Reliability, Validity and Empirical Dimensionality of the Minnesota Nurses' Perceptions of Nursing Diagnoses Scale Among Italian Nursing Students.

BACKGROUND AND PURPOSE: Perceptions toward nursing diagnosis (ND) may represent core drivers of its adoption within clinical practice. Few studies have investigated perceptions toward ND within nursing academic contexts. The study was conducted to validate the Italian version of the Minnesota Nurses' Perceptions of Nursing Diagnoses (MNPND) scale on a sample of Italian nursing students and explore the psychometric structure of perceptions in a sample drawn from this population. METHODS: A cross-sectional survey with an online self-administered questionnaire was used. The study used exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). RESULTS: A three-factorstructure was obtained from parallel analysis and EFA. This was confirmed using CFA; fit statistics: MLRχ² (132) = 230.150, p <. 001; CFI = 0.94; TLI = 0.93; RMSEA = 0.05 [90% CI = 0.041-0.064]; SRMR = 0.056). CONCLUSIONS: The MNPND scale is a useful instrument to measure nursing students' perceptions of ND.

[Development and implementation of pediatric and neonatal nursing information system in an hospital setting: the pediatric PAI]. / Sviluppo e implementazione di un sistema informativo infermieristico pediatrico in ambito ospedaliero: il PAI pediatrico.

The Professional Assessment Instrument (PAI) is a clinical nursing information system used in the adult inpatient units of the A. Gemelli university hospital in Rome (Italy). The PAI allows for the systematic collection of nursing care data in order to improve the quality of care. So far, few clinical nursing information systems have been developed in the neonatal and pediatric care setting. The aim of this study is to describe the development and implementation of a clinical nursing information system (PAIped) for the neonatal and pediatric care setting. METHODS: The Patient-and Family-Centered Care model was used to develop the contents of the PAIped. A web platform application was developed for the PAIped. The standard nursing terminology Clinical Care Classification System was used. A decisionmaking support system was developed within the PAIped to support nurses in making diagnoses and in selecting the most appropriate nursing interventions. RESULTS: A clinical nursing information system using a standard nursing terminology was developed in the pediatric and neonatal care setting. After a test phase, the PAIped was implemented in all the pediatric and neonatal inpatient units of the A. Gemelli university hospital. CONCLUSION: The development and implementation of the PAIped in the A. Gemelli university hospital allowed the monitoring of nursing care processes and accurate nursing documentation.

Nursing diagnoses and theoretical frameworks in neonatal units: a literature review.

AIM: To identify nursing diagnoses and theoretical frameworks used in neonatal units through a literature review. METHOD: Cinahl, Medline and Lilacs, database were used to perform this study. The descriptors used were: "Nursing Diagnosis" AND "Models, Nursing" OR "Nursing Theory" AND "Infant" OR "Newborn". The search was limited to articles published from 2000 to November 2013. Studies were selected only if they were written in English, Spanish, Portuguese and Italian. RESULTS: In the literature review two taxonomies and six major theoretical frameworks were identified. The most frequently detected nursing diagnoses were: activity intolerance, impaired spontaneous ventilation, ineffective breathing pattern, risk for aspiration, delayed growth and development, Ineffective breastfeeding, Ineffective infant feeding pattern, hyperthermia / hypothermia, risk for infection, impaired tissue integrity, Interrupted family processes, risk for impaired parenting, risk for impaired attachment, interrupted family processes. Diagnoses applying to parents' psychosocial sphere were identified, enabling the newborn's integral evaluation, including the family. CONCLUSIONS: Nursing diagnoses provide nurses working in neonatal units the opportunity of an effective management of the care process as well as the availability of the needed data in order to continuously improve a quality-based nursing care. The use of one model or more reference models represents a way to help professional action.

Psychometric evaluation of the Positions on Nursing Diagnosis scale.

AIM: To study the psychometric properties of the Positions on Nursing Diagnosis (PND) scale. BACKGROUND: The PND is a scale to measure nurses' attitudes toward nursing diagnosis. In previous studies, reliability of the scale was supported but its construct validity is still unclear with studies reporting both one-factor and three-factor models. METHODS: A cross-sectional study was conducted with a convenience sample of 262 nurses enrolled from one general public hospital and three long-term care facilities in Italy. Construct validity was assessed with confirmatory factor analysis. Criterion and contrasting-group validities were tested, as well as internal consistency reliability. RESULTS: Confirmatory factor analysis showed the adequacy of a one-factor model of the PND scale. Criterion and contrasting-group validities were supportive, as was internal consistency reliability. CONCLUSIONS: The PND is a valid and reliable scale to measure nurses' attitudes toward nursing diagnosis. Its use in practice and research is recommended.

Applying the Theory of Planned Behavior to Explain Women's Role in Prostate Cancer Screening.

OBJECTIVE: To test the suitability of the theory of planned behavior (TPB) for explaining Italian women's role in prostatic cancer screening promotion. DESIGN/METHODS: A descriptive, cross-sectional, online self-report survey was conducted with a convenience sample of 235 Italian women. Variables included attitudes women's role, perceived behavioral control, subjective norm, behavioral intention, and prostate cancer screening promotion behavior. A survey composed of the Eastland Prostate Cancer Survey subscales that were consistent with the TPB was distributed via e-mail to potential participants. The survey was live for 12 weeks (March 2013 to May 2013). Responses were collated with eSurv.org. Data were analyzed using latent path analysis and structural equation modeling. RESULTS: Behavioral intentions in promoting prostate cancer screening significantly predicted the likelihood of the Italian women to adopt self-reported prostate cancer screening promotion behaviors. In addition, the exclusive direct impact of the intentions explained 39% of the variance in self-reported behaviors. CONCLUSIONS: The TPB could represent a good framework to explain the role of Italian women in prevention behaviors related to the prostatic screening domain. Consistent with literature findings in social and nursing sciences, the intention to promote prostate cancer screening was a powerful "predictor" of the behavior itself.

Psychometric properties of the Scale for Quality Evaluation of the Bachelor Degree in Nursing Version 2 (QBN 2).

To evaluate all the variables that affect nursing education is important for nursing educators to have valid and reliable instruments that can measure the perceived quality of the Bachelor Degree in Nursing. This study testing the Scale for Quality Evaluation of the Bachelor Degree in Nursing instrument and its psychometric properties with a descriptive design. Participant were first, second and third year students of the Bachelor Degree in Nursing Science from three Italian universities. The Scale for Quality Evaluation of Bachelor Degree in Nursing consists of 65 items that use a 4 point Likert scale ranging from "strongly disagree" to "strongly agree". The instrument comes from a prior version with 41 items that were modified and integrated with 24 items to improve reliability. Six hundred and fifty questionnaires were completed and considered for the present study. The mean age of the students was 24.63 years, 65.5% were females. Reliability of the scale resulted in a very high Cronbach's alpha (0.96). The construct validity was tested with factor analysis that showed 7 factors. The Scale for Quality Evaluation of the Bachelor Degree in Nursing, although requiring further studies, represents a useful instrument to measure the quality of the Bachelor Nursing Degree.