约旦护士的心理健康素养：一项横断面研究及量表验证

Mental health literacy among Jordanian nurses: a cross-sectional study and scale validation.

作者信息

Al-Qerem Walid, Jarab Anan, Eberhardt Judith, Alasmari Fawaz, Hammad Alaa, Alfarajat Amani Moh'd Ibrahim, Hour Sarah Abu, Al-Sa'di Lujain, AlKhateeb Rama, Ashran Walaa

机构信息

Department of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, P.O. Box 130, Amman, 11733, Jordan.

College of Pharmacy, Al Ain University, Abu Dhabi, United Arab Emirates.

出版信息

BMC Nurs. 2025 Jul 1;24(1):750. doi: 10.1186/s12912-025-03278-4.

DOI:10.1186/s12912-025-03278-4

PMID:40597087

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12211738/

Abstract

BACKGROUND

Mental health literacy (MHL) is critical for recognizing, managing, and preventing mental health disorders. Despite nurses' pivotal role in patient care, their level of mental health literacy (MHL) in Jordan remains underexplored. This study aimed to assess MHL among Jordanian nurses and validate the Jordanian version of the Mental Health Literacy Scale (Jor-MHLS) for use in healthcare settings.

METHOD

This cross-sectional study was conducted at four major hospitals in Jordan: a university hospital, a military hospital, a governmental hospital, and a private hospital. A convenience sampling method was used to recruit nurses. Participants completed an Arabic version of the 27-item Jor-MHLS, which had been previously validated for the general population. The questionnaire was administered via electronic devices, either using a researcher-provided tablet or participants' own devices. Confirmatory Factor Analysis (CFA) and Rasch analysis were performed to assess the scale's validity and reliability, while quantile regression examined sociodemographic associations with MHL scores.

RESULTS

The study included 429 nurses. The median MHL score was 60 out of 100, indicating moderate literacy levels. Nurses with ≤ 5 years of experience had significantly higher MHL scores than those with > 20 years. CFA validated the four-factor model with satisfactory fit indices (χ²/df = 3.1, RMSEA = 0.07, CFI = 0.92). Rasch analysis confirmed proper item hierarchy and no significant gender-based differential item functioning. Cronbach's α values exceeded 0.70 across all factors, supporting the scale's reliability.

CONCLUSIONS

The findings suggested moderate MHL levels among Jordanian nurses and highlight the need for targeted educational interventions and stigma reduction programs to enhance MHL. The validation of the Jor-MHLS confirmed its utility as a robust tool for assessing MHL in healthcare contexts. Future studies should explore longitudinal interventions to address gaps and improve outcomes.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

心理健康素养（MHL）对于识别、管理和预防心理健康障碍至关重要。尽管护士在患者护理中起着关键作用，但约旦护士的心理健康素养水平仍未得到充分研究。本研究旨在评估约旦护士的心理健康素养，并验证约旦版心理健康素养量表（Jor-MHLS）在医疗环境中的适用性。

方法

本横断面研究在约旦的四家主要医院进行：一家大学医院、一家军事医院、一家政府医院和一家私立医院。采用便利抽样方法招募护士。参与者完成了一份27项的Jor-MHLS阿拉伯语版本，该版本先前已在普通人群中得到验证。问卷通过电子设备发放，使用研究人员提供的平板电脑或参与者自己的设备。进行验证性因子分析（CFA）和拉施分析以评估量表的有效性和可靠性，同时进行分位数回归以研究社会人口学因素与MHL得分之间的关联。

结果

该研究纳入了429名护士。MHL得分中位数为100分中的60分，表明素养水平中等。工作经验≤5年的护士的MHL得分显著高于工作经验>20年的护士。CFA验证了四因素模型，拟合指数令人满意（χ²/df = 3.1，RMSEA = 0.07，CFI = 0.92）。拉施分析证实了项目层次结构合理，且不存在基于性别的显著项目功能差异。所有因子的克朗巴赫α值均超过0.70，支持量表的可靠性。