Development and Psychometric Validation of the Nursing Self-Efficacy Scale for Managing Cancer Treatment-Induced Cardiotoxicity: An Exploratory Mixed-Method Study

Magon, Arianna; Conte, Gianluca; Arrigoni, Cristina; Dellafiore, Federica; Pittella, Francesco; Rocco, Gennaro; Stıevano, Alessandro; Ghizzardi, Greta; Caruso, Rosario

doi:10.1016/j.soncn.2022.151367

Cited by 4 publications

(7 citation statements)

References 37 publications

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“…Eight questions (5-13, and 15) were excluded from the survey since they were less pertinent to cardiac nurses roles in recognizing and monitoring cardiotoxicity symptoms, particularly for non-oncology nurses. The NSS-CTC has demonstrated psychometric reliability, underpinned by content assessment of knowledge-related selfe cacy (Cronbach's α = 0.924) and practice-related self-e cacy (Cronbach's α = 0.937) (Magon et al, 2023). Utilization of the NSS-CTC in this study is sanctioned by the authors.…”

Section: Methods and Variablesmentioning

confidence: 99%

“…The hospital site has a cardio-oncology team made up of cardiologists and oncologists. The hospital in this study uses a cardio-oncology risk score which is al., 2017; Magon et al, 2023). Educational interventions are needed to improve nursing competence in cardiotoxicity given the limited cardiotoxicity management among nurses.…”

Section: Sample and Settingmentioning

confidence: 99%

“…Nurses occupy a pivotal role in the early detection, monitoring and management of cardiotoxicity (Magon et al, 2023). However, a concerning gap in the preparedness and competence of nursing professionals in this realm exists.…”

Section: Problem Statement and Signi Cancementioning

confidence: 99%

“…Cardiotoxicity has alarmingly ascended to become the second predominant cause of long-term morbidity and mortality among cancer treatment recipients (Kelly et al, 2017;Lyon et al, 2022). In response to this critical issue, the eld of cardio-oncology has been established, aiming to re ne the management of cardiovascular complications stemming from cancer treatments (Ghizzardi et al, 2017).Nurses occupy a pivotal role in the early detection, monitoring and management of cardiotoxicity (Magon et al, 2023). However, a concerning gap in the preparedness and competence of nursing professionals in this realm exists.…”

mentioning

confidence: 99%

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Enhancing Nurse Competence in Early Recognition of Cardiotoxicity

Kolbus,

Adeola,

Luebcke

et al. 2024

Preprint

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Objective: To assess the impact of an educational intervention on nurses perceived self-efficacy in recognizing patients exhibiting symptoms of cancer treatment-related cardiotoxicity. Sample & Setting: The study was set in a 16-bed cardiac critical care unit (CCU) within a 462-bed hospital. The sample group was comprised of registered nurses (RNs) working on or floating to the CCU. Methods & Variables: The study used a within-subjects design. Participants completed a pre-education survey, attended a 30-minute education intervention, and completed a post-education survey. The outcome variables were 7 self-confidence questions from the Nursing Self-Efficacy Scale for Managing Cancer Treatment-Induced Cardiotoxicity (NSS-CTC) on a 5-point Likert scale and one yes or no self-efficacy question. Descriptive statistics and paired T-tests were applied to analyze pre- and post-education surveys. Results: The pre-and post-education comparative analysis for each of the 7 NSS-CTC self-confidence questions was statistically significant with test statistics ranging from t = 3.43 to t = 8.69 and p-values ranging from 0.0021 to less than 0.0001. All 26 RNs answered “yes” in their ability to detect symptoms of cancer therapy-related cardiotoxicity after the education. Implications for Nursing: The lack of education for cardiac nurses against the backdrop of increasing cardiotoxicity in cancer patients showcases the essential need for cardiac nurse early symptom recognition education.

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Section: Methods and Variablesmentioning

confidence: 99%

Section: Sample and Settingmentioning

confidence: 99%

Section: Problem Statement and Signi Cancementioning

confidence: 99%

mentioning

confidence: 99%

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Enhancing Nurse Competence in Early Recognition of Cardiotoxicity

Kolbus,

Adeola,

Luebcke

et al. 2024

Preprint

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“…This research is based on a mixed method, as already described in the literature [ 24 , 25 ], taking into account (1) a systematic review of the currently available international guidelines and consensus papers regarding spasticity management and (2) expert panels’ virtual meetings which involved a multidisciplinary panel of Italian physicians with expertise in the management of PSS. In order to take into account possible differences in the health system organization of the various Italian territories, physicians were chosen to be representative of four main Italy regions, namely in the south (Campania), center (Lazio), and north (north-west Piedmont, north-east Veneto) of Italy.…”

Section: Methodsmentioning

confidence: 99%

Long-Term Spasticity Management in Post-Stroke Patients: Issues and Possible Actions—A Systematic Review with an Italian Expert Opinion

et al. 2023

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Spasticity is a well-known motor dysfunction occurring after a stroke. A group of Italian physicians’ experts in treating post-stroke spasticity (PSS) reviewed the current scientific evidence concerning the state-of-the-art clinical management of PSS management and the appropriate use of botulinum toxin, aiming to identify issues, possible actions, and effective management of the patient affected by spasticity. The participants were clinicians specifically selected to cover the range of multidisciplinary clinical and research expertise needed to diagnose and manage PSS. When evidence was not available, the panel discussed and agreed on the best way to manage and treat PSS. To address the barriers identified, the panel provides a series of consensus recommendations. This systematic review provides a focused guide in the evaluation and management of patients with PSS and its complications. The recommendations reached by this panel of experts should be used by less-experienced doctors in real life and should be used as a guide on how to best use botulinum toxin injection in treating spasticity after a stroke.

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The evaluation of gamification implementation for adult learners: A scale development study based on andragogical principles

Zainuddin,

Chu,

Othman

2024

Educ Inf Technol

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This study utilised scale development analysis to evaluate the effectiveness of gamification based on Knowles' andragogical principle in facilitating online learning for adult students. An exploratory sequential mixed-method research design was employed, incorporating interviews and field notes to gather qualitative data for scale construction. The Gamification for Adult Questionnaires (GAQ) scale was developed via questionnaires and analysed quantitatively. The thematic analysis of qualitative interviews revealed 23 sub-themes based on the five main andragogical principles used as a foundation for the quantitative analysis scales. Initially, 47 items were constructed, but five items with low communalities were excluded and an EFA with varimax rotation was performed on the remaining 42 items. The KMO and Bartlett test yielded a satisfactory value of 0.90 Williams et al. (2010). The Chi-square test (Bartlett's method) resulted in a significant sphericity level of p < .01. The EFA results enabled the categorisation of the 42 items into four factors: independent learning (9 items), learning engagement (15 items), knowledge-experience sharing (7 items), and application to real-life situations (11 items). The high alpha coefficient of 0.97 suggests the scale is reliable, and the 42 items account for 81% of the variance. The results indicate that the GAQ scale is a valid and reliable tool for evaluating gamification based on andragogical principles in adult learning settings. This study provides a foundation for future researchers interested in exploring gamification with contemporary teaching methods and technology for adult learners using Knowles' andragogical principles.

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Development and Psychometric Validation of the Nursing Self-Efficacy Scale for Managing Cancer Treatment-Induced Cardiotoxicity: An Exploratory Mixed-Method Study

Cited by 4 publications

References 37 publications

Enhancing Nurse Competence in Early Recognition of Cardiotoxicity

Enhancing Nurse Competence in Early Recognition of Cardiotoxicity

Long-Term Spasticity Management in Post-Stroke Patients: Issues and Possible Actions—A Systematic Review with an Italian Expert Opinion

The evaluation of gamification implementation for adult learners: A scale development study based on andragogical principles

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