de-Moya-Romero Juan Ramón, Valera-Lloris Raquel, Chover-Sierra Elena, Fernández-Puerta Laura, Caballero-Bonafé Alexis, Martínez-Sabater Antonio
Valencia Clinic Hospital, 46010 Valencia, Spain.
Nursing Department, Faculty of Nursing and Podiatry, University of Valencia, 46010 Valencia, Spain.
Clin Pract. 2025 Jun 16;15(6):111. doi: 10.3390/clinpract15060111.
Oral anticoagulant therapy (OAT) has been prescribed for over seventy years to prevent thromboembolic complications associated with various conditions. The emergence of direct-acting oral anticoagulants (DOACs) has reduced the use of vitamin K antagonists (VKAs), but specific clinical scenarios still necessitate VKAs. Nurses play a crucial role in managing OAT, and their self-efficacy is essential for optimal patient outcomes. This study aims to validate and adapt the Nursing Self-Efficacy for Oral Anticoagulant Therapy Management (SE-OAM) questionnaire to Spanish (SE-OAM-SV) to assess nurses' self-efficacy in managing OAT. A methodological design was employed to develop the validity and reliability of the SE-OAM-SV. The process included translation and back-translation, expert review, and a pilot study. Content validity was analyzed using the content validity index (CVI), modified kappa coefficient, and Aiken's V. A descriptive cross-sectional study was conducted with 100 nurses across Spain to test the SE-OAM-SV and identify comprehension issues. Internal consistency was assessed via Cronbach's alpha. The translation process highlighted some items requiring clarification, which were resolved through expert consultation. The SE-OAM-SV demonstrated adequate content validity with a global CVI of 0.86. The pilot study revealed an average participant age of 41.3 years and 17.3 years of professional experience. The SE-OAM-SV showed high internal consistency with a Cronbach's alpha of 0.96. The average score of participants on the SE-OAM-SV was 56.8 points, indicating room for improvement in all aspects of the scale. : The SE-OAM-SV is a reliable and valid tool for measuring nurses' self-efficacy in managing OAT in Spanish-speaking communities. This tool can facilitate the development of educational programs and public policies to enhance nurses' self-efficacy and improve patient outcomes. The availability of the SE-OAM-SV supports larger-scale studies and validation in other Spanish-speaking countries.
七十多年来，人们一直采用口服抗凝治疗（OAT）来预防与各种病症相关的血栓栓塞并发症。直接口服抗凝剂（DOACs）的出现减少了维生素K拮抗剂（VKAs）的使用，但在某些特定临床情况下仍需要使用VKAs。护士在OAT管理中起着至关重要的作用，其自我效能对于实现最佳患者治疗效果至关重要。本研究旨在对口服抗凝治疗管理护理自我效能量表（SE-OAM）进行验证和改编，使其适用于西班牙语（SE-OAM-SV），以评估护士在管理OAT方面的自我效能。采用一种方法学设计来确定SE-OAM-SV的有效性和可靠性。该过程包括翻译和回译、专家评审以及一项预试验研究。使用内容效度指数（CVI）、修正卡帕系数和艾肯V来分析内容效度。对西班牙各地的100名护士进行了描述性横断面研究，以测试SE-OAM-SV并识别理解问题。通过克朗巴哈α系数评估内部一致性。翻译过程中突出了一些需要澄清的项目，这些问题通过专家咨询得到了解决。SE-OAM-SV的整体CVI为0.86，显示出足够的内容效度。预试验研究显示，参与者的平均年龄为41.3岁，平均专业经验为17.3年。SE-OAM-SV的克朗巴哈α系数为0.96，显示出较高的内部一致性。参与者在SE-OAM-SV上的平均得分为56.8分，表明该量表在各个方面都有改进的空间。：SE-OAM-SV是一种可靠且有效的工具，可用于衡量西班牙语社区护士在管理OAT方面的自我效能。该工具有助于制定教育计划和公共政策，以提高护士的自我效能并改善患者治疗效果。SE-OAM-SV的可用性支持在其他西班牙语国家进行更大规模的研究和验证。
