Adaptation of the Gerontological Nursing Competence (GeroNursingCom) instrument to Turkish: Validity and reliability study.

AIM: The aim of this study was to conduct a Turkish validity and reliability study of the Gerontological Nursing Competence Scale and to adapt the scale to Turkish culture. BACKGROUND: As the number of older people increses, gerontological nursing requires specialized expertise in older people care. High-quality basic education and further education guarantee good competence in gerontological care. DESIGN: A methodological study of instrument translation and validation. METHODS: The study was methodological and the sample consisted of 530 university students who agreed to participate in the study. Data were collected by online interview method using the Introductory Information Form and Gerontological Nursing Competence Scale (GeroNursingCom). Before starting the study, permission was obtained from the ethics committee, the relevant institution, the scale owner and the students. Language equivalence and content validity of the scale were ensured and Confirmatory Factor Analysis Models (CFA) was conducted. Cronbach Alpha and item-total correlation analysis were used for the reliability of the scale. RESULTS: The scale was compatible in terms of linguistic fidelity Content Validity Index (CVI) (Language)=0.97 and content fidelity CVI (Content)=0.96. The CFA results showed that the χ2/sd value was 1.861 and since this value was less than three, it can be stated that the model provided an excellent fit to the data. Comparative Fit Index (CFI) and Non-normalized Fit Index (NNFI) values were determined as 0.99 and 0.99 respectively and these values being above 0.90 indicate that the model provides an excellent fit to the data. Square Root of Standardized Errors (SRMR) index was 0.045 and Root Mean Square Error of Approximation (RMSEA) index was 0.040 and these values were less than 0.080, indicating that the model provided an excellent fit to the data. The Cronbach's alpha reliability coefficient of 0.97 was found to be highly reliable and the Cronbach's alpha reliability coefficients calculated for the sub-dimensions ranged between 0.77 and 0.91. CONCLUSIONS: It was determined that the gerontological nursing competence scale is valid and reliable for nursing students and can be used in both student and working nurses living in Turkey.

The effect of women's breast cancer fear and social support perceptions on the process of participating in screening.

INTRODUCTION: Social support and fear have been shown to be important factors affecting women's participation in breast cancer screening. This study aimed to determine the effect of women's perceived breast cancer fear and social support on participating in the breast cancer screening process, and to investigate the relationship between the perception of breast cancer fear and social support. METHODS: This is a descriptive study, carried out in a state hospital on 198 women. The data were collected through a Socio-Demographic Data Form, Multidimensional Scale of Perceived Social Support (MSPSS), and Breast Cancer Fear Scale (BCFS) by the researchers by means of face-to-face interview. RESULTS: There was no statistically significant difference between the women's perceptions of social support and breast cancer fear and screening behaviors ( p > 0.05). It was found that the mean BCFS score of those who had a family history of breast cancer was high, and the MSPSS score was lower ( p < 0.05). There was a quite weak and statistically insignificant positive relationship between the women's BCFS scores and perceived social support ( r = 0.08, p > 0.05), friend support ( r = 0.04, p > 0.05) and support from a special person ( r = 0.14, p > 0.05). CONCLUSION: We found no statistically significant difference between breast cancer fear, social support and the women's screening behavior. However, breast cancer fear and the effect of social support on screening attitude may be important. Nurses and other health workers should particularly focus on social support and breast cancer fear in their health education programs. Formative research into the use of social support to promote positive empowering messages should be carried out and incorporated in future health promotion campaigns to improve the breast cancer screening process.