No abstract

No abstract

The purpose of this study was to translate the Diabetic Foot Ulcer Scale‐Short Form (DFS‐SF) into Korean and evaluate its psychometric performance in patients with diabetic foot ulcers (DFUs). The DFS‐SF was translated into Korean using translation guidelines from the World Health Organization. The Korean version of DFS‐SF (DFS‐SF‐K) went through the full linguistic validation process and was evaluated in 320 Korean patients with DFU. For this study, Cronbach's alpha was used to evaluate the reliability of the DFS‐SF‐K. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and known‐group validity were conducted to examine construct validity. Correlation of the DFS‐SF‐K with SF‐36 was used to test concurrent validity of the DFS‐SF‐K. Cronbach's alpha was >0.70 for all scales. Factor loadings of the 29 items on the six subscales ranged from 0.82 to 0.95. The six‐subscale model was validated by CFA (x2/df = 4.55, P < 0.001, RMR = 0.06, GFI = 0.73, NFI = 0.90, TLI = 0.91, CFI = 0.92, RMSEA = 0.10). Spearman's correlations and known‐groups comparisons supported construct validity. The newly translated DFS‐SF‐K may be used to assess the impact of QoL with DFUs in Korean patients.

Behavioral and psychological symptoms of dementia (BPSD) are common in residents of long-term care facilities (LTCFs). In LTCFs, nursing staff, including nurses and care workers, play a crucial role in managing BPSD as those most in contact with the residents. However, it is ambiguous where their focus should be for effective BPSD care. Thus, this paper aims to reveal BPSD care competencies for nursing staff in LTCFs and to outline an initial frame of education. A multiphase mixed-methods approach, which was conducted through topic modeling, qualitative interviews, and a Delphi survey, was used. From the results, a preliminary educational framework for nursing staff with categories of BPSD care competence was outlined with the four categories of BPSD care competence: using knowledge for assessment and monitoring the status of residents, individualizing approaches on how to understand residents and address BPSD, building relationships for shared decision-making, and securing a safe environment for residents and staff in LTCFs. This preliminary framework illuminates specific domains that need to be developed for competent BPSD care in LTCFs that are centered on nursing staff who directly assess and monitor the changing and deteriorating state of residents in LTCFs.