Background: The patient’s quality of life immediately after mastectomy usually receives less attention than the quality of life after three months, six months, or a year. It is because the focus is mainly on surgical complications. Many instruments measure the quality of life from three months onwards. Still, the quality-of-life instruments right after postmastectomy is not yet verified.Objective: This paper aimed to test the reliability and validity of the Quality-of-Life Index Vietnamese version (QOLI-V) in Vietnamese women with breast cancer three weeks postmastectomy.Methods: The descriptive cross-sectional study was designed to analyze the psychometric properties of a Vietnamese version of the modified Quality of Life Index. The modified process was conducted after granting permission from the original authors. The content validity of the modified index was examined by five experts. Brislin’s model was used for the translation process. The 26-item QOLI-V was tested in 265 patients with breast cancer stage II three weeks postmastectomy who expected to have a poorer quality of life score. The reliability of the index was measured by Cronbach's alpha. The construct validity was examined using confirmatory factor analysis (CFA).Result: The content validity index results showed that the lowest I-CVI was .80 and the highest was 1.00. S-CVI/Ave was 0.95, and S-CVI/UA was 0.76. The Cronbach's alpha of QOLI-V was .84, which was considered acceptable. Most of the 26 items featured the correct item-total correlation of .30 to .60. There were only two items correlated with the total scale at .18, and the item with the lowest correlation (.06) was deleted from the item set.  The CFA of model 1 with 26 items was not an ideal fit with the data, with Chi-Square/df = 2.15, CFI =.815, GFI = .853, TLI=.792 RMSEA =.066. After deleted an item #general quality of life, and the CFA of model 2 was conducted on the 25-item index. The final result indicated the improvement of the model fit, with Chi-Square/df =2.26, CFI=.852, GFI=.814, TLI=.790, RMSEA=.069.Conclusion: The 25-item QOLI-V version is considered valid and reliable to measure the quality of life of Vietnamese women with breast cancer three weeks postmastectomy. Nurses and midwives could use this instrument to measure the quality of life of the patients, and the patients could use it for self-assessment.Funding: This study was funded by the 90th Anniversary of Chulalongkorn University Scholarship, Chulalongkorn University, Thailand.

Background: Ineffective handover is considered a major factor that endangers patient safety in hospitals. Preparing and handing over patients before surgeries directly impact the outcome of the surgery. If errors occur, they could jeopardize the patient’s life.Objectives: To determine the level of nurses’ compliance during the pre-operative patient handover process at the anesthesia department. To examine nurses’ evaluation on using a pre-operative patient handover checklist.Methods: This was a descriptive observational study with a cross-sectional approach to examine 196 cases of handing over pre-operative patients performed by 53 nurses from the surgical department, maternity department, obstetrics and gynecology department, emergency department, and anesthesia department. Data were collected from November 2019 to February 2020 using “The Checklist of Assessing Nurse’s Compliance on Pre-Operative Patient Handover” and “The Survey Form of Nurse’s Evaluation on Using Pre-Operative Patient Handover Checklist.” Descriptive statistics, including frequencies and percentages, were used for data analysis.Results: Nurses’ compliance on handing over pre-operative patients with a high level was 71.9%, and with an average level was 28.1%. The handover areas with low compliance rate included: the patients need to be isolated (63.3%), identifying patient information verbally (75%), identifying patient information by hospital bracelet (77%), time to use antibiotics (78.1%), and marked surgical site (79.6%). Over 90% of nurses agreed on the usefulness of the pre-operative handover checklist.Conclusion: The process of handing over pre-operative patients was performed relatively well, but there were still shortcomings to overcome. Nurses positively evaluated the use of the handover checklist for preparing pre-operative patients.