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Fang Song,Hisae Nakatani 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aims: This study aimed to clarify the structure of nursing practice ability of the nurses caring for patients with rheumatoid arthritis treated with biologic. Methods: A questionnaire containing 19 items was administered to assess the personal attributes and nursing practice abilities for biologic (a treatment for patients with rheumatoid arthritis). The data of 960 Certified Nurse by Japan Rheumatism Foundation were statistically analyzed. Factors related to nursing practice ability for self-injection were extracted through exploratory factor analysis. The construct validity was verified through confirmatory factor analysis. Results: The data of 466 certified nurses (48.8%) were collected, of which 403 (42.2%) were valid. The average age was 47.34±8.03 years old, and more than 70% were veteran nurses with over 20 years of experience. The exploratory factor analysis revealed that nursing practice ability included 9 items, with the following two factors: “nursing practice in which patients actively participate in the treatment” and “nursing practice in which team medical care is promoted.” The Cronbach"s α was 0.887. The goodness-of-fit model converged at GFI = .933, AGFI = .884, CFI = .946, RMSEA = .098, (=.000***), which showed the statistical acceptability of the model fitness with a moderate explanatory power. The path coefficient between each factor was 0.64, and that between the subordinate items were in the range of 0.56 to 0.88. Conclusions: Thus, this study showed that the structure of nursing practice ability questionnaire had good reliability and validity. It can be concluded that the participants of this study are accumulating nursing practice ability.
Chen Huifang,Nakatani Hisae,Liu Ting,Zhao Haiwei,Xie Di 한국간호과학회 2020 Asian Nursing Research Vol.14 No.2
Purpose: Hemiplegic patients often experience malnutrition and feeding risks due to disabilities and inadequate nursing support; nursing roles regarding mealtime assistance remain unclear in China. Therefore, this study aimed to clarify the core knowledge and skills of nursing competency regarding mealtime assistance for hemiplegic patients in China. Methods: A cross-sectional survey of self-administered questionnaire to 640 nurses (response rate: 57.7%) from two tertiary teaching hospitals and two sanatoriums was conducted. Survey content included 25 items regarding the mealtime assistance competency plus 6 items on demographic characteristics. The factor structure of the 25 items was explored and verified by exploratory and confirmatory factor analysis. Its reliability was confirmed by Cronbach's alpha. Results: Three factors including 22 items with a cumulative rate of 60.9% were identified: “Assistance knowledge and skills for acute period”, “Knowledge about assistance and guidance for recovery period,” and “Professional basic knowledge regarding hemiplegia.” Its reliability was ensured with Cronbach's alpha ranging from .86 to .96. In addition, evidence for its construct validity was obtained, as structural equation modeling revealed a good fit to the data within the allowable range based on various fit indices. Conclusion: This study clarified the core knowledge and skills regarding mealtime assistance competency for hemiplegic patients, with “Assistance for acute period” most concerned, followed by “assistance and guidance for recovery period,” and “Professional basic knowledge,” and the latter two need more attention. Obtained results can provide useful evidence for competent nursing practice to improve the quality of mealtime assistance for hemiplegic patients in China.