Nursing Reports

Background/Objectives: Limited health literacy among older adults with noncommunicable diseases (NCDs) remains a major challenge in community and primary-care settings. This action research aimed to develop and evaluate a community-based health literacy training model for volunteer caregivers for the elderly (VCEs) to support the prevention and control of diabetes and hypertension among older adults in the community. Materials and Methods: This study was conducted in a primary care-based community setting and comprised two phases: Phase 1 (model development) and Phase 2 (implementation and evaluation). The primary analytic sample consisted of 38 volunteer caregivers for the elderly, each providing home-based health education to one older adult (n = 38). The intervention combined structured health literacy education based on the K-shape framework (Knowledge, Comprehension, Thoughtful Inquiry, Decision-making, and Implementation) with SKT meditation/exercise. The program was delivered weekly over 8 weeks. Outcomes included health literacy (20-item scale) and disease prevention and control behaviors (12-item scale), assessed at baseline, immediately post-intervention, and 1 month after program completion. Results: Among VCEs, mean health literacy scores increased significantly from baseline to post-intervention and were further improved at 1-month follow-up (p < 0.001), indicating sustained gains in health literacy. Preventive behavior scores also increased significantly from baseline to post-intervention (p < 0.001); however, no additional improvement was observed at 1 month compared with immediately after the program (p > 0.05). The magnitude of improvement suggested a meaningful effect of the intervention on health literacy, while behavioral changes appeared to plateau after program completion. Conclusions: The community-based training model effectively and sustainably improved health literacy among volunteer caregivers for the elderly. Although preventive health behaviors improved immediately after the intervention, no further gains were observed at 1 month, suggesting that ongoing reinforcement may be required to sustain behavioral change. This model supports the role of community participation in primary care-based NCD prevention among older adults.

Background: Pediatric Interhospital Transport demands highly specialized, coordinated care to ensure safety and continuity across settings. The SCOPETAS scale, recently adapted into Spanish from the Pediatric Transport Triage Tool, has been validated for physicians but not for nurses. Objective: To validate the SCOPETAS scale for use by nursing professionals in Pediatric Interhospital Transport. Methods: A cross-sectional inter-rater reliability study using clinical vignettes was conducted between December 2024 and February 2025 with nurses from eight hospitals within a Spanish autonomous community. Participants applied the SCOPETAS scale to two simulated pediatric transport scenarios. Agreement with physicians’ decisions (gold standard) was analyzed using weighted kappa statistics, logistic regression, and ROC curve analysis. Results: A total of 128 nurses participated (91% female; mean age, 39.5 years). Correct team composition decisions were achieved in 91.4% of severe cases and 73.9% of mild cases. Overall concordance with physicians was high. Possession of a Master’s degree was inversely associated with decision accuracy. Conclusions: When applied by nurses, the SCOPETAS scale demonstrated strong agreement with physicians’ decisions, particularly in severe scenarios. Its implementation may enhance patient safety, optimize resource allocation, and promote nursing autonomy in Pediatric Interhospital Transport, supporting its integration into clinical practice as a validated, evidence-based decision-support tool for pediatric transport triage.

Background/Objectives: The diagnosis of a rare disease such as Sturge–Weber syndrome (SWS) has a profound emotional impact on parents, who must adapt to an unexpected and complex caregiving role. This study aimed to analyse the sense of caregiving among parents of children with SWS and to identify the coping strategies they adopt. Methods: A cross-sectional descriptive study was conducted with 28 parents of children with SWS in Spain. Data were collected using the Brief COPE inventory and the Finding Meaning Through Caregiving Scale (FMTCS). Descriptive statistics and non-parametric bivariate analyses were performed. Results: Acceptance (mean = 5.14; SD = 0.85) and active coping (mean = 5.07; SD = 1.12) were the most frequently used coping strategies. Higher provisional meaning in caregiving was positively associated with active coping (ρ = 0.423; p = 0.025), acceptance (ρ = 0.562; p = 0.002), and humor (ρ = 0.557; p = 0.002). As children aged, parents reported a greater sense of caregiving meaning (ρ = 0.294; p = 0.049). Conclusions: Parents of children with SWS tend to adopt active and adaptive coping strategies over time, finding increasing meaning in their caregiving role. These findings highlight the importance of nursing-led interventions aimed at supporting parental coping, meaning-making, and emotional well-being in families affected by rare diseases.