Psychometric evaluation of Persian version of Diabetes Acceptance Scale (DAS)

Background: Acceptance of diabetes is a psychological adaptation to the potential limitations of the disease. Poor acceptance of diabetes impairs efective self-management of diabetes, leading to worsening metabolic control. This study aimed at determining the psychometric properties of the Persian version of the Diabetes Acceptance Scale. Methods: This cross-sectional methodological study was performed on diabetic patients in Iran in 2021. The ques tionnaire consisted of two parts: demographic characteristics and Diabetes Acceptance Scale. The questionnaire was translated into Persian through the forward–backward translation method. The face validity and content validity were performed qualitatively and quantitatively. Exploratory (n=200) and confrmatory (n=200) factor analysis were performed to evaluate the validity of the structure. Internal consistency and temporal stability were estimated to determine reliability. Results: Exploratory factor analysis on the polychoric correlation matrix obtained three factors: Rational dealing, Resentment and Avoidance, which explained 68.8% of the total DAS variance. Confrmatory factor analysis showed that the 3-fractor model had a good ft to a second independent data set. Finally, Ordinal Cronbach’s alpha coefcient was 0.96, 0.94 and 0.93, respectively for the Rational dealing, Resentment, and Avoidance factor. Also, using intraclass correlation coefcient, the stability of the instrument was 0.97. Conclusion: Based on the fndings of this study, the Persian version of DAS has sufcient validity and reliability to measure the admission of Iranian diabetic patientsinfo:eu-repo/semantics/publishedVersio

Caregiving consequences in cancer family caregivers: a narrative review of qualitative studies

BackgroundCancer is a significant public health issue, causing various challenges for individuals affected by it. As cancer progresses, patients often become dependent on others for support. Family caregivers and members play a crucial role in the recovery and rehabilitation of these patients. However, caregivers themselves face numerous challenges throughout the course of their family member’s illness. Exploring the experiences of family caregivers can inform long-term planning and supportive interventions to address their caregiving difficulties. This study reviews previous literature on caregiving outcomes.MethodThis study presents a narrative review of qualitative studies, analyzing a total of 23 articles. The results were extracted and organized into subcategories. After revision by the research team, main categories were identified. These categories encompass both positive and negative outcomes of caregiving.ResultsThe findings of this review demonstrate that caring for a family member with cancer has significant implications for caregivers. These implications include: (A) Positive outcomes of caregiving (such as achieving self-management and balance, promoting kinship intimacy, finding meaning and purpose, and experiencing spiritual growth) and (B) Negative outcomes of caregiving (including care-related physical exhaustion, disruption of personal life plans, psycho-emotional consequences, and socio-economic burden).ConclusionThe results of this study highlight the challenges faced by family caregivers and emphasize the importance of addressing their needs within the healthcare system. By providing support and attention to their well-being, caregivers can enhance their resilience and adaptability in managing caregiving difficulties

Nursing and midwifery students’ knowledge and concerns about COVID-19: a descriptive-analytical study

The coronavirus disease 2019 (COVID-19) pandemic has changed educational trends for all university students, including nursing and midwifery students (NMSs). In the future, these students will play critical roles in healthcare delivery systems. The purpose of the study was to examine knowledge, fear, and anxiety about COVID-19 among NMSs. A cross-sectional descriptive-analytical study involved 600 NMSs were performed through an online survey from February to March 2021 in Iran University of Medical Sciences. Data gathering was done using a demographic questionnaire, the COVID-related Knowledge Questionnaire, The Fear of COVID-19 Scale, and the Corona Disease Anxiety Scale. Instruments were provided to students through WhatsApp, Telegram, or email. The study instruments were completely answered by 415 students. Their age was 24.63±4.97 years, on average. Most participants were female (62.2%) and single (76.9%). The mean scores of their knowledge, fear, and anxiety about COVID-19 were respectively 13.41±1.32 (in the possible range of 0–15), 21.93±6.78 (in the possible range of 7–35), and 19.82±12.77 (in the possible range of 0–54). NMSs have great knowledge, relatively great fear, and mild anxiety about COVID-19. Flexible educational programs, close monitoring of fear and anxiety, and effective need-based education are necessary for NMSs, particularly during pandemics

Patient safety in home health care: a grounded theory study

Abstract Background The home environment is designed for living, not for professional care. For this reason, safe patient care is one of the most important challenges of home health care. Despite abundant research on safe care, there is still little understanding of safety issues in home care. Design The aim of the present study was to explain the process of safe patient care in home health care. A qualitative, grounded theory study was conducted based on the approach proposed by Corbin & Strauss in 2015. Method In total, 22 interviews were conducted with 16 participants including 9 home care nurses, 2 home care nursing assistants, 1 home care inspector, 1 home care physician and 3 family caregivers in Tehran, Iran. Four observation sessions were conducted in different homes. Purposeful sampling was used followed by theoretical sampling from August 2020-July 2022. Data analysis was carried out based on the approach proposed by Corbin & Strauss in 2015. Results The results showed that the healthcare members (nurses, family caregivers, patients and home care centers) used the model of safe patient care in home health care based on four assessment methods, i.e. prevention, foresight, establishment of safety and verification. The core variable in this process is foresight-based care. Conclusion The results of this study showed that the key to safe patient care in home health care, which helps to maintain patient safety and prevent threats to safe care, is the foresight of healthcare members, which is essential for identifying threats to safe care considering the many risks of home health care

Additional file 2 of Home care nurses’ perception of the challenges they faced during the COVID-19 pandemic: a qualitative study

Additional file 2: Supplement Table2. Consolidated criteria for reporting qualitative studies (COREQ): 32-item checklist

Additional file 1 of Home care nurses’ perception of the challenges they faced during the COVID-19 pandemic: a qualitative study

Additional file 1: Supplement Table1. Saturation grid