Development and Psychometric Evaluation of the Cardiac Rehabilitation Adherence Tool (CRAT).

Patients with cardiac diseases can achieve the greatest benefit from cardiac rehabilitation through modification of their unhealthy behaviors. This study aimed to develop and examine the psychometric properties of the Cardiac Rehabilitation Adherence Tool (CRAT), which was designed to assess patients' adherence to cardiac rehabilitation. In this instrument development study, the items of the CRAT were extracted through a comprehensive literature review.

Understanding the Roles, Responsibilities, and Competencies of Advanced Practice Registered Nurses: Instrument Development and Psychometric Testing.

Background And Purpose: Demand for primary care providers increases value for advanced practice registered nurses (APRNs) to assume more independent roles. The purpose was to develop a reliable, valid instrument to measure roles, responsibilities, and competencies reflective of autonomous practice for APRNs.

Methods: Conceptual literature motivated development of a new instrument.

Comparison of the Effects of Hand Reflexology versus Acupressure on Anxiety and Vital Signs in Female Patients with Coronary Artery Diseases.

Hospitalization in the cardiac care unit can increase anxiety in patients. This study aimed to compare hand reflexology versus acupressure on anxiety and vital signs in female patients with coronary artery diseases. This double-blinded randomized placebo-controlled trial with a pre- and post-intervention design was conducted on 135 female patients with coronary artery diseases.

Empowerment in Nursing Literature: An Update and Look to the Future.

This review was conducted to describe empowerment theories that have influenced nursing practice, education, and research. Multiple perspectives of empowerment including structural, psychological, and group have contributed to the failure to consistently describe and measure this complex concept. The majority of empowerment literature originates from nonnursing theoretical frameworks.

The effects of environmental factors in waiting rooms on anxiety among patients undergoing coronary angiography: A randomized controlled trial.

Background: According to Florence Nightingale's hypothesis, the environment can play a central role in the healing of the patient's body and mind. The nurse should, therefore, strive to provide a healing and stress-reducing environment for patients about to undergo invasive procedures.

Aims: This study aimed to investigate the effects of environmental factors on anxiety as experienced by patients in waiting rooms prior to coronary angiography.

Nursing Group Empowerment: Instrument Revision.

Background And Purpose: The Sieloff-King Assessment of Group Empowerment with Organizations (SKAGEO) has demonstrated consistent reliability and validity, although past participants reported the need for revisions to further improve its clarity and ease of use in research. The purpose of this research was to use focus groups to revise the SKAGEO.

Methods: Two focus groups were held (seven RNs and one student nurse).

Effect of aromatherapy massage on anxiety, depression, and physiologic parameters in older patients with the acute coronary syndrome: A randomized clinical trial.

Purpose: This study aimed to investigate the effect of aromatherapy massage on anxiety, depression, and physiologic parameters in older patients with acute coronary syndrome.

Methods: This randomized controlled trial was conducted on 90 older women with acute coronary syndrome. The participants were randomly assigned into the intervention and control groups (n = 45).

Aromatherapy massage versus reflexology on female elderly with acute coronary syndrome.

Background: Fatigue and abnormalities in cardiovascular parameters are recognized as major problems for patients with acute coronary syndrome. Non-pharmacological nursing interventions are useful for controlling this fatigue and reducing patients' suffering during hospitalization.

Aim: The present study compared the effects of aromatherapy massage and reflexology on fatigue and cardiovascular parameters in older female patients with acute coronary syndrome.

Nurse's use of power to standardise nursing terminology in electronic health records.

Aims: To describe nurses' use of power to influence the incorporation of standardised nursing terminology within electronic health records.

Background: Little is known about nurses' potential use of power to influence the incorporation of standardised nursing terminology within electronic health records.

Methods: The theory of group power within organisations informed the design of the descriptive, cross-sectional study used a survey method to assess nurses' use of power to influence the incorporation of standardised nursing terminology within electronic health records.

The assessment of safe nursing care: development and psychometric evaluation.

Aim: To develop an instrument for the assessment of safe nursing care (ASNC) within the Iranian context and psychometrically evaluate its reliability and validity.

Background: There is a need for a valid and reliable instrument to assess how nurses employ the components of safe nursing care in clinical practice in non-Western countries.

Method: This methodological study was conducted in two phases: (1) a qualitative phase of instrument development, and (2) a quantitative phase of psychometric evaluation of the assessment of safe nursing care (ASNC).

Content and factor validation of the Sieloff-King-Friend Assessment of Group Empowerment within Educational Organizations.

Background And Purpose: Nursing education programs have responsibilities to their stakeholders to prepare graduates who can provide safe, effective patient centered care while leading health care changes. Empowered nurses have been associated with low nurse turnover and higher patient satisfaction; however, less is currently known about group empowerment in nursing education. In order to examine group empowerment in schools of nursing, the Sieloff-King Assessment of Group Empowerment in Organizations (SKAGEO©) was adapted and tested for content validity and confirmatory factor analysis.

Effect of local cold and hot pack on the bruising of enoxaparin sodium injection site: a randomized controlled trial.

Purpose: This study aimed to assess the effect of the application of local cold and cold-hot packs upon the size of bruising at the injection site of subcutaneous enoxaparin sodium.

Methods: One-hundred and eighty patients with coronary diseases were allocated randomly to three groups: (i) local cold gel pack group; (ii) local cold-hot gel pack group; and (iii) control group. Assessment of the presence of a bruise was conducted at 24, 48 and 72 hours after the injections for all patients.

Nurse's perceptions of their group goal attainment capability and professional autonomy: a pilot study.

Aim: A pilot study to examine staff nurses' perceptions of, and relationships between, group goal attainment capability and professional autonomy.

Background: A nursing group's capability to employ appropriate nursing interventions leads to improvement in patient outcomes. Nurses' goal attainment capability plays a role in achieving high-quality patient outcomes and may be related to professional autonomy.

Nursing power as viewed by nursing professionals.

Background:   The concept of nursing power has not been extensively reported in the nursing literature. Power is an extremely abstract concept, making it difficult to define and study. However, when defined as the capacity to achieve goals, power becomes a significant resource in nursing.

Group power through the lens of the 21st century and beyond: further validation of the Sieloff-King Assessment of Group Power within Organizations.

Aim: The purpose was to determine the content validity of a semantic revision of items on a reliable and valid instrument, the Sieloff-King Assessment of Group Power within Organizations (SKAGPO).

Background: Research participants expressed negative perceptions regarding the use of the concept of 'power' in SKAGPO items. The SKAGPO is the only instrument measuring a nursing group's power or outcome attainment.

Improving the work environment through the use of research instruments: an example.

Over the past several years, although the quality of the work environment has improved for registered nurses, there is much that still needs to be done. However, much of the published research conducted in relation to the quality of work environments has focused on the more traditional components of the work environment. To assess the nontraditional components of a work environment, it is critical that reliable and valid instruments be utilized in order to ensure that the data gathered is accurate and truly reflective of what exists within the work environment.

Shared governance as vertical alignment of nursing group power and nurse practice council effectiveness.

Aim(s): This study validates an instrument for measuring the effectiveness of nursing practice councils and offers a framework for measuring and understanding shared governance.

Background: Empowerment results from the vertical alignment of nursing group power with nursing unit power practices. The field lacks an instrument for measuring nurses' practice of power.

Factor validation of an instrument measuring group power.

Few publications have reported empirical findings regarding the measurement of nursing group power. This article reports the confirmatory factor analyses of the Sieloff-King Assessment of Group Power Within Organizations (SKAGPO) for instrument and middle-range theory development. Secondary analyses were conducted using cross-sectional data collected in 1999.

Leadership behaviours that foster nursing group power.

Today's health care environment presents many challenges to nursing groups as they seek to achieve their goals. All resources must be recognized and effectively utilized. Power, defined as the capacity to achieve goals (Sieloff 1995), is a valuable resource that can assist nursing groups in the achievement of their goals.

Measuring nursing power within organizations.

Purpose: To describe the Sieloff-King Assessment of Departmental Power (SKADP) instrument and the psychometric evaluation of both the SKADP and its revision: the Sieloff-King Assessment of Group Power within Organizations (SKAGPO) instrument.

Design: A survey of 357 chief nurse executives in the United States to psychometrically evaluate the SKAGPO.

Methods: Psychometric evaluation of the SKAGPO included: (a) internal consistency reliability using Cronbach's alpha coefficient, split-half with the equal-length Spearman Brown Correction Formula, and item analysis; (b) concurrent criterion-related validity; and (c) factor analysis.

King's conceptual system and theory of goal attainment: past, present, and future.

Imogene King is universally recognized as a pioneer of nursing theory development. Her interacting conceptual system for nursing and her theory of goal attainment have been included in every major nursing theory text, are taught to thousands of nursing students, form the basis of nursing education programs, and are implemented in a variety of service settings.