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Background <p>Home-visiting nurses play a pivotal role in helping family caregivers adapt to home-based care. Resilience, an essential factor in helping family caregivers reduce stress and adapt to home care, is important for improving their well-being and caregiving effectiveness. A tool to identify gaps in nurses’ ability to support caregivers in enhancing resilience is essential. Currently, validated scales to assess the practice of nurses in enhancing resilience among family caregivers are in limited availability. This study aimed to develop and psychometrically validate a scale assessing nurses’ ability to enhance family caregivers’ resilience.</p> Methods <p>This cross-sectional study involved 504 nurses who were randomly assigned to two groups: 252 for the exploratory factor analysis (EFA) and 252 for the confirmatory factor analysis (CFA). Ceiling and floor effects and item-total correlations were examined and good-poor analysis were conducted to evaluate the scale reliability. EFA and CFA were conducted to explore the factor structure and to validate the model, respectively. The composite reliability, average variance extracted, and Cronbach’s α for each factor were calculated to confirm the factor structure and assess the validity of the model.</p> Results <p>A 14-item scale with three factors was identified to assess nurses’ practice ability to enhance family caregivers’ resilience. These factors are “support for fostering family caregivers’ self-affirmation,” “support for negative emotions within the family,” and “confirmation of family demands.” The overall Cronbach’s α was 0.847. The model fit indices were χ2/df = 2.456, comparative fit index = 0.907, Tucker-Lewis index = 0.885, and root mean square error of approximation = 0.076 (<i>p</i> &lt; 0.001).</p> Conclusions <p>We developed a scale with 14 items across three factors to assess nurses’ practices in enhancing family caregivers’ resilience and confirmed its reliability and validity. The validated scale can be a cornerstone framework for home-visiting nurses to improve the well-being of family caregivers by enhancing their resilience.</p> Clinical trial number <p>Not applicable.</p>

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Development of the nursing practice scale to enhance resilience in family caregivers and evaluation of its reliability and validity

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月1日

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  • Ruxin Lei,
  • Kazuaki Tanabe,
  • Chie Teramoto,
  • Hiroyuki Sawatari,
  • Mikako Yoshihara,
  • Hisae Nakatani

摘要

Background

Home-visiting nurses play a pivotal role in helping family caregivers adapt to home-based care. Resilience, an essential factor in helping family caregivers reduce stress and adapt to home care, is important for improving their well-being and caregiving effectiveness. A tool to identify gaps in nurses’ ability to support caregivers in enhancing resilience is essential. Currently, validated scales to assess the practice of nurses in enhancing resilience among family caregivers are in limited availability. This study aimed to develop and psychometrically validate a scale assessing nurses’ ability to enhance family caregivers’ resilience.

Methods

This cross-sectional study involved 504 nurses who were randomly assigned to two groups: 252 for the exploratory factor analysis (EFA) and 252 for the confirmatory factor analysis (CFA). Ceiling and floor effects and item-total correlations were examined and good-poor analysis were conducted to evaluate the scale reliability. EFA and CFA were conducted to explore the factor structure and to validate the model, respectively. The composite reliability, average variance extracted, and Cronbach’s α for each factor were calculated to confirm the factor structure and assess the validity of the model.

Results

A 14-item scale with three factors was identified to assess nurses’ practice ability to enhance family caregivers’ resilience. These factors are “support for fostering family caregivers’ self-affirmation,” “support for negative emotions within the family,” and “confirmation of family demands.” The overall Cronbach’s α was 0.847. The model fit indices were χ2/df = 2.456, comparative fit index = 0.907, Tucker-Lewis index = 0.885, and root mean square error of approximation = 0.076 (p < 0.001).

Conclusions

We developed a scale with 14 items across three factors to assess nurses’ practices in enhancing family caregivers’ resilience and confirmed its reliability and validity. The validated scale can be a cornerstone framework for home-visiting nurses to improve the well-being of family caregivers by enhancing their resilience.

Clinical trial number

Not applicable.