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This study aims to develop an indicator system for assessing the humanistic care competencies of nurses in infectious disease hospitals and provide a scientific measurement tool to understand the current humanistic care competencies level of infectious disease nurses.
A mixed-methods design integrating qualitative interviews and a modified Delphi study.
Initially, we derived a list of potential indicators of humanistic care for nurses in infectious disease hospitals from literature reviews and interviews with a nominal group technique (n=41). Following this, 26 experts from across China participated in two Delphi rounds from May to July 2023. Then the indicators were screened, revised and supplemented using the boundary value method and expert opinions. Next, the hierarchical analysis method was utilised to determine the weights of the indicators.
The average effective response rate across the two Delphi rounds was 94%. The authority coefficients for the first and second rounds were 0.85 and 0.90, respectively, suggesting the experts were highly authoritative. There was a consistent rating among experts with a coordination coefficient for each indicator (p < 0.001). Ultimately, this study identified 4 primary indicators, 8 secondary indicators, and 35 tertiary indicators. The four primary indicators and their weights are basic care competency (0.158), therapeutic care competency (0.544), spiritual care competency (0.158) and safety care competency (0.140).
This research provides a scientifically rigorous and comprehensive framework to evaluate the humanistic care competencies of nurses in infectious disease hospitals in China. This system will serve as an effective tool for evaluating the humanistic care competencies of nurses in specialized infectious disease hospitals in China and other overseas regions.
This study provides a new tool to assess the humanistic care competencies of nurses in infectious disease hospitals. Form an effective humanistic care competencies index system that can be used to build and develop the need for nurses to possess different aspects of humanistic care competencies tailored to infectious disease patients in hospitals.
No patients or public contribution.
This study aimed to develop and preliminarily validate the KAP scale for pain management in older adults with dementia among nursing assistants.
A cross-sectional study.
An initial item pool was constructed through literature reviews, semi-structured interviews and team discussions. Items were screened and optimised through two rounds of Delphi expert consultations, a pilot survey and item analysis, yielding a draft version of the scale. Psychometric evaluation was conducted to refine the scale into its final form.
The final KAP scale developed in this study comprised 31 items. The scale exhibited good content validity, with item-level content validity index (I-CVI) values ranging from 0.83 to 1.00. Exploratory factor analysis revealed that the scale extracted five factors, which accounted for 65.732% of the cumulative variance, and all items demonstrated rotated factor loadings > 0.5, indicating good construct validity. The Cronbach's α coefficients for the knowledge, attitudes and practices dimensions were 0.877, 0.915 and 0.935, respectively, and the split-half reliability coefficients were 0.909, 0.886 and 0.864.
The KAP scale for pain care in older adults with dementia developed in this study possesses good reliability and validity and can be used to assess the knowledge, attitudes and behavioural levels of nursing assistants in pain care.
This study developed and psychometrically validated a KAP scale specifically designed to assess pain care for older adults with dementia among nursing assistants. Clinical managers can utilise this tool to systematically identify deficiencies in staff members' knowledge, attitudes or practices, thereby providing scientific evidence for the development of targeted pain care training programs and pain management strategies. This contributes to enhancing nursing assistants' pain care competence, ultimately alleviating the pain burden of older adults with dementia and improving their quality of life.
The STROBE checklist was used as a guideline.
No patient or public involvement.
by Xia Huang, Guihua Zhang, Joseph D. Orkin, Shiyun Liu, Shan Jiang, Yinhui Zhao, Pengfei Fan, Lianghua Huang, Xiaoming Zhang, Xueyou Li, Song Li, Kai He
Effective conservation of wild mammals necessitates accurate taxonomic classification and reliable genetic reference data. In China, the List of State Key Protected Wild Animals serves as a critical tool for species protection. However, taxonomic revisions and gaps in genetic data can impede its effectiveness. In this study, we updated the List of State Key Protected Wild Animals (2021) by incorporating recent taxonomic and distributional evidence, resulting in a refined list of 169 mammalian species that are protected. We identified 15 taxa lacking complete mitochondrial genome data and addressed this gap by generating 12 new mitogenomes for nine taxa using a combination of GenBank database mining and next-generation sequencing of museum specimens and fecal samples. These efforts led to the establishment of a curated mitochondrial genome reference database encompassing 164 species. Our analyses also uncovered taxonomic ambiguities in genera such as Moschus and Naemorhedus, and highlighted mislabeling issues within public genetic databases. This curated database enhances the accuracy of forensic species identification, supports biodiversity monitoring, and strengthens wildlife law enforcement. Our findings underscore the value of integrating historical specimens with mitogenomic approaches to advance wildlife conservation efforts.
This study explored the multiple mediating roles of sense of coherence (SOC) and coping styles in the relationship between caregiver burden and family adaptation among family caregivers of patients with stroke.
A cross-sectional study of 347 family caregivers of patients with stroke was conducted in China. Data were collected using a general information questionnaire, Zarit Caregiver Burden Interview and other questionnaires, and were analysed using descriptive, Pearson's correlation and path analyses.
SOC–positive and SOC–negative coping styles played a fully parallel chain-mediating role in the relationship between caregiver burden and family adaptation among family caregivers of patients with stroke.
Improving caregivers' SOC and encouraging them to adopt positive coping styles are crucial for reducing the negative impact of caregiver burden on family adaptation.
This study provides a new perspective for medical staff to improve the family adaptation of family caregivers of patients with stroke. Targeted interventions aimed at improving the SOC level and enhancing positive coping styles of the family caregivers of patients with stroke are necessary to improve their family adaptation.
Our study provides insights into the potential influencing mechanism of caregiver burden on family adaptation in family caregivers of patients with stroke, providing a new perspective for developing effective and precise intervention strategies to maintain better family adaptation.
This study adhered to the STROBE checklist.
Promoting SOC and focusing on the transformation of negative coping styles into positive ones may be crucial in developing nursing programmes for family adaptation.
No patient or public contribution.
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