。对于具有上述危险因素的高危患者，医疗专业人员应及时干预，以尽量减少发病率。

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引用次数: 0

Public Stigma of Stroke Scale: Turkish Validity and Reliability Study 卒中公众病耻感量表：土耳其语效度与信度研究

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-02-16 DOI: 10.1111/ijn.70003

Gülcan Bahcecioglu Turan, Zülfinaz Özer, Esra Yıldız

Objective

This study was conducted to examine the validity and reliability of the Turkish version of the Public Stigma of Stroke Scale (PSSS).

Background

The stigma perceived by patients who have had stroke affects the quality of life as well as many health-related factors. Therefore, it is necessary to determine the society's stigmatization of the stroke patient and to reveal the differences related to stroke in different cultures.

Design

This study is methodological research.

Methods

This study was conducted with 410 individuals aged 18 and over. The data were collected by using descriptive information form and PSSS. The data were evaluated by using exploratory and confirmatory factor analysis, Cronbach's alpha, McDonald's Omega reliability, composite reliability, mean variance extracted and test–retest analysis.

Results

Factor load values of the scale items were found to vary between 0.585 and 0.904. The fit index values in the scale were found as X²/df = 2.42, < 0.001, CFI = 0.934, TLI = 0.928, SRMR = 0.042 and RMSEA = 0.059. It was found that Cronbach's alpha coefficients of the factors of the scale ranged between 0.916 and 0.946, and the total Cronbach's alpha coefficient was 0.897. Total McDonald's omega coefficient was found to be 0.897, and McDonald's omega coefficients of the factors were found to be between 0.921 and 0.951. Total composite reliability was found to be 0.981, and total mean variance extracted was found to be 0.740. It was found that the Turkish version of the 33-item and four-factor scales was confirmed without any changes in the original scale form.

Conclusion

Turkish version of PSSS is a valid and reliable measurement tool for the evaluation of the stigmatization of stroke patients by the public and for use in clinical practice.

目的探讨土耳其语版卒中公众病耻感量表（PSSS）的效度和信度。脑卒中患者的耻辱感会影响生活质量以及许多与健康相关的因素。因此，有必要确定社会对中风患者的污名化，揭示不同文化中与中风相关的差异。本研究为方法学研究。方法对年龄在18岁及以上的410人进行研究。采用描述性信息表和PSSS进行数据收集。采用探索性因子分析和验证性因子分析、Cronbach’s alpha信度、McDonald’s Omega信度、复合信度、均值方差提取和重测分析对数据进行评价。结果量表项目的因子负荷值在0.585 ~ 0.904之间。量表的拟合指数值为X2/df = 2.42, < 0.001, CFI = 0.934, TLI = 0.928, SRMR = 0.042, RMSEA = 0.059。结果表明，量表各因子的Cronbach’s alpha系数在0.916 ~ 0.946之间，总Cronbach’s alpha系数为0.897。总麦当劳ω系数为0.897，各因子的麦当劳ω系数在0.921 ~ 0.951之间。总复合信度为0.981，提取的总平均方差为0.740。经确认，土耳其版的33项四因子量表没有改变原来的量表形式。结论土耳其版PSSS量表是一种有效、可靠的脑卒中患者污名化评价工具，可用于临床实践。

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引用次数: 0

Relationship Between Health Literacy and Knowledge About Gynaecological Cancer Prevention of Women 健康素养与妇女妇科癌症预防知识的关系

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-02-05 DOI: 10.1111/ijn.70000

Fatma Aksoy, Hilal Gül Boyraz Yanık, Nülüfer Erbil

Aim

This study was conducted to determine the relationship between women's health literacy level and gynaecologic cancer prevention information.

Methods

The research design was descriptive and correlational. A sample of 264 women was recruited, and the research was conducted within the outpatient clinics of a state hospital situated in the Black Sea Region of Turkey. Data collection was carried out using the Information Form, Health Literacy Scale and Gynecological Cancer Prevention Information Scale. Prior to the study, ethical approval, institutional permission and informed consent were received. Because the data were normally distributed, t-tests and one-way ANOVA tests were used to evaluate differences between independent groups.

Results

The mean age was 41.98 ± 14.03 years. The total mean score on the Health Literacy Scale was 52.85 ± 9.81, whereas the total mean score on the Gynecologic Cancer Prevention Information Scale was 18.73 ± 7.52, both at ‘moderate’ level. A moderately positive correlation was identified between women's Health Literacy Scale score and Gynecologic Cancer Prevention Information Scale score (r = 0.320, p < 0.001). Age, education, and health literacy emerged as predictors of gynaecologic cancer prevention information in women.

Conclusions

Women's health literacy level is an important factor affecting their gynaecological cancer prevention knowledge behaviours. It is recommended that health professionals work to increase women's health literacy.

目的探讨妇女健康素养水平与妇科癌症预防信息的关系。方法采用描述性、相关性研究设计。招募了264名妇女作为样本，研究是在土耳其黑海地区一家国立医院的门诊部进行的。采用《信息表》、《健康素养量表》和《妇科癌症预防信息量表》进行数据收集。研究开始前，受试者获得了伦理批准、机构许可和知情同意。由于数据为正态分布，因此使用t检验和单因素方差分析来评估独立组之间的差异。结果患者平均年龄41.98±14.03岁。健康素养量表的总平均得分为52.85±9.81分，妇科癌症预防信息量表的总平均得分为18.73±7.52分，均处于“中等”水平。妇女健康素养量表得分与妇科癌症预防信息量表得分呈中度正相关（r = 0.320, p < 0.001）。年龄、教育程度和健康素养成为妇女妇科癌症预防信息的预测因素。结论妇女健康素养水平是影响其妇科肿瘤预防知识行为的重要因素。建议保健专业人员努力提高妇女的保健知识。

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引用次数: 0

Investigation of the Relationship Between Perceived Leadership Behaviours of Nurses and Hospital Safety Culture: A Study With the Structural Equation Model 护士感知领导行为与医院安全文化关系的结构方程模型研究。

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-01-26 DOI: 10.1111/ijn.13324

Aysun Ünal, Nezaket Yıldırım, Selma Öncel

Background

Work environments that support patient safety initiatives are important for quality service and patient outcomes. The relationship between the leadership behaviours of nurse managers and safety culture, which has the potential to support these initiatives, constitutes one of the most important knowledge gaps.

Objectives

The study aimed to determine the relationship between nurses' perceived leadership behaviours and hospital safety culture and the factors affecting them.

Design

We tested the theoretical model using structural equation modelling with the AMOS 21 program.

Methods

The research was conducted with 134 nurses in two public hospitals in the south of Türkiye. Data were collected between October and December 2021 using the Leadership Behaviour Questionnaire and the Patient Safety Culture Hospital Questionnaire. Descriptive statistical analysis used to evaluate the data of the study. Structural equation modelling analysis and confirmatory factor analysis performed to test the research hypotheses.

Results

The study found that non-punitive attitudes towards the mistakes had a full mediating effect on overall perception of safety interaction with employee-oriented leadership and high-level hospital interventions (β = −0.510, 95% CI −1.006/−0.076), and change had partly mediating effect on overall perception of safety interaction with change-oriented leadership (β = −0.510, 95% CI −1.043/−0.053).

Conclusions

It is clear that if nurse managers are to improve the staff's patient safety culture, they should develop change-oriented leadership skills by identifying adverse events and risks and motivating staff to learn from errors without taking punitive measures. In this context, healthcare organizations should evaluate the leadership qualities of managers. Managers at all levels can make plans to develop leadership behaviours that will play a facilitating role in improving patient safety.

背景：支持患者安全举措的工作环境对优质服务和患者预后非常重要。护士管理者的领导行为与安全文化之间的关系，有可能支持这些举措，构成了最重要的知识差距之一。目的：研究护士感知领导行为与医院安全文化的关系及其影响因素。设计：我们使用结构方程模型和AMOS 21程序对理论模型进行检验。方法：对云南省南部两所公立医院的134名护士进行调查。数据收集于2021年10月至12月，使用领导行为问卷和患者安全文化医院问卷。描述性统计分析用于评价研究数据。采用结构方程建模分析和验证性因子分析对研究假设进行检验。结果：研究发现，对错误的非惩罚性态度对员工导向领导和高水平医院干预的整体安全互动感知具有完全中介作用（β = -0.510, 95% CI -1.006/-0.076），而变化对员工导向领导的整体安全互动感知具有部分中介作用（β = -0.510, 95% CI -1.043/-0.053）。结论：很明显，如果护士管理者要改善员工的患者安全文化，他们应该通过识别不良事件和风险，激励员工从错误中吸取教训，而不是采取惩罚性措施，来培养变革导向的领导技能。在这种情况下，医疗保健组织应该评估管理者的领导素质。各级管理人员可以制定计划，发展领导行为，在改善患者安全方面发挥促进作用。

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引用次数: 0

Factors Associated With Low Childbirth Self-Efficacy for Vaginal Birth in High-Risk Pregnant Women 高危孕妇阴道分娩自我效能低的相关因素

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice

Pub Date : 2025-01-21 DOI: 10.1111/ijn.13323

Yılmaz Sarıboğa, Zeynep Gürkan, Remzi Sarıkaya

Background

Low childbirth self-efficacy is a significant indicator of vaginal birth and is closely related to adverse perinatal outcomes.

Objectives

This study aimed to evaluate factors associated with low childbirth self-efficacy for vaginal birth in high-risk pregnant women.

Methods

This descriptive study was conducted between July and December 2022 in Van, Turkey, with a total of 200 participants. Data collection instruments included a Socio-demographic Questionnaire and the Self-Efficacy Regarding Vaginal Birth (SEVB) scale. Independent t-test, chi-square test and multivariable binary logistic regression were employed for data analysis.

Results

The mean age of the participants was 27.74 ± 5.12 years, and the mean gestational age was 33.22 ± 4.28 weeks. Unplanned pregnancy status (p = 0.002), a history of caesarean section (p = 0.013), multiparity (p = 0.001), age (p < 0.01) and gestational age (p = 0.001) were associated with low childbirth self-efficacy for vaginal birth. In multivariate analysis, only age (B: 1111; 95% CI: 1038–1189; p = 0.002) and gestational age (B: 1120; 95% CI: 1034–1214; p = 0.004; and p = 0.005) were independently associated with low childbirth self-efficacy.

Conclusions

Low childbirth self-efficacy for vaginal birth was associated with higher maternal age and gestational ages. Identifying high-risk pregnant women with low childbirth self-efficacy will improve the care process for women and their newborns.

背景：低分娩自我效能感是阴道分娩的重要指标，与不良的围产儿结局密切相关。目的：本研究旨在评估高危孕妇顺产时分娩自我效能低的相关因素。方法：这项描述性研究于2022年7月至12月在土耳其凡进行，共有200名参与者。数据收集工具包括社会人口调查问卷和阴道分娩自我效能（SEVB）量表。采用独立t检验、卡方检验和多变量二元logistic回归进行数据分析。结果：患者平均年龄27.74±5.12岁，平均胎龄33.22±4.28周。非计划妊娠状态（p = 0.002）、剖宫产史（p = 0.013）、多胎（p = 0.001）、年龄(p)结论：阴道分娩分娩自我效能低与产妇年龄和胎龄较高相关。识别低分娩自我效能的高危孕妇将改善对妇女及其新生儿的护理过程。

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引用次数: 0