Applied Nursing Research最新文献_第2页

The effect of gender role stress on psychological distress in pregnant women

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-02-13 DOI: 10.1016/j.apnr.2025.151926

Serap Açıkgöz , Sakine Yılmaz , Sevda Güvenç

Aim

To examine the effect of gender role stress on psychological distress in pregnant women.

Background

Recognition and prevention of potential psychological as well as physiological adversities during pregnancy are critical in terms of reducing their impacts on mother and baby health and developing preventive health services.

Methods

This cross-sectional study was conducted with 182 volunteer pregnant women in Türkiye. Data were collected using a Personal Information Form, an Obstetric Characteristics Information Form, the Feminine Gender Role Stress Scale (FGRSS), and the Kessler Psychological Distress Scale (K10-PDS). Data analysis included independent samples t-test, one-way analysis of variance, Duncan test, Pearson correlation coefficient, and linear regression analysis.

Results

The mean K10-PDS score of the pregnant women was 37.55 ± 8.87, which showed they were likely to have a severe mental disorder. There was a statistically significant difference between scale scores according to education level, perceived income, intervention of people outside the home, marital adjustment, and the presence of a health problem during the current pregnancy (p < 0.05). It was determined that there was a weak negative relationship between the FGRSS and K10-PDS (r = −0.283; p < 0.001) and that feminine gender role stress had an effect on psychological distress (F = 7332; p < 0.001).

Conclusions

The results of the study draw attention to pregnant women's need for psychological support. To reduce the adverse psychological effects of gender role stress on pregnant women in prenatal care services, studies on factors affecting adaptation to the pregnancy process can be planned.

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引用次数: 0

Nurses' competence and needs to assist advance directives for institutionalized people with dementia and their family

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-02-10 DOI: 10.1016/j.apnr.2025.151924

Hui-Chen Chao , Yen-Lin Chen , Hsiu-Ching Lin , Jing-Jy Wang , Ya-Ping Yang

There is growing recognition of advance directives (AD) in dementia, however a gap remains between their perceived importance and actual implementation. This emphasizes the need to enhance healthcare professionals' support for people with dementia (PWD) with regards to making AD. This study aimed to investigate the competence, difficulties, and support needs of nurses in assisting institutionalized PWD to make AD. This mixed methods study included both quantitative and qualitative data analysis. Purposive sampling was used to recruit potential participants, and a self-developed questionnaire was used for data collection. Data were analyzed using descriptive statistics and t-test for quantitative information, and content analysis for qualitative information. A total of 188 questionnaires from 19 institutions were completed. The scores of knowledge, attitudes and skills in assisting PWD with making AD were 33.9, 39.4 and 39.5, respectively. The nurses stated that the difficulties in assisting PWD with making AD were a lack of relevant expertise, understanding the AD, and that they were unsure of how to handle conflicting viewpoints within the family. More in-service training and online courses on dementia and AD were required, as well as the creation of health education pamphlets and patient decision aids to help PWD and their families make decisions about AD. The results of this study can serve as a reference for understanding the competencies, improvements, needed support and in-service education of nurses in an institutional setting to assist PWD with making AD. We recommend the promotion of AD through related leading associations and their institutions.

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引用次数: 0

Factors influencing digital health competence among healthcare professionals: A cross-sectional study

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-02-08 DOI: 10.1016/j.apnr.2025.151922

Goran ERFANI , Jemma McCREADY , Beckie GIBSON , Bethany NICHOL , John UNSWORTH , Erika JARVA , Kristina MIKKONEN , Marco TOMIETTO

Background

Improving healthcare professionals' digital health competence is critical to providing safer care. However, there is still a lack of empirical studies exploring the factors influencing healthcare professionals' digital health competence, even though significant investments have been made to advance digitalisation of healthcare globally.

Aim

This study aimed to identify the key characteristics influencing healthcare professionals' digital health competence.

Methods

Cross-sectional data was collected from 252 healthcare professionals using two instruments measuring the digital health competences and the associated educational and organisational factors in 2024 via an online and paper-based survey. Univariate and binary logistic regression analyses were performed to identify the key characteristics influencing digital health competence.

Results

Higher levels of education, working in a hospital, more professional experience, and increased use of digital solutions at work or during free time were associated with higher digital health competence. Higher qualifications were linked to greater digital health competence across several factors, with postgraduate degrees increasing health-related counselling competence and undergraduate degrees enhancing work-related attitudes and evaluating digital solutions. Professionals with university qualifications and those working in hospital settings showed higher ICT competence, while more years of professional experience increased ethical competence in using digital solutions.

Conclusions

Digital health competence development should prioritise healthcare professionals with lower educational levels. Additionally, such initiatives should include supporting those who work in non-hospital settings, have less professional experience, and use digital solutions less frequently at work or in their free time. Professional experience increases ethical competence in using digital solutions. Continuous professional development interventions and organisational policies should consider these factors to improve healthcare professionals' digital health competences.

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引用次数: 0

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.

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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.

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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