: This study explored the role of learning engagement in the relationship between academic self-efficacy and self-directed learning ability among nursing students. Participants were 328 Chinese nursing students (male = 11.3%, female = 88.7%; mean age = 20.86 years; SD = 1.75 years). The participants completed surveys on academic selfefficacy (Academic Self-efficacy Scale), learning engagement (Learning Engagement Scale), and self-directed learning ability (Self-directed Learning Instrument). Hayes regression-based PROCESS macro analysis revealed that learning engagement mediated the relationship between academic self-efficacy and self-directed learning ability. The hierarchical regression analysis showed higher academic self-efficacy to be associated with self-directed learning ability. Additionally learning engagement was associated with higher self-directed learning ability. Based on these findings, there is a need for interventions to improve students' self-directed learning ability through increasing their academic self-efficacy and enhancing learning engagement.

This study explored the mediating role of moral courage in the relationship between emotional intelligence and perceptions of patient safety competence among nursing students in clinical practice. The study sample comprised 220 nursing students from a teaching hospital (female = 93.6%; mean age = 20.64 years, SD = 1.78 years). Nursing students completed standardized measures of Emotional Intelligence Scale, the Moral Courage Scale, and the Health Professional Education in Patient Safety Survey. Following hierarchical regression analysis and bootstrap analysis, the results showed that emotional intelligence and moral courage significantly predicted high levels of the perceptions of patient safety competence among nursing students in clinical practice. Moreover, moral courage partially mediated the relationship emotional intelligence and perceptions of patient safety competence. The results indicate measures focused on improving emotional intelligence and moral courage levels among nursing students in clinical practice will be effective at increasing their perceptions of patient safety competence.

This study aimed to explore the relationship between areas of work-life and psychological reward satisfaction, and the role of psychological capital in that relationship. Participants were from four Chinese major public hospitals (n = 532; female = 88.7%; mean age = 22.36 years, SD = 1.58 years). The nurses completed validated measures including the Psychological Capital Questionnaire, the Areas of Work-life Scale, and the Psychological Reward Satisfaction Scale. Regression analysis results showed that areas of work-life significantly predicted high psychological reward satisfaction among new Chinese graduate nurses. Similarly, psychological capital significantly predicted high psychological reward satisfaction among new Chinese graduate nurses. Psychological capital partially mediated the relationship between areas of work-life and psychological reward satisfaction. These findings indicate a need for work-life interventions to increase new graduate nurses' psychological reward satisfaction through enhancing their psychological capital and optimising a person-job fit in six areas of work-life.

We explored the relationships among perceived social support, psychological resilience, and work readiness of final-year nursing students. Participants included 376 Chinese final-year nursing students (female = 83.8%; mean age = 20.24 years, SD = 1.37 years). They completed the Multidimensional Perceived Social Support Scale, the Connor-Davidson Resilience Scale, and the Work Readiness Scale for graduate nurses. Hierarchical regression analysis results showed that social support was significantly associated with higher work readiness. Further, social support was associated with higher psychological resilience. Psychological resilience partially mediated the relationship between social support and work readiness to be higher. These study findings suggest a need for targeted student social support programs to increase their psychological resilience, which is important for increasing their work readiness.

BACKGROUND:Emergency nurses are a professional group at a high risk of burnout and depression. This may influence their mental state and physical health. AIMS:The aim of the study was to explore the relationship between role stress, occupational burnout and depression among emergency nurses. METHODS:A cross-sectional study was carried out among 295 emergency nurses from eight tertiary hospitals in western China. The Role Stress Scale, the Maslach Burnout Inventory-Human Services Survey and the Center for Epidemiologic Studies Depression Scale were employed. Descriptive statistics, independent sample t-tests, one-way analysis of variance, Pearson's correlation analysis and regression analysis were performed. RESULTS:Of the study participants, 54.6% were found to have depressive symptoms and 48.1% had severe occupational burnout. Positive correlations were observed between the scores of role stress and burnout and depression. Approximately 37.1% of the variation in depression was explained by the components of occupational burnout. CONCLUSIONS:Emergency nurses experience high levels of role stress, occupational burnout and depression. Preventive approaches to role stress, burnout and depression are needed to improve their psychological condition and quality of work life.

The world is faced with challenges due to a growing aging population and the increasing burden of chronic disease. The acute shortage of nurses and high turnover rates, particularly among novice nurses, are of great concern in many countries. Several studies have shown that turnover intention among nurses is influenced by professional identity and job satisfaction. However, to the best of our knowledge, no studies have examined this issue in the context of novice nurses. Thus, the present study aimed to explore the relationship between professional identity, job satisfaction, and turnover intention among novice nurses in China. From March 18 to April 23, 2022, a cross-sectional survey was carried out involving 532 novice nurses recruited from four public hospitals in Sichuan Province, China. Among the sample, 526 questionnaires were retrieved, with an effective response rate of 98.87%. The mean scores for turnover intention, professional identity, and job satisfaction were 13.02 ± 3.94, 36.17 ± 7.98, and 111.02 ± 21.46, respectively. High turnover intention was observed among novice nurses, of whom 54.37% (286/526) had high or very high turnover intention. Professional identity and job satisfaction among novice nurses were moderate. In terms of demographic characteristics, “Whether living with relatives” and “Monthly income” had a statistically significant impact on the turnover intention of novice nurses ( P < .05). Both professional identity ( r = −0.459) and job satisfaction ( r = −0.517) were significantly and moderately negatively correlated with turnover intention ( P < .01). The results of the multivariate linear regression analysis revealed that variables including “Whether living with relatives,” “Professional identity,” “Control and responsibility for work,” and “Benefits” jointly accounted for 29.9% of the variance related to turnover intention among novice nurses. “Whether living with relatives,” “Professional identity,” “Control and responsibility for work,” and “Benefits” were highly predictive of turnover intention levels among novice nurses. Hence, potential predictors of turnover intention should be considered, and intervention research should be conducted to reduce the level of turnover intention among novice nurses.

目的 从反思日记角度,探讨新入职护士在规范化培训期间的核心能力及心理状况.方法 采用质性研究的现象学研究法,通过反复阅读自贡市某医院的67例规培护士的1608篇反思日记,按照记录内容进行分析、归纳和总结.结果 提炼出3个主题:①核心能力;②心理状况;③带教质量.结论 新入职护士在临床实践中核心能力不足,容易出现心理问题,建议护理管理者加强培训,并关注其心理健康.

目的 了解高职护生共情能力与患者安全态度和职业素养现状以及探索两者之间的关系.方法 采用杰弗逊共情量表、中文版实习护生患者安全态度和职业素养问卷(MSSAPS)对201 名高职实习护生进行问卷调查.结果 高职实习护生杰弗逊共情量表得分为(96.18±23.24)分;高职实习护生中文版MSSAPS得分为(132.52±26.68)分;高职实习护生共情能力与患者安全态度和职业素养呈正相关(r=0.533,P<0.01).结论 高职实习护生共情能力一般,建议护理教育者积极关注护生共情能力的培养,进一步提升其患者安全态度和职业素养.

目的:全面评估临床护理交接班现状,根据最佳证据制订审查指标,分析障碍因素和促进因素.方法:运用Joanna Briggs Institute(JBI)循证卫生保健中心"证据临床应用模式"作为理论依据,组建循证小组,筛选最佳证据20条构建审查标准,确定审查指标及审查方法,并根据审查结果分析障碍因素及促进因素.结果:共制订17项审查指标,其中9项指标依从率大于60％,7项指标依从率小于60％,1项指标为不涉及,将依从率<60％的审查指标进行障碍因素分析,障碍因素主要为系统层面缺乏统一规范的护理交接工具和监督考核机制,实践者层面意识不足、相关知识缺乏等.结论:本研究以循证护理为基础,结合临床实践,全面评估临床护理交接中存在的障碍因素和促进因素,以此为依据制订行动策略,可促进最佳证据转化及临床应用.

AIM:To investigate the quality of work-life among nursing managers in China and analyse the relationships between self-efficacy, coping style and quality of work-life. BACKGROUND:Self-efficacy, coping-style and quality of work-life play significant roles in the stability of nursing teams, the quality of clinical care and patient safety. Although some factors influencing quality of work-life have been identified, there is no large-scale study of the relationships among self-efficacy, coping style and quality of work-life of nursing managers. Strategies to strengthen the quality of work-life of nursing managers should be developed by exploring the relationships between the three variables. METHODS:A nationwide cross-sectional study was conducted. A total of 1498 nursing managers from 51 tertiary general hospitals in 20 provinces in China were selected for the study using multistage stratified proportional sampling. Registered full-time nursing managers with more than 1 year of management experience were eligible for the study. The participants completed online questionnaires to assess their self-efficacy, coping style and work-related quality of life. The data were analysed using descriptive analysis, Pearson's correlation, hierarchical multiple linear regression and structural equation modelling to verify the relationships between variables. RESULTS:The quality of work-life score for the nursing managers surveyed was 3.74 ± 0.56 out of a possible 5. Self-efficacy was positively correlated with quality of work-life (β = .484, P < .01) over all demographic variables. Positive coping was also positively associated with quality of work-life (β = .404, P < .01). Self-efficacy and positive coping explained 22.7% and 14.2% of the variance in the quality of work-life, respectively. Structural equation modelling indicated that self-efficacy positively and directly predicted the quality of work-life (β = .395, P < .001), and indirectly affected quality of work-life via positive coping (β = .186, P < .001), but not via negative coping (β = .005, P > .05). The final model could explain 44% of the variance in the quality of work-life. CONCLUSION:Self-efficacy was positively correlated with quality of work-life among Chinese nursing managers, and positive coping partially mediated this relationship. The results suggest that self-efficacy and positive coping are pivotal facilitators for improving the quality of work-life and need to be taken into account in measures to improve the quality of work-life of nursing managers. IMPLICATIONS FOR NURSING MANAGEMENT:Hospital administrators should recognize the importance of nursing managers' work-life quality to promote both the stability of nursing teams and the quality of clinical care and safety provided. They should help nursing managers foster self-efficacy and active coping abilities through incentive measures and provide positive coping training courses to enhance their quality of work-life.

探讨SBAR标准化沟通模式联合情景案例教学对新入职规培护士评判性思维能力与自我效能感的影响.研究显示,SBAR沟通模式有助于培养新入职规培护士良好的沟通技能和临床思维,能增强其评判性思维能力和临床工作自信心,并提升其一般自我效能感水平.

目的 检索并获取临床护理交接班的最佳证据,为医务人员临床实践提供参考.方法 根据"6 S"证据模型,计算机检索BMJ Best Practice、UpToDate、Cochrane library、JBI、NICE、PubMed、Web of Science、EMbase、CINAHL、中国知网、中国生物医学文献数据库、万方、维普等数据库关于护理交接的相关证据,检索时限为建库至2022年2月19日.由2~5名研究者独立对相关文献进行质量评价、证据提取与汇总.结果 纳入文献20篇(1篇指南、3篇证据总结、13篇系统评价、3篇最佳循证实践),提取证据72条,归纳为6个类别35条最佳证据,含标准化/结构化交接、交接场景、交接管理、交接培训、交接实施和交接质控监督与反馈.结论 本研究总结了护理交接班最佳证据,旨在为临床护理交接提供循证依据,但在交接过程中应根据医院及科室具体情况,选择性地使用相关证据,以提高临床护理交接质量.

Aim: The aim of this study was to examine the levels of stress, coping style and burnout among Chinese nursing students in late-stage clinical practice and to identify their relationships. Background: High stress, passive coping and burnout among nursing students in late-stage clinical practice may contribute to severe psychological consequences. Design: A descriptive and cross-sectional study was conducted in November and December 2020. Methods: Participants completed the Perceived Stress Scale, Simplified Coping Style Questionnaire and Maslach Burnout Inventory-Human Service Survey to examine their stress levels, coping style and burnout. Intention to leave the profession was also assessed. Results: Approximately 36.1 % of nursing students experienced emotional exhaustion and 85.3 % of nursing students perceived themselves to have moderate to high stress levels. A positive coping style can protect nursing students from depersonalization and reduced personal accomplishment. High stress and passive coping style predicted emotional exhaustion. Passive coping style and high stress were significant factors leading to intention to quit nursing education before graduation. Conclusions: Lowering the level of stress and using positive coping behaviors may help students during late internship to mitigate burnout and avoid leaving nursing education. Therefore, nurse educators and clinical nursing mentors need to consider developing strategies and interventions to reduce the decline in nursing students entering nursing education and prevent burnout.

目的:明确自贡市23家医疗机构护士的执业环境现状,为改善其执业环境提供可靠依据.方法:应用"护士执业环境测评量表"采用问卷星方式对自贡市23家医院5832名护士进行调查.结果:实际回复问卷4964份,问卷有效4837份,问卷回复率为82.94％,有效问卷率97.44％;护士执业环境得分为(87.51±14.48)分,其中得分后3位的维度分别为管理参与度、薪酬待遇、社会地位;不同年龄、工作年限、职称、编制、医院级别、医院性质的护士执业环境得分比较,差异有统计学意义(P<0.05).结论:自贡市护士执业环境总体状态良好,但管理参与度、薪酬待遇、社会地位等方面较差,主管及副主任护师执业环境相对较低,需关注、支持重点人群的需求;针对暴露的问题,采取干预措施,包括加强宣传,提升护士社会形象;提升护士专业自信搭建平台,提供护士参与管理决策机会,让护士拥有更多自主权;加强自身学习与提升护士专业自信;建立科学的分配机制与绩效管理办法强化激励机制;通过对护士的认知进行干预,引导其体验积极的职业感知,可提高护士对职业的认同感及执业获益感.

目的 探讨新型冠状病毒肺炎抗疫一线医务人员的社会支持、负性情绪与消极应对的关系.方法 采用一般资料调查表、社会支持量表、突发公共卫生事件心理量表和简易应对方式量表对四川省某市新型冠状病毒肺炎唯一定点医院1 372名一线抗疫医务人员进行横断面调查.采用Pearson相关性分析和多元线性回归分析检验变量之间的关系,采用Bootstrap方法检验负性情绪在社会支持和消极应对中的中介效应.结果 医务人员社会支持评分为(41.51±9.13)分,负性情绪评分为(0.52±0.40)分,消极应对评分为(0.80±0.56)分.年龄越大、工作年限越久的医务人员所获得的社会支持越多,所表现出的负性情绪越低,也更不容易采取消极应对的方式(P＜0.05).女性医务人员比男性医务人员更容易出现负性情绪和采取消极应对的方式(P＜0.05).护士的负性情绪要高于医生和医技人员(P＜0.05).社会支持与负性情绪(r=-0.172,P＜0.01)、消极应对(r=-0.082,P＜0.01)呈负相关,负性情绪与消极应对呈正相关(r=0.427,P＜0.01).社会支持得分负向预测负性情绪(β=-0.306,P＜0.01)和消极应对(β=-0.077,P＜0.01).社会支持对负性情绪的效应显著[β=-0.181,95％置信区间为(-0.238～-0.124),t=-6.278,P＜0.001];负性情绪对消极应对的效应显著[β=0.188,95％置信区间(0.166～0.210),t=16.733,P＜0.001];社会支持对消极应对的直接效应不显著[β=-0.004,95％置信区间为(-0.028～0.020),t=-0.733,P=0.760].负性情绪在社会支持与消极应对中起完全中介作用,中介效应值占总效应的89.5％.结论 社会支持通过负性情绪间接地对抗疫一线医务人员的消极应对行为产生影响.应该加强医务人员的社会支持,从而使其在工作中采取更积极的应对方式.

医院感染科和护理部临时性整合,参照责任制整体护理+功能制护理工作模式,感染控制成员分成为6个片区(责任制整体模式)、6个专项(功能制)开展医院感染防控应急工作.为有效控制新型冠状病毒在院内传播,提供安全保障,采取了5个方面的对策:细分亚组,落实责任;研判标准,科学防控;全员培训,提升能力;科学管控,保障物资;消毒隔离,切断传播.

目的 探讨人类免疫缺陷病毒(HIV)感染与心力衰竭发生风险的关系.方法 检索PubMed、Em-base、中国生物医学文献数据库、中国知网、万方数据库、维普中文科技期刊数据库,收集已发表的HIV感染与心力衰竭发生风险的前瞻性队列研究,应用Stata 12.0软件进行Meta分析,合并风险比(HR)值及95％置信区间(CI)值.结果 最终纳入5项研究,HIV感染暴露组84557例,非HIV感染暴露组219177例.Meta分析结果显示,HIV感染可使心力衰竭发生风险增加48％(HR=1.48,95％CI:1.31～1.67,P<0.001);按照HIV-1 RNA病毒载量、CD4+细胞计数、研究人群来源进行亚组分析,结果显示研究异质性主要来自于研究人群中退役军人组.结论 HIV感染可能是心力衰竭发生的危险因素之一,可增加心力衰竭发生的风险.

新型冠状病毒因其较强的传染性及病情进展快等特点,迅速成为全球关注的健康问题.我院作为全市传染病定点救治医院,采取了积极有效的治疗及护理措施,目前已成功治愈2例新型冠状病毒肺炎确诊病人,取得了较好的临床效果,积累了一定的护理经验.

[目的]评价延续护理对强直性脊柱炎(AS)病人生活质量及心理的影响.[方法]检索PubMed、the Cochrane Librany、EMbase、CBM、知网、万方、维普等中外数据库,收集延续护理对强直性脊柱炎病人生活质量及心理影响的随机对照试验(RCT)进行Meta分析.[结果]最终纳入14篇RCT文献,包括1724例病人,Meta分析结果显示:与对照组相比,试验组实施≤3个月的延续护理,可提高强直性脊柱炎病人生活质量(SF-36)各维度得分,差异均有统计学意义(P<0.0001);而>3个月延续护理对强直性脊柱炎病人生命质量的影响存在争议.≤3个月、>3个月延续护理对强直性脊柱炎病人综合功能状况[MD=-0.93,95％CI(-1.38,-0.48),P<0.0001;MD=-0.81,95％CI(-1.37,-0.25),P=0.005]、心理状况(焦虑及抑郁情绪)[MD=-10.25,95％CI(-14.79,-5.717),P=0.00001;MD=-7.78,95％CI(-10.19,-5.38),P=0.00001]的干预效果差异均有统计学意义(P<0.001).[结论]现有证据表明,≤3个月的延续护理可提高强直性脊柱炎病人的生活质量,而>3个月延续护理对生活质量的影响仍待进一步研究;延续护理可明显改善强直性脊柱炎病人的综合功能及心理状况.

目的:了解新型冠状病毒肺炎定点医院医务人员应对突发公共卫生事件的心理健康 、社会支持和应对方式现状,探讨心理健康与社会支持、应对方式的相关性.方法:采用一般情况调查表、突发性公共卫生事件心理问卷、社会支持评定量表和简易应对方式量表对四川省某市新型冠状病毒肺炎定点医院的1326名医务人员进行调查.采用描述性分析、单因素分析、Spearman相关性分析等分析相关资料.结果:共回收有效问卷1267份,回收率95.55％.定点医院医务人员突发公共卫生事件心理评估总分为0.407(0.481)分、社会支持总分为41.00(13.00)分、应对方式总分为26.00(14.00)分,医生、护士、医技人员组间比较差异有统计学意义(P<0.05),心理评估总分与社会支持量表总分、客观支持、主观支持、社会支持利用度均负相关(P<0.05),与应对方式总分、消极应对均正相关(P<0.05).结论:定点医院医务人员心理健康与社会支持、应对方式密切相关,在应对突发公共卫生事件时,医务人员容易出现恐惧、神经衰弱、抑郁等心理问题,需引起重视.社会支持对定点医院医务人员心理应激起保护作用,但部分医务人员应对方式消极,需要有效干预.