目的系统评价灾害响应过程中护士救援体验。方法计算机检索PubMed、CINAHL、、Web of Science、PsycINFO(Ovid)、SAGE健康科学及护理、ProQuest健康与医学期刊全文数据库、中国生物医学文献数据库、中国知网、万方数据、维普期刊资源整...目的系统评价灾害响应过程中护士救援体验。方法计算机检索PubMed、CINAHL、、Web of Science、PsycINFO(Ovid)、SAGE健康科学及护理、ProQuest健康与医学期刊全文数据库、中国生物医学文献数据库、中国知网、万方数据、维普期刊资源整合数据库,纳入关于护士救灾体验的质性研究,检索时间均设定为各数据库建库至2017年10月。文献质量的评价采用"澳大利亚JBI循证卫生保健中心(2008)质性研究质量评价标准"。采用汇集性整合的方式对结果进行综合并阐释。结果纳入15项研究进行Meta整合,提炼出64个主要研究结果,归纳为10个类别,综合形成4个整合结果:进入灾害救援现场前,对人员素质及物资准备;灾害救援工作强度大,针对性的培训及统筹管理工作尚存在不足;特殊情境下救援工作涉及的道德和法律问题需要引起关注;灾害救援中护士心理支持的给予和获得需建立在良好的心理培训基础上。结论护士在灾害救援中扮演着重要的角色,除了注重自身职业道德和伦理问题,还需提升自我应对突发事件的心理弹性。在管理层面上,医疗机构需要设置针对性的培训项目,涵盖护士的心理素质培养、契合灾害救援的情景式培训和相关伦理、法律信息的传递。此外,从国家和地方政府层面,需要协调和管理各方救援团队,保证救援工作部署的精细化、精准化。展开更多
Objectives:This study aimed to translate the revised 17-item Diabetes Distress Scale(DDS17,2017)into mandarin(simplified)Chinese and validate the Chinese version of DDS17(C-DDS17,2021)among adult patients with type 2 ...Objectives:This study aimed to translate the revised 17-item Diabetes Distress Scale(DDS17,2017)into mandarin(simplified)Chinese and validate the Chinese version of DDS17(C-DDS17,2021)among adult patients with type 2 diabetes in China.Methods:A scale translation and cross-sectional validation study was conducted.The DDS17 was translated into mandarin(simplified)Chinese through a five-step process:authorization,forward translation,synthesis,back translation,and amendment.During this session,59 patients assessed the understandability and readability of the translated scale.From June 7 to September 4,2021,a cross-sectional study that adhered to the COSMIN checklist was conducted with 400 individuals with type 2 diabetes from three Class A tertiary comprehensive hospitals in Beijing,China.The content,construct,convergent,discriminant validity,and reliability(Cronbach’s a coefficient and item-total correlation coefficients)of the C-DDS17 were evaluated.This study was a part of a project registered in the Chinese Clinical Trial Registry(no.ChiCTR2100047071).Results:Among the participants,33.3%(133/400)of them experienced moderate to high diabetes distress.The content validity indices of the C-DDS17 equaled 1.00.The scale yielded a four-factor structure.The average variances extracted were 0.42e0.57,which was lower than squared correla-tions.Cronbach’s a coefficient was 0.88 for the overall scale and ranged from 0.76 to 0.81 for sub-scales.Corrected item-total correlation coefficients ranged from 0.42 to 0.61.The eighth item(“Feeling that I am often failing with my diabetes routine”)was better fit to physician distress than regimen distress but had little influence on the validation results.Conclusions:The C-DDS17 is a reliable and valid instrument for assessing diabetes distress in patients with type 2 diabetes.It is a promising instrument for early identification and management of diabetes distress in clinical practice and trials.展开更多
文摘目的系统评价灾害响应过程中护士救援体验。方法计算机检索PubMed、CINAHL、、Web of Science、PsycINFO(Ovid)、SAGE健康科学及护理、ProQuest健康与医学期刊全文数据库、中国生物医学文献数据库、中国知网、万方数据、维普期刊资源整合数据库,纳入关于护士救灾体验的质性研究,检索时间均设定为各数据库建库至2017年10月。文献质量的评价采用"澳大利亚JBI循证卫生保健中心(2008)质性研究质量评价标准"。采用汇集性整合的方式对结果进行综合并阐释。结果纳入15项研究进行Meta整合,提炼出64个主要研究结果,归纳为10个类别,综合形成4个整合结果:进入灾害救援现场前,对人员素质及物资准备;灾害救援工作强度大,针对性的培训及统筹管理工作尚存在不足;特殊情境下救援工作涉及的道德和法律问题需要引起关注;灾害救援中护士心理支持的给予和获得需建立在良好的心理培训基础上。结论护士在灾害救援中扮演着重要的角色,除了注重自身职业道德和伦理问题,还需提升自我应对突发事件的心理弹性。在管理层面上,医疗机构需要设置针对性的培训项目,涵盖护士的心理素质培养、契合灾害救援的情景式培训和相关伦理、法律信息的传递。此外,从国家和地方政府层面,需要协调和管理各方救援团队,保证救援工作部署的精细化、精准化。
文摘Objectives:This study aimed to translate the revised 17-item Diabetes Distress Scale(DDS17,2017)into mandarin(simplified)Chinese and validate the Chinese version of DDS17(C-DDS17,2021)among adult patients with type 2 diabetes in China.Methods:A scale translation and cross-sectional validation study was conducted.The DDS17 was translated into mandarin(simplified)Chinese through a five-step process:authorization,forward translation,synthesis,back translation,and amendment.During this session,59 patients assessed the understandability and readability of the translated scale.From June 7 to September 4,2021,a cross-sectional study that adhered to the COSMIN checklist was conducted with 400 individuals with type 2 diabetes from three Class A tertiary comprehensive hospitals in Beijing,China.The content,construct,convergent,discriminant validity,and reliability(Cronbach’s a coefficient and item-total correlation coefficients)of the C-DDS17 were evaluated.This study was a part of a project registered in the Chinese Clinical Trial Registry(no.ChiCTR2100047071).Results:Among the participants,33.3%(133/400)of them experienced moderate to high diabetes distress.The content validity indices of the C-DDS17 equaled 1.00.The scale yielded a four-factor structure.The average variances extracted were 0.42e0.57,which was lower than squared correla-tions.Cronbach’s a coefficient was 0.88 for the overall scale and ranged from 0.76 to 0.81 for sub-scales.Corrected item-total correlation coefficients ranged from 0.42 to 0.61.The eighth item(“Feeling that I am often failing with my diabetes routine”)was better fit to physician distress than regimen distress but had little influence on the validation results.Conclusions:The C-DDS17 is a reliable and valid instrument for assessing diabetes distress in patients with type 2 diabetes.It is a promising instrument for early identification and management of diabetes distress in clinical practice and trials.
