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Background: Living in poverty negatively affects the biopsychosocial health of older adults. Nursing students need to develop competence to promote health and self-care behaviours amongst older adults living in poverty in high-income countries. Aim: To explore nursing students' perceptions of a service learning programme aimed at promoting health and self-care among older adults living in poverty in a high-income country. Methods: A descriptive qualitative study was conducted with 37 nursing students recruited from a university in Southeastern Spain. Participants completed a service learning programme in which they conducted preventive home visits to older adults living in poverty. Data were collected through in-depth interviews and analysed using a reflexive thematic analysis. Results: Three key themes were developed: (1) service learning as a different way of learning, (2) as an active learning approach to bridge the theory–practice gap, and (3) to provide insight into an unknown side of nursing. Conclusions: By providing opportunities for active, experiential learning in real-world contexts, service learning was perceived by the nursing students as a methodology that helps to bridge the gap between theory and practice. Participating in a service learning programme with older adults living in poverty not only fosters emotional engagement, reflective practice, and the development of essential non-technical skills in nursing students, but it also prepares them to advocate for older adults living in poverty in a high-income country. [ABSTRACT FROM AUTHOR]

Objective: To develop and psychometrically evaluate a questionnaire to assess attitudes towards invisible gender‐based violence (Q‐AIGV). Background: Invisible gender‐based violence is defined as discriminatory attitudes and beliefs towards women that are culturally accepted and normalised in society. Methodology: This is a cross‐sectional descriptive observational study. The development of the initial version of the questionnaire, a pilot study (N = 63) and a final validation study (N = 1264) were carried out. Reliability, validity, stability and readability were tested. Results: Exploratory factor analysis revealed that the Q‐AIGV is composed of 15 items distributed in three factors. Known‐groups analysis detected significant differences in two groups with different characteristics (age and relationship duration). Criterion validity indicated the existence of a moderate and significant correlation (r = 0.469; p < 0.001) between the mean score of the Q‐AIGV and the 'Scale of Attitudes towards Gender‐based Violence'. The Q‐AIGV's content validity index (CVI‐t = 0.96) and internal consistency (α = 0.906) were excellent. Conclusion: The Q‐AIGV showed very good results for reliability, validity, stability and readability. This suggests that the Q‐AIGV could be a good tool for assessing attitudes towards invisible gender‐based violence. [ABSTRACT FROM AUTHOR]

Aim: To psychometrically assess the Spanish version of the Self‐Care of Chronic Illness Inventory (SC‐CII‐Sp) in community‐dwelling older adults with chronic multimorbidity. Design: A methodological study. Method: A total of 1260 older adults participated in the study between May 2020 and February 2022. The data were analysed using SPSS Statistics® 26 and AMOS® 24. The items' content validity index and the Fleiss' kappa were calculated to assess the SC‐CII‐Sp's content validity. Convergent validity was assessed by calculating the Pearson correlation coefficient between the participants' scores on the SC‐CII‐Sp and their scores on the Spanish Chronic Disease Self‐Efficacy scale (SCD‐SE). Construct validity was tested by performing a confirmatory factor analysis (CFA). The SC‐CII‐Sp's reliability was tested by computing the Cronbach's alpha. Results: The SC‐CII‐Sp showed good content and convergent validity. The CFA showed that the SC‐CII‐Sp has three sub‐scales. The 8‐item Self‐Care Maintenance sub‐scale has good internal consistency and is comprised of two dimensions: illness‐related and health‐promoting behaviour. The Self‐Care Monitoring sub‐scale had excellent internal consistency and its five loaded items belonged to a single dimension. The 6‐item Self‐Care Management sub‐scale has adequate internal consistency and two dimensions: autonomous and consulting behaviour. Conclusion: The Spanish version of SC‐CII is a valid and reliable instrument to be used in the assessment of self‐care behaviours amongst Spanish‐speaking, community‐dwelling older adults with chronic multimorbidity. Implications for the Profession: Nurses need valid and reliable tools to assess self‐care behaviours in Spanish‐speaking community‐dwelling older adults with chronic multimorbidity. This study provides a 19‐item tool that allows for the comprehensive evaluation of self‐care behaviours in healthy and ill states. Impact: Using the SC‐CII‐Sp in clinical or research settings could help nurses to examine the effects of different interventions on self‐care behaviours amongst Spanish‐speaking, community‐dwelling older adults with chronic multimorbidity. Patient or Public Contribution: None to be reported. [ABSTRACT FROM AUTHOR]

Background: Loss of personal autonomy in older adults with chronic multimorbidity is associated with worsened biopsychosocial health. In order to facilitate the standardised assessment of personal autonomy in older adults with chronic conditions, nurses could use the Maastricht Personal Autonomy Questionnaire (MPAQ). Objective: To translate, culturally adapt and psychometrically assess the Spanish version of the MPAQ in community‐dwelling older adults with chronic multimorbidity (MPAQ‐Sp). Methods: Observational cross‐sectional study. A convenience sample of 884 community‐dwelling older adults was recruited from 10 community centres in five health districts in southeastern Spain. Data were collected between January 2021 and September 2022. The study was completed in four phases. Phase 1: The MPAQ was translated into Spanish. Phase 2: A pilot test of reliability and content validity was conducted. Phase 3: To test the dimensionality of the tool, an exploratory factor analysis (EFA) was conducted. Phase 4: a final validation study was conducted which included a confirmatory factor analysis (CFA) and assessed the validity (content, criterion and construct), reliability and readability of the MPAQ‐Sp. Results: The average age of the sample was 75.89 years (SD = ±8.04). Their mean number of chronic conditions was 4.84 (SD = ±2.19) and 67% were women. The MPAQ‐Sp is comprised of 16 items distributed in four subscales: [1] the 'Degree of autonomy' scale, [2] the 'Working on autonomy' scale, [3] the 'Dilemmas: health over preferences' scale and [4] the 'Dilemmas: preferences over health' scale. Conclusions: The Spanish version of the MPAQ‐Sp is a valid and reliable instrument to assess personal autonomy in Spanish‐speaking, community‐dwelling older adults with chronic multimorbidity. Implications for Practice: The use of the MPAQ‐Sp would allow researchers and healthcare professionals to identify a loss of personal autonomy among Spanish‐speaking community‐dwelling older adults with chronic multimorbidity. [ABSTRACT FROM AUTHOR]

Low self-efficacy is a barrier to effective nurse prescribing. Therefore, nurses' self-efficacy should be assessed using validated tools. We aimed to develop and psychometrically test the Nurse Prescribing Self-Efficacy Scale (NP-SES). We conducted an observational cross-sectional study with 290 nurses between January and June 2019. We studied the NP-SES' reliability (i.e., internal consistency and temporal stability), validity (i.e., content, criterion, and construct) and legibility. The NP-SES showed good internal consistency (Cronbach's alpha=0.958) and temporal stability (intraclass correlation coefficient=0.783). The NP-SES also showed good content validity (scale's content validity index=0.98) and criterion validity (r =0.75; p<0.001). Construct validity analysis revealed the NP-SES' three-dimensional structure and showed its ability to detect significant differences between nurses with different levels of experience. Our psychometric analysis suggests that the NP-SES is a reliable and valid instrument that could be used to assess nurses' self-efficacy in nurse prescribing. [ABSTRACT FROM AUTHOR]

Aim Design Method Results Conclusion Implications for the Profession and/or Patient Care Impact Reporting Method Patient or Public Contribution To explore the physical activity experiences of community‐dwelling oldest‐old adults with chronic multimorbidity.Descriptive qualitative study.Data collection was conducted through semi‐structured interviews with 19 community‐dwelling oldest‐old adults with chronic multimorbidity. The study was conducted between December 2022 and May 2023. ATLAS.ti software was used for data analysis.Three main themes with their respective sub‐themes and units of meaning were developed from the data analysis: (1) motivational factors for engaging in physical activity; (2) fear of getting hurt during physical activity and (3) confidence in being physically active.Motivation, kinesiophobia and confidence are three core elements that influence the experience of physical activity in oldest‐old adults with chronic multimorbidity. Interventions tailored to meet the needs of the oldest‐old adults are important for promotion and development of active ageing.Nurses and other healthcare professionals should design, implement and evaluate interventions that aim to increase oldest‐old adults' motivation and confidence, while decreasing their fear to engage in physical activity.This study provides insights into the way community‐dwelling oldest‐old adults with chronic multimorbidity experience physical activity in their daily lives. Our findings suggest that motivation, kinesiophobia and confidence are key factors for oldest‐old adults to engage in physical activity. These findings could contribute to the design and implementation of interventions that specifically aim at raising the physical activity levels of community‐dwelling oldest‐old adults with chronic multimorbidity.The study findings are reported according to the COREQ guidelines.No patient or public contribution. [ABSTRACT FROM AUTHOR]