scholarly journals Psychometric Testing of the Technological Competency as Caring in Nursing Instrument – Revised (English Version Including a Practice Dimension)

2021 ◽  
Vol 11 (3) ◽  
pp. 346-358
Author(s):  
Tomoya Yokotani ◽  
Tetsuya Tanioka ◽  
Feni Betriana ◽  
Yuko Yasuhara ◽  
Hirokazu Ito ◽  
...  

Background: The middle range theory Technological Competency as Caring in Nursing (TCCN) guides nursing practices. The TCCN Instrument (TCCNI) measures perception dimension of the theory and has been revised and translated into the Japanese language (TCCNI-R). Testing the translated version of the TCCNI-R to English language with the inclusion of a practice dimension is warranted.Purpose: This study aims to determine the psychometric properties of the TCCNI-Revised English version with Practice dimension (TCCNI-RePract).Methods: A web-based cross-sectional study was conducted with data from 202 valid questionnaire copies from professional nurses in selected hospitals and nurse educators in universities.   Results: The suitability for factor analysis was determined using Kaiser-Meyer-Olkin index (0.93), Bartlett's sphericity test of 3256.93, p<0.001, the anti-image correlations ranged between 0.87 and 0.96, and an average value of communalities of 0.66. In the four rotations conducted with the maximum likelihood method with a Harris-Kaiser Orthoblique rotation, four items were excluded with factor loadings less than 0.40. These results determined the final scale with 21 items and four subscales, namely: (1) Knowing the person (8 items); (2) Technological competency as Caring (6 items); (3) Technology and caring (4 items); and (4) Expression of nursing as Caring (3 items). Cronbach’s alpha coefficient for the total scale was 0.94. With two dimensions of the TCCNI-RePract, the perception dimension had significantly higher scores than the practice dimension. When comparing mean factor point among the dimensions, the perception scores were significantly higher for Factor 1 and Factor 3.Conclusion:The TCCNI-RePract is an acceptable tool that can reliably measure nurses’ perception and practice of TCCN. It is affirmed that with this tool, measuring perception and practice status of TCCN theory is possible. It is considered that the evaluation results can be used to plan in-hospital education. 

Author(s):  
Erika Viktória Miszory ◽  
Melinda Járomi ◽  
Annamária Pakai

Abstract Aim The number of Hungarian polio patients can be estimated at approximately 3000. Polio infection is currently affecting people 56–65 years of age. The aim of the study was to reveal the quality of life of patients living with polio virus in Hungary. Subject and methods The quantitative cross-sectional study was conducted in January–April 2017 among polyomyelitis patients living in Hungary. In the non-random, targeted, expert sample selection, the target group was composed of patients infected with poliovirus (N = 268). We have excluded those who refused to sign the consent statement. Our data collection method was an SF-36 questionnaire. Using the IBM SPSS Statistics Version 22 program, descriptive and mathematical statistics (χ2-test) were calculated (p < 0.05). Results The mean age of the members of the examined population is 63.5 years; 68.1% were women and 31.90% were men. The majority of the respondents were infected by the polyovirus in 1956 (11.9%), 1957 (24.3%), and 1959 (19.5%). Polio patients, with the exception of two dimensions (mental health, social operation), on the scale of 100 do not reach the “average” quality of life (physical functioning 23 points, functional role 36 points, emotional role 47 points, body pain 48 points, general health 42 points, vitality 50 points, health change 31 points). Conclusion The quality of life of polio patients is far below the dimensions of physical function, while the difference in mental health compared to healthy people is minimal. It would be important to educate health professionals about the existing disease, to develop an effective rehabilitation method.


Medicina ◽  
2021 ◽  
Vol 57 (2) ◽  
pp. 109
Author(s):  
Alberto Forte ◽  
Giuseppe Sarli ◽  
Lorenzo Polidori ◽  
David Lester ◽  
Maurizio Pompili

Background and objectives: Suicide in adolescents represents a major public health concern. To date, a growing number of suicide preventive strategies based on the use of new technologies are emerging. We aimed to provide an overview of the present literature on the use of new technologies in adolescent suicide prevention. Materials and methods: An electronic search was run using the following keywords: Technology OR Technologies OR APP OR Application OR mobile application) AND (Adolescent OR youth OR puberty) AND (Suicid* OR Self-harm OR self-destruction). Inclusion criteria were: English language, published in a peer-reviewed journal, suicide prevention with the use of new technologies among adolescents. Results: Our search strategy yielded a total of 12 studies on the use of telemedicine, 7 on mobile applications, and 3 on language detection. We also found heterogeneity regarding the study design: 3 are randomized controlled trials (RCT), 13 are open-label single group trials, 2 are randomized studies, and 1 is a cross-sectional study. Telemedicine was the most adopted tool, especially web-based approaches. Mobile applications mostly focused on screening of depressive symptoms and suicidal ideation, and for clinical monitoring through the use of text messages. Although telepsychiatry and mobile applications can provide a fast and safe tool, supporting and preceding a face-to-face clinical assessment, only a few studies demonstrated efficacy in preventing suicide among adolescents through the use of these interventions. Some studies suggested algorithms able to recognize people at risk of suicide from the exploration of the language on social media posts. Conclusions: New technologies were found to be well accepted and tolerated supports for suicide prevention in adolescents. However, to date, few data support the use of such interventions in clinical practice and preventive strategies. Further studies are needed to test their efficacy in suicide prevention among adolescents and young adults.


2018 ◽  
Vol 10 (10) ◽  
pp. 55
Author(s):  
Susi Ari Kristina ◽  
Vo Quang Trung ◽  
Ni Putu Ayu Linda Permitasari ◽  
Eliza Dwinta ◽  
Faisal Rahman

About two thirds of active smokers want to quit smoking, yet not many people finally succeed in smoking cessation. Smoking cessation involve complex behaviors associated with individual, social and psychological characteristics as the key factors. Our objective is to review the studies about smoking cessation behavior correlated issues in order to find effective interventions of smoking cessation program. Terms and keywords pertinent to individual, social and psychological characteristics of smoking cessation behavior were used in a search of the electronic databases. Searches were limited to English language, included papers were: a) had clearly report the predictor variables related to smoking cessation behaviors, b) exclusively represent nation/s of study population, c) the time frame for the analysis was limited from 1998 to 2018. A result of 116 individual studies were retrieved at first and reviewed. After further inspection of references from the collected studies, 9 studies were approximately selected that met all inclusion criteria. The final studies consisted of five cross-sectional study and four cohort studies, conducted from different countries. There were several characteristics related to smoking cessation behavior including on levels of nicotine dependence, self-efficacy, smoking restriction and involve other smokers environment, motivation and educational background. Adjusted interventions due to those specific behaviors are needed in order to make more effective smoking cessation programs. Therefore, this study may provide new perspective for encouraged to decrease the amount of smokers worldwide through smoking cessation program.


Author(s):  
Radha A. ◽  
Anuradha H. V. ◽  
Radhika K.

Linezolid is the oxazolidinone group of antibiotic with wide range of activity against the gram positive bacteria including methicillin resistant staphylococcus aureus and penicillin resistant pneumococci and vancomycin resistant enterococci. Patients who are on linezolid were reported to have reversible myelosuppression especially thrombocytopenia and anaemia. Since there are less number of studies regarding the occurrence of thrombocytopenia and the risk factors associated with it, this study was undertaken to evaluate the occurrence of linezolid induced thrombocytopenia and its association with risk factors. It was a systematic review with synthesis of available literature in English language. Articles were retrieved using search terms included “linezolid”, “and”, “or”, “thrombocytopenia” from Clinical key and PubMed, published during 2000 - 2017. Out of 16 studies retrieved, only 7 studies were analysed based on inclusion and exclusion criteria; of them, 3 were found to be prospective and retrospective cohort each and only one was retrospective cross-sectional study. The occurrence of linezolid induced thrombocytopenia range from 18-50% with normal renal function and 57% of incidence associated with renal insufficiency patients. The risk factors were found to be dose of linezolid >18-27mg/kg, body weight of subjects <55kg, creatinine clearance <88.39 to 60ml/min/1.73m2 and baseline platelet count <200*103/mm3, serum albumin concentration, serum creatinine, concomitant caspofungin therapy and duration of linezolid therapy.


Author(s):  
Harold Rumopa ◽  
Freddy W. Wagey ◽  
Eddy Suparman

  Objective: Determine differences plasma levels MDA in preeclampsiabefore and 2 hours after delivery.   Methods: This was an analytic cross-sectional study. Subjectconsists of 23 pregnancies with preeclampsia, where 23 bloodsamples taken before delivery and 23 were taken 2 hours afterdelivery. This study was conducted from August 2016 untilDecember 2016 at Department of Obstetrics and GynecologyFaculty of Medicine Universitas Sam Ratulangi / Prof. Dr. R. D.Kandou Hospital Manado and satellite hospital. Samples weretaken from plasma and analysed using HPLC method at Prodiaclinical laboratory.   Results: In patients with severe preeclampsia before deliverywe found average value (1.4796  0.40819 nmol/ml), minimumvalue (1.03 nmol/ml) and maximal value (2.77 nmol/ml)and 2 hours after delivery with average value (1.2470 0.34324 nmol/ml), minimum value (0.91 nmol/ml), and maximumvalue (2.47 nmol/ml). by using Wilcoxon test, we foundthere were significant differences in plasma levels of MDA (p =0.000).   Conclusion: This significant difference suggests that decreasedplasma levels of MDA 2 hours after delivery and gives the sense thatthere is a relationship between oxidative stress of cells with severepreeclampsia before and shortly after delivery, that MDA is an indicatorof oxidative stress.   Keywords: malondialdehyde, oxidative stress, peroxidation lipid,preeclampsia


2017 ◽  
Vol 25 (3) ◽  
pp. E162-E172
Author(s):  
Neda Mirbagher Ajorpaz ◽  
Mansoureh Zagheri Tafreshi ◽  
Jamileh Mohtashami ◽  
Farid Zayeri ◽  
Zahra Rahemi

The clinical competence of nursing students in operating room (OR) is an important issue in nursing education. The purpose of this study was to evaluate the psychometric properties of the Persian Perceived Perioperative Competence Scale–Revised (PPCS-R) instrument. This cross-sectional study was conducted across 12 universities in Iran. The psychometric properties and factor structure of the PPCS-R for OR students was examined. Based on the results of factor analysis, seven items were removed from the original version of the scale. The fitness indices of the Persian scale include comparative fit index (CFI) 5 .90, goodness-of-fit-index (GFI) 5 .86, adjusted goodness-of-fit index (AGFI) 5 .90, normed fit index (NFI) 5 .84, and root mean square error of approximation (RMSEA) 5 .04. High validity and reliability indicated the scale’s value for measuring perceived perioperative competence of Iranian OR students.


2020 ◽  
Vol 79 (7) ◽  
pp. 826-838
Author(s):  
Cristina Álvarez-García ◽  
Carmen Álvarez-Nieto ◽  
Rachel Carter ◽  
Janet Kelsey ◽  
Sebastián Sanz-Martos ◽  
...  

Objectives: Children are among the most vulnerable population groups with regard to environmental risks. Nursing students must be fully educated on children’s environmental health as they are in a key position to prevent and reduce the effects of environmental hazards. The main objective of this study was to adapt and validate an English language version of two questionnaires about children’s health and the environment, to assess the knowledge and skills of student nurses in England. Design: Observational cross-sectional study. Setting: A university in Southern England. Method: The study involves translating, adapting and validating the Children’s Environmental Health Knowledge Questionnaire (ChEHK-Q) and the Children’s Environmental Health Skills Questionnaire (ChEHS-Q) with nursing students in England ( N = 232). Results: The psychometric characteristics of both questionnaires were strong. Infit and outfit values were close to 1. The reliability values for the items and people were 0.96 and 0.79 for ChEHK-Q and 0.98 and 0.89 for ChEHS-Q, respectively. Only 52 (22.41%) and 77 (33.62%) participants had at least good knowledge and skills, respectively. Higher knowledge and skills were found with respect to the vulnerability of children and identification of environmental risks in the home. Lower levels of knowledge and skills were found with respect to the effects of pesticides and the assessment of neoplastic pollutants. Conclusion: Findings demonstrate deficiencies in nursing competencies related to children’s environmental health. The use of these questionnaires will facilitate improvement in both knowledge and skills related to children’s environmental health among future nurses.


2018 ◽  
Vol 23 (03) ◽  
pp. 382-387 ◽  
Author(s):  
Hiroshi Yamazaki ◽  
Toshiysasu Sakurai ◽  
Shigeharu Uchiyama ◽  
Hiroyuki Kato

Background: There are several methods for measuring edema of the hand. While the volumetric techniques, finger circumference measurement, and figure-of-eight techniques have undergone extensive psychometric testing, alternative methods of measuring hand size, such as circumferential finger size determination using a ring gauge (ring gauge method; RGM) and tape measurement of hand girth taken along the distal palmar crease (metacarpal head tape measure method; MHTM), have not. This study's aim is to examine the reliability and validity of the RGM and the MHTM. Methods: In this cross-sectional study, two examiners measured 22 hands in 22 patients with hand edema using the RGM and the MHTM 3 times each to determine intra- and inter-tester reliability. The validity of each method was established using the finger circumference measurement and figure-of-eight method, respectively. Results: The intra-class correlation coefficient (ICC) obtained for intra-tester reliability was 0.99–0.98 for both methods. ICCs for inter-tester reliability were 0.97–0.98 for the RGM and 0.98 for the MHTM. Pearson product-moment correlation values between the RGM and finger circumference measurement were 0.92–0.96, while those between the MHTM and figure-of-eight method were 0.84–0.90. Conclusions: The RGM and the MHTM are reliable and valid evaluation tools for the assessment of hand size.


2018 ◽  
Vol 29 (1) ◽  
pp. 48-53 ◽  
Author(s):  
Sara Burke ◽  
Elaine Miller ◽  
Tamilyn Bakas ◽  
David Cooper

AbstractPurposeNeuroprotective developmental care is paramount for neonates with CHD. Although several developmental care scales exist, either they have not been psychometrically tested or were not designed for the needs of neonates with CHD. The purpose of this study is to describe item development and content validity testing of the developmental care scale for neonates with CHD, which measures five domains of the developmental care provided by bedside nurses to neonates in the cardiac ICU: sleep, pain and stress management, activities of daily living, family-centred care, and environment.MethodsFor this cross-sectional study, items were developed based on clinical expertise and the core measures for developmental care. In this study, seven experts provided content validity ratings of items for total scale and subscale fit and relevance. A content validity index was used to determine item retention. Item modifications and additions were based on expert feedback.ResultsExpert ratings provided evidence of content validity on 24 of 53 items within the five domains of developmental care. A total of 24 items were deleted, and five items with low content validity ratings were retained, because of conceptual importance, and revised. An additional 11 items were added based on expert qualitative feedback.ConclusionsThis study provided evidence of content validity of the developmental care scale for neonates with CHD by researchers and bedside nurses caring for these neonates. Further psychometric testing is warranted to provide evidence of internal consistency reliability, construct validity, and to identify variables that influence quality of the developmental care.


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