Project description:ObjectiveTo translate and validate the Chinese version of the Work-Family-School Role Conflicts Scale (WFSRCs-S) among nurses with multiple roles.MethodsA sample of 233 registered nurses pursuing an advanced degree was recruited from 8 university hospitals in 5 cities in China from March to July 2016. The original scale of WFSRCs-S was translated into Chinese and revised to reflect cultural meaning, using standard translation methodology, and its reliability and validity were assessed.ResultsThe content validity index of the 12-item WFSRCs-S-Chinese was 0.83, and the item level of content validity index ranged from 0.79 to 1.00. The exploratory factor analysis yielded a three-factor solution (work-school-to-family role conflict, family-school-to-work role conflict, and work-family-to-school role conflict) and explained 71.9% of the total variance for WFSRCs-S-Chinese. The Cronbach's α coefficients for the total scale and the three sub-scales were 0.87, 0.79, 0.78, and 0.87. The confirmatory factor analysis revealed that the measurement model was satisfied, and the test-retest reliability of WFSRCs-S-Chinese was 0.85. The WFSRCs-S-Chinese score was positively associated with burnout (r = 0.36, P < 0.001) and negatively related to role-related social support (r = -0.18, P = 0.046), thereby establishing concurrent validity.ConclusionThe reliability and construct validity of the WFSRCs-S-Chinese suggest that this scale could be useful to assess inter-role conflicts among nurses with multiple roles in China.
Project description:BackgroundControversy surrounding Family Presence during Resuscitation (FPDR) continues internationally. The attitudes of medical professionals toward FPDR are particularly important for its clinical implementation. Currently, there is a lack of validated tools to evaluate medical professionals' perceptions of FPDR in China. The study aimed to: (1) Cross-culturally adapt and validate the Family Presence Risk-Benefit Scale (FPR-BS) and the Self-Confidence Scale (FPS-CS) for use in China; and (2) investigate the nurses' perceptions of FPDR and explore the relationships between the nurses' perceptual variables and demographic variables.MethodsThe English version of the FPR-BS and FPS-CS underwent a rigorous process of translation, back-translation, proofreading, and cultural adaptation to create the Chinese versions. In the first stage, a sample of 200 nurses were recruited to evaluate the reliability and validity of the scales. In the second stage, a larger cohort 519 nurses were invited to assess their perceptions of FPDR and the relationships between these perceptual variables and demographic variables.ResultsExploratory factorial analysis identified a single dimension for both the FPR-BS and FPS-CS, explaining 43.84% and 48.43% of the variance, respectively. The Scale-level content validity index (S-CVI) of the FPR-BS and the FPS-CS was 0.98 and 0.97, respectively. Reliability assessments yielded Cronbach's alpha coefficients of 0.933 for the FPR-BS and 0.930 for the FPS-CS. The split-half reliability coefficients were 0.832 for the FPR-BS and 0.835 for the FPS-CS, while the retest reliability coefficients were 0.742 and 0.927, respectively. The average scores obtained were 2.76 (SD = 0.52) for the FPR-BS and 3.43 (SD = 0.58) for the FPS-CS. Statistical analyses revealed that factors such as patient type, family members' prior experience with resuscitation, and the number of times nurses invited family members during resuscitation significantly influenced perceptions of the benefits and risks associated with FPDR (P < 0.05). Furthermore, obtaining certification as an intensive care specialist was positively associated with nurses' self-confidence in managing FPDR (P < 0.05).ConclusionsThe FPR-BS and FPS-CS were validated as effective instruments for measuring nurses' perceptions of PFDR, demonstrating acceptable levels of validity and reliability. While nurses reported fewer benefits and greater risks of FPDR, they exhibited increased self-confidence in managing family presence during resuscitation.
Project description:Mediterranean Diet management for people with cardiovascular disease (CVD) or CVD risk is supported by evidence. However, there is no valid Chinese language instrument for the measurement of adherence to this diet. The objective of this study was to generate a Chinese version of the Mediterranean Diet Scale (MDS-Chinese) and to validate a self-administered version with Chinese participants with CVD or CVD risk. The MDS-Chinese was created by translation and cultural adaptation and tested for psychometric properties. A panel of 10 experts in the field, who evaluated the MDS-Chinese content, showed that the content validity index ranged from 0.88 to 1.00. Sixteen native Chinese speakers with CVD or CVD risk evaluated the clarity of the MDS-Chinese, and the resulting instruction and items clarity scores ranged from 9.2 to 10.0. A total of 326 participants completed the MDS-Chinese and a Chinese version of the Coronary Artery Disease Education Questionnaire-Short Version (CADE-Q SV). Analysis indicated that the MDS-Chinese has 4 factors, and the Pearson's correlation between the MDS-Chinese and CADE-Q SV was 0.73. Fifty randomly selected participants completed the MDS-Chinese again with a 1-week interval to assess reliability. Internal consistency was acceptable (Cronbach's α was 0.62) and the inter-class correlation reliability coefficients (ICC) for each item ranged from 0.73 to 0.88. This study showed that the MDS-Chinese has acceptable reliability and validity for use among those in the Chinese population with CVD or CVD risk. Given that diet is one of the key secondary prevention strategies for management in cardiac rehabilitation, the MDS-Chinese instrument may be a useful and convenient tool for use with those in the Chinese population with CVD or with high risk of CVD, to monitor the level of Mediterranean diet (MD) adherence, information which is important for clinical practice. In addition, the establishment of the MDS-Chinese gives a fundamental tool for diet-related CVD research in the Chinese population. Moreover, employment of the MDS-Chinese in the Chinese community may improve awareness of the importance of a healthy diet in CVD prevention and management. Clinical Trial Registration: http://www.chictr.org.cn/enIndex.aspx, identifier: ChiCTR2000032810.
Project description:BackgroundNurses are one of the most critical members of advance care planning (ACP) discussion. The evaluation of ACP self-efficacy is of great significance for developing targeted ACP interventions among clinical nurses and update their professional roles. However, there are few instruments to evaluate their ACP self-efficacy in mainland China. The purpose of this study was to translate the ACP self-efficacy scale into Chinese and evaluate its psychometric properties among clinical nurses.MethodsA methodological study of the translation and validation of the ACP self-efficacy scale was conducted from January to March 2022. It involved three phases: (1) the translation and revision of the scale; (2) the exploration and evaluation of the item (n = 436); (3) the psychometric evaluation of the scale (n = 674).ResultsAfter a rigorous translation and revision, the ACP self-efficacy scale with three dimensions and 16 items was finally formed. In this study, the critical ratios of the item ranged from 8.226 to 17.499, and the item-total correlation coefficients ranged from 0.437 to 0.732, and the factor loadings of the item ranged from 0.638 to 0.882. The content validity index of the scale was 0.946. Supported by the eigenvalues, the three-factor structure explained the cumulative 61.131% of the overall variance. As the results of confirmatory factor analysis, all the recommended fitting indexes were appropriate. The average variance extracted values ranged from 0.570 to 0.756, and the composite reliability values ranged from 0.858 to 0.925. The total Cronbach's α coefficient, split-half reliability coefficient and test-retest reliability coefficient of the scale were 0.896, 0.767 and 0.939, respectively.ConclusionThe Chinese version of ACP self-efficacy scale was successfully introduced into China, showing good psychometric properties among clinical nurses, and can effectively assess the ACP self-efficacy. Also, the scale can provide nursing educators with a significant strategy to develop ACP educational procedure and post-intervention measures for clinical nurses to improve nurse-led ACP practice.
Project description:PurposeThe aim of this methodological study was to determine the validity and reliability of the Diabetes Self-Efficacy Scale adapted to the Turkish community.MethodsThe study sample was completed with 319 patients who had been diagnosed at least 1 year before and hospitalized in the Malatya Turgut Ozal Health Center and Malatya State Hospital in Turkey. A questionnaire that consists of items on sociodemographic characteristics, drug use and information about the disease of patients and the Diabetes Self-Efficacy Scale were used for data collection in the study. In reliability analysis of the scale, the Cronbach's α coefficient was calculated and item analysis method was utilized. Factor analysis was used for the construct validity, and Principal Component Analysis and Varimax Rotation method were used for analyzing the factor structures.ResultsAccording to data obtained in the study, item-total correlation of the items of the scale was found to be at an adequate level (0.297-0.803). The scale's Cronbach's α reliability coefficient was found to be 0.86, and there was one factor that explains 52.38% of the total variance with an eigenvalue was greater than 1.0. As a result of the analysis, the factor loadings of the items of the scale were found to be between 0.59 and 0.81.ConclusionDiabetes Self-Efficacy Scale is a valid and reliable instrument for determining the self-efficacy of patients and providing a proper care. It can be suggested to investigate and evaluate the consistency of the scale by applying it to broader sample groups representing different socioeconomic levels.
Project description:Background/aimThe measurement of self-efficacy is an important step toward improving chronic disease management, enhancing adherence to treatment, and assessing patients with chronic diseases. The purpose of this study was to assess the validity and reliability of the Turkish version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale.Materials and methodsIn this methodological study, the sample consisted of 211 patients receiving chronic disease care in 2 family health centers in İstanbul, Turkey. Data were analyzed with descriptive statistics, exploratory and confirmatory factor analyses, concurrent validity, Cronbach’s alpha, item-total correlation, and test-retest reliability.ResultsMost of the sample were women (72%), primary school graduates (41.7%), hypertensive (68.7%), and had comorbidities (68.2%). The mean age of the sample was 60.5 ± 10.9. The scale mean was 5.66 ± 2.28. Cronbach’s alpha reliability was 0.90. Item-total correlations were between 0.64–0.85 and test-retest reliability was high (R = 0.95, P < 0.001). A positive, significant correlation was found in concurrent validity. According to the results of factor analysis, the scale had a 2-dimensional structure.ConclusionThe Turkish version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale is a valid and reliable instrument to assess perceived the self-efficacy level of patient with chronic disease.
Project description:BackgroundThe modified Rankin Scale (mRS) is a key global outcome measure after stroke internationally. The latest English version of the simplified modified Rankin scale questionnaire (smRSq)(2011) is a reliable and valid tool in scoring the mRS after stroke. In order to use this tool in Chinese patients, we translated it into Chinese and tested its clinimetric properties.MethodsThe English version smRSq (2011) was translated into Chinese by a standard process. We recruited 300 consecutive hospitalized ischemic stroke patients in the department of neurology, Beijing Chaoyang Hospital. Six randomly paired raters scored the conventional mRS, the novel Chinese version smRSq (2011), the National Institutes of Health Stroke Scale (NIHSS), and the Barthel index (BI) in-person. Inter-rater reliability and validity were assessed.ResultsAmong the 300 ischemic stroke patients, mean age was 64.9 ± 12.1 years, and 220 (73%) were male. For inter-rater reliability of the smRSq (2011), the percent agreement among the paired raters was 87%, the kappa (κ) was 0.84 (95% CI, 0.79-0.88), and the weighted kappa (κw) was 0.96 (95% CI, 0.95-0.98). The percent agreement between the smRSq (2011) scores and the conventional mRS scores was 55%, κ = 0.47 (95% CI, 0.40-0.54), and κw = 0.91 (95% CI, 0.89-0.93). In construct validity testing, the Spearman's correlation coefficients comparing the smRSq (2011) scores with the NIHSS and the BI scores were 0.83 (P < 0.001) and - 0.86 (P < 0.001), respectively.ConclusionsOur results show good to excellent clinimetric properties of the novel Chinese version smRSq (2011) in scoring the mRS in Chinese stroke patients. Further validation in other clinical settings, including in communities and by remote methods in China is warranted.
Project description:BackgroundIn a rapidly changing healthcare environment, Self-directed learning (SDL) ability is recognized as a crucial condition for nursing students and nurse to deal with severe challenges positively. Developing SDL ability is becoming more and more important among nursing students. SDL is related to nursing students enhancing their own knowledge, skills and maintaining lifelong learning. This study is aim at translating the Self-directed Learning Instrument (SDLI) into Chinese and verify its reliability and validity among nursing students.MethodsThe study adopted a cross-sectional design and the multistage sampling design. The SDLI was translated into Chinese, and the reliability and validity of the scale were tested among 975 nursing students.ResultsThe Cronbach's α value of the Chinese version of SDLI was 0.916. The split-half reliability coefficient was 0.829, and the retest coefficient was 0.884. The content validity index of the scale was 0.95. Furthermore, the four-factors model was obtained by using exploratory factor analysis, explaining 55.418% variance, and the communalities of the items ranged from 0.401 to 0.664. With modified confirmatory factor analysis, the fit indices were chi-square/degree of freedom (CMIN/DF) = 2.285, the comparative fit index (CFI) = 0.947, and the tucker lewis index (TLI) was 0.938. And, the model fitting indexes were all in the acceptable range and confirmatory factor analysis indicated that the model fit the SDLI well.ConclusionThe Chinese version of SDLI has good validity and reliability among nursing students. It can be used to measure the SDL ability of nursing students in China.
Project description:This study adapts the Self-Compassion Scale into Polish and tests the validity, reliability and factor structure of its measures. In the first phase of the research (Study I), 645 respondents were assessed using the NEO-FFI Scale, the Self-Esteem Scale and a back-translated version of the Self-Compassion Scale. The aim of Study I is to analyse the factor structure of the Polish adaptation of the Self-Compassion Scale. The results of analyses using structural equation modelling and exploratory structural equation modelling confirm the six-component structure of the Self-Compassion Scale and the possibility of distinguishing a single primary factor. The results of these analyses indicate that self-compassion is conceptually distinctive from personality traits and self-judgement. In the second phase of the study (Study II), 688 respondents were assessed and the findings show that self-compassion is a predictor of depressive symptoms, trait anxiety, and satisfaction with life, and is also linked to emotional intelligence. In conclusion, the findings of this study show that the Polish version of the Self-Compassion Scale is a reliable and valid measure of self-compassion.
Project description:BackgroundAlthough the Geriatric Self-Care Scale (GSS) has been widely used in community investigations in China, its reliability and validity have yet to be analyzed.ObjectivesThis study aimed to examine the reliability and validity of the GSS in community-dwelling Chinese older adults.MethodsThis prospective observational study included 29428 older adults. Content validity was analyzed using the Content Validity Index (CVI). Reliability analysis included internal consistency and test-retest reliability. Differences in participants who could live independently versus those who could not were analyzed for discriminant validity. The Barthel Index was used as the gold standard. Spearman's correlation and Receiver Operating Characteristic (ROC) analysis were used to assess convergent validity.ResultsThe CVI for the GSS was 0.920, with CVI values of 1.000, 0.900, 1.000, 0.800 and 0.900. The Cronbach's alpha for the GSS was 0.869 (for all participants) and 0.867 (for participants aged ≥ 65 years) and the item Cronbach's alpha coefficients were all >0.8. The Pearson and intraclass correlation coefficients for both the scale and each item were greater than 0.8. There were significant differences (p < 0.05) between participants who could live independently and those who could not. There were significant correlations (p < 0.05) between the GSS and Barthel Index for each item and the total score. ROC analysis revealed that all areas under the curve were greater than 0.8, with a sensitivity and specificity exceeding 0.8.ConclusionsThe GSS showed good reliability and validity among community-dwelling older adults in China.