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Validity and reliability evaluation of the Turkish version of the Clinical Interpersonal Reactivity Index 土耳其版临床人际反应指数的效度与信度评价。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2023-12-04 DOI: 10.1111/ijn.13220
Fatma Birgili RN, PhD, Nezihe Bulut Uğurlu RN, PhD, Nevin Güler Dincer PhD, Güllü Yazkan RN, PhD, Çiğdem Alaca RN, PhD, Feyza Acar RN, PhD

Aim

This study was conducted to evaluate the validity and reliability of the Turkish version of the Clinical Interpersonal Reactivity Index, an instrument to assess nurses' empathy.

Background

A practical empathic approach is valuable for planning nursing interventions suitable for the patient's conditions and needs and increasing patient satisfaction.

Design

This is a methodological study.

Methods

The study was carried out at Muğla Sıtkı Koçman University Training and Research Hospital, recruiting a total of 358 nurses between January and February 2023. Exploratory and confirmatory factor analyses were used to determine and validate the factor structure of the Clinical Interpersonal Reactivity Index.

Results

The exploratory factor analysis extracted three factors. According to the confirmatory factor analysis, all goodness of fit measures were within acceptable limits. Cronbach's α values were 0.89 for the total scale with 17 items and between 0.73 and 0.81 for the factors. In test–retest analyses, all intra-class correlation coefficients were higher than 0.7, and the correlations between the first and second applications of the scale were between 0.61 and 0.73.

Conclusion

The Turkish version of the Clinical Interpersonal Reactivity Index can be applied as a valid and reliable measurement tool to evaluate empathy in Turkish nurses.

目的:本研究旨在评估土耳其版临床人际反应指数的效度和信度,这是一种评估护士共情的工具。背景:一个实用的共情方法是有价值的计划护理干预适合患者的条件和需求,并提高患者满意度。设计:这是一个方法学研究。方法:研究在Muğla Sıtkı科帕尔曼大学培训与研究医院进行,于2023年1 - 2月共招募护士358名。采用探索性和验证性因素分析确定和验证临床人际反应指数的因素结构。结果:探索性因子分析提取出3个因子。经验证性因子分析,所有拟合优度均在可接受范围内。包含17个条目的总量表的Cronbach’s α值为0.89,因子的Cronbach’s α值在0.73 ~ 0.81之间。在重测分析中,所有类内相关系数均大于0.7,第一次和第二次使用量表的相关系数在0.61 ~ 0.73之间。结论:土耳其版临床人际反应指数可作为评估土耳其护士共情的有效、可靠的测量工具。
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引用次数: 0
The effect of the programme based on Roy adaptation model on social media addiction, healthy lifestyle and self-esteem of nursing students 基于Roy适应模型的方案对护生社交媒体成瘾、健康生活方式和自尊的影响。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2023-11-17 DOI: 10.1111/ijn.13218
Zeliha Yaman PhD, Mualla Yılmaz PhD

Aim

This study was conducted to evaluate the effect of the Roy adaptation model-based strengthening program (RAMBSP) applied to nursing students on social media addiction, healthy lifestyle behaviours and self-esteem.

Methods

One hundred five nursing students studying at a nursing faculty of a university were included in this prospective, two-armed (1:1), randomized controlled study. The study group (n:54) had 12 weeks of RAMBSP online group sessions. No intervention was made to the control group (n:51). The social media addiction level, which was the primary outcome of the study, was evaluated with the Bergen Social Media Addiction Scale (BSMAS) and healthy lifestyle behaviours and self-esteem, which were secondary outcomes, were evaluated with the Healthy Lifestyle Behaviours Scale II (HLBS-II) and the Rosenberg Self-Esteem Inventory (REI). Students filled out BSMAS, HLBS-II, and REI online via Google Forms before and after RAMBSP.

Findings

At the end of the programme, there was no significant difference between the groups in terms of BSMAS scores of the students in the study group (p > 0.05); however, the difference was significant in terms of HLBS-II and REI scores (p < 0.05). It was determined that the empowerment programme increased students' awareness of social media addiction.

Conclusion

It is recommended to implement programmes that will increase students' awareness of social media addiction and its effects and to conduct new research that will cover large and different sample groups.

Trial registration

It was registered at ClinicalTrials.gov in March 2021 (NCT04820517).

目的:评价基于Roy适应模型的强化计划(RAMBSP)对护生社交媒体成瘾、健康生活方式行为和自尊的影响。方法:本研究采用前瞻性、双臂(1:1)、随机对照研究,选取某大学护理系的105名护生。研究组(n:54)有12周的RAMBSP在线小组会议。未对对照组(51例)进行干预。以Bergen社交媒体成瘾量表(BSMAS)评估社交媒体成瘾水平,以健康生活方式行为量表II (HLBS-II)和Rosenberg自尊量表(REI)评估健康生活方式行为和自尊,这是研究的主要结果。学生在RAMBSP之前和之后通过谷歌表格在线填写BSMAS, HLBS-II和REI。结果:课程结束时,实验组学生的BSMAS得分在两组间无显著差异(p < 0.05);然而,在HLBS-II和REI分数方面,差异是显著的(p结论:建议实施计划,提高学生对社交媒体成瘾及其影响的认识,并开展新的研究,覆盖大而不同的样本群体。试验注册:于2021年3月在ClinicalTrials.gov注册(NCT04820517)。
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引用次数: 0
Effects of compassion satisfaction and compassion fatigue on posttraumatic growth of psychiatric nurses: A cross-sectional study 同情满意度和同情疲劳对精神科护士创伤后成长影响的横断面研究。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2023-11-15 DOI: 10.1111/ijn.13215
Li Zeng M.Med, Guiling Liu M.Med, Fen Feng PhD, Yinong Qiu MSN, Shuping Wang BS, Meng Yu BS, Jialin Wang MSN

Aims

This study aimed to explore the effects of compassion satisfaction and compassion fatigue on the posttraumatic growth of psychiatric nurses.

Background

Psychiatric nurses' prolonged and repeated exposure to trauma and complex situations in the work environment can lead to negative emotions such as compassion fatigue, but they also experience positive consequences such as posttraumatic growth, and the relationship between compassion fatigue and posttraumatic growth is not unclear.

Methods

A total of 336 nurses from psychiatry departments of seven tertiary hospitals in Sichuan Province, China, were administered an online questionnaire. Participants were recruited through convenience sampling. The posttraumatic growth level was measured with the Simplified Chinese version of the Posttraumatic Growth Inventory. The Professional Quality of Life Scale-Chinese version was used to assess compassion satisfaction, burnout and secondary traumatic stress. T-test and one-way variance analysis, Pearson correlation analysis and hierarchical linear regression were used for data analysis. A STROBE checklist was used to guide the reporting of the research.

Results

Psychiatric nurses' posttraumatic growth is at a low level, influenced by demographic and occupational factors, whereas compassion satisfaction, burnout and secondary traumatic stress are at a moderate level. Hierarchical regression analysis suggested that compassion satisfaction and secondary traumatic stress had a positive impact on posttraumatic growth, whereas burnout had a negative impact on posttraumatic growth.

Conclusions

Findings suggest that nursing managers should attach importance to the mental health of psychiatric nurses, improve compassion satisfaction, alleviate burnout and promote posttraumatic growth.

目的:本研究旨在探讨同情满意度和同情疲劳对精神科护士创伤后成长的影响。背景:精神科护士长期、反复地暴露于创伤和复杂的工作环境中,会导致同情疲劳等负面情绪,但也会经历创伤后成长等积极后果,并且同情疲劳与创伤后成长之间的关系尚不清楚。方法:对四川省7所三级医院精神科的336名护士进行在线问卷调查。参与者采用方便抽样方式招募。创伤后成长水平采用简体中文版创伤后成长量表进行测量。采用职业生活质量量表(中文版)评估同情满意度、职业倦怠和继发性创伤应激。数据分析采用t检验、单因素方差分析、Pearson相关分析和层次线性回归。使用STROBE检查表来指导研究报告。结果:精神科护士创伤后成长水平低,受人口统计学和职业因素的影响,而同情满意度、职业倦怠和继发性创伤应激水平处于中等水平。层次回归分析表明,同情满意度和二次创伤应激对创伤后成长有正向影响,而倦怠对创伤后成长有负向影响。结论:研究结果提示护理管理者应重视精神科护士的心理健康,提高同情满意度,缓解倦怠,促进创伤后成长。
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引用次数: 0
Experience of primary care nurses applying nurse-led management of patients with acute minor illnesses 初级保健护士应用护士主导管理急性小病患者的经验。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2023-11-14 DOI: 10.1111/ijn.13216
María Ángeles Vara-Ortiz PhD, RN, Susana Marcos-Alonso PhD, RN, Núria Fabrellas-Padrés PhD, RN

Aim

The aim of this study is to determine the experience of primary health care nurses regarding the application of nurse-led management in patients with acute minor illnesses.

Background

Nursing leadership of care for acute minor illnesses is a new challenge faced by nurses in Spain.

Design

Qualitative, hermeneutical, interpretive phenomenological approach is used. The Consolidated criteria for reporting qualitative research guidelines were applied.

Methods

Twenty primary care nurses participated; three focus group discussions and nine semi-structured interviews were conducted between November 2019 and October 2020. All the focus group discussions and interviews were recorded, transcribed verbatim and analysed using content analysis.

Results

Seven main themes emerged from the focus group discussions and interviews: concept, perception of the other actors, practice, history and social context, competencies, training, and legality.

Conclusion

The study shows the diversity and complexity of nurses' experience when applying nurse-led management in acute minor illnesses. This work has helped to show the gaps perceived by nurses, including the lack of training in the treatment of conditions historically attended by physicians, the lack of definition of the legal framework and the limitations on nurse prescribing. It also highlighted the power of the nursing profession in terms of autonomy, competencies and role expansion.

目的:本研究的目的是确定初级卫生保健护士在急性小病患者中应用护士主导管理的经验。背景:急性小病护理领导是西班牙护士面临的新挑战。设计:采用定性、解释性、解释性现象学方法。采用了报告定性研究指南的综合标准。方法:20名初级保健护士参与;2019年11月至2020年10月期间进行了三次焦点小组讨论和九次半结构化访谈。所有的焦点小组讨论和访谈都被记录下来,逐字转录,并使用内容分析进行分析。结果:焦点小组讨论和访谈产生了七个主题:概念、对其他参与者的看法、实践、历史和社会背景、能力、培训和合法性。结论:本研究显示护士在急性小病实施护士主导管理时经验的多样性和复杂性。这项工作有助于显示护士所认识到的差距,包括在治疗以往由医生治疗的疾病方面缺乏培训,缺乏法律框架的定义以及护士开处方的限制。它还强调了护理专业在自主、能力和角色扩展方面的力量。
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引用次数: 0
Evaluating the effects of dyadic intervention for informal caregivers of palliative patients with lung cancer: A systematic review and meta-analysis 评估双重干预对姑息治疗肺癌患者非正式照护者的影响:系统回顾和荟萃分析。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2023-11-14 DOI: 10.1111/ijn.13217
Xin Liu MD, Li Jiang MD, Xi Peng MD, Ling Xu MD, Lingling Huang MD, Qunfang Wan PhD

Aim

To investigate the effects of dyadic intervention on anxiety, depression, care burden and quality of life in informal caregivers of palliative patients with lung cancer.

Background

Informal caregivers of palliative lung cancer patients bear a large number of negative emotions during the process of caring for the patients. Dyadic intervention has the potential for improving them but the overall effect is unclear.

Design

A systematic review and meta-analysis.

Data sources

All randomized controlled trials were retrieved from the following databases until 4 May 2023: Web of Science, Embase Ovid, PubMed, Cochrane Central Register of Randomized Controlled Trials, Weipu, Wanfang and Chinese National Knowledge Infrastructure databases.

Review methods

This review was performed by Stata 12.0 and Review Manager 5.3.

Results

Thirteen randomized controlled trials were in accordance with the inclusion and exclusion criteria (n = 1807). The results revealed that dyadic intervention significantly improved family caregivers' anxiety, depression and caregiver burden of palliative patients with lung cancer. There was no significant difference in quality of life between the dyadic intervention group and family caregivers who did not receive the dyadic intervention.

Conclusions

Dyadic intervention positively impacts the experience of family caregivers of palliative patients with lung cancer.

目的:探讨双重干预对肺癌姑息治疗患者非正式照护者焦虑、抑郁、照护负担及生活质量的影响。背景:姑息性肺癌患者的非正式照护者在对患者的照护过程中承受着大量的负面情绪。双重干预有可能改善它们,但总体效果尚不清楚。设计:系统回顾和荟萃分析。数据来源:截至2023年5月4日,所有随机对照试验均从以下数据库检索:Web of Science、Embase Ovid、PubMed、Cochrane Central Register of randomized controlled trials、Weipu、Wanfang和Chinese National Knowledge Infrastructure数据库。评审方法:本次评审采用Stata 12.0和Review Manager 5.3进行。结果:13项随机对照试验符合纳入和排除标准(n = 1807)。结果显示,双重干预可显著改善姑息性肺癌患者家庭照顾者的焦虑、抑郁和照顾者负担。在双重干预组和没有接受双重干预的家庭照顾者之间,生活质量没有显著差异。结论:双重干预对姑息性肺癌患者家属照顾者的体验有正向影响。
{"title":"Evaluating the effects of dyadic intervention for informal caregivers of palliative patients with lung cancer: A systematic review and meta-analysis","authors":"Xin Liu MD,&nbsp;Li Jiang MD,&nbsp;Xi Peng MD,&nbsp;Ling Xu MD,&nbsp;Lingling Huang MD,&nbsp;Qunfang Wan PhD","doi":"10.1111/ijn.13217","DOIUrl":"10.1111/ijn.13217","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate the effects of dyadic intervention on anxiety, depression, care burden and quality of life in informal caregivers of palliative patients with lung cancer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Informal caregivers of palliative lung cancer patients bear a large number of negative emotions during the process of caring for the patients. Dyadic intervention has the potential for improving them but the overall effect is unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A systematic review and meta-analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data sources</h3>\u0000 \u0000 <p>All randomized controlled trials were retrieved from the following databases until 4 May 2023: Web of Science, Embase Ovid, PubMed, Cochrane Central Register of Randomized Controlled Trials, Weipu, Wanfang and Chinese National Knowledge Infrastructure databases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Review methods</h3>\u0000 \u0000 <p>This review was performed by Stata 12.0 and Review Manager 5.3.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirteen randomized controlled trials were in accordance with the inclusion and exclusion criteria (<i>n</i> = 1807). The results revealed that dyadic intervention significantly improved family caregivers' anxiety, depression and caregiver burden of palliative patients with lung cancer. There was no significant difference in quality of life between the dyadic intervention group and family caregivers who did not receive the dyadic intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Dyadic intervention positively impacts the experience of family caregivers of palliative patients with lung cancer.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"30 5","pages":""},"PeriodicalIF":1.9,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107591232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reliability and validity of the Chinese version of the Copenhagen Multi-Centre Psychosocial Infertility-Fertility Problem Stress Scales 中文版哥本哈根多中心心理社会不孕症-生育问题压力量表的信度和效度。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2023-11-13 DOI: 10.1111/ijn.13219
Yiming Gao MM, Qing Wang MM, Guopeng Li MD, Xiangyu Zhao MM, Rui Qin MD, Linghua Kong PhD, Ping Li PhD

Aims

The aim of this study is to introduce the Copenhagen Multi-Centre Psychosocial Infertility (COMPI)-Fertility Problem Stress Scales (COMPI-FPSS) into China and test its applicability in Chinese infertile population.

Background

Infertility-related stress not only influences patients' psychological well-being but is also strongly associated with reduced pregnancy rates and poorer assisted conception outcomes, thus warranting focussed attention.

Design

The design used in this study is a cross-sectional survey.

Methods

A total of 418 participants were recruited by convenience sampling from March to July 2022. The data were randomly divided into two parts: one for item analysis and exploratory factor analysis and the other for confirmatory factor analysis and reliability test. The critical ratio and homogeneity test were used to verify the differentiation and homogeneity of the COMPI-FPSS; the construct validity was determined by explanatory and confirmatory factor analyses; Cronbach's α coefficient and Spearman–Brown coefficient were used to assess the reliability; and criterion validity was expressed using correlation coefficients for the Perceived Stress Scale and the Negative Affect Scale as the validity criteria.

Results

The revised Chinese version of COMPI-FPSS has 11 items and 2 dimensions (i.e., personal stress domain and social stress domain). Exploratory factor analysis showed that the cumulative variance contribution rate of the two factors was 68.6%, and confirmatory factor analysis indicated that the model fitted well. The score of the COMPI-FPSS was significantly and positively associated with perceived stress and negative affect. The Cronbach's α coefficient of the total scale was 0.905, and the Spearman–Brown coefficient was 0.836, explaining excellent reliability.

Conclusion

The revised Chinese version of COMPI-FPSS shows good reliability and validity, and it can be used to evaluate the infertility-related stress of infertile patients in China.

目的:将哥本哈根多中心社会心理不孕症(COMPI)-生育问题压力量表(COMPI- fpss)引入中国,并检验其在中国不育人群中的适用性。背景:不孕症相关压力不仅影响患者的心理健康,而且与妊娠率降低和辅助受孕结果较差密切相关,因此值得关注。设计:本研究采用的设计是横断面调查。方法:采用方便抽样法,于2022年3月至7月共招募418名研究对象。数据随机分为两部分,一部分进行项目分析和探索性因子分析,另一部分进行验证性因子分析和信度检验。采用临界比率和均匀性检验验证COMPI-FPSS的分化和均匀性;构念效度采用解释性因子分析和验证性因子分析;信度评估采用Cronbach′s α系数和Spearman-Brown系数;以感知压力量表和负面情绪量表的相关系数作为效度标准来表达效度。结果:修订后的中文版COMPI-FPSS量表包含11个条目和2个维度(即个人压力域和社会压力域)。探索性因子分析表明,两因素的累积方差贡献率为68.6%,验证性因子分析表明模型拟合良好。COMPI-FPSS得分与感知压力和消极情绪呈显著正相关。总量表的Cronbach’s α系数为0.905,Spearman-Brown系数为0.836,信度极佳。结论:修订后的中文版COMPI-FPSS具有良好的信度和效度,可用于评估中国不孕患者的不孕相关压力。
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引用次数: 0
Nonpharmacological nursing interventions for behavioural and psychological symptoms of dementia in acute and subacute settings: A systematic review 急性和亚急性痴呆症行为和心理症状的非药物护理干预:一项系统综述。
IF 1.9 4区 医学 Q1 Nursing Pub Date : 2023-10-13 DOI: 10.1111/ijn.13213
Sahaya Jesto BN Hons, MNurs (Psych), RN, Julie Considine PhD, RN, Maryann Street PhD, BSc Hons

Background

Behavioural and psychological symptoms of dementia are a group of non-cognitive symptoms such as agitation, physical aggression, depression, sexual disinhibition and psychosis. Therapeutic approaches vary because of the multifactorial and complex symptomology. The researchers of this study aimed to systematically review the nonpharmacological interventions for BPSD used by nurses in acute and subacute hospital settings.

Design

The PRISMA guidelines guided this systematic review. The review was registered with PROSPERO (CRD42020184015).

Method

The databases Cumulative Index of Nursing and Allied Health Literature (CINAHL) complete, Medline complete, Excerpta Medica (Embase®) and PsycINFO published by the American Psychological Association (APA) were searched for studies published in English to October 2021. Quality appraisal was performed independently by three reviewers using the Critical Appraisal Skills Program tools. Data were synthesized using a narrative approach.

Results

Two studies were identified that focused on interventions used by nurses; findings were positive for the use of nonpharmacological interventions to manage BPSD.

Conclusion

Current evidence suggests that nonpharmacological interventions are the best practices to manage BPSD. However, limited, and low-quality evidence suggests that further investigation is required to understand the factors contributing to the lack of use of nonpharmacological interventions by nurses in acute and subacute hospital settings.

背景:痴呆症的行为和心理症状是一组非认知症状,如激动、身体攻击、抑郁、性抑制和精神病。由于多因素和复杂的症状,治疗方法各不相同。本研究的研究人员旨在系统地回顾护士在急性和亚急性医院环境中使用的BPSD的非药物干预措施。设计:PRISMA指南指导了这一系统审查。该综述已在PROSPERO注册(CRD42020184015)。方法:检索美国心理协会(APA)发布的数据库《护理和相关健康文献累积索引》(CINAHL)完整版、《Medline完整版》、《医学文摘》(Embase®)和《心理信息》,以查找截至2021年10月以英文发表的研究。质量评估由三名评审员使用关键评估技能计划工具独立进行。数据采用叙述法进行综合。结果:确定了两项研究,重点是护士使用的干预措施;研究结果对使用非药物干预来管理BPSD是积极的。结论:目前的证据表明,非药物干预是管理BPSD的最佳实践。然而,有限且低质量的证据表明,需要进一步调查,以了解导致护士在急性和亚急性医院环境中缺乏使用非药物干预措施的因素。
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引用次数: 0
Psychometric testing of the Chinese National Health Service Sustainability Model as an instrument to assess innovation in Chinese nursing settings 中国国民健康服务可持续发展模式的心理测量测试,作为评估中国护理环境创新的工具。
IF 1.9 4区 医学 Q1 Nursing Pub Date : 2023-10-08 DOI: 10.1111/ijn.13214
Jie Lai BS, RN, Lynne Maher PhD, RGN, Chunlan Zhou MSc, RN, Yanni Zhou BS, RN, Chaixiu Li BS, RN, Jiaqi Fu BS, RN, Shisi Deng BS, RN, Yujie Zhang BS, RN, Zihan Guo BS, RN, Yanni Wu PhD, RN

Objectives

To conduct psychometric testing of the Chinese version of the National Health Service Sustainability Model as an instrument to assess the sustainability of innovation in the Chinese nursing setting.

Background

Evidence-based practice is recognized worldwide as a way to improve the quality of healthcare; however, many evidence-based practice programmes decline over time and do not sustain the benefits of their improvements. A sustainability assessment tool is used internationally but its use has not been validated in China.

Design

A methodological study to test instrument validity and reliability.

Methods

The data collection was conducted from 15 June 2022 to 31 August 2022. The internal consistency of the Chinese version of the sustainability model was measured with Cronbach's alpha. Confirmatory factor analysis was used to test the model's structural validity.

Results

Four hundred eighty-three questionnaires were returned, of which 478 were valid. The short time taken to evaluate the Chinese version of the sustainability model demonstrated its efficiency and ability to adapt to a busy clinical environment. The confirmatory factor analysis showed a good fit model and supported the convergence validity of the sustainability model. The Cronbach's alpha coefficient was 0.905 for the total scale, which indicated good internal consistency.

Conclusions

The results of this study suggest that the Chinese version of the sustainability model is a valid, reliable and efficient tool for measuring the sustainability of evidence-based practices in Chinese nursing settings.

目的:对中国版的国家卫生服务可持续性模型进行心理测量测试,作为评估中国护理环境创新可持续性的工具。背景:循证实践被世界公认为提高医疗质量的一种方式;然而,许多循证实践方案随着时间的推移而衰落,并且无法维持其改进带来的好处。可持续性评估工具在国际上使用,但在中国尚未得到验证。设计:一项测试工具有效性和可靠性的方法研究。方法:数据收集时间为2022年6月15日至2022年8月31日。中国版可持续发展模型的内部一致性是用Cronbach的α来衡量的。采用验证性因素分析法对模型的结构有效性进行检验。结果:共回收问卷四百八十三份,有效问卷478份。评估中国版可持续发展模型所花的时间很短,这表明了它的效率和适应繁忙临床环境的能力。验证性因子分析显示了一个良好的拟合模型,并支持了可持续性模型的收敛有效性。总量表的克朗巴赫α系数为0.905,这表明内部一致性良好。结论:本研究的结果表明,中国版的可持续性模型是衡量中国护理环境中循证实践可持续性的有效、可靠和高效的工具。
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引用次数: 0
Exploring factors associated with hypertension self-care in primary care: The role of nurse education levels and patient-related factors 探讨初级保健中与高血压自我护理相关的因素:护士教育水平和患者相关因素的作用。
IF 1.9 4区 医学 Q2 NURSING Pub Date : 2023-10-05 DOI: 10.1111/ijn.13208
Jom Suwanno PhD, RN, FHEA, Chennet Phonphet PhD, RN, SFHEA, Chidchanog Mayurapak PhD, RN, FHEA, Putrada Ninla-aesong PhD, RN, FHEA, Ladda Thaimwong PhD, RN

Aim

To explore the association between nurse education levels and patient-related factors with hypertension self-care.

Background

Although self-care development is recognized as a healthcare provider–patient encounter, the attribution of nurse education level to hypertension self-care is not well addressed.

Design

A cross-sectional study.

Methods

Hypertensive patients from 15 primary care facilities were sampled, and self-care was assessed using the Self-Care of Hypertension Inventory version 2.0, with standardized scores ≥70 indicating adequate self-care. Data on patient-related factors were obtained from electronic health records, self-reports and laboratory tests, while nurse education levels were categorized as standard (baccalaureate-prepared) or higher (post-baccalaureate specialty).

Results

A total of 1493 participants were included in this study, with a median age of 66 years and 77.7% being female. Approximately 10% of participants had adequate self-care, and 66% received care from higher educated nurses. The study showed the relation between nurse education levels and the self-care of the patients. Adequate hypertension self-care was significantly associated with higher educated nurse providers and patient-related factors, including intermediate to higher education, non-overweight/obese and the absence of age-related comorbidities.

Conclusions

Hypertensive patients who had been provided care by higher educated nurses and their favourable sociodemographic, lower cardiometabolic risk and no concomitant disease were more likely to demonstrate adequate self-care.

目的:探讨护士教育水平和患者相关因素与高血压自我护理之间的关系。背景:尽管自我护理发展被认为是医疗保健提供者与患者的接触,但护士教育水平与高血压自我保健的关系并没有得到很好的解决。设计:横断面研究。方法:对来自15个初级保健机构的高血压患者进行抽样,并使用高血压自我护理量表2.0版对其自我护理进行评估,标准化评分≥70,表明自我护理充分。患者相关因素的数据来自电子健康记录、自我报告和实验室测试,而护士教育水平被归类为标准(准备学士学位)或更高(学士学位后专业)。结果:共有1493名参与者参与了这项研究,中位年龄为66岁 女性77.7%。大约10%的参与者有足够的自我护理,66%的参与者接受了受过高等教育的护士的护理。本研究揭示了护士文化程度与患者自我保健的关系。充分的高血压自我护理与受过高等教育的护士和患者相关因素显著相关,包括中等至高等教育、非超重/肥胖和没有年龄相关的合并症。结论:由受过高等教育的护士提供护理的高血压患者,以及他们有利的社会人口统计学、较低的心脏代谢风险和没有伴随疾病的患者,更有可能表现出足够的自我照顾。
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引用次数: 0
The efficacy of Tai Chi for essential hypertension: A systematic review and meta-analysis 太极拳治疗原发性高血压的疗效:系统综述和荟萃分析。
IF 1.9 4区 医学 Q1 Nursing Pub Date : 2023-10-05 DOI: 10.1111/ijn.13211
Pengchao Zhang MD, M.Ed, Dan Zhang MD, M.Ed, Deyi Lu MD

Aim

We aimed to assess the impact of Tai Chi interventions on individuals with essential hypertension and to compare the effects of Tai Chi versus control in this population.

Background

Tai Chi has been extensively utilized in the prevention of essential hypertension. Nevertheless, there is a lack of consensus regarding its benefits for treating essential hypertension.

Design

A systematic review and meta-analysis was conducted.

Data Sources

We conducted a systematic literature search of the Medline, Scholar, Elsevier, Wiley Online Library, Chinese Academic Journal (CNKI) and Wanfang databases from January 2003 to August 2023.

Review Methods

Using the methods of the Cochrane Collaboration Handbook, a meta-analysis was conducted to assess the collective impact of Tai Chi exercise in controlling hypertension. The primary outcomes measured included blood pressure and nitric oxide levels.

Results

The participants consisted of adults with an average age of 57.1 years who had hypertension (mean ± standard deviation systolic blood pressure at 148.2 ± 12.1 mmHg and diastolic blood pressure at 89.2 ± 8.3 mmHg). Individuals who practiced Tai Chi experienced reductions in systolic blood pressure of 10.6 mmHg, diastolic blood pressure of 4.7 mmHg and an increase in nitric oxide levels.

Conclusions

Tai Chi can be a viable lifestyle intervention for managing hypertension. Greater promotion of Tai Chi by medical professionals could extend these benefits to a larger patient population.

目的:我们旨在评估太极拳干预对原发性高血压患者的影响,并比较太极拳与对照组在该人群中的效果。背景:太极拳已被广泛用于预防原发性高血压。然而,对于其治疗原发性高血压的益处,目前还缺乏共识。设计:进行系统回顾和荟萃分析。数据来源:2003年1月至2023年8月,我们对Medline、Scholar、Elsevier、Wiley在线图书馆、中国知网和万方数据库进行了系统的文献检索。综述方法:采用Cochrane协作手册的方法,进行荟萃分析,评估太极运动对控制高血压的集体影响。测量的主要结果包括血压和一氧化氮水平。结果:参与者包括平均年龄为57.1岁的成年人 患有高血压的年数(平均 ± 148.2时收缩压的标准差 ± 12.1 mmHg,舒张压为89.2 ± 8.3毫米汞柱)。练习太极的个体收缩压降低10.6毫米汞柱,舒张压降低4.7毫米汞柱并增加一氧化氮水平。结论:太极拳是治疗高血压的一种可行的生活方式干预措施。医疗专业人员大力推广太极拳可以将这些好处扩大到更多的患者群体。
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引用次数: 0
期刊
International Journal of Nursing Practice
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