Development and validation of the Nurse's Workplace Mental Health Questionnaire

Weathering in Psychiatric Nursing: A Concept Analysis

The weathering phenomenon has been defined in diverse fields, including nursing, sociology, and public health. Throughout its development, the concept of weathering has undergone significant expansion in meaning and evolution. Furthermore, a substantial gap in the literature exists, as no concept papers have specifically explored weathering in psychiatric nursing. This paper used the Walker and Avant concept analysis method to examine the concept of weathering in psychiatric nursing and establish a clear theoretical definition. This includes identifying the defining attributes, antecedents, consequences, and empirical referents of weathering. This comprehensive analysis also includes illustrative cases that demonstrate the effects of weathering on nurses' health outcomes. A deeper understanding of this concept may enable the development of practical assessment tools to address weathering's underlying causes. Ultimately, this knowledge may empower us to enhance nurses' overall health outcomes, ensuring their well-being and success. Further research is recommended to gain a comprehensive understanding and define weathering in psychiatric nursing, informing evidence-based strategies that address its challenges and promote nurses' well-being.

Survey and Analysis of Mental Health among Otolaryngology Nurses Following the Conclusion of COVID-19 Prevention and Control Measures

Aims/Background The coronavirus disease 2019 (COVID-19) pandemic placed unique pressures on healthcare workers, especially nurses. This study examines the factors influencing mental health, stress perception, and burnout among otolaryngology nurses after the cessation of COVID-19 prevention and control. Methods A cross-sectional study was conducted among 220 otolaryngology nurses in Sichuan province from 20 January to 28 January, 2023. Data were collected using a general information questionnaire, the Nurse Workplace Mental Health Questionnaire, the Chinese Perceived Stress Scale (CPSS-14), and the Maslach Burnout Inventory-General Survey (MBI-GS). Statistical analyses included the Kruskal-Wallis test, Spearman correlation analysis, and multiple linear regression to identify significant factors and relationships within the dataset. Results Of the 220 questionnaires distributed, 218 were valid, yielding a recovery rate of 99.09%. The cohort included 3 males (mean age: 34.67 ± 12.39) and 215 females (mean age: 35.63 ± 9.27). The average mental health score was 128.10 ± 21.29, indicating a moderate level of psychological well-being. The CPSS-14 average score was 37.42 ± 7.27, reflecting moderate stress, while MBI-GS scores highlighted varying levels of burnout, especially in emotional exhaustion (median = 10.00). The Kruskal-Wallis test identified significant factors affecting mental health, stress, and burnout, including family support, COVID-19 testing status, staffing adequacy, frequency of caring for critically ill patients, teamwork satisfaction, job satisfaction, and resignation plans (p < 0.05). Spearman correlation analysis revealed significant negative associations between mental health and stress (r = -0.525) and total burnout scores (r = -0.646; p < 0.01). Multiple linear regression identified emotional exhaustion (β = -0.922), low personal accomplishment (β = -0.623), and inadequate staffing (β = -2.769) as significant negative predictors of mental health, while teamwork satisfaction (β = 5.516) and job satisfaction (β = 5.032) were positively associated with improved mental health (p < 0.01). Conclusion Otolaryngology nurses experience notable mental health challenges in the post-pandemic era, driven by stress and burnout. Addressing staffing shortages, fostering teamwork, and enhancing job satisfaction are critical strategies to improve their psychological well-being.

Cross-cultural adaptation and reliability of the inventory of vicarious posttraumatic growth and research of its influencing factors: a cross-sectional study

OBJECTIVE

The purpose of this study was to translate the Vicarious Posttraumatic Growth Inventory (VPTGI) into Chinese and to assess its reliability and validity in Nurses, Additionally, it explored the correlations between vicarious posttraumatic growth (VPTG), Secondary Traumatic Stress (STS) and demographic variables.

METHODS

The Brislin translation model was used to translate the VPTGI into Chinese. Validity analysis involved exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and assessments of convergent validity, discriminant validity, and content validity. Reliability analysis included split-half reliability, internal consistency reliability, and test-retest reliability. Item analysis employed the Critical Ratio Decision Value (CR) method, item-total correlation method, and reliability change method. Single-factor analysis was conducted to examine the relationship between demographic variables and VPTG, while correlation analysis explored the association between STS and VPTG.

RESULTS

The Chinese version VPTGI demonstrated robust content validity (I-CVI: 0.83-1, S-CVI: 0.97), supported by EFA (KMO: 0.933) and significant Bartlett's test (p < 0.001). Four factors explained 67.82% variance, CFA confirmed the model fit (χ2/df = 2.255, RMSEA = 0.079, IFI = 0.931, TLI = 0.914, CFI = 0.930, NFI = 0.882). The Chinese version VPTGI demonstrated high internal consistency (Cronbach's α = 0.951), with dimensions' Cronbach's α ranging from 0.806 to 0.912. Overall, nurses demonstrated a moderate to low level of VPTG and a severe level of STS. Furthermore, there was a significant negative correlation between STS and VPTG.

CONCLUSION

The Chinese version of VPTGI demonstrated satisfactory reliability, validity, and factor structure, making it a reliable tool to assess VPTG in Chinese nurses. These findings underscore the importance of promoting VPTG and addressing STS among healthcare professionals. Further research in this area is warranted to better understand and support the psychological well-being of nurses.

Translation and validation of the Chinese version of Palliative Care Self-Efficacy Scale

OBJECTIVES

Accurately assessing the self-efficacy levels of palliative care professionals' is crucial, as low levels of self-efficacy may contribute to the suboptimal provision of palliative care. However, there is currently lacking a reliable and valid instrument for evaluating the self-efficacy of palliative care practitioners in China. Therefore, this study aimed to translate, adapt, and validate the Palliative Care Self-Efficacy Scale (PCSS) among Chinese palliative care professionals.

METHODS

This study involved the translation and cross-cultural adaptation of the PCSS, and the evaluation of its psychometric properties through testing for homogeneity, content validity, construct validity, known-groups validity, and reliability.

RESULTS

A total of 493 palliative care professionals participated in this study. The results showed the critical ratio value of each item was >3 (p < 0.01), and the corrected item-total correlation coefficients of all items ranged from 0.733 to 0.818, indicating a good homogeneity of the items with the scale. Additionally, the scale was shown to have good validity, with item-level content validity index ranged from 0.857 to 1.000, and scale-level content validity index/Ave was 0.956. The exploratory factor analysis and confirmatory factor analysis (CFA) confirmed the 2-factor structure of the Chinese version of PCSS (C-PCSS), explaining 74.19% of the variance. CFA verified that the 2-factor model had a satisfactory model fit, with χ2/df = 2.724, RMSEA = 0.084, GFI = 0.916, CFI = 0.967, and TLI = 0.952. The known-groups validity of C-PCSS was demonstrated good with its sensitive in differentiating levels of self-efficacy between professionals with less than 1 year of palliative care experience (p < 0.001) or without palliative care training (p = 0.014) and their counterparts. Furthermore, the C-PCSS also exhibited an excellent internal consistency, with the Cronbach's α for the total scale of 0.943.

SIGNIFICANCE OF RESULTS

The findings from this study affirmed good validity and reliability of the C-PCSS. It can be emerged as a valuable and reliable instrument for assessing the self-efficacy levels of palliative care professionals in China.

Reliability and validity of the Chinese version of the Self-Efficacy Perception Scale for Administrator Nurses

Objectives

This study aimed to translate the Self-Efficacy Perception Scale of Administrator Nurses (SEPSAN) into Chinese and test its reliability and validity among nurse managers.

Methods

A scale translation and cross-sectional validation study was conducted. The English version was translated for Chinese by the Brislin translation model included direct translation, back translation, integration, and cultural adjustment. A total of 382 nurse administrators were recruited from 20 general hospitals in five Chinese cities to assess the reliability and validity of the scale from April to May 2023. Validity assessments included content, structural, and convergent validity. Reliability was evaluated using Cronbach's α coefficient and test-retest reliability.

Results

The item-content validity index (I-CVI) of the scale ranged from 0.86 to 1.00, and the average scale-level content validity index (S-CVI/Ave) for the overall scale was 0.98. The exploratory factor analysis indicated five dimensions (planning, organizing, commanding, coordinating, controlling, and inspecting) with 41 items. The cumulative variance contribution rate was 63.72%. Confirmatory factor analysis showed an acceptable fit. The general Cronbach's α coefficient was 0.95, and the test-retest reliability was 0.87.

Conclusion

The Chinese version of SEPSAN showed satisfactory reliability and validity and thus can be used to assess the self-efficacy of nurse administrators in China.

Translation and validation study of the Chinese version of the service user technology acceptability questionnaire

Objective

This study aimed to assess the reliability and validity of the translated Chinese version of the Service User Technology Acceptability Questionnaire (C-SUTAQ).

Methods

Patients with cancer (n ​= ​554) from a tertiary hospital in China completed the C-SUTAQ. Item analysis, content and construct validity test, internal consistency test, and test-retest reliability analysis were conducted on the instrument to test its applicability.

Results

The critical ratio of each item of the C-SUTAQ ranged from 11.869 to 29.656; the correlation of each item and subscale ranged from 0.736 to 0.929. The Cronbach's α value for each subscale ranged from 0.659 to 0.941, and the test-retest reliability ranged from 0.859 to 0.966. The content validity index of the scale level and the item level content validity index of the instrument were both 1. Exploratory factor analysis indicated it was reasonable that the C-SUTAQ consists of six subscales after rotation. Confirmatory factor analysis demonstrated good construct validity (χ²/df ​= ​2.459, comparative fit index ​= ​0.922, incremental fit index ​= ​0.907, standardized root mean square residual ​= ​0.060, root-mean-square error of approximation ​= ​0.073, goodness of fit index ​= ​0.875, normed fit index ​= ​0.876.

Conclusions

The C-SUTAQ had good reliability and validity and may be useful to assess Chinese patients' acceptability of telecare. However, the small sample size limited generalization and there is a need to expand the sample to include persons with other diseases. Further studies are required using the translated questionnaire.