The evaluation of nursing care outcomes for use in nursing and supportive treatment hospitals in Lithuania

This study is the first attempt in Lithuania to establish and implement nursing outcomes and their criteria from the main domains of nursing care. The nursing care outcomes that are most relevant for patients in nursing and supportive treatment hospitals were described and the relationship of nursing outcomes to nurses‘ demographics and working conditions was analyzed. The correspondence of nursing and supportive treatment hospital patients‘ clinical data with the patients‘ most relevant nursing outcomes was determined. The content validity and nursing sensitivity of the most relevant nursing outcomes were evaluated in a survey of nurses. The appropriateness of care outcomes for nursing and supportive treatment hospital patients was verified in a practical demonstration

Translation, Cultural, and Clinical Validation of the Lithuanian Version of the Spiritual Needs Questionnaire among Hospitalized Cancer Patients

Background and Objectives: The aim was to translate and validate the spiritual needs questionnaire for its use in the Lithuanian context. Materials and Methods: A descriptive, cross-sectional survey design was applied. Structural individual interview method (face-to-face) was employed to collect data on spiritual needs of cancer patients. Responses were obtained from 247 patients hospitalized in nursing and supportive treatment units at public hospitals. Data were analyzed using the Statistical Package for Social Sciences (IBM SPSS Statistics) version 22.0. To assess the psychometric properties of the scale, Cronbach’s alpha, split half test, average inter-item, and item-total correlations were calculated for internal consistency. Exploratory factor analysis was used to confirm the construct validity of the translated version of instrument. Results: Lithuanian version of The Spiritual Needs Questionnaire (27 items) had a good internal consistency (Cronbach’s alpha = 0.94). The existential and connectedness with family needs factor had the lowest Cronbach’s alpha (0.71) in relation to other factors: Religious needs (0.93), giving/generativity and forgiveness needs (0.88), and inner peace needs (0.74). Split-half test showed strong relationship between the both halves of the test. The item difficulty (1.47 (mean value)/3) was 0.49; while all values were in acceptable range from 0.20 to 0.80. Item-total correlations were inspected for the items in each of the four SpNQ-27 factors. Conclusions: The Lithuanian version of Spiritual needs questionnaire demonstrated adequate psychometric properties of the instrument. This instrument, as a screening tool and conversational model, is recommended for clinicians in health care practice to identify patients with spiritual needs

Žurnalo reikalingumas ir turinys – bendrų pastangų vaisius

Akademinių publikacijų įvairovė, jų poreikis ir svoris, skelbiamų darbų kokybė, sąžininga autorystė – šiomis temomis šiandien plačiai diskutuojama tarp akademinės bendruomenės, mokslo atstovų, leidinių redaktorių. Mokslo straipsniai ir jų publikavimas – tai tema, kelianti vis daugiau triukšmo.Akademinių publikacijų įvairovė, jų poreikis ir svoris, skelbiamų darbų kokybė, sąžininga autorystė – šiomis temomis šiandien plačiai diskutuojama tarp akademinės bendruomenės, mokslo atstovų, leidinių redaktorių. Mokslo straipsniai ir jų publikavimas – tai tema, kelianti vis daugiau triukšmo

Dvasingumas slaugoje: onkologinių ligonių dvasinė gerovė ir dvasiniai poreikiai

Naujasis Pasaulio sveikatos organizacijos sveikatos apibrėžimas, apimantis fizinę, psichinę ir socialinę sveikatą, o ne tik ligų nebuvimą, iš esmės pakeitė sveikatos priežiūroje vyravusį griežtai biomedicininį požiūrį su biologine žmogaus samprata ir fizine jos raiška, beveik nekreipiant dėmesio į žmogaus prigimties dimensijas. Slaugytojai vieni pirmųjų suvokė, kad biomedicininio modelio mechaniškumas neatliepia tikrųjų žmogaus poreikių ir paciento slaugai keliamų uždavinių.Naujasis Pasaulio sveikatos organizacijos sveikatos apibrėžimas, apimantis fizinę, psichinę ir socialinę sveikatą, o ne tik ligų nebuvimą, iš esmės pakeitė sveikatos priežiūroje vyravusį griežtai biomedicininį požiūrį su biologine žmogaus samprata ir fizine jos raiška, beveik nekreipiant dėmesio į žmogaus prigimties dimensijas. Slaugytojai vieni pirmųjų suvokė, kad biomedicininio modelio mechaniškumas neatliepia tikrųjų žmogaus poreikių ir paciento slaugai keliamų uždavinių

Lithuanian version of the Nursing Outcomes Classification Use Survey: development and psychometric evaluation

Cross-cultural tests and research instruments are broadly used to adapt questionnaires developed in different countries and cultures. The Nursing Outcomes Classification (NOC) – a comprehensive, standardized classification of patient outcomes – can be used to evaluate the results of nursing interventions. Objective. To develop and test psychometrically the Lithuanian version of the Nursing Outcomes Classification Use Survey. Material and methods. A Lithuanian version of the Nursing Outcomes Classification Use Survey was developed following traditional methodological procedures of research instrument translation and adaptation. The newly developed instrument was tested with a sample of 70 staff nurses from nursing and supportive care hospitals. The content and practical feasibility of the Lithuanian version of NOC was measured for its reliability and validity. Psychometric analysis was conducted with the statistical package SPSS 13.0 for Windows. Results revealed a successful translation of NOC from English to Lithuanian with validity and acceptability of a shortened Lithuanian version (244 items instead of the original 330 items). Satisfactory internal consistency (Cronbach alpha >0.80 in 18 classes and in 6 classes out of 28 Cronbach alpha between 0.70 and 0.80) was defined, and stability in time was very good with a 7-day break between repeated translations (Spearman- Brown coefficient for the whole instrument was 0.806, ranging from 0.707 to 0.970). The majority of items in the Lithuanian version correlated with measurement class (correlation coefficients >0.40). Conclusions. The Lithuanian version of Nursing Outcomes Classification Use Survey is a reliable, valid, and applicable to outcome identification in clinical practice and nursing research. Future research and further evaluation of the newly developed Lithuanian version of NOC is suggested

Lithuanian version of the Nursing Outcomes Classification Use Survey: development and psychometric evaluation

Cross-cultural tests and research instruments are broadly used to adapt questionnaires developed in different countries and cultures. The Nursing Outcomes Classification (NOC) – a comprehensive, standardized classification of patient outcomes – can be used to evaluate the results of nursing interventions. Objective. To develop and test psychometrically the Lithuanian version of the Nursing Outcomes Classification Use Survey. Material and methods. A Lithuanian version of the Nursing Outcomes Classification Use Survey was developed following traditional methodological procedures of research instrument translation and adaptation. The newly developed instrument was tested with a sample of 70 staff nurses from nursing and supportive care hospitals. The content and practical feasibility of the Lithuanian version of NOC was measured for its reliability and validity. Psychometric analysis was conducted with the statistical package SPSS 13.0 for Windows. Results revealed a successful translation of NOC from English to Lithuanian with validity and acceptability of a shortened Lithuanian version (244 items instead of the original 330 items). Satisfactory internal consistency (Cronbach alpha >0.80 in 18 classes and in 6 classes out of 28 Cronbach alpha between 0.70 and 0.80) was defined, and stability in time was very good with a 7-day break between repeated translations (Spearman- Brown coefficient for the whole instrument was 0.806, ranging from 0.707 to 0.970). The majority of items in the Lithuanian version correlated with measurement class (correlation coefficients >0.40). Conclusions. The Lithuanian version of Nursing Outcomes Classification Use Survey is a reliable, valid, and applicable to outcome identification in clinical practice and nursing research. Future research and further evaluation of the newly developed Lithuanian version of NOC is suggested

Translation and validation of spiritual well-being questionnaire SHALOM in Lithuanian language, culture and health care practice

Awareness of patients’ and healthy people’s spiritual well-being allows for care professionals to support individual spiritual concerns in a timely and appropriate manner, performing a whole-person approach to care. To date, there have been no validated measures of spiritual well-being for use with healthy or illness-affected Lithuanian people. This paper reports the translation and validation procedures of the Spiritual Well-Being Questionnaire, SHALOM, for its use with Lithuanian people regarding the self-assessment of spiritual health. A convenience sample of 171 hospitalized non-terminally ill oncology patients was interviewed face-to-face during a field-test of a Lithuanian version of SHALOM. Overall scale reliability of the SHALOM-Ideals section was 0.909, with overall scale reliability of the SHALOM-Lived Experience section being 0.888. Culturally relevant translation resulted in very good stability over time with a seven-day break between repeat application (Ideals section: Spearman-Brown coefficient was 0.927; Lived Experience section: Spearman-Brown coefficient was 0.942). The construct validity of the scale was determined using exploratory factor analysis. The research perspective on spirituality and spiritual well-being in Lithuania indicates the desirability for larger scale quantitative and qualitative studies with different populations applying cross-sectional and cross-cultural comparisons