Emotional Costs and Self-efficacy as Predictors of Coping Among the Reemployed and Professional Interns

The main goal of the study was to investigate the emotional costs experienced by the organizational newcomers during the first period of reemployment and its relation to general self-efficacy CGSE} and coping. The study was conducted among 123 previous unemployed, involving 88 reemployed and 35 interns. Questionnaires battery was administered in two waves {T1 and T2~ in the first month of reemployment and after three months. In this article, the data from T2 were analyzed, which allows observing the final results and interactions between research variables. The results showed emotional costs and GSE as significant predictors of coping in the work re-entry phase. Additionally, emotional costs partially mediate the effect of GSE on coping. The differences between both groups, the reemployed and interns were also analyzed.

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 COVID-19 on the Mental-Emotional Wellbeing of Primary Healthcare Professionals: A Descriptive Correlational Study

The present study aimed to examine work environment related factors and frontline primary healthcare profes-sionals’mental-emotional wellbeing during the COVID-19 pandemic in school communities of Hong Kong.A total of 61(20%)school health nurses(frontline primary healthcare professionals)participated in a cross-sec-tional online survey from March to June 2020.Outcomes of mental-emotional health were measured using the Mental Health Continuum-Short Form(14-item scale with three subscales related to emotional,social and psychological wellbeing);the Perceived Stress Scale(10-item scale with two subscales related to perceived help-lessness and lack of self-efficacy);and the Coping Orientation to Problems Experienced Inventory(Brief COPE),a 28-item inventory with two subscales related to adaptive and maladaptive strategies.Almost half(42.6%)of par-ticipants experienced mental health problems.Those employed in government subsidized schools had signifi-cantly lower scores in mental health wellbeing than those who worked in private schools.Factors relating to increased mental health problems included lack of emotional support,inadequate training relating to infection prevention and control measures,disengagement and self-blame.A variety of factors influencing school health nurses’social,emotional and psychological wellbeing in their work environment during the COVID-19 pandemic were also reported.The mental-emotional wellbeing of school nurses may relate to their subjective feeling of lone-liness as participants were the sole frontline primary healthcare professional working in the school community during the COVID-19 pandemic.Studyfindings provide relevant evidence for management teams to build a cul-ture of psychological and social support into workplace policies and procedures.Continuous staff development and adequate social support are important to promote the mental-emotional wellbeing of primary healthcare pro-fessionals in school communities as they play a significant role in safeguarding resources during pandemics.

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.

Developing a Valid and Reliable Coping Self-Efficacy Scale (CSES) among Patients with Type 2 Diabetes: Iranian Version

Introduction: This study aimed to develop valid and reliable scale with the intention of measure Coping Self-efficacy (CSES) of Iranian type 2 diabetic patients. Patients and Methods: Validity and reliability of Iranian version of Coping Self-efficacy Scale (CSES) were measured by a cross-sectional study. Content validity, reliability and cultural equivalency were appraised through qualitative and quantitative study on 260 participants who have type 2 diabetes. Results: Reliability and validity of the scale and its four subscales, such as “stop unpleasant emotions and thoughts” (a = 0.92) “used problem-focused coping” (a = 0.71), Self-efficacy on diabetes problem solving (a = 0.74) and “get support from friends and family” (a = 0.67) were approved explicitly by a psychometric analysis;these show that the scale was slightly valid and reliable on the study setting. An intraclass correlation coefficient was satisfactory (p < 0.001). Criterion validity between total scale and metabolic control Index (HbA1c) of type 2 diabetic patients was significant (p < 0.001) and showed indirect correlation with the domains of the scale. Conclusion: Study findings supported the reliability and validity of the Iranian version of new Coping Self-efficacy-24 for measuring Coping Selfefficacy among Iranian type 2 diabetic patients. Based on our finding, we would like to recommend appropriate interventions in the future.

The Effect of Cancer Diagnosis Disclosure on Patient’s Coping Self-Efficacy at King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Background: Cancer diagnosis disclosure is still a challenge for patients and health care providers in Saudi Arabia which may affect the patient’s ability to cope with a cancer diagnosis and it is subsequent treatments. Aim: This study is aimed to assess the effect of cancer diagnosis disclosure on patient’s coping self-efficacy at King Abdul-Aziz University Hospital, KSA-Jeddah. Methods: The data collected through a structured interview guided by coping Self-efficacy Scale (CSE) to measure the patients’ ability to perceive and cope effectively with their new diagnosis and the subsequent events related to it. It consists of 26 items subdivided into three factors. Distributed to adult patients above 18 years old who is newly diagnosed with cancer and willing to participate. Results: Among 102 participants enrolled in this study the relationship between age, marital status, educational level, income, and CSE showed no significant relationship, where p-value was higher than 0.05. Also, the relationship between diagnosis time and CSE show no significant relationship, where p-value was higher than 0.05, as no differences in CSE among patients who were diagnosed with cancer within two weeks, one month, one year ago, two years ago of interviewing them. The overall mean for their coping self-efficacy was moderate coping self-efficacy (3.86 ± 0.552). Conclusion: This study showed that the majority of cancer patients in this study had moderate coping self-efficacy and this could be explained by the strong faith, ideal living environment which involves family support, groups’ participation, reinforcement and daily activities which helped them to control their emotions and their abilities for coping with their experience of cancer diagnosis disclosure.

Impact of Risk Perception about COVID-19 on the Coping Behavior of the Elderly:Mediating Role of Self-Efficacy

Objective:This study aimed to explore the mediating role of self-efficacy on the relationship between risk perception and the coping behavior of the elderly during the coronavirus disease 2019(COVID-19)pandemic.Methods:The study employed the convenience sampling method to select a total of 550 elderly from Chongqing,Chengdu and Luohe in China.A questionnaire composed of the perception scale,self-efficacy scale,and coping behavior scale was used to collect data.Results:Risk perception exerted a significantly direct effect on positive coping behavior and avoidant coping behavior.Moreover,it positively predicted the components of self-efficacy.In turn,self-efficacy positively predicted the components of positive coping behavior,which confirm that it plays a partial mediating role in the relationship between risk perception and positive coping behavior.Moreover,self-efficacy negatively predicted the components of avoidant coping behavior,which confirms that it also plays a partial mediating role in the relationship between risk perception and avoidant coping behavior.Conclusion:A simple mediation model revealed that self-efficacy partially mediated the direct and indirect effects of risk perception on coping behavior.Based on the results,the study recommended several countermeasures and suggestions for enhancing the positive coping behavior of the elderly during the COVID-19 pandemic.

临床护士死亡应对能力与死亡态度、职业认同的相关性

目的:探讨临床护士死亡应对能力与死亡态度、职业认同的关系。方法:2022年10月—2022年12月,采用便利抽样法抽取河北省13所医院的953名临床护士作为研究对象,采用一般资料调查表、中文版死亡应对量表(CDS)、死亡态度描绘量表(DAP-R)、护士职业认同评定量表(PISN)进行调查。结果:953名临床护士CDS得分为(115.30±31.22)分,DAP-R得分为(95.59±16.41)分,PISN得分为(107.55±23.44)分。护士死亡应对水平与正向死亡态度、职业认同水平呈正相关(P<0.05),与负向死亡态度呈负相关(P<0.05)。回归分析结果显示,年龄、学历、近3个月护理过死亡病人的数量、死亡教育培训及DAP-R、PISN得分为护士死亡应对能力的影响因素(P<0.05)。结论:临床护士死亡应对能力处于中等偏低水平,与死亡态度及职业认同相关。护理管理者可通过培养护士正向死亡态度,加强其对护理职业的认同感,进而提升其死亡应对能力。

基于潜在剖面分析的肿瘤内科护士精神气候分类及其影响因素

目的:基于潜在剖面分析探讨肿瘤内科护士精神气候潜在类别及其影响因素。方法:采用便利抽样法,于2022年12月—2023年4月选取浙江省5所医院的178名肿瘤内科护士作为研究对象,采用一般资料调查表、中文版精神气候简式量表、护士职业应对自我效能量表对护士进行调查,采用潜在剖面分析识别肿瘤内科护士精神气候的类别,采用Pearson相关分析探讨精神气候与护士职业应对自我效能的关系,采用Logistic回归分析肿瘤内科护士精神气候影响因素。结果:肿瘤内科护士精神气候分为低水平组、相对波动组、高水平组3类,其与职业应对自我效能均呈正相关(P<0.01)。年龄、职称、工龄、平均月收入、职业应对自我效能是肿瘤内科护士精神气候的影响因素(均P<0.05)。结论:肿瘤内科护士精神气候有明显的类别特征,护理管理者应注重肿瘤内科护士的精神气候状况,根据其影响因素实施针对性措施,以提高肿瘤内科护士职业应对自我效能,改善整体精神气候。

三级甲等医院ICU护士职业死亡回避现状及影响因素

目的:调查三级甲等医院ICU护士职业死亡回避现状及其影响因素,为干预方案的制定提供参考。方法:采用一般资料调查表、ICU护士职业死亡回避量表、死亡应对量表、死亡焦虑量表对12所三级甲等医院的464名ICU护士进行调查。结果:ICU护士职业死亡回避总分为(37.39±8.61)分;年龄、宗教信仰、在校期间接受过死亡教育、近1年内参加过死亡教育培训、对ICU护理工作的态度、尸体护理次数、死亡应对、死亡焦虑是ICU护士职业死亡回避的主要影响因素(P<0.05)。结论:ICU护士职业死亡回避处于中等水平,影响因素较多。护理管理者可针对影响因素进行干预,降低ICU护士职业死亡回避水平,提升ICU护理质量。

本科护生积极应对与职业自我效能的关系:领悟社会支持和职业认同的链式中介作用

目的探究本科护生积极应对与职业自我效能的关系,以及领悟社会支持和职业认同在两者间的中介作用。方法采用简易应对方式量表、领悟社会支持量表、护生职业认同量表和护生职业自我效能量表对945名本科护生进行调查。对相关数据进行统计学分析。结果积极应对、领悟社会支持和职业认同的年级差异显著,领悟社会支持的性别差异显著。本科护生积极应对、领悟社会支持、职业认同、职业自我效能,两两间均呈显著正相关。积极应对正向预测职业自我效能;领悟社会支持和职业认同在本科护生积极应对与职业自我效能之间的中介作用显著;领悟社会支持-职业认同的链式中介效应显著。结论本科护生的积极应对可直接影响职业自我效能,积极应对也可通过领悟社会支持和职业认同的单独中介作用或两者的链式中介效应对职业自我效能产生作用。

职业应对自我效能在低年资护士职业召唤与生涯适应力的中介作用

目的:了解低年资护士职业召唤、生涯适应力和职业应对自我效能的现状,并探讨三者之间的关系。方法:采用职业召唤量表、中文版生涯适应力量表、护士职业应对自我效能量表对643名低年资护士进行问卷调查。结果:低年资护士职业应对自我效能总分(32.99±6.56)分,职业召唤总分(41.35±9.11);生涯适应力总分为(84.36±12.14),职业召唤得分分别与职业应对自我效能得分和生涯适应力量表得分呈正相关(r=0.478、0.393,P<0.01),职业应对自我效能得分与生涯适应力量表得分呈正相关(r=0.546,P<0.01);职业应对自我效能在低年资护士职业召唤与生涯适应力之间起部分中介效应,中介效应为0.134,占总效应的33.25%。结论:低年资护士职业应对自我效能、职业召唤、生涯适应力均处于中等偏上水平,职业召唤可以通过职业应对自我效能间接影响生涯适应力。

Resilience as a strategy for struggling against challenges related to the nursing profession

Stressors, such as work overload, role conflicts, lack of time, lack of self-care, poor job-related interpersonal relationships, feeling powerless to provide quality care, struggling with competing demands,death, conflict with doctors, peers and supervisors, and inadequate emotional preparation, can be negative, stressful, traumatic, or difficult situations or episodes of hardship for nurses. Situations or episodes of these types can also cause both physical and mental problems, such as fatigue, irritability,lack of concentration, unhappiness, depressive sensation, depersonalization, and emotional exhaustion.Despite all of these challenges, resilience enables nurses to cope with their work environment and to maintain healthy and stable psychological functioning. The aim of this review is to describe the concept of resilience, explain characteristics with which it is related and outline interventions to increase the resilience of nurses.

Construction and Validation of a Chinese Translation of the Coping Self-Efficacy Scale,Adolescent Edition

Background:Coping self-efficacy can help individuals mitigate the adverse emotional impacts of stress,anxiety,and other negative emotions,and it also influences individuals’academic performance,including school adjustment and academic burnout.It is an important factor affecting the mental health of adolescents.However,there is no measurement tool specifically designed for adolescent populations in China.Therefore,the purpose of this study is to assess the applicability of the Coping Self-Efficacy Scale(CSES)among Chinese adolescents.Methods:In September 2023,this study collected data through online questionnaires and ultimately conducted item analysis,exploratory factor analysis,confirmatory factor analysis(CFA),measurement invariance analysis,reliability analysis,and criterion-related validity analysis on a sample of 1157 adolescents.Results:The results of item analysis showed that the items of CSES were significantly different between the high and low groups.Further factor analysis results showed the existence of a factor solution that explained 59.09%of the total variation,with factor loadings ranging from 0.52–0.78.CFA supported the three-factor model of Chinese adolescent version of the CSES(CFI=0.923,TLI=0.914,IFI=0.923,RMSEA=0.068).Measurement invariance analysis indicates that the scale satisfies gender measurement invariance(ΔCFI=-0.002,-0.001>-0.01,ΔRMSEA=-0.001,0<0.02,ΔSRMR=0.005,0.007<0.01).The Chinese adolescent version of the CSES was positively correlated with the Social Support Appraisal Scale(SS-A)and the Life Orientation Test-Revised(LOT-R,r=0.670,0.673,both p<0.01),and negatively correlated with the Chinese Perceived Stress Scale(CPSS),the State-Trait Anxiety Inventory(STAI)and the Adolescent Student Burnout Inventory(ASBI,r=-0.694,-0.233,-0.680,both p<0.01).The Cronbach’sα,McDonald’sω,split-half reliability and test-retest reliability of the Chinese adolescent version of the CSES were 0.953,0.955,0.933 and 0.894,respectively.Conclusion:The results indicate that the three-factor model of the Chinese adolescent version of the CSES is acceptable and demonstrates high reliability and validity,establishing it as a precise tool for measuring and assessing coping self-efficacy among Chinese adolescents.

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.

临床护士安全态度现状及其影响因素分析

目的:调查临床护士的安全态度现状并分析其影响因素,为优化患者安全管理措施、保障患者安全提供参考依据。方法:于2021年7月—8月选取全国范围内40家医院的14302名护士作为研究对象,调查其一般资料、安全态度、职业价值观水平、应对适应能力等。采用多元线性回归分析临床护士安全态度的影响因素。结果:临床护士的安全态度总分为(122.63±20.27)分,处于中上水平;管理感知维度得分最高,团队合作维度得分最低;多元线性回归分析结果显示,职业价值观、应对适应能力、是否参加过护理安全培训、年龄、医院级别、性别、学历、工作科室、工龄以及职务是临床护士安全态度的影响因素(P<0.05)。结论:我国临床护士安全态度整体水平仍有待提升,尤其在团队合作方面需要加强管理;护士的安全态度受职业价值观、应对适应能力、安全培训、学历、职务等多种因素影响,应关注不同因素并实施有针对性的干预措施,从而保障护理质量及患者安全。

广西卫生管理专业技术职称晋升的现状及改革思路探析

本文以广西壮族自治区卫生管理专业技术职称考试及评审等方面的现状作为切入点,剖析目前该专业人员职称晋升困难影响因素,进一步探讨了推进卫生管理专业技术职称政策改革的必要性,并对卫生管理专业技术职称晋升的改革思路进行论述,以期为相关部门研究提供参考,解决当前因卫生管理职称体系不完善而产生的矛盾。

医学生逆境商、应对方式与职业认同感的关系

目的探讨医学生逆境商、应对方式和职业认同感的关系。方法以线上发放问卷方式,采用逆境商量表、简易应对方式量表、职业认同感量表对232名医学生进行调查。采用Pearson积差相关分析、逐步回归分析和Bootstrap方法等对数据进行分析。结果医学生职业认同感与逆境商、应对方式正相关(r_(1)=0.642,r_(2)=0.643;Ps<0.001),逆境商与应对方式正相关(r=0.706;P<0.001);医学生逆境商不仅能直接预测职业认同感[效应量=8.350%,95%CI(5.404,11.296)],还可以通过应对方式的中介作用间接影响职业认同感[效应量=5.965%,95%CI(3.786,8.115)]。结论医学生逆境商、应对方式和职业认同感关系密切;逆境商和应对方式均可正向预测医学生职业认同感;应对方式在逆境商与医学生职业认同感之间具有部分中介作用。

压力知觉和积极应对在护生生命意义感与职业认同感间的链式中介作用

目的探讨压力知觉和积极应对在护生生命意义感与职业认同感之间的链式中介作用,为实施干预策略提升护生职业认同感提供理论依据。方法采用便利抽样法,选取9所护理专业院校的护生作为研究对象,采用一般资料问卷、生命意义感量表、压力知觉量表、简易应付方式量表和护生职业认同感量表对1463名护生进行调查。结果护生生命意义感总分为(45.72±6.74)分,压力知觉总分为(41.19±6.48)分,积极应对总分为(20.88±6.19)分,职业认同感总分为(57.70±10.94)分。护生生命意义感、积极应对与职业认同感呈正相关,压力知觉与职业认同感呈负相关(均P<0.05)。路径分析结果显示,生命意义感直接影响护生职业认同感,直接效应为0.454[95%CI(0.365,0.543)];同时,生命意义感可以通过压力知觉影响护生的职业认同感,中介效应为0.042[95%CI(0.021,0.069)];生命意义感还可经由积极应对影响护生的职业认同感,中介效应为0.131[95%CI(0.082,0.183)];且压力知觉和积极应对在生命意义感与职业认同感间起链式中介作用,中介效应为0.022[95%CI(0.013,0.032)]。结论护生职业认同感及生命意义感得分均处于中等水平,生命意义感可以直接影响护生职业认同感,也可通过改变护生压力反应过程影响其职业认同感。护理教育者可通过提升护生生命意义感,以帮助护生降低压力知觉,建立积极应对方式,进而提升职业认同感。

临床护士职业尊重感在专业自我概念与职业应对自我效能间的中介作用

目的探讨护士职业尊重感在护理专业自我概念与职业应对自我效能间的中介作用。方法2022年6-7月采用便利抽样法选择来自四川、山西、广东、湖北的20所医院的675名临床护士为研究对象,采用一般资料问卷、护士职业尊重感量表(JES-HN)、护理专业自我概念量表(PSCNI)、职业应对自我效能量表(OCSE-N)对其进行调查。结果临床护士专业自我概念、职业尊重感及职业应对自我效能得分分别为(90.85±11.54)分、(106.13±16.75)分、(36.17±6.64)分。临床护士专业自我概念、职业尊重感和职业应对自我效能之间呈两两相关关系,相关系数分别为r=0.664、0.609、0.559(P均<0.01),职业尊重感在专业自我概念与职业应对自我效能间起部分中介作用,中介效应占总效应的30.19%。结论临床护士专业自我概念对职业应对自我效能影响明显,亦能通过职业尊重感对职业应对自我效能产生影响。护理管理者需重点关注较专业自我概念消级和较低职业尊重感的护士,提升其职业尊重感,增加其职业应对自我效能,从而促进护士的职业健康,减少护士离职率,维持护士队伍的稳定。