Applied Nursing Research最新文献

Development of an evaluation index system for assessing the information support effect on patients with breast cancer undergoing radiotherapy 建立评价乳腺癌放疗患者信息支持效果的指标体系

IF 2.2 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2026-01-20 DOI: 10.1016/j.apnr.2026.152049

Xiaocen Chen , Zhao Wang , Huiying Liu , Fang Zhang , Yixuan Liu , Xiaotong Yang

Introduction

Delivering comprehensive information support is essential for the successful completion of radiotherapy in breast cancer patients. The absence of a standardized tool to evaluate the effectiveness of this support currently limits the precision of clinical interventions.

Objective

This study aimed to develop a comprehensive indicator system for evaluating the efficacy of information support provided to breast cancer patients undergoing radiotherapy.

Methods

Guided by the Knowledge-Attitude-Practice (KAP) model, a multi-disciplinary team conducted this study from March to August 2024. A mixed-methods approach was adopted. First, a preliminary item pool was developed through a literature review and semi-structured interviews. The items were subsequently screened and refined via a two-round Delphi expert consultation. Finally, the Analytic Hierarchy Process (AHP) was used to determine the weight of each indicator.

Results

The effective response rates for the two Delphi rounds were 88.9% and 100%, with authoritative coefficients of 0.932 and 0.943, respectively. Kendall's W coefficients for all tiers of indicators ranged from 0.244 to 0.365 in the first round and 0.313 to 0.459 in the second round (all P < 0.01), demonstrating a high degree of expert consensus and authority. The final evaluation system comprises 3 first-level, 14 second-level, and 51 third-level indicators. These indicators are organized into three core dimensions: Health Knowledge (e.g., radiotherapy basics, medication, complication management), Health Attitude (e.g., perception, health motivation), and Health Practice (e.g., symptom management, nutritional management, treatment adherence), systematically capturing the patient's progression from knowledge acquisition to belief internalization and behavioral change.

Conclusion

The developed indicator system is scientifically sound and practical. It provides a valuable tool for clinicians to systematically assess the effectiveness of information support and to formulate personalized health guidance plans for breast cancer patients receiving radiotherapy.

提供全面的信息支持对于乳腺癌患者顺利完成放疗至关重要。缺乏标准化的工具来评估这种支持的有效性，目前限制了临床干预的准确性。目的建立综合评价乳腺癌放疗患者信息支持效果的指标体系。方法在知识-态度-实践（Knowledge-Attitude-Practice， KAP）模型的指导下，一个多学科团队于2024年3月至8月进行了本研究。采用混合方法。首先，通过文献回顾和半结构化访谈建立了一个初步的项目库。随后通过两轮德尔菲专家咨询对项目进行筛选和完善。最后运用层次分析法确定各指标的权重。结果两轮德尔菲的有效应答率分别为88.9%和100%，权威系数分别为0.932和0.943。各层级指标的肯德尔W系数在第一轮为0.244 ~ 0.365，在第二轮为0.313 ~ 0.459（均P <； 0.01），表明专家的共识和权威程度较高。最终的评价体系包括3个一级指标、14个二级指标和51个三级指标。这些指标被组织成三个核心维度：健康知识（如放疗基础、药物、并发症管理）、健康态度（如感知、健康动机）和健康实践（如症状管理、营养管理、治疗依从性），系统地捕捉患者从知识获取到信念内化和行为改变的进展。结论所建立的指标体系科学、合理、实用。它为临床医生系统地评估信息支持的有效性和为接受放疗的乳腺癌患者制定个性化的健康指导计划提供了有价值的工具。

{"title":"Development of an evaluation index system for assessing the information support effect on patients with breast cancer undergoing radiotherapy","authors":"Xiaocen Chen , Zhao Wang , Huiying Liu , Fang Zhang , Yixuan Liu , Xiaotong Yang","doi":"10.1016/j.apnr.2026.152049","DOIUrl":"10.1016/j.apnr.2026.152049","url":null,"abstract":"<div><h3>Introduction</h3><div>Delivering comprehensive information support is essential for the successful completion of radiotherapy in breast cancer patients. The absence of a standardized tool to evaluate the effectiveness of this support currently limits the precision of clinical interventions.</div></div><div><h3>Objective</h3><div>This study aimed to develop a comprehensive indicator system for evaluating the efficacy of information support provided to breast cancer patients undergoing radiotherapy.</div></div><div><h3>Methods</h3><div>Guided by the Knowledge-Attitude-Practice (KAP) model, a multi-disciplinary team conducted this study from March to August 2024. A mixed-methods approach was adopted. First, a preliminary item pool was developed through a literature review and semi-structured interviews. The items were subsequently screened and refined via a two-round Delphi expert consultation. Finally, the Analytic Hierarchy Process (AHP) was used to determine the weight of each indicator.</div></div><div><h3>Results</h3><div>The effective response rates for the two Delphi rounds were 88.9% and 100%, with authoritative coefficients of 0.932 and 0.943, respectively. Kendall's W coefficients for all tiers of indicators ranged from 0.244 to 0.365 in the first round and 0.313 to 0.459 in the second round (all <em>P</em> < 0.01), demonstrating a high degree of expert consensus and authority. The final evaluation system comprises 3 first-level, 14 second-level, and 51 third-level indicators. These indicators are organized into three core dimensions: Health Knowledge (e.g., radiotherapy basics, medication, complication management), Health Attitude (e.g., perception, health motivation), and Health Practice (e.g., symptom management, nutritional management, treatment adherence), systematically capturing the patient's progression from knowledge acquisition to belief internalization and behavioral change.</div></div><div><h3>Conclusion</h3><div>The developed indicator system is scientifically sound and practical. It provides a valuable tool for clinicians to systematically assess the effectiveness of information support and to formulate personalized health guidance plans for breast cancer patients receiving radiotherapy.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"88 ","pages":"Article 152049"},"PeriodicalIF":2.2,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146006586","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

Psychological capital and organizational culture as mediators between workplace bullying type and its consequences for male nurses 心理资本和组织文化在男护士职场欺凌类型及其后果之间的中介作用

IF 2.2 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2026-01-10 DOI: 10.1016/j.apnr.2026.152048

Byung-Kul Lee , Young Sook Roh

Background

Workplace bullying among nurses has gained prominence as a crucial societal concern. Although previous studies have examined gender differences in workplace bullying and have often reported no significant differences by gender, research focusing specifically on the experiences of male nurses remains relatively limited.

Purpose

This study aimed to examine the impact of workplace bullying types on the consequences and to explore the mediating roles of psychological capital and nursing organizational culture among male nurses.