Correlation among academic self-efficacy,professional identity,and professional attitude of higher vocational nursing students

Objective:To analyze the influence of professional identity and academic efficacy on the professional attitude of higher vocational nursing students.Methods:A total of 656 higher vocational nursing students were investigated with general information questionnaire,academic self-efficacy scale,professional identity scale,and professional attitude scale of nursing students.Results:The score of professional attitude of higher vocational nursing students was(106.34±9.86),which is found to be in the upper middle level.The professional attitude of higher vocational nursing students is positively correlated with academic self-efficacy(P<0.05),and with learning ability self-efficacy(P<0.01).Professional cognition,professional will,and professional values have a positive predictive effect on the professional attitude of higher vocational nursing students(P<0.05).Conclusions:Academic self-efficacy and professional identity are important predictors of professional attitude.Learning behavior self-efficacy,professional cognition,professional will,and professional values have a significant impact on the establishment of positive professional attitude.

The Impact of Self-Efficacy and Work Engagement on Healthcare Professionals’ Proactive Behavior

Job crafting (JC) is a form of proactive behavior and refers to the initiatives employees that could take to change their tasks or other job characteristics to achieve the best person-job fit. JC consists of six dimensions: seeking structural and social job resources, as well as challenges, hindering job demands, optimizing job demands, and delegating tasks. The aim of the present study was to explore the impact of self-efficacy and work engagement on healthcare professionals’ (HP) proactive behavior. A convenience sample of 295 HP working in Primary and Secondary healthcare structures of Northern Greece completed a questionnaire that included: 1) demographic/occupational characteristics, 2) the Job Crafting Scale, 3) the Generalized Self-Efficacy Scale (GSE) and 4) the Utrecht Work Engagement Scale (UWES). Increased age was found to be associated with decreased levels of seeking social job resources (p < 0.01). Education level was positively associated with increased levels of seeking structural job resources (p < 0.01), seeking challenges (p < 0.05), and optimizing job demands (p < 0.05), while job position was found to be negatively related to delegating tasks (p < 0.01). Self-efficacy was positively associated with increased levels of seeking structural resources (p < 0.001), challenges (p < 0.001), and increased levels of optimizing job demands (p < 0.001), while it was positively associated with decreased levels of delegating tasks (p < 0.05). In addition, increased work engagement was found to be associated with increased levels of seeking social job resources (p < 0.05), challenges (p < 0.01), and optimizing job demands (p < 0.01). Findings highlight the importance of self-efficacy, work engagement and individual characteristics in the realization of a resourceful work environment and HP’ adjustment in the organization. Thus, interventions that promote HP’ JC proactive behaviors should be encouraged.

Effectiveness of simulation-based learning regarding management of post-COVID complications in terms of knowledge,clinical decision-making ability,and self-efficacy among nursing students:A quasi-experimental study

Objective:To assess the effectiveness of simulation-based learning regarding the management of post-COVID complications in terms of knowledge,clinical decision-making ability,and self-efficacy among nursing students.Methods:This was a quasi-experimental study conducted among 1152nd-year nursing students.The participants were selected by a simple random sampling technique.The participants were divided into an experimental(n=56)and a comparison group(n=59)by a random table method.Data were analyzed using descriptive and inferential statistics with SPSS version 20.Results:There were significant differences in mean post-test knowledge scores(P=0.03)and mean post-test self-efficacy scores(P=0.001)between the experimental and the comparison groups while the difference in mean post-test clinical decision-making ability scores between the two groups was non-significant(P=0.07).A positive correlation was found between knowledge and clinical decision-making ability in pre-test(P=0.03)and in post-test(P<0.001)and a non-significant correlation was found between pre-test knowledge and self-efficacy score(P=0.52)among the experimental group.Conclusions:Simulation-based learning regarding the management of post-COVID complications is effective among nursing students.Simulation labs should be established in health care settings where simulation training can be provided for updating the knowledge,clinical decision-making ability,and self-efficacy of nursing personnel during program installment and continuous nursing education.

Nurses' lived experiences of professional autonomy in Iran

Objectives: Nurses' autonomy is a complex and multi-dimensional concept that has often been overlooked.Although many studies have addressed patients' autonomy,there has been no assessment of nurses' experience of professional autonomy.The present study aimed to assess nurses' lived experiences of professional autonomy in Shiraz,Iran.Methods: The present qualitative study was conducted in Shiraz (Iran) from January 2016 to February 2018.The target population was selected among nursing professionals employed by various hospitals affiliated to Shiraz University of Medical Sciences,Shiraz,Iran.The experiences of the participants were assessed through 14 in-depth semi-structured interviews.The response of the participants was analyzed using Van Manen's 6-step approach for interpretive phenomenology.Results: Based on the analysis of the interviews,4 themes,11 categories,and 13 sub-categories were extracted.The themes were: Advocacy for patients and nurses,independence in the workplace,Involvement in professional decision-making,and Professional accountability.Conclusion: Due to the intense interaction between nurses and patients,a better quality of care will be achieved if the professional autonomy of nurses is ensured.Healthcare authorities and hospital managers should provide the framework and permit the nurses to practically exercise full independence in the workplace.

Professionalism and patient education in urologic surgery

Medical professionalism provides the guidelines that govern the patient-physician relationship. This implicit contract requires that patients be informed before making decisions regarding their medical care. Educating patients about diagnostic and treatment decisions is critical to an informed decision-making process. Shared decision-making is a recent paradigm shift in patient education that allows patients to make decisions based both on the counsel of their physicians and according to their own preferences and values. This approach moves away from previous models that focused on physicians or third-party payers as the arbiters of diagnostic and treatment choices. Urologic surgeons have been at the forefront of shared decision-making research and continue to promote this concept in the most recent American Urological Association Guideline on Detection of Prostate Cancer. Unfortunately, the feefor-service financial structure that predominates in the United States' health care system provides a disincentive for shared decision-making. By promoting patient volume rather than time spent with patients, this system rewards physicians who spend less time educating patients about diagnostic and treatment options. Therefore, to promote adherence to the educational responsibility inherent in medical professionalism, werecommend physician payment reform that rewards physicians for time spent with patients rather than the volume of patients seen.

Oncofertility in adolescent and young adult hereditary cancer: Considerations for genetics professionals

Adolescents and young adults(AYA)with a cancer diagnosis or those at risk for cancer due to hereditary cancer syndromes may benefit from genetic counseling and testing not only to manage personal risk but also to address reproductive concerns,especially fertility.The opportunity for genetic counselors to provide important risk information is relevant to both the newly diagnosed as well as to unaffected carriers and survivors.However,genetic counselors may need additional training in reproductive options related to AYA cancer to provide this valuable counsel.This commentary uses hereditary breast and ovarian cancer syndrome as a model to highlight important considerations when discussing preimplanatation genetic diagnosis and prenatal diagnosis,particularly in the context of expanded testing for hereditary cancer risk including multigene panels or whole exome or whole genome sequencing.Other hereditary cancers are also addressed;however,less is known about the psychosocial and fertility concerns in these AYA populations.Additionally,we provide an overview of the concept of"oncofertility"-the linkage between cancer care and reproductive medicine that aims to expand the reproductive opportunities of cancer patients-and offer support for the expansion of guidelines to include genetic counselors in AYA cancer patients’treatment planning related to reproductive health and fertility.

Relationship between Digital Literacy and Employment Ability of Vocational Undergraduate Students:The Parallel Mediating Role of Future Time Perspective and Career Decision Self-Efficacy

Purpose:To explore the relationship between digital literacy and the employability of college students,and to investigate the mechanism by which future time perspective and career decision self-efficacy play a role.Method:A survey was conducted on 577 college students using the Digital Literacy Scale,Employability Scale,Career Decision Self-Efficacy Scale,and Future Time Perspective Scale.Results:(1)Digital literacy,future time perspective,career decision self-efficacy,and employability are all significantly positively correlated with each other(r=0.65-0.78,P<0.001).(2)Digital literacy significantly positively predicts future time perspective,career decision self-efficacy,and employability.At the same time,future time perspective and career decision self-efficacy can both positively predict employability significantly.(3)Future time perspective and career decision self-efficacy have a parallel mediating effect between digital literacy and the employability of vocational undergraduate students.Conclusion:Digital literacy can directly affect college students’employability and can also indirectly affect college students’employability through future time perspective and career decision self-efficacy.

Analysis of the Influence of the Self-efficacy of College Students on Their Response Behaviors Toward COVID-19

Objective:This study aims to investigate the self-efficacy of college students during the Coronavirus disease 2019(COVID-19)pandemic and to conduct an empirical analysis on its influence mechanism on decision-making and coping skills to provide reference for decision support to improve the coping behavior of college students during public health emergencies.Methods:The study recruited a total of 1,346 college students in Shaanxi.Data were collected via a questionnaire and analyzed using SPSS 22.0 and AMOS 22.0.Result:The self-efficacy of the college students exerted a significantly positive impact on their coping decisions(β=0.754)and coping skills(β=0.822)during the COVID-19 pandemic.Both passed the significance test at a 99.9%confidence interval(99%CI).Conclusion:During the COVID-19 pandemic,improving the self-efficacy of college students can significantly positively influence their coping behaviors.Therefore,providing effective interventions that target the self-efficacy of college students and encouraging them to adopt positive coping behaviors is necessary.

护理本科实习生自我效能和职业认同在转型冲击与职业决策困难间的链式中介效应

目的 探讨护理本科实习生自我效能和职业认同在转型冲击与职业决策困难间的中介作用。方法 2022年12月—2023年3月采用方便抽样法,采用护理本科实习生转型冲击评价量表、一般自我效能感量表、护生职业认同问卷、职业决策困难问卷对来自北京市、山东省、河南省13所高校的365名护理本科实习生进行问卷调查。结果 护理本科实习生的职业决策困难得分为(37.85±9.37)分。自我效能、职业认同在转型冲击与职业决策困难之间起中介作用,包括自我效能的独立中介效应(效应值0.145)、职业认同的独立中介效应(效应值0.171)、自我效能—职业认同的链式中介效应(效应值0.048)。结论 护理本科实习生转型冲击通过自我效能和职业认同间接对职业决策困难发挥作用。护理教育者可通过降低护理本科实习生的转型冲击,提高其自我效能和职业认同,从而减轻实习生的职业决策困难。

"大类招生,分类培养"人才培养模式下本科生专业决策自我效能感和专业适应状况的研究

目的:了解天津某市属高校实施"大类招生,分类培养"后,本科生专业决策自我效能感和专业适应的状况及相关关系.方法:使用专业决策自我效能感和专业适应状况问卷对300名本科生进行问卷调查.结果:实施"大类招生,分类培养"人才培养模式下,本科生专业决策自我效能感平均得分为(3.0343±0.73033)分;本科生专业适应性平均得分为(2.7685±0.33933)分.不同性别的本科生在专业适应性总体水平上有显著性差异(P<0.01);是否有创新创业项目经验的本科生在专业决策自我效能总体水平、专业适应性总体水平上的差异具有统计学意义(P<0.05).本科生专业决策自我效能感总体水平及各维度与专业适应性总体水平及各维度均显著正相关(P<0.01).结论:该所学校本科生专业决策自我效能感处于中等水平,专业适应性普遍处于中等偏上水平,本科生专业决策自我效能感与专业适应性水平存在较为密切的关系.

高职护生职业认同的影响因素分析

目的:了解高职护生职业认同现状,分析共情、职业决策自我效能和职业认同的关系,为提升高职护生职业认同提供对策和依据。方法:采用一般资料调查表、护生共情量表、大学生职业决策自我效能感量表和护生职业认同问卷,对1269名高职护生进行问卷调查。分析高职护生职业认同的影响因素及高职护生共情、职业决策自我效能和职业认同的相关关系。结果:单因素分析显示,不同性别、年级、家庭氛围、与同学关系、与老师关系、学习状态、学习成绩和护理是否第一专业的高职护生职业认同得分差异均有统计学意义(P<0.01)。Pearson相关分析显示,高职护生共情各维度得分及总分与职业认同总分均呈明显正相关关系(P<0.01),高职护生职业决策自我效能各维度得分及总分与职业认同总分均呈明显正相关关系(P<0.01)。多元线性回归分析显示,高职护生职业认同从大到小的影响因素依次为职业决策自我效能、学习状态、护理是否第一志愿、共情和与老师关系(P<0.05~P<0.01)。结论:高职护生的共情能力越强,职业决策自我效能感越高,职业认同程度越高。高职护生的职业认同有待加强,学校管理者和护理教育者应意识到职业认同的重要性,采取有针对性的干预措施提升高职护生的职业认同感,稳定护理队伍。

2型糖尿病患者初始使用胰岛素的决策参与影响因素质性研究的Meta整合

目的从患者和医护人员的角度归纳分析2型糖尿病患者初始使用胰岛素的决策参与影响因素的质性研究,为促进患者的决策参与提供参考。方法系统检索CINAHL,Cochrane Library,EMBASE,PubMed,Web of Science,PsycINFO,中国知网,万方,维普和SinoMed收录的关于2型糖尿病患者初始胰岛素决策参与影响因素的质性研究,检索日期从建库至2023年9月30日,采用澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证卫生保健中心质性研究质量评价工具对纳入文献进行评价,并采用汇集性整合方法对结果进行整合。结果共纳入文献19篇,提炼出20个研究结果,归纳成7个类别(患者决策相关价值观、患者决策参与的角色偏好、患者自身疾病情况、医护人员在患者决策参与中的角色定位、医护人员的专业素质、患者与医护人员的关系、医疗机构支持程度),共4个整合主题(患者个人因素、医护人员因素、患者-医护人员互动因素、医疗机构因素)。结论2型糖尿病患者胰岛素初始使用的决策参与受到患者自身、医护人员和医疗机构的影响,需要多方人员努力,不仅引导患者积极参与决策,医护人员和医疗机构也要提供有效的决策支持。

山东省血液净化护士临床决策能力现状及影响因素分析

目的:调查山东省血液净化中心护士临床决策能力现状并分析其影响因素,以期为血液净化护士临床决策能力的提高提供科学依据。方法:选取651名血液净化护士作为研究对象,采用一般资料调查问卷、护理临床决策量表和血液净化护士专业胜任力问卷作为测评工具进行调查,单因素分析、Spearman相关分析描述血液净化护士临床决策能力现状,并分析其影响因素。结果:血液净化护士临床决策能力总分为122(116,130)分,处于中等及以上水平;血液净化护士胜任力总分为90(66,115)分,处于中等及以上水平;性别、受教育程度、护龄、专业技术职称、人事关系、职务和自我感知护患关系是否平等是血液净化护士临床决策能力的主要因素,血液净化护士胜任力总分和各维度与临床决策能力总分及各维度呈正相关(P<0.05)。结论:为了提高血液净化护士的临床决策能力,除了提升护士的受教育水平、职称和营造良好的护患关系等外,护理管理者和护士应该加强血液净化专业胜任力的培养,提高护理人员的临床决策能力。

向左还是向右:高职院校博士学位青年教师专业发展抉择困境的实证研究

博士学位青年教师能否适应高职院校的组织文化以及如何进行专业发展抉择是一个亟待回答的重要问题。通过对进入高职院校工作的博士学位青年教师专业适应及发展现状的深入调查研究发现:博士学位青年教师在教学与科研的抉择上“左支右绌”;在常规教学与成果教学的抉择上“左推右挡”;在理论科研与应用科研的抉择上“左右为难”。博士学位青年教师在专业发展上的“焦虑”、教学工作中的“悬浮”、科研工作中的“固守”的原因在于学校对博士学位青年教师的全能期待和模糊定位,实质上反映了当下高职教育类型化发展内在自觉的缺乏及其在高等教育场域中的依附性地位。

基于“井工厂”模式的井场一体化决策支持平台的研发与应用

随着页岩油气勘探开发持续获得突破,为满足页岩油气钻井工厂化施工模式以及钻测录定等一体化施工需求,“井工厂”模式应运而生。但在井场施工、后方管理、数据应用等多个方面,钻测录定等专业还是独立运行,缺少协调管理手段,存在业务运行比较分散,软件难以集成、数据难以共享共用等问题,缺少统一的综合应用平台满足“井工厂”模式的需求。基于“井工厂”模式,通过构建一种跨专业、跨区域、跨组织的可实现各专业技术之间有机融合、多方实时共享、协同联动的一体化决策支持平台,满足了地质工程一体化施工需求,对智能油气田建设与智慧油气田发展也具有借鉴意义。

高职院校博士学位青年教师专业发展路径的决策机制——基于对19名高职院校博士学位青年教师的扎根理论研究

基于对19名高职院校博士学位青年教师的深度访谈,分析高职院校博士学位青年教师专业发展的决策机制并构建“成本—收益”决策模型,结果发现:高职院校博士学位青年教师对成本付出与预期收益的理性权衡是推动他们进行专业发展决策的直接作用机制;博士学位青年教师对成本收益的理性权衡受到外部制度环境、专业发展平台、教师协作模式和自身专业发展基础的影响;生涯发展阶段是博士学位青年教师专业发展路径决策的背景性因素,它会影响博士学位青年教师对一些重要影响因素的价值判断进而影响其对成本收益的权衡。为了实现博士学位青年教师专业发展期待与高职院校发展需求的匹配,高职院校应基于学校发展需求审慎招聘博士学位青年教师,以技术学科建设为核心强化应用导向科研机制建设,以科教融汇为方向助力博士学位青年教师转型发展。

主动性人格、自我监控与大学毕业生职业决策自我效能感的关系

为探讨主动性人格、自我监控与大学毕业生职业决策自我效能感的关系,采用主动性人格量表、职业决策自我效能感量表和自我监控量表对339名大学毕业生进行了测查。结果表明:大学毕业生在自我监控上的得分与主动性人格得分呈显著正相关;主动性人格与自我监控与职业决策自我效能感部分及五个维度均显著正相关;主动性人格和自我监控能显著预测职业决策自我效能感,其中主动性人格能够单独预测职业决策自我效能感的34%变异,自我监控对职业决策自我效能感及其4个分量表有显著预测作用,能解释2%左右的增益方差。

高职护生职业价值观与护理伦理决策能力的相关性研究

目的分析高职护生职业价值观与护理伦理决策能力的相关性。方法采用护理职业价值观量表和护理伦理决策问卷,对1241名高等职业学院在校专科护生进行调查。结果高职护生职业价值观总均分为(97.30±18.79),护理伦理决策能力总均分为(268.20±25.68),均处于中等水平;职业价值观是护理伦理决策能力的重要影响因素(P<0.01)。结论护生的职业价值观与护理伦理决策能力呈正相关,护理教育者应重视护生的职业价值观培养,提高护生对职业价值观的认同,以提升其护理伦理决策能力。

课程决策:教师专业自主的有效路径

教师课程决策扎根于教师自身的课程实践,通过教师对课程问题判断与选择的过程实现了教师在专业领域内的自治,因而成为教师专业自主的一个有效途径。课程决策不但为教师专业自主提供了实践空间,而且使教师的专业自主权力得到彰显;同时,教师的专业自主意识和专业自主能力也在课程决策中逐步形成和发展。

人员伤亡规模不同的特别重大地震灾害专业救援对比分析

根据《国家地震应急预案》相关规定,针对近些年我国发生的汶川、玉树、芦山及鲁甸等特别重大地震,均启动了地震应急Ⅰ级响应。但几次地震的伤亡人数及震害影响等都有明显的量级差别,应急救援行动中队伍派遣数量、灾情获取手段、救援装备配备等都不尽相同。本文对这4次地震开展的专业救援性措施进行了系统的总结和对比分析,更准确地了解政府应对大震巨灾时的需求,为抗震救灾指挥部救援决策提出有针对性的建议。