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25 April 2025, Volume 32 Issue 8
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Journal of Nursing. 2025, 32(8): 1-6. https://doi.org/10.16460/j.issn1008-9969.2025.08.001Objective To introduce the Breast Cancer Fear Scale developed by Champion et al., and evaluate its psychometric properties and factor structure, and to provide a suitable and reliable measurement tool for Chinese adult women to assess their fear of breast cancer. Methods The cross-cultural adaptation of the scale was conducted based on Brislin’s back-translation model. A total of 33 subjects were selected for a cognitive survey and 8 experts were invited to test the content validity. by convenience sampling, 245 subjects were selected and they were formally investigated to test the reliability and validity of the scale. The critical ratio and correlation coefficient were used for item analysis. Results The Chinese version of Breast Cancer Fear Scale consisted of 8 items. Critical ratio analysis showed statistical difference between the high- and low-scoring groups, while the correlation analysis demonstrated Spearman correlation coefficient (r) ranged from 0.828 to 0.930 between individual item and the total score. The content validity of the scale was 0.984, and that of all items ranged from 0.875 to 1.000. Confirmatory factor analysis showed that the model fit the indicators well. The combined reliability of convergent validity analysis was 0.967, and the average variance 0.789. The Cronbachαcoefficient of the scale was 0.970. The split-half reliability was 0.966 (odd-even split-half method) and 0.927 (anteroposterior split-half method). The intraclass correlation coefficient of test-retest reliability was 0.950（95% CI: 0.930~0.970, P<0.001）. Conclusion The Chinese version of the Breast Cancer Fear Scale has good reliability and validity, making it a suitable instrument for assessing the breast cancer fear in Chinese adult women.
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Journal of Nursing. 2025, 32(8): 7-12. https://doi.org/10.16460/j.issn1008-9969.2025.08.007Objective To revise the Parenting Competence Scale based on the specific characteristics and context of patients with breast cancer, to test its reliability and validity, and to provide a reliable measurement tool for research on parenting competence in patients with breast cancer. Methods Based on the Chinese version of the Parenting Competence Scale, the Parenting Competence Scale for Breast Cancer Patients was developed after literature review, semi-structured interviews, group discussions, Delphi expert consultation, and a pilot survey. A convenience sample of 533 breast cancer patients was selected between June and August 2024 to test the reliability and validity of the revised scale. Results The revised scale showed that the critical ratio value of the high and low groups of each item ranged from 3.191 to 12.075 (all P<0.01). The correlation coefficients between each item and the total score were 0.422 to 0.640 (P<0.01). The content validity results showed that the content validity index for individual items ranged from 0.857 to 1.000, and the overall content validity index for consistency was 0.982. Exploratory factor analysis extracted two common factors, with a cumulative variance contribution rate of 61.393%. Confirmatory factor analysis demonstrated good model fit. Convergent validity and composite reliability both reached good standards. Criterion-related validity showed that the score of the scale was negatively correlated with that of anxiety (r=-0.399, P<0.01) and depression of the hospital (r=-0.396, P<0.01). The Cronbach’s α coefficient for the total scale was 0.871, and the Cronbach’s α coefficients for each dimension were 0.907 and 0.920, respectively. The split-half reliability was 0.908, and the test-retest reliability of the total scale 0.848. Conclusion The revised Parenting Competence Scale for Breast Cancer Patients has good reliability and validity, and it can be used to assess the parenting competence of breast cancer patients in the Chinese mainland.
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Journal of Nursing. 2025, 32(8): 13-18. https://doi.org/10.16460/j.issn1008-9969.2025.08.013Objective To construct a theoretical model based on social cognitive theory to examine the factors influencing spiritual climate among nurses in oncology department, and to analyze direct and indirect pathways of these factors by structural equation modeling. Methods A multistage stratified cluster random sampling was used to survey 291 nurses in oncology department from 12 tertiary grade-A general hospitals in Guangxi Zhuang Autonomous Region from April to May 2024. Data were collected using the Chinese version of the Spiritual Climate Scale, Spiritual Leadership Scale, Organizational Support Scale, Teamwork Scale, and Person-Organization Fit Scale. Structural equation modeling was used to analyze the influencing factors and the pathways. Results The scores of spiritual climate among nurses in oncology department was 64.84 ± 13.04, and it was positively correlated with spiritual leadership (r=0.423), organizational support (r=0.338), team collaboration (r=0.295), and personal-organizational fit (r=0.267) (all P<0.01). Structural equation modeling demonstrated that spiritual leadership had the strongest direct effect on spiritual climate (β=0.367, P<0.01) and had an indirect effect through organizational support, team collaboration, and personal-organizational fit (β=0.092, P<0.01). Organizational support exerted a significant direct effect on psychological climate (β=0.198, P<0.01), with additional indirect effects mediated through team collaboration and person-organization fit (β=0.074, P<0.05). Team collaboration and person-organization fit demonstrated significant direct effects on psychological climate (β=0.135 and 0.151, respectively, P<0.01). Conclusion The spiritual climate of oncology nurses is influenced by many factors, among which spiritual leadership and organizational support play an important role. It is recommended that hospital administrators should strengthen the cultivation of spiritual leadership, focusing on improvement of the practical skills in care, inclusiveness, and motivation; regular assessment of nurses’ needs to provide personalized support and optimization of working environment to create a good teamwork atmosphere.
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Journal of Nursing. 2025, 32(8): 29-33. https://doi.org/10.16460/j.issn1008-9969.2025.08.029
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Journal of Nursing. 2025, 32(8): 46-51. https://doi.org/10.16460/j.issn1008-9969.2025.08.046Objective To conduct a scoping review of studies on decision support tools for lung cancer screening at home and abroad, analyzing the current status of the development and application, and to provide reference for the localization and implementation of such tools. Methods Databases including CNKI, Wangfang, China Biology Medicine disc, VIP, PubMed, Embase, PsycINFO, CINAHL, Web of Science, Cochrane Library and JBI Library were systematically searched from the inception to August, 2024. The included literatures were summarized and analyzed. Results A total of 14 articles were included, identifying 7 decision support tools for lung cancer screening in various formats: videos (n=2), manuals (n=3) and web pages (n=2). Four decision support tools provided information on the development process, and 10 studies evaluated the effectiveness of 5 tools. Conclusion The development of decision support tools for lung cancer screening is not standardized, and the application system is not complete. In the future, building upon global theoretical frameworks while incorporating China-specific contexts, localized and high-quality decision support tools for lung cancer screening could be introduced or developed.
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Journal of Nursing. 2025, 32(8): 52-57. https://doi.org/10.16460/j.issn1008-9969.2025.08.052Objective To systematically review the assessment tools for academic resilience at home and abroad, to summarize and analyze the development process, characteristics and applications, and to provide reference for teachers to select appropriate assessment tools for screening nursing students’ academic resilience. Methods A systematic search was conducted in databases including CNKI, Wanfang, VIP, China Biology Medicine disc, Embase, PubMed, Web of Science, Cochrane Library, and CINAHL, and the retrieval period spanned from the inception of the databases to September 2024. The data related to assessment tools for academic resilience were extracted for systematic analysis, and the search results were reported by a scoping review. Results A total of 33 articles were included, including 14 articles on the development and validation of the assessment tools and 19 articles on the localized revision and application of assessment tools. A total of 33 resilience assessment tools were involved, and the validity was good, but the reliability evaluation outcomes required further validation. Conclusion It is recommended to use comprehensive assessment tools to evaluate students’ academic resilience. In the future, the reliability and validity of the existing tools need to be further tested and localized, comprehensive, and effective assessment tools for nursing students’ academic resilience could be introduced or developed.
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Journal of Nursing. 2025, 32(8): 58-62. https://doi.org/10.16460/j.issn1008-9969.2025.08.058Objective To construct a discharge follow-up management program for pediatric liver transplantation, and to provide theoretical basis for clinical nursing. Methods Through literature retrieval and Delphi expert consultation from October 2023 to January 2024, indicator were screened; the weight of indicators were determined, then a discharge follow-up management program for pediatric liver transplantation was constructed. Results The positive coefficient of expert consultation was 100%; authority coefficients of the two rounds of consultation were 0.930 and 0.935, and coordination coefficients 0.331 and 0.259, respectively. The final follow-up management program consisting of 8 first-level, 17 second-level, and 37 third-level items was constructed. Conclusion The follow-up management program based on the Delphi method is scientific and practical, helping to standardize post-discharge follow-up process, improve nursing quality, enhance postoperative health outcomes for pediatric patients, and promote their long-term recovery and quality of life.
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Journal of Nursing. 2025, 32(8): 74-78. https://doi.org/10.16460/j.issn1008-9969.2025.08.074Objective To construct an assessment tool specifically designed for emergency settings to help identify acute posterior-circulation ischemic stroke (APCIS) patients during initial assessment. Methods Through literature review, the Delphi method was used to conduct two rounds of consultation with 23 experts in the field of emergency nursing management, stroke center, and neurology and nursing. Results The effective recovery rates of the two rounds of consultation were 92% and 100%, the expert authority coefficients 0.959 and 0.970, and the Kendall’s concordance coefficients 0.230 and 0.341, respectively (P<0.001). The final triage assessment tool for APCIS comprised two dimensions with eight assessment items, incorporated three triage nurse decision pathways, and established one stroke center admission criterion. Conclusion The constructed assessment tool for pre-examination and triage of APCIS is scientific and rigorous, and this reliable instrument provides an evidence-base foundation for optimizing emergency triage workflows and improving efficiency, while advancing specialized emergency nursing competencies.
