Applied Nursing Research最新文献_第2页

Text-based fall prediction in hospital: Development and internal validation of a model to predict in-hospital falls in older patients using free text from daily nursing records

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-02-08 DOI: 10.1016/j.apnr.2025.151923

Marjolein Groeneveld , Wendy L.M. Leurs , Arthur R.A. Bouwman , Jimmy Schenk , Loes Lammers , Angelique Dierick , Erik Korsten , Carolien C.M.J. van der Linden

Aim

The aim of this study was to evelop a predictive model, estimating the probability of an in-hospital fall using previously identified associated words, and word combinations in daily nursing records. To assess the difference in discriminatory ability between the predictive model and currently used screening questions.

Background

Hospital falls are a persistent challenge. Identifying patients at high risk before fall incidents occur is essential to optimize preventive measures and reduce the burden on nursing staff.

Method

Words from daily nursing records were used as predictive variables to construct and validate the model. The DeLong's test was used to determine statistical differences between the developed model and the current screening questions.

Results

A total of 3255 consecutive admissions of patients aged 70 and over were included, of whom 110 experiences a fall. Upon internal validation, the predictive text model demonstrated moderate discriminatory ability (AUC-ROC 0. 737 (CI 95 % 0. 683–0.791)) and good calibration across a range of the risk groups. Compared to the screening questions (AUC-ROC 0.603 (CI 95 % 0.555–0.652)) the text model (AUC-ROC 0.734 (CI 95 % 0.679–0.788)) showed significantly better discriminatory ability (DeLong's − 3.93, p ≤0.001).

Conclusion

Daily nursing records can be used to estimate the probability of in-hospital falls. A text-based predictive model outperforms the currently employed screening questions and provides insights for the efficient use of fall prevention interventions. Further research should focus on improving the accuracy and external validation of the model and implementation strategies.

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引用次数: 0

The content analysis used in nursing research and the possibility of including artificial intelligence support: A methodological review

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-02-04 DOI: 10.1016/j.apnr.2025.151919

Agnieszka Maj , Marta Makowska , Katarzyna Sacharczuk

Background

This article explores how AI supports nurses by employing content analysis for scientific nursing research.

Methods

A narrative literature review was conducted.

Results

The article summarizes the knowledge known about content analysis and outlines qualitative and quantitative content analysis concepts and simplifies the issues related to the coding process. It explains how to identify and assess quality during content analysis and gives examples of topics that can be investigated using it, especially in the field of nursing.

Conclusions

Knowledge of AI capabilities is needed to make positive use of it. These capabilities change very quickly and require constant knowledge updates. Legal and ethical regulations concerning the use of technology are still lacking, so AI outputs still require human verification of them.

引用次数: 0

Development and usability evaluation of a nurse-led clinical decision support system (AI-AntiDelirium) for management of intensive care unit delirium: A mixed methods study

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-02-04 DOI: 10.1016/j.apnr.2025.151921

Shan Zhang , Shu Ding , Wei Cui , Xiangyu Li , Jun Wei , Ying Wu

Background

Clinical decision support systems (CDSS) have been identified to aid clinical decision-making, but few studies focus on the application of CDSS in intensive care unit (ICU) delirium, and particularly usability testing is not employed. We aimed to develop and conduct usability testing of Artificial Intelligence Assisted Prevention and Management for Delirium (AI-AntiDelirium), a CDSS designed to identify delirium and modifiable risk factors and prevent and manage delirium in the ICU.

Methods

Between January and April 2021, a cross-sectional study including 117 ICU nurses recruited for usability testing from four ICUs in two university-affiliated hospitals was conducted. The development of AI-AntiDelirium included needs assessment, function design, iterative design, agile development, and usability testing using the Delirium System Usability Evaluation Scale (Delirium-SUES).

Results

Based on the needs assessment, AI-AntiDelirium was developed to contain four main modules—delirium assessment tools, risk-factor assessment, nursing care plan, and care activity list—and was designed to provide individualized interventions based on patient risk factors. The mean Delirium-SUES score was 184.64 (full score: 210), indicating that AI-AntiDelirium was acceptable in terms of usefulness, ease of use, attitude, use tendency, and long-term effects.

Conclusions

Our study developed AI-AntiDelirium, a CDSS perceived as useful and easy to use. Incorporating usability evaluation when designing AI-AntiDelirium may be effective in and enhancing clinical staff use.

{"title":"Development and usability evaluation of a nurse-led clinical decision support system (AI-AntiDelirium) for management of intensive care unit delirium: A mixed methods study","authors":"Shan Zhang , Shu Ding , Wei Cui , Xiangyu Li , Jun Wei , Ying Wu","doi":"10.1016/j.apnr.2025.151921","DOIUrl":"10.1016/j.apnr.2025.151921","url":null,"abstract":"<div><h3>Background</h3><div>Clinical decision support systems (CDSS) have been identified to aid clinical decision-making, but few studies focus on the application of CDSS in intensive care unit (ICU) delirium, and particularly usability testing is not employed. We aimed to develop and conduct usability testing of <u>A</u>rtificial <u>I</u>ntelligence <u>A</u>ssisted Preve<u>nti</u>on and Management for <u>Delirium</u> (<em>AI-AntiDelirium</em>), a CDSS designed to identify delirium and modifiable risk factors and prevent and manage delirium in the ICU.</div></div><div><h3>Methods</h3><div>Between January and April 2021, a cross-sectional study including 117 ICU nurses recruited for usability testing from four ICUs in two university-affiliated hospitals was conducted. The development of <em>AI-AntiDelirium</em> included needs assessment, function design, iterative design, agile development, and usability testing using the Delirium System Usability Evaluation Scale (Delirium-SUES).</div></div><div><h3>Results</h3><div>Based on the needs assessment, <em>AI-AntiDelirium</em> was developed to contain four main modules—delirium assessment tools, risk-factor assessment, nursing care plan, and care activity list—and was designed to provide individualized interventions based on patient risk factors. The mean Delirium-SUES score was 184.64 (full score: 210), indicating that <em>AI-AntiDelirium</em> was acceptable in terms of usefulness, ease of use, attitude, use tendency, and long-term effects.</div></div><div><h3>Conclusions</h3><div>Our study developed <em>AI-AntiDelirium</em>, a CDSS perceived as useful and easy to use. Incorporating usability evaluation when designing <em>AI-AntiDelirium</em> may be effective in and enhancing clinical staff use.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151921"},"PeriodicalIF":2.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143272482","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

Measuring self-care in the general adult population: Cross-validation of the Self-care Inventory

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-02-02 DOI: 10.1016/j.apnr.2025.151920

Michela Luciani , Maddalena De Maria , Claudio Barbaranelli , Paola Claudia Fazio , Barbara Riegel , Davide Ausili

Introduction

Self-care is essential for health promotion, disease management and social justice. Robust, theory-based tools are needed for its measurement. The Self-care Inventory (SCI) was developed to measure self-care behaviours in adults regardless of their health status. The aims of this study are to measure validity of the SCI in an Italian sample and measurement equivalence in US and Italian samples.

Methods

We recruited 340 Italian and 294 US adults with convenience sampling. The Self-care Inventory, new General Self-Efficacy Scale, Positivity Scale, Perceived Stress Scale, and a clinical and sociodemographic questionnaire were administered online. Confirmatory factor analysis (CFA) was used to assess the factor structure of the SCI. Measurement equivalence testing was conducted using Multiple Group Confirmatory Factor Analysis, testing configural, metric, scalar, and strict invariance. For the Italian version of the SCI, reliability and construct validity were also tested.

Results

The SCI factorial structure was confirmed by CFA in the Italian sample. As for measurement equivalence, the Self-care maintenance scale demonstrated full metric and partial scalar invariance, indicating similar cognitive frameworks between US and Italian respondents. The Self-care Monitoring and Self-care Management scales achieved partial metric invariance. Reliability indices were satisfactory: Cronbach’s alpha and Global Reliability Index ranged from 0.69 to 0.84, and test-retest reliability values ranged from 0.70 to 0.84. Construct validity was supported by significant correlations between SCI scales and measures of self-efficacy, positivity, and perceived stress.

Conclusion

The SCI is valid and reliable for measuring self-care behaviours in the Italian population. Measurement equivalence show that SCI can be used cross-culturally and results from Italian and US samples are comparable. Our results support the use of the SCI in national and international self-care research and practice.Keywords: self-care, general adult population, measurement equivalence, validity, reliability.

{"title":"Measuring self-care in the general adult population: Cross-validation of the Self-care Inventory","authors":"Michela Luciani , Maddalena De Maria , Claudio Barbaranelli , Paola Claudia Fazio , Barbara Riegel , Davide Ausili","doi":"10.1016/j.apnr.2025.151920","DOIUrl":"10.1016/j.apnr.2025.151920","url":null,"abstract":"<div><h3>Introduction</h3><div>Self-care is essential for health promotion, disease management and social justice. Robust, theory-based tools are needed for its measurement. The Self-care Inventory (SCI) was developed to measure self-care behaviours in adults regardless of their health status. The aims of this study are to measure validity of the SCI in an Italian sample and measurement equivalence in US and Italian samples.</div></div><div><h3>Methods</h3><div>We recruited 340 Italian and 294 US adults with convenience sampling. The Self-care Inventory, new General Self-Efficacy Scale, Positivity Scale, Perceived Stress Scale, and a clinical and sociodemographic questionnaire were administered online. Confirmatory factor analysis (CFA) was used to assess the factor structure of the SCI. Measurement equivalence testing was conducted using Multiple Group Confirmatory Factor Analysis, testing configural, metric, scalar, and strict invariance. For the Italian version of the SCI, reliability and construct validity were also tested.</div></div><div><h3>Results</h3><div>The SCI factorial structure was confirmed by CFA in the Italian sample. As for measurement equivalence, the Self-care maintenance scale demonstrated full metric and partial scalar invariance, indicating similar cognitive frameworks between US and Italian respondents. The Self-care Monitoring and Self-care Management scales achieved partial metric invariance. Reliability indices were satisfactory: Cronbach’s alpha and Global Reliability Index ranged from 0.69 to 0.84, and test-retest reliability values ranged from 0.70 to 0.84. Construct validity was supported by significant correlations between SCI scales and measures of self-efficacy, positivity, and perceived stress.</div></div><div><h3>Conclusion</h3><div>The SCI is valid and reliable for measuring self-care behaviours in the Italian population. Measurement equivalence show that SCI can be used cross-culturally and results from Italian and US samples are comparable. Our results support the use of the SCI in national and international self-care research and practice.Keywords: self-care, general adult population, measurement equivalence, validity, reliability.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151920"},"PeriodicalIF":2.7,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143272500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Family caregivers' perception of pressure ulcer prevention devices and equipment for patients with cerebrovascular and spinal disease

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-02-01 DOI: 10.1016/j.apnr.2024.151893

Hyein Choi , Sunghee H. Tak

Background

Family caregivers play a crucial role in preventing pressure ulcers in patients with cerebrovascular and spinal diseases. Despite the availability of advanced devices, including Internet of Things(IoT) based smart mattresses, the adoption and effectiveness of these technologies are influenced by caregivers' experiences and perceptions.

Objective

To investigate the experiences and perceptions of family caregivers regarding pressure ulcer prevention devices and equipment, with a focus on the factors influencing the intention to adopt IoT-based smart mattresses.

Design

A cross-sectional survey study.

Setting(s) and participants

159 family caregivers of patients with cerebrovascular and spinal diseases, who had experiences with pressure ulcer prevention devices.

Methods

Data for this study were collected through survey questionnaires. Descriptive statistics, frequency analysis and multiple regression analysis were conducted.

Results

Caregivers reported using an average of 1.69 types of pressure ulcer prevention equipment, with cushions (37.7 %) and mattresses (44.0 %) being the most commonly used. Ease of use and comfort were identified as key factors contributing to their satisfaction. The multiple regression model (R² = 0.54, p < .001) revealed that ease of use (p < .01), perceived usefulness (p < .01), and perceived necessity (p < .01) were significant predictors of participants' intention to adopt smart mattresses. In addition, the number of digital devices owned by caregivers was positively associated with the intention to adopt smart mattress (p < .001).

Conclusions

The findings of this study show the importance of usability and digital inclusion in the adoption of smart health technologies by caregivers. A user-centered approach to device development is recommended to better meet the practical needs of family caregivers.

{"title":"Family caregivers' perception of pressure ulcer prevention devices and equipment for patients with cerebrovascular and spinal disease","authors":"Hyein Choi , Sunghee H. Tak","doi":"10.1016/j.apnr.2024.151893","DOIUrl":"10.1016/j.apnr.2024.151893","url":null,"abstract":"<div><h3>Background</h3><div>Family caregivers play a crucial role in preventing pressure ulcers in patients with cerebrovascular and spinal diseases. Despite the availability of advanced devices, including Internet of Things(IoT) based smart mattresses, the adoption and effectiveness of these technologies are influenced by caregivers' experiences and perceptions.</div></div><div><h3>Objective</h3><div>To investigate the experiences and perceptions of family caregivers regarding pressure ulcer prevention devices and equipment, with a focus on the factors influencing the intention to adopt IoT-based smart mattresses.</div></div><div><h3>Design</h3><div>A cross-sectional survey study.</div></div><div><h3>Setting(s) and participants</h3><div>159 family caregivers of patients with cerebrovascular and spinal diseases, who had experiences with pressure ulcer prevention devices.</div></div><div><h3>Methods</h3><div>Data for this study were collected through survey questionnaires. Descriptive statistics, frequency analysis and multiple regression analysis were conducted.</div></div><div><h3>Results</h3><div>Caregivers reported using an average of 1.69 types of pressure ulcer prevention equipment, with cushions (37.7 %) and mattresses (44.0 %) being the most commonly used. Ease of use and comfort were identified as key factors contributing to their satisfaction. The multiple regression model (R<sup>2</sup> = 0.54, <em>p</em> < .001) revealed that ease of use (<em>p</em> < .01), perceived usefulness (<em>p</em> <em><</em> .01), and perceived necessity (<em>p</em> <em><</em> .01) were significant predictors of participants' intention to adopt smart mattresses. In addition, the number of digital devices owned by caregivers was positively associated with the intention to adopt smart mattress (<em>p</em> < .001).</div></div><div><h3>Conclusions</h3><div>The findings of this study show the importance of usability and digital inclusion in the adoption of smart health technologies by caregivers. A user-centered approach to device development is recommended to better meet the practical needs of family caregivers.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151893"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048310","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

Exploring the perspectives of early-stage postoperative glioblastoma patients and their caregivers on end-of-life care planning: An exploratory qualitative interview study

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-02-01 DOI: 10.1016/j.apnr.2024.151897

Chia-Yi Chien , Lu-Ting Kuo , Cheng-Pei Lin

Aim

Compare the convergent and divergent viewpoints of early-stage postoperative patients with glioblastoma and their caregivers on end-of-life care planning in Taiwan.

Background

Decision-making capacity in patients with glioblastoma may be compromised as disease progresses, making early future care planning essential to ensure that the provided care aligns with patients' goals. However, within many Asian cultures, the tendency to avoid discussions about death can lead patients to feel hesitant about addressing end-of-life care options. This reluctance may impact the quality of care provided and increase the surrogate decision-making burden on caregivers.

Methods

An exploratory qualitative study with semi-structured qualitative interviews was conducted on early-stage postoperative glioblastoma–caregiver dyads at a medical center in Northern Taiwan informed by social constructivism. Thematic analysis with analytical rigor enhanced by dual coders and exploration of convergent and divergent views.

Results

We interviewed 7 patient–caregiver dyads (n = 14). More than half of patients were male (median age: 62 y/o). Primary Caregivers were primarily their spouses (median age: 47 y/o). Convergent viewpoints include death-prolonging treatment refusal, end-of-life fulfillment, timing of end-of-life care discussions, end-of-life concerns, and advance end-of-life care arrangement. Divergent viewpoints include life value (quality vs. quantity), lack transparent and shared discussions (explicit vs. implicit), and decision-making paradigm (individualistic vs. collective).

Conclusions

Early end-of-life care discussions for patients with glioblastoma are crucial to address differing values and cultural emphasis on family harmony. Transparent communication reduces caregiver stress and supports informed decisions on advance care planning, symptom management, and financial or social support.

{"title":"Exploring the perspectives of early-stage postoperative glioblastoma patients and their caregivers on end-of-life care planning: An exploratory qualitative interview study","authors":"Chia-Yi Chien , Lu-Ting Kuo , Cheng-Pei Lin","doi":"10.1016/j.apnr.2024.151897","DOIUrl":"10.1016/j.apnr.2024.151897","url":null,"abstract":"<div><h3>Aim</h3><div>Compare the convergent and divergent viewpoints of early-stage postoperative patients with glioblastoma and their caregivers on end-of-life care planning in Taiwan.</div></div><div><h3>Background</h3><div>Decision-making capacity in patients with glioblastoma may be compromised as disease progresses, making early future care planning essential to ensure that the provided care aligns with patients' goals. However, within many Asian cultures, the tendency to avoid discussions about death can lead patients to feel hesitant about addressing end-of-life care options. This reluctance may impact the quality of care provided and increase the surrogate decision-making burden on caregivers.</div></div><div><h3>Methods</h3><div>An exploratory qualitative study with semi-structured qualitative interviews was conducted on early-stage postoperative glioblastoma–caregiver dyads at a medical center in Northern Taiwan informed by social constructivism. Thematic analysis with analytical rigor enhanced by dual coders and exploration of convergent and divergent views.</div></div><div><h3>Results</h3><div>We interviewed 7 patient–caregiver dyads (<em>n</em> = 14). More than half of patients were male (median age: 62 y/o). Primary Caregivers were primarily their spouses (median age: 47 y/o). Convergent viewpoints include death-prolonging treatment refusal, end-of-life fulfillment, timing of end-of-life care discussions, end-of-life concerns, and advance end-of-life care arrangement. Divergent viewpoints include life value (quality vs. quantity), lack <em>transparent and shared discussions</em> (explicit vs. implicit), and decision-making paradigm (individualistic vs. collective).</div></div><div><h3>Conclusions</h3><div>Early end-of-life care discussions for patients with glioblastoma are crucial to address differing values and cultural emphasis on family harmony. Transparent communication reduces caregiver stress and supports informed decisions on advance care planning, symptom management, and financial or social support.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151897"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048295","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

Translation and psychometric validation of the Evidence-Based Practice Competency Questionnaire for Registered Nurses (EBP-COQ Prof©) in Bahasa Indonesia

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-02-01 DOI: 10.1016/j.apnr.2024.151881

Erfina Erfina , Kusrini Semarwati Kadar , Hapsah Hapsah , Rini Rachmawaty , Rosyidah Arafat , Wa Ode Nur Isnah Sabriyanti , Gulzar Malik

Aims

This study aims to translate, cross-culturally adapt, and conduct initial psychometric testing of the EBP-COQ Prof© to Bahasa Indonesia.

Background

The availability of evidence-based practice competency tools evaluating nurses' knowledge, skills attitudes and adoption in the context of Indonesian nursing practice are limited. A valid tool in EBP that measures nurses' self-perceived competency in knowledge, skills, attitudes, and utilization was used in this study for translation and psychometric validation.

Methods

This study used a seven-step approach to translate, cross-culturally adapt and validate the EBP-COQ Prof© questionnaire in the Bahasa language. Using a cross-sectional study design, the questionnaire was tested with nurses' working in direct patient care. Analysis was conducted to establish the questionnaire's reliability and construct validity.

Results

The content validity of the questionnaire at the item level showed a range between 0.81 and 1.0 and at the scale level was 0.95. The construct validity was conducted using confirmatory factor analysis which showed RMSEA value was 0.109 (average/mediocre fit), CFI value = 0.981 (fit), TLI value 0.979 (fit), Bentler - Bonett Normed Fit Index (NFI) = 0.967 (fit) after removing an item which had similar meanings in the Bahasa version. The reliability of the questionnaire was assessed using Cronbach's alpha was calculated as 0.94, indicating excellent reliability.

Conclusions

The translated version of EBP COQ Prof© in Bahasa is a reliable and valid instrument that is adapted cross-culturally and can be used to measure Indonesian nurses' attitudes, knowledge, skills, and utilization of EBP in future research.

{"title":"Translation and psychometric validation of the Evidence-Based Practice Competency Questionnaire for Registered Nurses (EBP-COQ Prof©) in Bahasa Indonesia","authors":"Erfina Erfina , Kusrini Semarwati Kadar , Hapsah Hapsah , Rini Rachmawaty , Rosyidah Arafat , Wa Ode Nur Isnah Sabriyanti , Gulzar Malik","doi":"10.1016/j.apnr.2024.151881","DOIUrl":"10.1016/j.apnr.2024.151881","url":null,"abstract":"<div><h3>Aims</h3><div>This study aims to translate, cross-culturally adapt, and conduct initial psychometric testing of the EBP-COQ Prof© to Bahasa Indonesia.</div></div><div><h3>Background</h3><div>The availability of evidence-based practice competency tools evaluating nurses' knowledge, skills attitudes and adoption in the context of Indonesian nursing practice are limited. A valid tool in EBP that measures nurses' self-perceived competency in knowledge, skills, attitudes, and utilization was used in this study for translation and psychometric validation.</div></div><div><h3>Methods</h3><div>This study used a seven-step approach to translate, cross-culturally adapt and validate the EBP-COQ Prof© questionnaire in the Bahasa language. Using a cross-sectional study design, the questionnaire was tested with nurses' working in direct patient care. Analysis was conducted to establish the questionnaire's reliability and construct validity.</div></div><div><h3>Results</h3><div>The content validity of the questionnaire at the item level showed a range between 0.81 and 1.0 and at the scale level was 0.95. The construct validity was conducted using confirmatory factor analysis which showed RMSEA value was 0.109 (average/mediocre fit), CFI value = 0.981 (fit), TLI value 0.979 (fit), Bentler - Bonett Normed Fit Index (NFI) = 0.967 (fit) after removing an item which had similar meanings in the Bahasa version. The reliability of the questionnaire was assessed using Cronbach's alpha was calculated as 0.94, indicating excellent reliability.</div></div><div><h3>Conclusions</h3><div>The translated version of EBP COQ Prof© in Bahasa is a reliable and valid instrument that is adapted cross-culturally and can be used to measure Indonesian nurses' attitudes, knowledge, skills, and utilization of EBP in future research.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151881"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048676","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

Comfort and patient activation in patients with myocardial infarction: A cross-sectional study

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-02-01 DOI: 10.1016/j.apnr.2024.151890

Hande Arici Türk , Selma Turan Kavradim

Aims

To examine comfort and patient activation, affecting factors, and the relationship between comfort and patient activation in patients with myocardial infarction.

Background

Comfort is an important requirement for managing the treatment and patients' well-being and patient activation improves patient engagement. Assessment of comfort, patient activation and associated factors are important to reduce complications and ensure adherence.

Method

This cross-sectional study was conducted between May and August 2023 on 138 patients in the cardiology clinic who met the inclusion criteria. The research data were collected using a Personal Information Form, a General Comfort Scale, and the Patient Activation Measure.

Results

It was determined that 67.4 % of the patients were male, and the mean age of patients was 55.47 ± 13.59 years. Comfort was found to be moderate and patient activation level was in the first stage in 50.7 % of the patients. A relationship was found between comfort and gender, education status, health perception, hospitalization experience and number, complications, having chronic disease and medication use, source of information and symptoms, while education and employment status, regular exercise, having chronic disease and symptoms affected patient activation. There was a significant, positive correlation between comfort and the patient activation.

Conclusions

Comfort and patient activation levels of patients with myocardial infarction are related to sociocultural and disease-related factors. Individualized nursing interventions should be planned in line with the affecting factors to increase comfort and patient activation. Also, controlled studies should be conducted in individuals identified as risk groups are important for clinical applications.

{"title":"Comfort and patient activation in patients with myocardial infarction: A cross-sectional study","authors":"Hande Arici Türk , Selma Turan Kavradim","doi":"10.1016/j.apnr.2024.151890","DOIUrl":"10.1016/j.apnr.2024.151890","url":null,"abstract":"<div><h3>Aims</h3><div>To examine comfort and patient activation, affecting factors, and the relationship between comfort and patient activation in patients with myocardial infarction.</div></div><div><h3>Background</h3><div>Comfort is an important requirement for managing the treatment and patients' well-being and patient activation improves patient engagement. Assessment of comfort, patient activation and associated factors are important to reduce complications and ensure adherence.</div></div><div><h3>Method</h3><div>This cross-sectional study was conducted between May and August 2023 on 138 patients in the cardiology clinic who met the inclusion criteria. The research data were collected using a Personal Information Form, a General Comfort Scale, and the Patient Activation Measure.</div></div><div><h3>Results</h3><div>It was determined that 67.4 % of the patients were male, and the mean age of patients was 55.47 ± 13.59 years. Comfort was found to be moderate and patient activation level was in the first stage in 50.7 % of the patients. A relationship was found between comfort and gender, education status, health perception, hospitalization experience and number, complications, having chronic disease and medication use, source of information and symptoms, while education and employment status, regular exercise, having chronic disease and symptoms affected patient activation. There was a significant, positive correlation between comfort and the patient activation.</div></div><div><h3>Conclusions</h3><div>Comfort and patient activation levels of patients with myocardial infarction are related to sociocultural and disease-related factors. Individualized nursing interventions should be planned in line with the affecting factors to increase comfort and patient activation. Also, controlled studies should be conducted in individuals identified as risk groups are important for clinical applications.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151890"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048339","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

Investigating the role of lifestyle, knowledge and health beliefs in performing preventive behaviours against human papilloma virus in married women

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-02-01 DOI: 10.1016/j.apnr.2025.151901

Sahar Mohammadnabizadeh , Maryam Mohammadi

Objectives

The aim of this research was investigating the role of lifestyle, knowledge and health beliefs in performing preventive behaviours against HPV in married women.

Background

Human Papilloma Virus (HPV) is a significant public health concern in Iran, with a relatively high prevalence in the general female population.

Methods

The study utilized a cross-sectional survey among 260 married women working at the university. The data collection instruments comprised knowledge, lifestyle, and health belief model (HBM) questionnaires. The data analysis was performed using SPSS.

Findings

The study's notable strength lies in its examination of the influential factors affecting HPV preventive behaviours through the HBM, utilizing a culturally relevant questionnaire tailored to Iranian circumstances. Notably, self-efficacy and perceived benefits merged as the strongest predictors of engaging in preventive behaviours against HPV, respectively.

Conclusion

Notably, self-efficacy and perceived benefits merged as the strongest predictors of engaging in preventive behaviours against HPV, respectively. Therefore, it is crucial for future interventions to focus on addressing these constructs to promote HPV vaccination and other preventive behaviours effectively. Besides, it is essential to recognize the close relationship between self-efficacy and perceived barriers. Understanding the key barriers to HPV vaccination and other preventive behaviours is crucial, as addressing these barriers can enhance individuals' self-efficacy and, in turn, promote the adoption of these preventive measures effectively.

{"title":"Investigating the role of lifestyle, knowledge and health beliefs in performing preventive behaviours against human papilloma virus in married women","authors":"Sahar Mohammadnabizadeh , Maryam Mohammadi","doi":"10.1016/j.apnr.2025.151901","DOIUrl":"10.1016/j.apnr.2025.151901","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of this research was investigating the role of lifestyle, knowledge and health beliefs in performing preventive behaviours against HPV in married women.</div></div><div><h3>Background</h3><div>Human Papilloma Virus (HPV) is a significant public health concern in Iran, with a relatively high prevalence in the general female population.</div></div><div><h3>Methods</h3><div>The study utilized a cross-sectional survey among 260 married women working at the university. The data collection instruments comprised knowledge, lifestyle, and health belief model (HBM) questionnaires. The data analysis was performed using SPSS.</div></div><div><h3>Findings</h3><div>The study's notable strength lies in its examination of the influential factors affecting HPV preventive behaviours through the HBM, utilizing a culturally relevant questionnaire tailored to Iranian circumstances. Notably, self-efficacy and perceived benefits merged as the strongest predictors of engaging in preventive behaviours against HPV, respectively.</div></div><div><h3>Conclusion</h3><div>Notably, self-efficacy and perceived benefits merged as the strongest predictors of engaging in preventive behaviours against HPV, respectively. Therefore, it is crucial for future interventions to focus on addressing these constructs to promote HPV vaccination and other preventive behaviours effectively. Besides, it is essential to recognize the close relationship between self-efficacy and perceived barriers. Understanding the key barriers to HPV vaccination and other preventive behaviours is crucial, as addressing these barriers can enhance individuals' self-efficacy and, in turn, promote the adoption of these preventive measures effectively.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151901"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048312","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

Postoperative pain intensity and patient satisfaction: A multicentre observational study

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-02-01 DOI: 10.1016/j.apnr.2024.151898

María-Pilar Córcoles-Jiménez , María-Victoria Ruiz-García , Beatriz Cervera-Monteagudo , Rubén Bernal-Celestino , María-Lucía Herreros-Saez , Ana-Belén Flores-Bautista

Background

Postoperative pain remains a prevalent issue, whose intensity is often inadequately controlled. This could lead to complications, longer hospital stays and unnecessary suffering. Understanding surgical patients' perspectives on pain management can help to identify areas for improvement.

Objective

Determine postoperative pain prevalence and intensity, and satisfaction with pain management, of hospitalised patients. Methods: Multicentre, cross-sectional correlational study. Participants: Aged over 18 years who underwent surgery, provided voluntary consent and were able to complete a survey. Variables: socio-demographic and clinical characteristics, surgical speciality, pain during hospitalisation, information, expectations and satisfaction with received care. An anonymous self-administered questionnaire adapted from the American Pain Society was used.

Results

1327 patients answered the survey, 927 (69.9 %) reported postsurgery pain. The mean pain intensity at rest was 5.23 (SD = 2.75; 95%CI: 5.05–5.40), and was 5.7 (SD = 2.69; 95%CI: 5.53–5.87) when moving. Satisfaction with pain management was high, with 301 (22.7 %) patients feeling satisfied and 786 (59.2 %) very satisfied. In the multivariate linear regression, the factors that were statistically and significantly associated with higher pain intensity were presence of presurgical chronic pain, various surgical specialities and female gender. The belief that pain can be relieved was associated with lower intensity.

Conclusions

The percentage of patients who reported being satisfied or very satisfied with the way their pain was managed exceeded 80 %. Pain prevalence was high, with a mean intensity of 5.23 at rest and one of 5.7 when moving (0–10 scale).

{"title":"Postoperative pain intensity and patient satisfaction: A multicentre observational study","authors":"María-Pilar Córcoles-Jiménez , María-Victoria Ruiz-García , Beatriz Cervera-Monteagudo , Rubén Bernal-Celestino , María-Lucía Herreros-Saez , Ana-Belén Flores-Bautista","doi":"10.1016/j.apnr.2024.151898","DOIUrl":"10.1016/j.apnr.2024.151898","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative pain remains a prevalent issue, whose intensity is often inadequately controlled. This could lead to complications, longer hospital stays and unnecessary suffering. Understanding surgical patients' perspectives on pain management can help to identify areas for improvement.</div></div><div><h3>Objective</h3><div>Determine postoperative pain prevalence and intensity, and satisfaction with pain management, of hospitalised patients. Methods: Multicentre, cross-sectional correlational study. Participants: Aged over 18 years who underwent surgery, provided voluntary consent and were able to complete a survey. Variables: socio-demographic and clinical characteristics, surgical speciality, pain during hospitalisation, information, expectations and satisfaction with received care. An anonymous self-administered questionnaire adapted from the American Pain Society was used.</div></div><div><h3>Results</h3><div>1327 patients answered the survey, 927 (69.9 %) reported postsurgery pain. The mean pain intensity at rest was 5.23 (SD = 2.75; 95%CI: 5.05–5.40), and was 5.7 (SD = 2.69; 95%CI: 5.53–5.87) when moving. Satisfaction with pain management was high, with 301 (22.7 %) patients feeling satisfied and 786 (59.2 %) very satisfied. In the multivariate linear regression, the factors that were statistically and significantly associated with higher pain intensity were presence of presurgical chronic pain, various surgical specialities and female gender. The belief that pain can be relieved was associated with lower intensity.</div></div><div><h3>Conclusions</h3><div>The percentage of patients who reported being satisfied or very satisfied with the way their pain was managed exceeded 80 %. Pain prevalence was high, with a mean intensity of 5.23 at rest and one of 5.7 when moving (0–10 scale).</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151898"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048247","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