Dyadic transmission of depression in the elderly people with disabilities to caregiver burden: Multiple mediating roles of caring ability and resilience / 中南大学学报(医学版)

OBJECTIVES@#The interaction between elderly people with disabilities and their caregivers and the improvement of caregiver burden is important for elderly people with disabilities and their caregivers. This study aims to explore the multiple mediating roles of caregiver's caring ability and resilience in depression in the elderly people with disabilities on caregiver burden.@*METHODS@#A total of 246 elderly people with disabilities at home and their family caregivers from 5 regions were investigated by questionnaires, including the General Information Questionnaire, the Patient Health Questionnaire, the Family Caregiver Task Inventory, the Resilience Scale, and the Caregiver Burden Interview. A multiple mediation model was constructed and tested.@*RESULTS@#Univariate analysis showed that the caregiver burden of disabled elderly men is higher than that of women; the lower the level of self-care of disabled elderly individuals, the greater the burden on their caregivers (both P<0.05). Correlation analysis showed that depression of the disabled elderly people was positively correlated with the caregiver burden (P<0.01). Caregiver's caring ability was positively correlated with caregiver's resilience (P<0.01), and both were negatively correlated with caregiver burden (both P<0.01). The multiple mediating effects of caregiver caring capacity and resilience between depression of the disabled elderly people and caregiver burden were significant, with the mediating effects of caregiver caring capacity and resilience accounting for 68.9% and 26.2% of the total effect, respectively.@*CONCLUSIONS@#Depression in the elderly people with disabilities can indirectly affect caregiver burden through the caregiver's caring ability and resilience. Families of older people with disabilities need to focus on both the elderly and their caregivers. It is possible to reduce the caregiver burden and improve the physical and mental health of the dyads by empowering the caregiver's caring ability and resilience.

The self-care ability of dementia patients and family caregivers′ care burden: the mediating role of caring ability of caregivers / 中国实用护理杂志

Objective:To explore the mediating effect of caring ability of family caregivers on dementia patients′ self-care ability and family caregiver burden.Methods:A total of 113 dementia caregivers of dementia patients recruited in Shandong Provincial Hospital Affiliated to Shandong First Medical University and Shandong Mental Health Center from September 2020 to January 2021 were selected, and the Barthel Index, Family Caregiver Task Inventory and Zarit Burden Interview were used to capture their responses on dementia patients′ self-care ability, caring ability, and caregiver burden.Results:The score of self-care ability of dementia patients was (75.19 ± 28.56), and scores of caring ability and care burden of caregivers were 9.00(4.00, 15.00) and (33.78 ± 16.53), respectively. The self-care ability of dementia patients was negatively associated with caring ability and care burden of caregivers ( r=-0.424, -0.420, both P<0.01), and the caring ability and care burden were positively correlated ( r=0.605, P<0.01). The intermediary effect of dementia caregivers' caring ability between patients' self-care ability and caregivers' care burden is significant. The indirect effect was -0.107 and the total effect was -0.187. The indirect effect accounted for 57.22% of the total effect. Conclusions:Caring ability of family caregivers mediates the relationship between self-care ability of dementia patients and caregivers' care burden.The caring ability may be used as an intervening target for future studies.

An Investigation and Analysis of humanistic caring ability about psychiatric nurses in a tertiary hospital in Guangzhou / 中国实用护理杂志

Objective@#To investigate the level and related factors of humanistic caring ability of psychiatric nurses in a tertiary hospital in Guangzhou.@*Methods@#One hundred and seventy-eight nurses were investigated with Caring Ability Inventory.@*Results@#The score of the caring ability of the investigated nurses was 196.72±16.33. Female nurses scored higher than male nurses in caring ability. The humanistic caring ability of nurse with bachelor degree was higher than that from nursing school(P<0.01). The score of caring ability of nurses with more than 15 years of work experience was significantly higher than others (P<0.01) . The score of humanistic care ability of nurses who are not only children is significantly higher than that of only children (P<0.01) .@*Conclusion@#The psychiatric nurses' caring ability needs to be further improved. Gender, only children or not, the professional title, education and working years are the influence factors of humanistic caring ability in psychiatric nursing staff.

Analyze the mediating effect of the positive psychological qualities, between emotional intelligence and humanistic caring ability among the nursing interns / 中国实用护理杂志

Objective@#To explore the humanistic caring ability, and to analyze the relationship between the positive psychological qualities, emotional intelligence and humanistic caring ability among the nursing interns, and provide theoretical basis to improve nursing students’ humanistic caring ability.@*Methods@#A total of 132 nursing interns from a three Level of first-class hospital in Liaoning province, were investigated by using the general questionnaire, caring ability inventory, emotional intelligence scale and Positive Mental Characters Scale for China normal university.@*Results@#The score of humanistic caring ability was (180.74±18.75). Among them, the average score of cognitive was the highest (73.71±10.93) and the average score of courage was the lowest (48.43±11.91). Emotional intelligence and positive psychological qualities were positively correlated with the humanistic caring ability, and positive psychological qualities was a intermediate variable between emotional intelligence and humanistic caring ability, and the mediating effect size is 18.71%.@*Conclusion@#The level of humanistic caring ability in nursing interns is lower, which needs to be further improved. The emotional intelligence and positive psychological qualities have a significant positive effect on the humanistic caring ability. Schools and internship hospitals can improve their sense of humanistic caring ability by developing the emotional intelligence and positive psychological qualities to stabilize the development of nursing career.

An Investigation and Analysis of humanistic caring ability about psychiatric nurses in a tertiary hospital in Guangzhou / 中国实用护理杂志

Objective To investigate the level and related factors of humanistic caring ability of psychiatric nurses in a tertiary hospital in Guangzhou. Methods One hundred and seventy-eight nurses were investigated with Caring Ability Inventory. Results The score of the caring ability of the investigated nurses was 196.72 ± 16.33. Female nurses scored higher than male nurses in caring ability. The humanistic caring ability of nurse with bachelor degree was higher than that from nursing school(P<0.01) . The score of caring ability of nurses with more than 15 years of work experience was significantly higher than others(P<0.01). The score of humanistic care ability of nurses who are not only children is significantly higher than that of only children(P<0.01). Conclusion The psychiatric nurses' caring ability needs to be further improved. Gender, only children or not, the professional title, education and working years are the influence factors of humanistic caring ability in psychiatric nursing staff.

Analyze the mediating effect of the positive psychological qualities, between emotional intelligence and humanistic caring ability among the nursing interns / 中国实用护理杂志

Objective To explore the humanistic caring ability ,and to analyze the relationship between the positive psychological qualities , emotional intelligence and humanistic caring ability among the nursing interns, and provide theoretical basis to improve nursing students’humanistic caring ability. Methods A total of 132 nursing interns from a three Level of first-class hospital in Liaoning province, were investigated by using the general questionnaire, caring ability inventory, emotional intelligence scale and Positive Mental Characters Scale for China normal university. Results The score of humanistic caring ability was (180.74±18.75) . Among them, the average score of cognitive was the highest (73.71± 10.93) and the average score of courage was the lowest (48.43±11.91 ). Emotional intelligence and positive psychological qualities were positively correlated with the humanistic caring ability, and positive psychological qualities was a intermediate variable between emotional intelligence and humanistic caring ability, and the mediating effect size is 18.71%. Conclusion The level of humanistic caring ability in nursing interns is lower, which needs to be further improved. The emotional intelligence and positive psychological qualities have a significant positive effect on the humanistic caring ability. Schools and internship hospitals can improve their sense of humanistic caring ability by developing the emotional intelligence and positive psychological qualities to stabilize the development of nursing career.

Construction of Evaluation Index System for the ability of main caregivers of premature in neonatal intensive care unit / 中国实用护理杂志

Objective To develop an indicator system for the ability of main caregivers of premature in Neonatal Intensive Care Unit (NICU). Methods Delphi method was used to design index system and 16 experts were invited to participate the study. The questionnaire was consulted by emails and we took two rounds of consultation. Results The two rounds of consulting experts enthusiasm coefficients was 100% and the overall authority coefficients was 0.813 and 0.819. In the evaluation index system, there were 8 first grade indexes and 42 second grade indexes, including 11 items of basic care ability , 6 items of feeding and nutrition, 5 items of early itervention, 8 items of common symptoms and sign, 1 item of emergency, 5 items of safety prevention, 4 items of special care and 2 items of parentage. Conclusions The ability of main caregivers of premature in NICU evaluation index system which is designed using Delphi method is scientific and reliable. The results would have important significance to evaluate the level of main caregivers of premature in NICU.

A qualitative research on caring ability and demands of the primary caregivers of stroke patients in community / 中国实用护理杂志

Objective To explore the caring ability and demands of the primary caregivers of stroke patients in community. Methods Seventeen patients of stroke in community participated in the semi-structure interviews. Data were analyzed by Colaizzi phenomenological procedure. Results The lack of ability of the primary caregivers to take care of, mainly reflected inthe lack of professional knowledge of the disease, lack of basic skills and medication blindness. The factors that affected the ability of the primary caregiversto take care ofwere health status and psychological status of the caregivers, duration of illness of patients, coordination degree of patients and financial burden. The caring demands of the caregivers mainly focused on the following areas: professional medical support, economic support, daily care service, and spiritual support services. Conclusions The government and community health service centers should pay more attention tothe rehabilitation of stroke patients in community, and help them to solvepractical problemsactively, meet the care needs, and improve their self-care ability, so as to improve the ability of daily life and quality of life of patients.

Habilidad de cuidado en estudiantes de enfermería de una universidad tradicional de Chile / Caring abilities in nursing students from a Chilean traditional university

Objetivos: Medir las propiedades psicométricas del Inventario de Habilidad de Cuidado de Ngozi Nkongho, evaluar el grado de habilidad de cuidado y su relación con factores sociodemográficos en estudiantes de Enfermería. Material y métodos: Estudio de diseño cuantitativo, correlacional y transversal. El instrumento fue respondido por una muestra de 314 estudiantes. Se utilizó el análisis factorial exploratorio, coeficiente correlación r de Pearson y t de Student. Resultados: Se identificaron tres factores emergentes distintos a los planteados en el instrumento original, pero con plausibilidad teórica: disposición de ayuda, aprecio por la experiencia del otro y autoconfianza. Todos los factores del instrumento resultaron tener correlaciones directas y significativas. Existe una relación directamente proporcional entre el nivel cursado y habilidades de cuidado. Se encontró una relación directa positiva de disposición de ayuda con los niveles formación, presentando las mujeres mayor disposición de ayuda que los hombres. Conclusiones: El instrumento resultó ser adecuado para medir habilidades de cuidado en los estudiantes, las experiencias clínicas elevan progresivamente las habilidades de cuidado en todos sus factores, por lo que se presenta como una alternativa para evaluar algunos aspectos de la calidad del cuidado brindado.

The objective was to measure the psychometric properties of the Caring Ability Inventory by Ngozi Nkongho, as well as the degree of caring skills and its relationship with the students' sociodemographic factors. Method: The design of the study was qualitative, correlational and cross-sectional. The instrument, Caring Ability Inventory by Ngozi Nkongho, was applied to a sample of 314 nursing students. Results: The findings, via exploratory factor analysis, identified three arising factors which were different from those proposed by the author; however, they possess theoretical plausibility. Those factors are: willingness to help, appreciation for the experience of others, and self-confidence. Statistically significant and direct correlation was observed among the factors. Significant differences were observed regarding willingness to help between the group composed by first and second year students (basic level), and the group composed by third, fourth and fifth year students (advanced level). Thus, basic level students showed a lower degree of willingness to help than advanced level students. Regarding sex, differences were observed only in the first factor, in which women showed a better willingness to help than men. Conclusion: The research shows that the instrument used efficiently measures the students' caring abilities, clinical experience progressively increases caring abilities; therefore, the instrument is presented as a possible choice to evaluate some aspects regarding the quality of the care given.

Correlations between occupational stress and care ability of nurses in operating room / 现代临床护理

Objective To investigate the correlations between occupational stress and care ability of nurses in operating room.Method Occupational stress scale and caring ability evaluation scale were used for the investigation among 180 nurses in 4 general hospitals in Beijing.Results Occupational stress scale (405.61±27.44) and nurses' operating ability (189.07±16.82) in the operating rooms were negatively correlated (P ＜0.05).The occupational stress was negatively correlated with caring ability of the nurses from the operating room.Conclusions Occupational stress of the nurses from the operating room is at the middle level.The care ability is low generally.The occupational stress of the nurses in the operating room is lower and the care ability is higher.Nurse manager can create good working environment,streathing human resource magement to reduce nurse's working stress,thus increase working quality.

A longitudinal study of caring group on the caring ability of undergraduate nursing students / 中华医学教育探索杂志

Objective To investigate the effect of creating caring group on the caring ability of undergraduate nursing students,and to put forward strategies for cultivating the caring ability of undergraduate nursing students.Method A total of 80 nursing freshmen who provided voluntary informed consent to participate in the study were divided into 2 groups.Students in the control group were taught with routine teaching mode,while the students in experimental group were recruited to caring group on the basis of control group's routine teaching.Caring group were conducted team activities regularly,which included topic discussion,experience sharing,interest games and team report so on.The experimental group and control group were surveyed by Caring Ability Inventory (CAI) during the beginning,middle and the end period of the research.SPSS 20.0 was used for data processing and the data was made descriptive analysis,t test,and analysis of variance.Results Before the intervention,the CAI total scores of the experimental group and the control group were (184.55 ± 13.25) and (186.67 ± 25.11) respectively and there was no statistically significant difference on the total score and scores in three dimensions.Compared with the norm of foreign countries,the caring ability of the students was at middle and low level.The scores of experimental group and control group in the cognitive dimension increased with higher grade,but there was no statistically significant difference between two groups.The two groups' scores in patience and courage sub-scales also increased with grade level and experimental group had significant higher scores than control group in the two sub-scales (P＜0.05).Conclusion Caring ability of undergraduate nurs-ing students in our school is low.Caring group can effectively improve students' caring ability.Nursing students' caring ability cultivation strategies need to be explored.

The correlation between caring ability and clinical learning environment of nursing students in clinical practice / 中国实用护理杂志

Objective To explore the status quo of clinical nursing students' caring ability and clinical learning environment,and analyze the correlation between them.Methods 112 clinical nursing students in a grade three and first-class hospital in Hefei were investigated by using the caring ability inventory and nursing clinical learning environment scale.Results The mean score of nursing students on caring ability inventory was (203.12±12.14) points,and the scores of knowing,courage and patience were (78.26±8.27) points,(66.41±5.68) points and (58.45±4.30) points.The total score of clinical learning environment was (146.79±11.76) points,and the scores of six dimensions were task location (25.52±4.77) points,work atmosphere and team culture (25.33±5.21) points,student participation (24.96±4.14) points,interpersonal relation (24.54±5.20) points,innovation (23.59±3.54) points and individuation (22.87±3.26) points.By Pearson correlation analysis,the coefficient of correlation was 0.509 between caring ability and clinical learning environment of nursing students in clinical practice.Conclusions Most nursing students are moderately satisfied with clinical learning environment while their caring ability remains to be improved.There is positive correlation between the caring ability and clinical learning environment of nursing students.Therefore,nursing managers should take corresponding measures to create favorable clinical learning environment,so as to promote the caring ability of nursing students.

Survey on status quo of nursing humanistic caring ability of nursing students / 中国实用护理杂志

Objective To know the present situation and the different humanistic caring abilities among college nursing students,so as to provide reference for education training strategy of nursing humanity care.Methods A total of 396 college nursing students were investigated by using the nursing students' humanistic caring ability scale.Results The total score of nursing students' humanistic caring ability was (110.85±21.57),with a scoring rate of 61.59％.Statistically significant differences of humanistic caring ability were found among students of different education levels,different genders and different colleges.Conclusions The level of nursing students' humanistic caring ability was low,so nursing schools and clinical teaching hospitals should strengthen the training of students' humanistic caring ability according to the characteristics of different education level,and take effective training strategies to improve college nursing students' humanistic caring ability.