Psychometric evaluation of the Arabic version of the heart failure-specific health literacy scale in a socio-politically challenged setting.

INTRODUCTION: Low levels of formal education among Lebanese people with HF were reported. Additionally, limited discharge education is provided to this population. Therefore, it was necessary to evaluate the health literacy levels among this population following the translation of the heart failure-specific health literacy scale into Arabic and to evaluate its psychometric properties in the Lebanese setting. METHODS: A cross-sectional design conducted on participants from the community with confirmed cases of heart failure. A research team was trained for data collection. Following securing participants' consents, baseline sociodemographic characteristics and the Arabic version of the heart failure-specific health literacy scale were administered. Data collection took place between June and December 2022. A pilot sample analysis was done to confirm homogeneity between the English and the Arabic versions. Exploratory and confirmatory factor analysis were performed to evaluate content and construct validity of the scale. Cronbach alpha was done to evaluate reliability. RESULTS: The pilot analysis confirmed homogeneity of the items of the Arabic and English versions of the scale. The final sample of 343 participants was randomly divided to two parts for each of the exploratory factor analysis and confirmatory factor analysis. The mean age was 64 years with the majority being male participants. In terms of exploratory factor analysis, the three subscales of the literacy scale explained 60% of the variance. The best acceptable fit was found on 11 items of the scale after dropping the 10th item from the analysis. The Cronbach alpha of the scale was 0.68. CONCLUSION: The Arabic version of the heart failure-specific health literacy scale was evaluated to be a valid and reliable tool. Further analysis should be done on the dropped item, and correlations should be done with significant variables such as self-care. REPORTING METHOD: STROBE checklist. PATIENT/PUBLIC CONTRIBUTION: No patient/public contribution. CONTRIBUTION TO THE WIDER GLOBAL COMMUNITY: Participants with heart failure were shown to have low levels of literacy in Lebanon. Additionally, low literacy levels are also common among Lebanese older adults living in high income, Western Countries. Therefore, this valid and reliable scale can be used to evaluate health literacy among people with heart failure in Lebanon and among Lebanese and other Arabic-speaking older adults globally.

Lebanese nursing students' perceptions of barriers to the implementation of person-centered care in clinical settings: A qualitative study.

AIM: This study aims to investigate how Lebanese nursing students perceive the challenges of implementing person-centered care in clinical settings. DESIGN: A qualitative descriptive design was adopted for this study. METHODS: At one of Lebanon's top universities, a qualitative descriptive study design was used with 18 nursing students from various academic levels. Content analysis was used to generate the results after three focus group discussions. The Consolidated Criteria for Reporting Qualitative Research were used to report this study. RESULTS: The content analysis gave rise to four main themes, namely, "overload", "challenges with education", "unawareness", "establishing connection", and "lack of initiatives related to policy". The results showed a number of obstacles that Lebanese nursing students believed were in the path of providing person-centered care. These obstacles included organisational issues like time restraints and an intense workload, as well as interaction difficulties with patients and healthcare teams, and educational issues like insufficient instruction in person-centered care concepts during nursing programs.

Video-Based Simulation Among Saudi Undergraduate Nursing Students During COVID-19: A Qualitative Study.

Background Because of university closures due to COVID-19 confinement, video-based simulation, a training technique based on high-fidelity simulations, was introduced in reaction to the need to adapt high-fidelity clinical simulation experiences to digital platforms. Purpose This study aims to evaluate the perceptions of nursing students in Saudi Arabia regarding the shift from face-to-face simulation experiences to video-based simulation during the COVID-19 pandemic. Methods This study employed a phenomenological exploratory qualitative research design among 32 nursing students from various academic levels. Results The thematic analysis gave rise to five themes namely, "Enhanced Learning and satisfaction", "Improved communication skills", "Lack of hands-on experience", "More comfortable experience", and "Technical Barriers". Conclusion The students in this study have indicated that they were satisfied with video-based simulation, where they reported enhanced learning, better communication skills, and more perceived comfort, while concerns regarding technical issues and nursing skills were raised.

Validity and reliability study of the Turkish Personal Report of Intercultural Communication Apprehension Scale: a revised scale.

Background: Intercultural communication is one of the most important competencies of nurses that enhances the health-care process and increases the quality of care in multicultural environments. Aims: This study was conducted to revise the Turkish Personal Report of Intercultural Communication Apprehension Scale. Methods: This methodological study was conducted between November and December 2021 with 321 female and 96 male university students (mean age 20.78 ± 2.04 (min. = 17, max. = 37)). Revision of the Turkish Personal Report of Intercultural Communication Apprehension Scale included factor analysis, test-retest analysis for reliability, correlation-based item analysis, Cronbach's alpha internal consistency analysis and confirmatory factor analysis. Results: Analysis results showed that the scale was composed of 12 items and explained 56.79% of the total variance. Cronbach's alpha value of the scale was found to be 0.88. Internal consistency analysis included item-total score correlations; the values were found to range between -0.59 and 0.79 and the 14th item with negative item-total score correlations was excluded from the scale. Conclusion: The results of this study show that the revised Turkish Personal Report of Intercultural Communication Apprehension Scale is a valid and reliable tool.

Validity and reliability of the Amsterdam Preoperative Anxiety and Information Scale in the Turkish population

Background/aim: This study aimed to adapt the Amsterdam Preoperative Anxiety and Information Scale (APAIS) to measure the preoperative anxiety of adult Turkish patients undergoing surgery. Materials and methods: The sample of this methodological study included 210 patients. Data were collected by using personal information forms, the APAIS, and the State Anxiety Scale (STAI). Cronbach's α-coefficient was calculated, and test­retest reliability was tested. Results: Cronbach's α-coefficients of the APAIS anxiety and information requirement subscales were 0.897 and 0.786, respectively. The mean test and retest scores of the APAIS were not different. The test and retest scores of the patients were significantly, positively, and strongly related. The APAIS and STAI-I were correlated. Factorial analysis revealed that two factors accounted for 81.435% of the total variance with an eigenvalue of >1. These results showed that the Turkish version of the APAIS is a valid and reliable scale. Conclusion: The Turkish translation of the APAIS is valid and can be reliably used to determine the preoperative anxiety experienced by patients who are undergoing elective surgery.

The validity and reliability of the type 2 diabetes and health promotion scale Turkish version: a methodological study.

OBJECTIVE: A healthy promotion is important for maintaining health and preventing complications in patients with type 2 diabetes. AIM: The aim of the present study was to examine the psychometrics of a recently developed tool that can be used to screen for a health-promoting lifestyle in patients with type 2 diabetes. METHOD: Data were collected from outpatients attending diabetes clinics. The Type 2 Diabetes and Health Promotion Scale (T2DHPS) and a demographic questionnaire were administered to 295 participants. Forward-backward translation of the original English version was used to develop a Turkish version. Internal consistency of the scale was assessed by Cronbach's alpha. An explanatory factor analysis and confirmatory factor analysis used validity of the Type 2 Diabetes and Health Promotion Scale - Turkish version. RESULTS: Kaiser-Meyer-Olkin (KMO) and Bartlett's sphericity tests showed that the sample met the criteria required for factor analysis. The reliability coefficient for the total scale was 0.84, and alpha coefficients for the subscales ranged from 0.57 to 0.92. A six-factor solution was obtained that explained 59.3% of the total variance. The ratio of chi-square statistics to degrees of freedom (χ2 /df) 3.30 (χ2 = 1157.48/SD = 350); error of root mean square approximation (RMSEA) 0.061; GFI value of 0.91 and comparative fit index (CFI) value was obtained as 0.91. CONCLUSIONS: Turkish version of The T2DHPS is a valid and reliable tool that can be used to assess patients' health-promoting lifestyle behaviours. Validity and reliability studies in different cultures and regions are recommended.