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An Evaluation of Psychometric Properties of Needs Assessment Instruments in Patients with Coronary Artery Disease Undergoing Cardiac Rehabilitation Programs: A Systematic Review

2025-05-22T08:10:14Z

Title: An Evaluation of Psychometric Properties of Needs Assessment Instruments in Patients with Coronary Artery Disease Undergoing Cardiac Rehabilitation Programs: A Systematic Review Authors: Zarea, Kourosh; Mohammadi, Eesa; Alteren, Johanne; Sayadi, Neda Abstract: Background: Coronary Artery Disease (CAD) is the foremost reason of illnesses and death in the world. Assessment of the needs is a priority in these patients. However, there is a paucity of tools for the evaluation of needs, with the controversy surrounding their validity. Purpose: This review aimed to evaluate the psychometric properties of tools used to assess needs of patients with CAD undergoing cardiac rehabilitation (CR) plans. Methods: An online literature search combined with manual search was carried out on 11 databases to identify relevant articles. The terms used in the search were: cardiac rehabilitation AND coronary artery disease, cardiac rehabilitation AND acute coronary syndrome, and questionnaires OR need assessment OR tool OR scale. Articles from 1989 to 2021 were selected using some inclusion criteria and no validation studies were excluded. The quality of the questionnaires was evaluated by researchers using consensus-based standards for the selection of health status measurement instruments (COSMIN) list. Data analysis had been done by calculating overall methodological quality scores per study on a measurement property using COSMIN checklist. A methodological quality score per box was obtained by taking the lowest rating of any item in a box (‘worse score counts’). Results: Of 653 articles, 15 papers were involved in the study. Six studies reported cross-cultural validity, nine studies for criterion validity, and none reported measurement error, hypothesis testing, and responsiveness. There is no vigorous and valid single scale for the measurement of needs in CAD patients. Overall, the CADE-Q questionnaire was good and a patient self-assessment tool for cardiac rehabilitation was poor based on psychometric properties. Conclusions: The findings of this study disclosed that even though it has been more than 32 years, from 1989 to 2021, of the development in need assessment instruments, each instrument has as a minimum of one “poor” psychometric property according to the COSMIN checklist. So, it is recommended for the next studies to design and develop instruments with better psychometric validities for clinical environment.

The Use of ICT in Providing HIV Services during the COVID-19 Pandemic: A Qualitative Study among Filipino HIV Volunteers

2025-05-22T08:08:03Z

Title: The Use of ICT in Providing HIV Services during the COVID-19 Pandemic: A Qualitative Study among Filipino HIV Volunteers Authors: Charlize S. Cebedo, Maria; Isabelle U. Dela Cruz, Francesca; Zenen S. Dela Cruz, Louis Abstract: Background: The COVID-19 public health crisis has caused disruptions in the continuum of Human Immunodeficiency Virus (HIV) services. Hence, HIV advocates and care providers must innovate to ensure the health and welfare of people living with HIV (PLHIVs) and other at-risk populations. There is a lack of empirical research that explores the experiences and perspectives of HIV volunteers in adapting to pandemic-related challenges. Purpose: This qualitative study aimed to describe the use of information and communications technology (ICT) in the provision of HIV services of Filipino volunteers during the pandemic. Methods: Qualitative descriptive study design was used, focusing on ICT use for HIV care. Sixteen (16) purposively selected volunteers from three community-based organizations (CBO) were interviewed using a semi-structured guide via videoconference. Inductive qualitative content analysis was used to draw insights from the data. Results: Findings revealed that volunteers used various ICTs such as social media, videoconferencing, dating sites, and online-based courier services to ensure continuity of HIV services. However, volunteers noted challenges in using ICT for HIV services, such as limited access to digital resources, increased work demands, and lack of human connection. Conclusion: Various tools and implementations of ICTs have been used by volunteers to ensure the continuity of services of PLHIVs. This study provides insights to nurses and informaticists in implementing digital technologies in caring for vulnerable clients during outbreaks like COVID-19.

Application of Breathing Exercises Using Ida Jean Orlando’s Dynamic Nurse-Patient Relationship Model in Overcoming Postoperative Hypoxia (POH) after Coronary Artery Bypass Grafting: A Case-Series

2025-05-22T08:06:26Z

Title: Application of Breathing Exercises Using Ida Jean Orlando’s Dynamic Nurse-Patient Relationship Model in Overcoming Postoperative Hypoxia (POH) after Coronary Artery Bypass Grafting: A Case-Series Authors: Fahmi, Ismail; Nurachmah, Elly; Esti Dianingtyas, Hermin; Kamal, Musaddad; Ganefianty, Amelia Abstract: Background: Postoperative hypoxia (POH) is a complication that often occurs in patients after Coronary Artery Bypass Grafting (CABG). Breathing exercises are considered effective in overcoming POH after CABG. However, this intervention has not been implemented using the dynamic nurse-patient relationship model from Ida Jean Orlando. The dynamic nurse-patient relationship model is expected to improve the quality of nursing care after cardiac surgery. Purpose: This study aimed to describe the application of breathing exercises in postoperative hypoxia after CABG using the dynamic nurse-patient relationship model. Methods: This study was the summary of the case presentation along with the interventions on three patients after CABG through the dynamic nurse-patient relationship model approach with the main intervention focusing on breathing exercises. Results: After three days of implementing the intervention, most patients showed improvement in POH. This condition was evidenced by an increase in the PaO2/FiO2 ratio from less than 200 to above 200, with an average increase of 89.3. The blood gas analysis results supported the results from a respiratory alkalosis condition to a normal PH and a PaCO2 value from <35 mmHg to the normal range (35-45 mmHg). Also, X-rays of the patients showed pulmonary atelectasis improvement. Conclusion: Applying breathing exercises in postoperative hypoxia after CABG using the dynamic nurse-patient relationship model can improve POH in post-cardiac surgery patients. We recommend using the model theory approach because this theory can see patients’ psychological and physical changes dynamically in post-CABG patients.

The Challenges of Intensive Care Unit Nurses Caring for COVID-19 Patients in Indonesia: A Qualitative Study

2025-05-22T08:02:40Z

Title: The Challenges of Intensive Care Unit Nurses Caring for COVID-19 Patients in Indonesia: A Qualitative Study Authors: Mailani, Fitri; Muthia, Rahmi; Huriani, Emil; Febri Krisdianto, Boby; Oktarina, Elvi Abstract: Background: After one year of the pandemic, Indonesia experienced a crisis where the addition of COVID-19 cases increased significantly in several big cities; it made the healthcare system collapse, including the intensive care unit (ICU) service for COVID-19. ICU nurses, who are at the frontline of fighting against COVID-19 and defusing this crisis, are faced with various challenges in providing care for COVID-19 patients, and exploring such challenges are significant. Purpose: This study aimed to explore the challenges experienced by Indonesian nurses who work in the ICU caring for COVID-19 patients. Methods: A multi-centered-qualitative study with a descriptive phenomenological design was used. Twenty nurses working in the ICU of COVID-19 in eight COVID-19 referral hospitals in seven major cities in Indonesia were recruited using purposive sampling. Semi-structured individual video call interviews were conducted to collect the data from July-September 2021. Data were analyzed using Colaizzi’s (1978) method. Results: The nurses reported the challenges throughout caring for COVID-19 patients in ICU, which are described in four major themes: (a) working under pressure and moral distress, (b) choosing to do the best, (c) adaptation, learning, and research, and (e) survive physically and mentally healthy. Conclusion: This study describes the challenges experienced by nurses working in ICUs during the COVID-19 crisis, such as working under pressure, facing dilemmas caring for patients, and trying to survive working in inadequate professional conditions. An in-depth understanding of these challenges in the current pandemic can help managers in the hospital to provide psychological support, adequate training for ICU nurses, and high-quality protocols for upcoming emergency scenarios, as well as maximizing resource management (human and material).