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Psychometric Properties of the Swedish Version of the Fear of Complications Questionnaire

Open Journal of Endocrine and Metabolic Diseases 2014年第4期4卷 69-76页

作者： Marie Olsen Therese Anderbro Susanne Amsberg janeth leksell Erik Moberg Jan Lisspers Soffia Gudbjornsdottir Unn-Britt Johansson Dalarna University Department of Health and Social Studies Falun Sweden Karolinska Institutet Department of Clinical Sciences Danderyd Hospital Division of MedicineStockholm Sweden Sophiahemmet University Stockholm Sweden Uppsala University Department of Medical Sciences Uppsala Sweden Karolinska Institutet Department of Medicine Karolinska University Hospital Huddinge Sweden Mid Sweden University Department of Psychology Campus Östersund Östersund Sweden University of Gothenburg Department of Medicine Sahlgrenska University Hospital Gothenburg Sweden Karolinska Institutet Department of Clinical Science and Education Södersjukhuset Stockholm Sweden

Objectives: To translate and evaluate the psychometric properties of the Swedish version of the Fear of Complications Questionnaire. Design: Cross-sectional study design and scale development. Settings: Totally, 469 adults (response rate 63.5%) with Type 1 diabetes completed the questionnaires. Participants were recruited from two university hospitals in Sweden. Participants: Eligible patients were those who met the following inclusion criteria: diagnosed with Type 1 diabetes, diabetes duration of at least 1 year and aged at least 18 years. Methods: The Fear of Complications Questionnaire was translated using the forward-backward translation method. Factor analyses of the questionnaire were performed in two steps using both exploratory and confirmatory factor analysis. Convergent validity was examined using the Hospital Anxiety and Depression Scale and the Fear of Hypoglycaemia Fear Survey. Internal consistency was estimated using Cronbach’s alpha. Results: Exploratory factor analysis supported a two-factor solution. One factor contained three items having to do with fear of kidney-related complications and one factor included the rest of items concerning fear of other diabetes-related complications, as well as fear of complications in general. Internal consistency was high Cronbach’s alpha 0.96. The findings also gave support for convergent validity, with significant positive correlations between measures (r = 0.51 to 0.54). Conclusion: The clinical relevance of the identified two-factor model with a structure of one dominant subdomain may be considered. We suggest, however a one-factor model covering all the items as a relevant basis to assess fear of complications among people with Type 1 diabetes.

关键词： Diabetes Mellitus Diabetes Complications Factor Analysis Fear Psychometrics

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Nursing in a Globalized World: Nursing Students with International Study Experience Report Higher Competence at Graduation

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Open Journal of Nursing 2014年第12期4卷 848-858页

作者： Jan Nilsson Marianne Carlsson Eva Johansson Ann-Charlotte Egmar Jan Florin janeth leksell Christina Lindholm Gun Nordstrom Kersti Theander Bodil Wilde-Larsson Margret Lepp Ann Gardulf Department of Health Sciences Faculty of HealthScienceand TechnologyKarlstad UniversityKarlstadSweden The Japanese Red Cross Institute for Humanitarian Studies TokyoJapan Department of Public Health and Caring Sciences Uppsala UniversityUppsalaSweden Gavle University GavleSweden Department of Neurobiology Care Sciences and SocietyDivision of NursingKarolinska InstitutetHuddingeSweden The Red Cross University College StockholmSweden Department of Learning InformaticsManagement and EthicsMedical Management CentreKarolinska InstitutetStockholmSweden School of Health and Social Studies Dalarna UniversityFalunSweden Sophiahemmet University StockholmSweden 1 Department of Nursing Hedmark University CollegeHedmarkNorway 1 Primary Care Research Unit County Council of VarmlandSweden 1 Institute of Health and Care Science University of GothenburgGothenburgSweden 1 Ostfold University College HaldenNorway 1 Unit for Clinical Nursing Research Immunotherapy and ImmunologyDivision of Clinical ImmunologyDepartment of Laboratory MedicineKarolinska Institutet at Karolinska University HospitalStockholmSweden

Due to globalization, there is a need for nurses with skills and competence in providing safe, competent and culturally appropriate care. The aim of the study was to investigate whether International Study Experiences (ISE) in other countries during basic nursing education had an impact on newly graduated nurses as regards to self-reported competence. Moreover, a second aim was to explore what background factors that facilitated or constituted a hindrance for nursing students to choose to conduct part of their basic nursing education abroad. At 11 Universities/University Colleges (henceforth called Higher Education Institutions [HEIs]) in Sweden, 565 nursing students responded to the Nurse Professional Competence (NPC) Scale. Students with ISE rated their competence significantly higher on three NPC competence areas—“Legislation in nursing and safety planning”, “Leadership and development of nursing” and “Education and supervision of staff/students”. Background factors that significantly seemed to enhance ISE were living alone, not having children or other commitments in relation to family, international focus at the HEI and previous international experience. Lack of financial means was reported to prevent students from choosing ISE. The study implies that several background factors are of importance whether students choose ISE or not. ISE during basic nursing education might result in better self-reported competence in leading and developing nursing care, including education of future nurses, and in providing safe care.

关键词： Internationalization International Study Experience Nursing Education Self-Reported Competence

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