[Translation and cross-cultural adaptation of the newcastle satisfaction with nursing scales into the Brazilian culture]

Development and validation of a tool for advising primiparous women during early labour: study protocol for the GebStart Study

INTRODUCTION

Pregnant women experience early labour with different physical and emotional symptoms. Early admission to hospital has been found to be associated with increased intervention and caesarean section rates. However, primiparous women often contact the hospital before labour progresses because they encounter difficulties coping with symptoms of onset of labour on their own. An evidence-based instrument for assessing the individual needs to advise primiparous women during early labour is currently missing. The study aims to develop and validate a tool to inform the joint decision for or against hospital admission.

METHODS AND ANALYSIS

A scale development and validation study will be conducted including following steps: (1) Generation of a pool with 99 items based on a scoping review and focus group discussions with primiparous women, (2) Assessment of content and face validity by an expert panel and item reduction to 32 items, (3) Multicentre data collection in six study sites in Switzerland, with application of the preliminary tool and the validation items with a target sample size of approximately n=400 women and (4), item reduction using exploratory factor analysis, factor loading and item-to-item correlation. Internal consistency of the tool will be assessed using Cronbach's alpha and convergent validity computing correlations of items of the tool with the German versions of the Childbirth Self-Efficacy Inventory and the Cambridge-Worry Scale. Analyses will be performed using Stata V.17.

ETHICS AND DISSEMINATION

Ethical approval was obtained by the Ethics Committees Zurich and Northwestern and Central Switzerland (BASEC-Nr. 2021-00687). Results will be disseminated at the final study conference, at national and international congresses and by peer reviewed and not peer-reviewed articles in scientific and professional journals. Approved and anonymised data will be shared. The dissemination of the findings will have a contributable impact on clinical practice, scientific discussions and future research.

TRIAL REGISTRATION NUMBER

DRKS00025572, SNCTP000004555.

The Newcastle satisfaction with nursing scales in a Mexican Oncology Hospital

OBJECTIVES

The principal aim of this study was to identify whether the Newcastle Satisfaction with Nursing Scales (NSNS) could be used on cancer patients.

METHODS

This was a descriptive, cross-sectional study carried out on cancer patients (n = 298).

RESULTS

We found that a majority of cancer patients were around 50 years old (hospitalized patients [HP]: 49.5 ± 14.9; chemotherapy outpatients [COP]: 49.4 ± 12.7), were female (HP: 74%; COP: 63.5%), and had received education at least up to elementary level (HP: 70%; COP: 80%). Breast cancer was the principal type of cancer (>34%) in both groups (HP and COP). The groups were comparable in age, sex distribution, place of origin, educational qualification, and type of cancer. Among HP, the experience and satisfaction scales of the NSNS showed good internal consistency (n = 235, α >0.9, r > 0.7), while among COP, only the satisfaction scale showed good internal consistency (n = 62, α = 1.00). Most patients' perceptions (level of satisfaction) of hospitalization and chemotherapy services were positive (98% and 97%, respectively).

CONCLUSION

An NSNS instrument specifically designed for ambulatory care cancer patients is necessary for it to be useful in assessing cancer patients' perception of nursing care. This will help improve the quality of care in Mexico.The presence of cancer by itself could modify the patients' satisfaction level. Further large-scale studies are required to investigate the patients' perceptions of nursing care using the NSNS on different cancer patient groups.

Cultural adaptation and validation of the General Practice Nurse Satisfaction Scale

ABSTRACT Objective: To culturally adapt and validate the General Practice Nurse Satisfaction Scale for the Brazilian context. Method: Methodological study performed according to guidelines provided in the international scientific literature and validation of the Australian instrument for the Brazilian context. The sample consisted of 199 patients admitted from August 2017 to January 2018 in a public university hospital in the south of Brazil. Data were analyzed using factor analysis and Cronbach’s alpha. Results: According to factor analysis, 21 questions were validated and divided into four dimensions: interpersonal relationship and communication, confidence, credibility, and dedication. The instrument presented satisfactory internal consistency, with Cronbach's alpha equal to 0.93, and ranging between 0.87 and 0.66 for the dimensions. Conclusion: The instrument’s Brazilian version is valid and reliable to assess the satisfaction of patients with nursing care.

Psychiatric Nursing Care in a General Hospital: Perceptions and Expectations of the Family/Caregiver

The current study aimed to investigate the perceptions and expectations of family members/caregivers regarding nursing care provided to psychiatric inpatients in a general hospital. The study was a descriptive-exploratory study with a qualitative approach. Data were collected through open interviews with 10 relatives of patients hospitalized in the psychiatric unit and analyzed using content analysis. Participants reported that nursing care was good and emphasized a good relationship between the patient and nursing staff marked by professionalism, care, and dedication. Participants' expectations highlighted staff's need for relational skills, represented by patience, attention, and interaction, and for meeting the basic human needs of patients. Most participants did not have higher expectations regarding the care provided. Future studies should address the family/caregiver's point of view, as psychiatric hospitalizations in general hospitals are a recent practice that should be the subject of further reflection and discussion to improve the quality of care. [Journal of Psychosocial Nursing and Mental Health Services, 56(8), 31-36.].

Cross-cultural adaptation methods of instruments in the nursing area

OBJECTIVE

To analyze scientific publications in order to identify the cross-cultural adaptation methods of instruments that are mainly applied in nursing.

METHOD

Integrative review, in the electronic sources Medline - Pubmed, Cinahl, Lilacs, Scopus and Web of Science. 96 peer-reviewed papers, published between 2010 and 2015 were selected.

RESULTS

The articles that composed the sample were published in 59 different journals, 15.2% were Brazilian. The largest number of publications was concentrated in 2015 (31.2%), 28 countries appeared on the list which is led by Brazil (33.3%), followed by China (10.4%). It was used 26 different guidelines, however the one proposed by Beaton and their collaborators was mentioned in 47 (49.0%) articles and the Brislin's in 12 (12.5%).

CONCLUSION

This review does not allow us to define the most appropriate method, however all methods applied agreed on the use of back translation. In addition, many studies in different languages and countries showed the international acceptability of the method developed by Beaton et al.

PREDICTORS OF PATIENTS' EXPERIENCES AND SATISFACTION WITH NURSING CARE IN MEDICAL-SURGICAL WARDS

This study aimed to identify predictors of experiences and patient satisfaction with nursing care and compare the psychometric properties of the Brazilian version and the original version of the Newcastle Satisfaction with Nursing Scales. This is a cross-sectional study with 351 patients in medical-surgical units of a teaching hospital. The multiple linear regression method was used for data analysis. Satisfaction with nursing care in general was the predictor for experiences (p<0.0001) and satisfaction (p<0.0001). Other predictors of satisfaction with nursing care were age (p=0.027), education level (p=0.024) and satisfaction with hospitalization (p=0.021). We conclude that the Brazilian version of the instrument demonstrated satisfactory reliability and validity. In addition, it is easier to use and less expensive.

Validation of the Brazilian Version of the Newcastle Satisfaction With Nursing Scales: A Partial Least Squares Path Modeling Approach

Background and Purpose: Assessing patient satisfaction requires reliable and valid instruments. This study evaluated the reliability and validity of the Brazilian version of the Newcastle Satisfaction with Nursing Scales (B-NSNS). Methods: This cross-sectional study enrolled 351 adult inpatients. Partial least squares path modeling (PLS-PM) approach was used to evaluate the reliability and validity of this instrument. Results: After the adjustments of model, both constructs exhibited adequate convergent and discriminant validity, showing that experiences with nursing care have a significant effect on patient satisfaction (r = .70) and account for 49.1% of the variance in patient satisfaction with the nursing care (R2 = 0.49). Conclusions: The B-NSNS result in a valid and reliable measure for use in managing nursing care.