Spanish Version Research Articles

Assessing the Effectiveness of a Unique Visual Aid in Improving Women's Knowledge of the Hysterectomy Procedure [ID 2683416

INTRODUCTION: This study aims to determine the efficacy of a visual aid in improving women's knowledge of the hysterectomy procedure. Currently, there is a lack of literature that examines evidence-based hysterectomy patient education, and a recent literature review stated that there is a deficit in education surrounding the different hysterectomy treatment options. METHODS: This is IRB study #Pro2021000882. Patients were recruited from the Department of Obstetrics, Gynecology & Reproductive Health at the Ambulatory Care Center at University Hospital in Newark, New Jersey. Participants consented and patient information was de-identified. Participants completed a 28-question pre-test, watched the visual aid in either English or Spanish, and then completed the same 28-question post-test. For both English- and Spanish-speaking participants, the percentage of participants who answered each pre- and post-test question correctly was calculated. Finally, average pre-test scores were compared to average post-test scores for each language. RESULTS: After watching the video, average test scores of English-speaking (N=30) participants increased by 19.76 (95% CI: 10.9, 28.6) percentage points, whereas Spanish-speaking (N=20) participants increased by 28.93 (95% CI: 19.7, 38.1) percentage points. From the 28-question knowledge test, there were 15 questions in the English version and 23 questions in the Spanish version where the percent of respondents who answered that question correctly after watching the video improved by 20 percentage points or greater compared to before watching the video. CONCLUSION: Our preliminary data provide evidence that the hysterectomy visual aid/video we created significantly improves knowledge of the hysterectomy procedure as measured by a validated hysterectomy knowledge quiz.

Shared Decision-making in Breast Cancer Reconstructive Surgery: Experience in a Leading Hospital.

The paradigm of healthcare has evolved toward patient-centered approaches, where shared decision-making (SDM) plays a pivotal role. This study aimed to explore the implementation of SDM during breast cancer reconstruction consultations and assess its impact on patient satisfaction and the decision-making process as a whole. A total of 102 female patients undergoing breast reconstruction were included in a multidisciplinary breast pathology unit. A streamlined SDM model involving choice introduction, option description, and preference exploration was implemented. A validated Spanish version of the nine-item Shared Decision Making Questionnaire was used alongside a complementary questionnaire. Data analysis was carried out using electronic data capture software. The nine-item Shared Decision Making Questionnaire results indicate strong agreement in presenting various options and explaining their advantages and disadvantages. Patients were less confident about their participation in decision-making. The Complementary Shared Decision Making Questionnaire highlighted high satisfaction with interview times and language clarity but areas for improvement in consultation space and therapeutic choice participation. Integrating SDM into breast reconstruction consultations empowers patients in the decision-making process and enhances satisfaction. Decision aids prove effective in this context, facilitating patients' comprehension and reducing decisional conflict. There are areas for improvement within the SDM strategy, and they are detectable through scales. Although challenges in information transmission and patient involvement persist, adopting an SDM model has potential benefits that warrant further investigation.

Evidence of Validity and Reliability for the Spanish Version of the Self-Identified Stage of Recovery.

The Self-Identified Stage of Recovery (SISR) () is a scale used to assess both the stage of recovery (SISR-A) and the components of the process of personal recovery (SISR-B). This study aimed to develop the Spanish version of the SISR and obtain evidence of validity and reliability in a sample of 230 users of community mental health services. The Spanish version of the SISR was developed following the translation-back translation procedure, with the support of a committee of experienced experts. The SISR was examined in terms of dimensional structure, internal consistency, relationships with other variables (i.e., the Maryland Recovery Assessment Scale [MARS-12] and the Dispositional Hope Scale [DHS]), and temporal stability (n = 66). Differential item functioning (DIF) by gender was analysed. The study confirmed the unidimensionality of the SISR-B and suitable internal consistency of its scores (ω = .83, α = .83). Scores from both SISR-A and SISR-B showed good temporal stability and the SISR-B displayed strong correlations with the MARS-12 (rs = .78) and the DHS (rs = .67). No DIF was found. This study supports the validity and reliability of the scores of the Spanish version of the SISR.

Validity and Reliability Evidence and Norms for the Spanish Version of the Sexual Inhibition/Sexual Excitation Scales-Short Form.

The Sexual Inhibition/Sexual Excitation Scales-Short Form (SIS/SES-SF) is a brief instrument for assessing the propensity for sexual excitement and inhibition in men and women. The aim of the present study was to provide evidence for the validity and reliability of the Spanish version of the SIS/SES-SF scores by examining invariance, reliability (information function and internal consistency), the relationship between the scores and sexual functioning, and presenting its standard scores. A total of 2,223 Spanish heterosexuals (43.41% men and 56.59% women) aged 18 to 83 years (M = 39.94, SD = 11.95), distributed across age groups (18-34, 35-49, ≥ 50 years old) participated. The three-factor structure of the Spanish version of SIS/SES-SF showed weak measurement invariance by sex and strict measurement invariance by age. The scores explained the dimensions of sexual functioning, especially sexual arousal and erection/lubrication. In addition, men and women without difficulties in sexual functioning demonstrated more propensity for sexual excitation and less sexual inhibition. The standard scores are presented by sex and age group. The study provides evidence of the validity and reliability of the SIS/SES-SF measures, confirming its usefulness for assessing propensity to sexual excitation and inhibition.

Spanish Adaptation of the Mentalization Questionnaire (MZQ) in Community Adolescents and Adults.

Despite the role of mentalization in mental health outcomes and prevention, psychometrically-evaluated screening measures for mentalization remain sparse. One widely-used mentalization questionnaire is the Mentalization Questionnaire (MZQ; Hausberg et al., 2012), which we aimed to adapt and validate for use in Spanish. We adapted the MZQ to European Spanish and evaluated its psychometric properties in both adolescent (n = 389, ages 12-19, M = 14.5) and adult community samples (n = 382, M = 48). Confirmatory factor analysis resulted in a unidimensional structure including all items. This model had better goodness of fit than the original and other adaptations. Invariance analysis showed the same structure in adolescents compared by sex and age, and additionally in the adult versus adolescent samples. Evidence for convergent and discriminant validity was found. Internal consistency values in both adolescents and parents were fair and in the adolescent sample the MZQ scores remained moderately stable after re-test. The Spanish adaptation of the MZQ presents similar evidence of reliability and validity in the adolescent and adult samples. The results support this being a suitable version for evaluating mentalization in the general population.

Thriving from work questionnaire: Spanish translation and validation

BackgroundThriving from Work is a construct that has been highlighted as an important integrative positive worker well-being indicator that can be used in both research and practice. Recent public discourse emphasizes the important contributions that work should have on workers’ lives in positive and meaningful ways and the importance of valid and reliable instruments to measure worker well-being. The Thriving from Work Questionnaire measures how workers’ experiences of their work and conditions of work contributes in positive ways to their thriving both at and outside of work.MethodsThe purpose of this study was to translate the Thriving from Work Questionnaire from English to Spanish, and then validate the translated questionnaire in a sample of 8,795 finance workers in Peru and Mexico. We used item response theory models replicating methods that were used for the original validation studies. We conducted a differential item functioning analysis to evaluate any differences in the performance of models between Peru and Mexico. We evaluated criterion validity with organizational leadership, flourishing, vitality, community well-being, and worker’s home location socio-economic position.ResultsThe current study demonstrates that the Spanish (Peru/Mexico) questionnaire was found to be a reliable and valid measure of workers’ thriving from work. One item was dropped from the long-form version of the original U.S. questionnaire. Both the long and short form versions of the questionnaire had similar psychometric properties. Empirical reliability was high. Criterion validity was established as hypothesized relationships between constructs was supported. There were no differences in the performance of the model between countries suggesting utility across Latin American countries.ConclusionsThe current study demonstrated that the Spanish (Peru and Mexico) version of the questionnaire is both a reliable and valid measure of worker well-being in Latin America. Specific recommendations are made for the adaptation of the questionnaire and directions of future research.

Plurilingual Perspectives, Pluricultural Contexts

The present article is concerned with the multilingual news coverage from Agence-France Presse (AFP) about the South American country of Bolivia. Firstly, the theoretical and methodological approaches are outlined in order to characterise the plurality of contexts giving rise to AFP’s coverage of the Bolivian 2020 general elections. Secondly, an analysis is proposed that contrasts these multilingual versions in terms of framing devices and translation shifts, aiming at exploring the ways in which media stakeholders represent the Bolivian reality. Thirdly, the findings of this analysis are contextualised with reference to a cross-linguistic comparison of newspaper corpora. When comparing the Spanish, French, and English versions, the first two are found to be more aligned at the level of discourse patterns. The ultimate purpose of this case-study is to observe the presence of translation in plurilingual news settings, where the role of translators often goes unacknowledged within

Assessing the Psychometric Properties of the Functional Analytic Psychotherapy Intimacy Scale (FAPIS) in a Spanish-Speaking Population

Intimacy is an interpersonal repertoire related to physical and behavioral health indicators. Functional analytic psychotherapy (FAP) is a behavioral intervention that has demonstrated utility in improving intimacy repertoires, particularly in experimental single-case designs. The FAP Intimacy Scale (FAPIS) was developed with the aim of using a theoretically sound measure to evaluate FAP effects on a large scale. This study sought to culturally adapt and validate the FAPIS for Spanish-speaking populations. A total sample of 509 Spanish-speaking participants completed the survey. Exploratory and confirmatory factor analyses were conducted to examine FAPIS psychometric properties. A network analysis was also performed to assess the relation among scale factors. As expected, the FAPIS Spanish version demonstrated a good fit, meeting the same three-factor structure as the original version. Network loading along three factors was also found, and item 3 was identified as the most central item in the scale. Low and negative correlations among FAPIS, experiential avoidance, emotional sensitivity, and social impact were found. Findings showed that FAPIS is a valid and reliable measure for assessing intimacy in Spanish-speaking populations.

Psychometric properties of the Spanish version of the functionality appreciation scale

BackgroundThe Functionality Appreciation Scale is a 7-item measure of an individual’s appreciation of his or her body for what it can do and is capable of doing. While this instrument has been increasingly used in intervention-based research, its psychometric properties have not been extensively studied in non-English-speaking populations. The psychometric properties of a novel Spanish translation of the FAS were examined.MethodsAn online sample of 838 Spanish adults (mean age = 31.79 ± 11.95 years, 50.48% men) completed the Spanish FAS and validated measures of body appreciation, eating disorder symptomatology, intuitive eating, and life satisfaction.ResultsExploratory factor analysis supported a 1-dimensional factor structure of the FAS, which was further supported by confirmatory factor analysis (SBχ²(14) = 83.82, SBχ²normed = 1.48, robust RMSEA = 0.094 (90% CI = 0.074, 0.115), SRMR = 0.040, robust CFI = 0.946, robust TLI = 0.924). Invariance across genders was shown, and there were no significant differences according to gender (t(417) = 0.77, p =.444, d = 0.07). Construct validity was also supported through significant associations with the other measures of the study. Incremental validity was established in women. Thus, appreciation of functionality predicted life satisfaction over and above the variance accounted for by other body image and eating disorder-related measures (F(4, 399) = 18.86, p <.001, ΔR2 = 0.03).ConclusionsThese results support the psychometric properties of the Spanish FAS and demonstrate the importance of the appreciation of functionality in relation to a healthier body image and psychological wellbeing.

Clinical decision making: validation of the nursing anxiety and self-confidence with clinical decision making scale (NASC-CDM ©) into Spanish and comparative cross-sectional study in nursing students

BackgroundDecision making is a pivotal component of nursing education worldwide. This study aimed to accomplish objectives: (1) Cross-cultural adaptation and psychometric validation of the Nursing Anxiety and Self-Confidence with Clinical Decision Making (NASC-CDM©) scale from English to Spanish; (2) Comparison of nursing student groups by academic years; and (3) Analysis of the impact of work experience on decision making.MethodsCross-sectional comparative study. A convenience sample comprising 301 nursing students was included. Cultural adaptation and validation involved a rigorous process encompassing translation, back-translation, expert consultation, pilot testing, and psychometric evaluation of reliability and statistical validity. The NASC-CDM© scale consists of two subscales: self-confidence and anxiety, and 3 dimensions: D1 (Using resources to gather information and listening fully), D2 (Using information to see the big picture), and D3 (Knowing and acting). To assess variations in self-confidence and anxiety among students, the study employed the following tests: Analysis of Variance tests, homogeneity of variance, and Levene’s correction with Tukey’s post hoc analysis.ResultsValidation showed high internal consistency reliability for both scales: Cronbach’s α = 0.920 and Guttman’s λ2 = 0.923 (M = 111.32, SD = 17.07) for self-confidence, and α = 0.940 and λ2 = 0.942 (M = 80.44, SD = 21.67) for anxiety; and comparative fit index (CFI) of: 0.981 for self-confidence and 0.997 for anxiety. The results revealed a significant and gradual increase in students’ self-confidence (p =.049) as they progressed through the courses, particularly in D2 and D3. Conversely, anxiety was high in the 1st year (M = 81.71, SD = 18.90) and increased in the 3rd year (M = 86.32, SD = 26.38), and significantly decreased only in D3. Work experience positively influenced self-confidence in D2 and D3 but had no effect on anxiety.ConclusionThe Spanish version (NASC-CDM-S©) was confirmed as a valid, sensitive, and reliable instrument, maintaining structural equivalence with the original English version. While the students’ self-confidence increased throughout their training, their levels of anxiety varied. Nevertheless, these findings underscored shortcomings in assessing and identifying patient problems.

Determination of Water Quality of Susurluk Stream, Çapraz Stream and Karadere Using Macrobenthic Invertebrates and Biotic Indexes

In order to determine the water quality of Susurluk Stream, Çapraz Stream and Karadere, 5207 macrobenthos samples were collected and examined from 14 different stations in two different periods of 2021, and 37 families (Baetidae, Caenidae, Corixidae, Gerridae, Naucoridae, Nepidae, Hydrometridae, Pleidae, Mesovelidae, Coenagrionidae, Libellulidae, Calopterygidae, Cordulegasteridae, Gomphidae, Chironomidae, Stratiomyidae, Sciomyzidae, Ceratopogonidae, Simulidae, Hydropsychidae, Erpobdellidae, Glossiphonidae, Asellidae, Gammaridae, Physidae, Lymnaeidae, Melanopsidae, Planorbidae, Hydrobiidae, Viviparidae, Dytiscidae, Hydrophilidae, Hygrobiidae, Haliplidae, Curculionidae, Noteridae ve Unionidae) belonging to 15 orders were identified. In order to assess water quality, BMWP Original, BMWP Turkish, BMWP Spanish, and ASPT biotic indices were employed. Index results were determined for each station during the first and second periods. Based on these results, five different water quality categories were calculated. Additionally, it was revealed that the Spanish version of the BMWP index can also be utilized in biotic index studies conducted in Turkey.

Oral Health-Related Quality of Life in a Paediatric Population in the Dominican Republic.

Introduction: During the summer of 2019 and within the framework of a social dentistry program carried out in the low-income town of San Francisco de Macorís (Dominican Republic), a descriptive study was carried out on oral health-related quality of life (OHRQoL), aiming to find out the oral health status of a population of children in the aforementioned Dominican city. Objective: The aim of this study was to describe the oral health status of a child population and its relationship with the quality of life perceived by these children in the aforementioned population of San Francisco de Macorís in order to develop an specific oral health program taking into account not only the existing oral health status but also the perceptions and feelings of the child population in this regard. Method: A descriptive cross-sectional study was carried out on a representative sample of children who were examined on their oral health status, following WHO guidelines, by professionals from the University of Seville (Spain) together with professionals from private practice (USA) and students from the Universidad Católica Nordestana (UCNE, Dominican Republic). Likewise, the children's parents voluntarily completed the Oral Quality of Life questionnaire COHIP-19 in its culturally adapted Spanish version. Results: For this purpose, 94 children with a mean age of 10.34 (SD 3.38) were observed in our study following WHO recommendations for oral health studies and evaluating OHQoL using the specific questionnaire validated in Spanish COHIP-19 in its short format (SF). The results show a state of oral health with a significant prevalence of caries (80.9%) and a DMFT of 1.70 (SD 1.90). The OHQoL perceived by these children shows that pain, bad breath or feeling sad because of the condition of their teeth were the factors with the worst evaluation score. Conclusions: The conclusion that mainly emerges from this study is that caries continues to be the main problem to be solved (more than other variables studied, such as malocclusion or fluorosis), and this ailment also causes pain, dysfunction, and bad breath and is therefore perceived as a problem to be solved in the children of this Dominican city.

Incidencia de dermatitis asociada a la incontinencia en neonatos hospitalizados. Adaptación y validación de una escala de gravedad

IntroductionUp to 60% of hospitalised neonates may develop incontinence-associated dermatitis (IAD). Our aim was to adapt the Clinical Evaluation Scale for Characterization of the Severity of Diaper Dermatitis to the Spanish population and to find out the nationwide frequency of IAD in hospitalized neonates. MethodsCross-cultural adaptation and assessment of content validity of the scale. We carried out a prospective, multicentre observational study of the incidence of nappy rash in postnatal wards and neonatal intensive care units in 6 Spanish hospitals. ResultsWe obtained a content validity index of 0.869 for the total scale (95%CI: 0.742-0.939). The sample included 196 neonates. The cumulative incidence of IAD was 32.1% (9.1% mild-moderate, 8% moderate and 1.6% severe). The incidence rate was 2.2 IAD cases per 100 patient days. A stool pH of less than 5.5, a greater number of bowel movements a day, a greater daily urine output and the use of oral drugs were among the factors associated with the development of IAD. ConclusionThe Spanish version of the Clinical Evaluation Scale for Characterization of the Severity of Diaper Dermatitis had an adequate content validity for the assessment of DAI in the hospitalised neonatal population. Mixed feeding, treatment with oral drugs and the use of medical devices in the perianal area were associated with an increased risk of nappy dermatitis in infants.

Psychometric Properties of the Spanish Version of the Cognitive Flexibility Inventory

Psychometric Properties of the Spanish Version of the Cognitive Flexibility Inventory

A revision of the South American species of the cleptoparasitic bee genus Triepeolus Robertson, 1901 (Hymenoptera: Apidae)

The cleptoparasitic bee genus Triepeolus Robertson, 1901 (Hymenoptera: Apidae) is revised for species occurring in South America. A total of nine species are confirmed from the continent, of which T. tuberculifer Onuferko, Rightmyer &amp; Roig-Alsina sp. nov. is newly described. Four new synonymies are proposed: T. aguilari Moure, 1955 syn. nov. and T. megadelphus Cockerell, 1914 syn. nov. under T. buchwaldi (Friese, 1908); T. bilineatus Cockerell, 1949 syn. nov. under T. flavipennis (Friese, 1916); and Epeolus merus Brèthes, 1909 syn. nov. under T. nemoralis (Holmberg, 1886). Males of T. alvarengai Moure, 1955 and T. rufotegularis (Ashmead, 1900) and females of T. atoconganus Moure, 1955 and T. cecilyae Packer, 2016 are described for the first time. Lectotypes are designated for the following (all originally described under Epeolus Latreille, 1802 but now recognized as Triepeolus): E. buchwaldi, E. flavipennis, E. osiriformis Schrottky, 1910 and its junior synonym E. luteipes Friese, 1916, and E. rufotegularis. Diagnoses and complete descriptions/redescriptions are provided for all species, along with a fully illustrated dichotomous identification key (with Portuguese and Spanish versions available as supplementary material) to distinguish them based on external morphological features. Additionally, known collection records and information about the ecology of the treated species are presented.

Concurrent Validity of the PHQ-9 in English and Spanish

Depression in the United States remains undertreated because of poor screening, resulting in half of the adult patients not diagnosed with major depression. There are barriers that lead to poor screening for depression, including language, availability of appropriate devices, and ease of use of a validated instrument for screening. The Patient Health Assessment Questionnaire – 9 (PHQ-9) is recommended for screening in primary care; it has been found to be effective and easy-to-use screening device and validated for this purpose, but only in English. Purpose: A quantitative correlational study to demonstrate the concurrent validity of the Spanish PHQ-9 with the English PHQ-9 in screening for depression in Spanish-speaking patients. Method: The study included a cohort of 10 primary care clinics in Dallas/Fort Worth, TX, which during a 6-week period collected data from 397 participants who were bilingual (read and write) in both English and Spanish. This was a quantitative correlational study using Intraclass Correlation Coefficient (ICC) analysis for this study; the researchers examined the concurrent validity of the Spanish version of the PHQ-9 for screening for depression as compared to the English version of the PHQ-9 item by item (paired items), comparing total scores and provisional diagnosis scores. Results: The Spanish version of the PHQ-9 compared to the English version of the PHQ-9 had an ICC [&gt;.9]. For each paired item an ICC [.970], for paired items total scores an ICC [.992], and for paired items provisional diagnosis scores of depression [.981]. Conclusions: The results demonstrated the translated psychometrics of the English PHQ-9 into Spanish are retained and the use of the Spanish version of the PHQ-9 is a valid instrument for assessing depressive symptoms in patients.

Psychometric Properties of a Short Academic Motivation Scale (SAMS) in Medical Students.

Background: Medical education represents a complex field of study, influenced by various psychological, demographic, and contextual factors. Academic motivation, essential for educational success, has been linked to critical decisions in medical careers and can be modulated by contextual elements such as socioeconomic and geographical environments. The theory of self-determination has provided a solid framework for understanding the multidimensional nature of motivation. Objective: To evaluate the psychometric properties of a Spanish version of the Short Scale of Academic Motivation among Peruvian medical students. Methods: Using an instrumental design, the factorial structure, reliability, and gender invariance of the SAMS-S were assessed. A confirmatory factor analysis (CFA) was conducted to validate the scale's structure based on seven dimensions. Additionally, reliability was assessed through Cronbach's alpha coefficient and omega coefficient, and gender invariance was determined through multi-group confirmatory factor analysis. Results: The Peruvian version of the SAMS-S showed a good fit in the CFA with satisfactory goodness-of-fit indices. However, challenges in discriminant validity among certain dimensions were detected, suggesting the presence of a second-order factor. The proposed second-order model yielded an adequate fit (χ2 = 198.26, df = 70, CFI = 0.92, TLI = 0.90, RMSEA = 0.08 [90% CI: 0.07-0.1], SRMR = 0.07), validating the factorial structure of the SAMS-S. The scale's reliability and its subscales were within acceptable ranges. Furthermore, the gender invariance of the SAMS-S was confirmed at all levels, from configural to strict. Conclusions: The second-order model of the SAMS-S presents as a valid and reliable tool for measuring academic motivation among medical students in Peru. Its robustness and adaptability make it relevant for future research in similar educational contexts and can serve as a basis for interventions aimed at improving academic motivation in this specific group.

Quality Improvement Initiative: Utilization of Video Postoperative Instructions in Breast Reduction Enhances Patient Experience

Abstract Goals/Purpose The current standard of care for providing postoperative instructions to patients undergoing elective, ambulatory surgeries often falls short in efficiency, clarity, and patient-centeredness. Patients are given a single set of written instructions at the time of discharge after their surgery, which often leads to confusion and increased reliance on phone calls, urgent clinic appointments, and even unnecessary visits to the emergency department. Recognizing this, we propose a quality improvement initiative to enhance postoperative instructions for breast reduction patients through a video format. Methods/Technique With institutional IRB approval, all adult patients undergoing bilateral breast reduction (CPT 19318) at an urban academic hospital were included over a 3-month period. A 2-minute video with standardized narrative instructions and visual aids was created. Patients viewed the video during the preoperative visit, and a QR code link to the video was provided in the visit summary on the day of surgery. A Spanish version of the video was available if a Spanish interpreter was used during informed consent. The number of phone calls and emergency department visits within 30 days were recorded and compared to a cohort of patients before this intervention. Qualitative surveys were administered pre- and post-operatively to collect patient feedback. Results/Complications During the study period, 59 patients received breast reduction surgery and were given the standardized video instructions pre- and post-operatively (video group). In comparison, 75 breast reduction patients from the prior 3 months, who received nonstandardized, written instructions post-operatively, served as the control group. In the video group, 47% of patients (28 out of 59) made at least one phone call to the clinic, averaging 0.7 calls per patient, while 56% of the control group patients (42 out of 75) made at least one phone call, averaging 1.1 calls per patient. Categorizing reasons for the calls, there was a significantly higher proportion of calls related to wound dehiscence or minor drainage in the video group (41%) compared to the control group (22%; p=0.03). This shift may be attributed to a reduction in routine postoperative care questions due to the clarity provided by the video instructions (FIGURE1). There were 4 unnecessary emergency department visits within 30 days post-surgery in the study period, slightly decreased from the control period's 6 visits (after excluding 1 visit with the patient diagnosed with pulmonary embolism); however, the difference was not statistically significant. Fifteen patients who received the video instruction completed a survey, with 80% rating the video as very helpful, and 80% were able to access the QR code without assistance. These patients scored an average of 81 out of 100 on satisfaction with information measured using the BREAST-Q module after receiving the video instruction. There was no difference in complication between the two groups of patients. Conclusion Video instruction proves to be a viable format for patient education and postoperative instruction, offering consistency, multilingual support, and enhanced learning through visual aids. Patient acceptance is high, indicating good baseline digital literacy and encouraging the use of this technology among surgery providers.

Impact of occupational stress on nursing professionals who provide hospital care

Introduction: One of the factors such as excessive working hours in nursing professionals poses a risk to their professional health, likely affecting the quality and productivity of the service provided. Objective: To determine the impact of job stress on part-time nursing professionals at the Technical University of Ambato. Methodology: A descriptive, non-experimental cross-sectional study was conducted. A survey was administered using the Spanish version of the Nursing Stress Scale (NSS) during July 2023. All part-time nursing staff working at the Technical University of Ambato as clinical instructors (n=50) were included. Data such as age and hospital work service were considered. Full-time nursing staff were excluded. Results: The surveyed nursing professionals predominated in services such as Operating Room 18% (n=9), Emergency 12% (n=6), Neonatology 12% (n=6), and Surgical Hospitalization 10% (n=5), with an average age of 38.6 years (Min 24 - Max 59). Regarding the determination of job stress based on evaluated stressors, scores characterized as "sometimes" predominated with 54% (n=27), followed by "never" with 26% (n=13), "frequently" with 16% (n=8), and finally "very frequently" with 4% (n=2). Conclusion: Stress related to disagreement with a patient's treatment was found to have a significant impact on the job stress of nursing professionals. Keywords: Job Stress, Nursing, Health Impact Assessment.

Cross-national examination of the Distress Tolerance Scale using Rasch methodology

The 15-item Distress Tolerance Scale (DTS) is a widely used psychometric measure with evidence generally supporting its reliability and validity. However, limitations related to its ordinal response format and lack of cross-cultural comparisons have yet to be investigated using appropriate methods. The Partial Credit Rasch model was used to evaluate and enhance the psychometric properties of the DTS using responses from 2550 adult participants from the United States of America (USA), England, Canada, South Africa, Spain, and Argentina. The initial poor fit of the DTS to the Rasch model was improved by removing one item and combining locally dependent items into three testlets. These modifications resulted in the best fit of the 14-item DTS to the Rasch model for all the countries in our study, providing evidence of unidimensionality, high reliability and invariance across countries, meditation practice, and gender. Meeting the expectations of the Rasch model permitted the development of ordinal-to-interval conversion algorithms derived from person estimates of the Rasch model. Using the ordinal-to-interval conversion algorithms published in this article, ordinal DTS scores can be transformed into interval-level data, enhancing the precision of this scale for future research and clinical use across people from the six countries in this study and across the English and Spanish versions of the 14-item DTS.