Development and Psychometric Evaluation of the Children's Illness-Related Concerns Scale

Background Despite the effect of maternal breast cancer on many children, there is no valid or reliable quantitative measure of the concern that children attribute to their mothers' disease, which constrains both science and clinical practice. Objectives This study aimed to develop and psychometrically evaluate the initial measures of child-reported, illness-related concerns associated with maternal cancer. Methods The study was conducted in three phases: scoping review, item extraction from a battery of items obtained from school-aged children about general issues related to their mothers' breast cancer, and testing of the three proposed structural models of these extracted items using confirmatory factor analysis. The scoping review yielded five categories of illness-related concerns: altered family routines, uncertainty, concerns about illness contagion, maternal death, and maternal well-being. To reflect these five categories, 18 items were extracted from a 93-item questionnaire completed by 202 school-aged children regarding their mothers' breast cancer. Next, three structural models were hypothesized to assess the construct validity of illness-related concerns: five-, three-, and one-factor models. Confirmatory factor analysis was used to test and compare the models. Results The five-factor model best fit the data, and each factor showed adequate internal consistency reliability. These findings align with the a priori five-factor model informed by the scoping review. Conclusion The results provide initial evidence of the construct validity of the 18-item Children's Illness-Related Concerns Scale, which can be used to assess children's concerns and inform future intervention studies.

Salud mental universitaria: desde la percepción de estudiante de enfermería de una universidad chilena

Introducción: La salud mental de estudiantes universitarios ha generado una creciente preocupación a nivel internacional, estimándose que un 30% del estudiantado cumplen con criterios diagnósticos para problemas de salud mental. Similar situación ocurre en estudiantes de enfermería, por lo cual, la investigación busca comprender como conceptualizan y perciben la salud mental estudiantes de enfermería de la Universidad de Chile, con el propósito de orientar de mejor manera el abordaje institucional y contribuir al bienestar estudiantil. Material y Método: Estudio cualitativo, exploratorio-descriptivo. Participantes estudiantes de enfermería Universidad de Chile. Muestreo por conveniencia, se realizaron grupos focales, entrevista y triangulación de resultados. Análisis por codificación abierta-axial de Teoría Fundamentada, que generó red de códigos, categorías y dimensiones de análisis. Aprobación Comité de Ética. Resultados: Las dimensiones son conceptualización de la salud mental y percepción de la salud mental. Cada dimensión está conformada por categoría y subcategorías. Conclusiones: Existe la necesidad de generar planes institucionales que permitan abordar las brechas documentadas y contribuyan a la promoción de la salud por medio de acciones sociales, políticas y técnicas, para mejorar la salud mental y reducir las inequidades en los entornos universitarios.