Psychometric testing of the cross-culturally adapted Thai version of the Self-Care Self-Efficacy Scale version 3.0 in individuals with chronic illnesses

Objective:To assess the psychometric properties of the Thai version of the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)in individuals with chronic illnesses.Although originally developed and tested in a Western context,its applicability in Asian populations,including Thailand,remains inadequately explored.Methods:Psychometric tests were guided by COSMIN principles.This included the translation of the English version into Thai based on the ISPOR framework.Nine nursing experts evaluated the content validity.Data were obtained from a multicenter cross-sectional study conducted between July and November 2022.This study included individuals with chronic conditions from 16 primary care centers in Thailand.We tested the structural validity using exploratory factor analysis(EFA)and confirmatory factor analysis(CFA),and concurrent validity in relation to the Self-Care of Chronic Illness Inventory version 4.c(SC-CII-v4.c).We tested the scale’s reliability with McDonald’s u,Cronbach’s a,and the intraclass correlation coefficient(ICC).Results:The Thai SCSES-v3.0 demonstrated excellent content validity(k¼1.00).Thefinal analysis included a total of 385 participants.The EFA with thefirst split-half subsample(n¼193)extracted a twofactor structure.One reflected SCSES for maintenance and monitoring behaviors and another captured SCSES for management behaviors(item 6e10).CFA with the second split-half subsample(n¼192)and the overall sample(n¼385)supported the scale’s two-factor model with high factor loadings.Each dimension and the overall SCSES-v3.0 positively correlated with each scale and the overall SC-CII-v4.c.McDonald’s u and Cronbach’s a(both ranged 0.91e0.94)and ICC(ranged 0.95e0.96),indicated excellent internal reliability and test-retest reliability,respectively.Conclusions:The identification of a valid and reliable two-factor model for the Thai SCSES-v3.0 renders it a valuable tool for clinicians and investigators,facilitating the assessment of self-efficacy in self-care across diverse contexts.

Professional nurses’facilitation of self-care in intensive care units:A concept analysis

Objective:This article aims to provide an in-depth analysis of the concept of self-care in the intensive care unit and outline its defining attributes,antecedents,consequences and empirical referents.Methods:The literature was searched electronically using databases such as CINAHL,Medline,Psych INFO,ERIC,ScienceDirect,Amed,EBSCO(Health Source:Nursing and Academic Edition),Sage,Ujoogle and Google Scholar.Articles from 2013 to 2020 were searched to target recent and up-to-date information about the definitions,attributes,antecedents and consequences of the concept of self-care.Walker and Avant’s framework was utilised to analyse the concept of self-care.Results:The results of the concept analysis identified seven attributes,namely process,activity,capability,autonomous choice,education,self-control and interaction.The seven identified antecedents are self-motivation,participation,commitment,resources,religious and cultural beliefs,social,spiritual and professional support,and the availability of time.The consequences are the maintenance of health and wellbeing,autonomy,increased self-esteem,disease prevention,empowerment,increased social support and the ability to cope with stress.

Self-care:A concept analysis

Objectives:There is extensive literature from various disciplines on self-care,an important aspect of nursing intervention via evaluation and education,but its meaning remains unprecise due to the difficulty integrating the diverse definitions developed over time across disciplines.Therefore,it is vital to clarify the meaning of self-care and formulate the defining attributes,antecedents,and consequences to self-care.Methods:Walker and Avant’s concept analysis approach was used to analyze the concept of self-care.A search of the literature was completed using the databases CINAHL,PubMed,and EBSCOhost for years 1975e2020;literature search included peer-review articles,full-text publications,and available in English.A total of 31 articles were reviewed,and saturation was reached.Results:An extensive review of the literature revealed salient characteristics that reflected the most frequently used terms associated with the concept.Guided byWalker and Avant’s method,three defining attributes emerged as common themes:awareness,self-control,and self-reliance.Conclusions:A clarified definition was identified:the ability to care for oneself through awareness,selfcontrol,and self-reliance in order to achieve,maintain,or promote optimal health and well-being.

The development and implementation of a model to facilitate self-care of the professional nurses caring for critically ill patients

Objectives This article aimed to describe the development,implementation,and evaluation of the model’s effectiveness to facilitate self-care of professional nurses caring for critically ill patients in ICUs.Methods The methods of Chinn and Kramer,Walker and Avant were utilized to generate this model.The study included four steps to develop,implement and evaluate the model:Step 1-concept analysis;Step 2-placing the concept in relationship statements;Step 3-description and evaluation of the model;and Step 4-implementation and evaluation of the model.The implementation and evaluation of the model included two phases:a one-day workshop to present the model,and three months of model implementation.The study was conducted in a specific tertiary hospital in Gauteng Province,South Africa.Twenty-five participants were identified amongst the five ICUs,and only eight participants accepted the invitation.Out of the eight participants,only six professional nurses working in different ICUs in the public sector were interviewed.Results The model was divided into three stages:relationship,working,and termination;it comprised the primary and secondary contexts in which the facilitation of self-care occurs.The model process occurred in a spiral form.The registered nurses benefitted holistically from the three presenters at the workshop,and the social worker contributed to their emotional self-care activities.Three themes emerged:The model brought positive experiences,change,and self-awareness;the model benefitted the registered nurses holistically;role modeling self-care practices motivated and benefitted others.Conclusion The model implementation assisted the registered nurses’in developing self-awareness and resilience.They gained more knowledge regarding self-care,and the model encouraged them to implement improved self-care practices.They became role models of self-care and motivated their friends and families.

Nursing students'knowledge,willingness,and attitudes toward the first aid behavior as bystanders in traffic accident trauma:A cross-sectional survey

Objectives:The purpose of the study was to investigate the nursing students'levels of the knowledge,willingness,and attitudes toward first aid behavior as bystanders in road traffic accident and the related factors.Methods:A total of 475 nursing students were recruited by convenience choosing in Tianjin University of Traditional Chinese Medicine.The nursing students'self-efficacy,core self-evaluation,knowledge,willingness and attitudes toward first aid behavior as bystanders in traffic accidents were investigated with a self-designed questionnaire.Results:The scores of knowledge,willingness,and attitudes toward first aid behavior in traffic accident trauma were 7.51±1.93,15.54±5.03,and 7.73±1.56,respectively.Students who once gained training of first aid showed lower levels of attitude toward first aid behavior than those untrained(t=-2.345,P=0.019).It was found that self-efficacy was correlated to the knowledge(r=0.150,P<0.001),willingness(r=0.182,P<0.004)and attitudes toward behavior of the first aid(r=0.371,P<0.001)among nursing students.Core self-evaluation was correlated to knowledge(r=0.193,P<0.001)and attitudes toward behavior of the first aid(r=0.199,P<0.001).Conclusions:The first aid knowledge among nursing students was not satisfactory.The study suggested that an unsustainable short first-aid training program may bring negative effects.Countermeasures should be taken to ensure both quality and continuity of first aid training.Meanwhile,more attention should be paid to improving the self-efficacy and core self-evaluation of the nursing students.

Psychometric properties and characteristics of the Diabetes Self Management Scale

Objective:Assessing diabetes self care management is essential for nursing care for diabetes.There is a need to have valid and reliable scales that assess the actual performance of diabetes self management,The purpose of this study was to revise and conduct psychometric testing and analysis of the Diabetes Self Management Scale(DSMS).Methods:A cross-sectional methodological design was used.A convenience sample was used and 78 adults with diabetes and taking insulin from five sites in the Midwest area of the U.S participated in the study.Reliability analysis was done using Ferketich techniques to make decisions about whether any given item should be retained or deleted.Results:A descriptive analysis for the 60 items of the scale was conducted;several items had low variability compared to the other items on the scale.The correlation matrices showed that a total of 20 items had poor item characteristics.These 20 items were deleted resulting in developing 40-item version of the scale.The 40-item scale had high level of internal consistency(Cronbach'sα=0.947).The validity testing of the 40-item scale was guided by the Research Model for Diabetes Self Care Management;results were congruent with the model and showed strong correlation with self efficacy,moderate correlation with self care agency,and weak correlation with diabetes knowledge.Conclusion:The items and the scale(DSMS)have undergone careful psychometric testing.The 40-item DSMS is a reliable and valid instrument to measure diabetes self care management among people with diabetes.

The Bird Coming out of the Cage： Edna＇s Awakening in The Awakening

The Awakening was Kate Chopin＇s masterpiece, describing a wealthy businessman＇s wife--Edna＇s confusion, awakening, pursuit, and suffocation of self-awareness in the South of America in the late 19th century. With the method of close reading in new criticism, this paper reinterprets Edna＇s awakening process. Her awakening process is accompanied by the symbolic image of ＂bird＂, representing women＇s situation in the patriarchal society and carrying Edna＇s hope for freedom, love, and self-realization. The application of bird＇s symbolic image reflects Kate Chopin＇s compassion for women in the patriarchal society, making the novel more appealing with its profound humanitarian connotations.

Questioning to Hesitation rather than Hesitating to Question： A Pragmatic Hermeneutic Perspective on Educational Inquiry

Utilizing arguments imbedded in the pragmatist and hermeneutic traditions, the conclusion emerges that genuinely understanding opposing points of view requires a penetrating and sustained questioning process that finds relief only when the justificatory background material of the other nibbles at the certainty of one＇s own position. The implications of the edict that one ought to question to hesitation are then explored, namely, that （1） it suggests what kind of questioning is the right kind of qteestioning, （2） it suggests a redefinition of what counts as ＂respect for persons,＂ and （3） it challenges the common assumption that the efficacy of communal inquiry is self-fulfilling and self-regulating, and suggests, by contrast, that facilitators ought to be far more prepared to engage in questioning to hesitation.

The psychological tale of Lord Jim

The present thesis takes Joseph Conrad＇s best-known novel, Lord Jim as a text of analysis to explore its themes that are the ambiguous nature of good and evil, the importance and fragility of ideals, the isolation of the individual, and the threat of disaster and failure that looms behind the calm surface of every day. It focuses on the psychological process of the protagonist, Jim, by employing Freud＇s psychoanalysis to solve the puzzle surrounding Jim.

A Phenomenological Understanding of Digital Processes of Subjectification： The Example of Lifelogging

By lifelogging, we understand a specific, very recent phenomenon of digital technology, which falls within the range of practices of the quantified self. It is a complex form of self-management through self-monitoring and self-tracking practices, which combines the use of wearable computers for measuring psycho-physical performances through specific apps for the processing, selecting and describing of the data collected, possibly in combination with video recordings. Given that lifelogging is becoming increasingly widespread in technologically advanced societies and that practices related to it are becoming part of most people＇s everyday lives, it is more important than ever to gain an understanding of the phenomenon. In this paper, I am interested in particular in exploring the issue of the transformations in the perception, comprehension, and construction of self, and hence in subjectification practices, deriving from the new digital technologies, and especially lifelogging.

Turkish validity and reliability of the Diabetes Self-Efficacy Scale

Purpose:The aim of this methodological study was to determine the validity and reliability of the Diabetes Self-Efficacy Scale adapted to the Turkish community.Methods:The study sample was completed with 319 patients who had been diagnosed at least 1 year before and hospitalized in the Malatya Turgut Ozal Health Center and Malatya State Hospital in Turkey.A questionnaire that consists of items on sociodemographic characteristics,drug use and information about the disease of patients and the Diabetes Self-Efficacy Scale were used for data collection in the study.In reliability analysis of the scale,the Cronbach'sαcoefficient was calculated and item analysis method was utilized.Factor analysis was used for the construct validity,and Principal Component Analysis and Varimax Rotation method were used for analyzing the factor structures.Results:According to data obtained in the study,item-total correlation of the items of the scale was found to be at an adequate level(0.297-0.803).The scale's Cronbach'sαreliability coefficient was found to be 0.86,and there was one factor that explains 52.38%of the total variance with an eigenvalue was greater than 1.0.As a result of the analysis,the factor loadings of the items of the scale were found to bebetween 0.59 and 0.81.Conclusion:Diabetes Self-Efficacy Scale is a valid and reliable instrument for determining the self-efficacy of patients and providing a proper care.It can be suggested to investigate and evaluate the consistency of the scale by applying it to broader sample groups representing different socioeconomic levels.

目光的叙事:“主体化观看”的可能性

本文继续笔者的影像美学研究思路,以现象学方法考察以看与被看为基本结构的"电影化"叙事。其特征就是藉影像构建动态延展的"目光的叙事",并以"主体化的观看"为影像审美宗旨。在看与被看的普遍性结构的基础上,电影艺术家还能创造出各种特殊的"主体化观看"的可能性。

SELF-CONCEPT AND ITS CORRELATION WITH ENGLISH STUDY

Self-concept is an important theory in psycholinguistics,meaningful not only to the development of psychological health,but also to English study.This thesis,based on experiments,analyzes the correlation between self-concept and English study.The comparisons include self-concept and English listening,self- concept and English speaking,self-concept and English reading,and self-concept and English writing. Emphasis is especially put on the comparison between self-concept and English speaking.By recorded spoken English test,scores are given first according to the evaluation of College English Test Spoken English Test. Then,the voice is processed through PRAAT.Finally,Spoken English Test scores and result of voice analysis are analyzed by SPSS.The experiment results show that those who score high in Self-concept Test have better achievement than others in English listening,speaking,reading and writing.In other words,self-concept corresponds to English performance.

The Effects of Positive Self-evaluation on Senior High School Students' English Writing Performance and Writing Self-efficacy

This study examined the effectiveness of positive self-evaluation used as an intervention to cultivate students＇ English writing self-efficacy and improve their writing performance. Multiple sources of data were collected from 90 students of grade 10 at a high school in Beijing, including the pretest and posttest writings, writing self-efficacy questionnaires, interviews, and follow-up questionnaires over one semester. Data analyses showed that the experimental group excelled the control group in writing performance and became more confident in writing at the end of positive self-evaluation practices. This study also found that writing self-efficacy and writing performance were positively related. The students with high writing self-efficacy tended to perform better in their writing than those with low writing self-efficacy.

Understanding Interaction Inside and Outside the EFL Self-Concept System: A Case Study of Chinese Learners in Junior High School

This case study on three Chinese EFL learners in junior high school examined the interaction inside and outside learners＇ EFL self-concept system, and the findings revealed： （1） inside the self-concept system, the interaction between the global and specific self-concepts is of much complexity; （2） the gap between the global and specific self-concepts would cause imbalance in the self-concept system, and thus trigger efforts to improve learning, while some reconciling elements in the global self-concept may sustain balance in the self-concept system, inhibiting learners＇ motivation to improve; and （3） the degree of specificity of learners＇ specific self- concepts that inform learners＇ learning efforts contributes considerably to the outcome of these efforts, as does that of learners＇ beliefs about EFL learning which mediate the learning efforts.

Intrinsic and Extrinsic Value for English Learning: Mediation Effects of SelfEfficacy in Chinese EFL Context

The present study examined how students＇ intrinsic and extrinsic value promotes their foreign language proficiency via the mediation effect of self-efficacy beliefs. A total of 1,036 Chinese eighth graders answered an English proficiency test and questionnaires assessing motivational beliefs. Structural equation modelling results with bootstrapping procedures revealed that intrinsic value can directly and indirectly influence foreign language proficiency via partial mediation effect of self-efficacy while extrinsic value can only directly influence foreign language proficiency with a small magnitude. Moreover, there is no gender difference in the mediation model. Our findings suggested that intrinsic value can help students improve foreign language proficiency by improving their self-efficacy beliefs. The findings contribute to the documents of self-determination theory and hold substantive theoretical and practical implications for foreign language teachers.

A Comparison of the L2 Motivational Self System Between Chinese EFL and ESL Learners

This present study attempts to conduct a comparison of the tripartite model of L2 Motivational Self System in two different learning contexts, Chinese EFL and ESL learning settings. It was designed using a mixed methods approach, with a primary questionnaire instrument being supported by secondary interview data. The quantitative data was submitted to Amos version 18.0 to evaluate proposed models. It was found that L2 learning experience was the most important predictive dimension of intended learning effort for both samples. However, the roles of the other two components, the ideal L2 self and the ought-to L2 self, appeared to be unstable, which concludes that D6rnyei＇s tripartite model obtained partial support in both EFL and ESL contexts. The analysis of qualitative data offers strong evidence for the claim that the future self-guides do not necessarily result in intended effort unless some essential conditions are met.