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A growing body of research has documented that childhood maltreatment is associated with increased risk of child aggression. However, little is known about the mediating and moderating mechanisms underlying the relationships between childhood maltreatment and reactive and proactive functions of aggression. Therefore, the present study examined whether callousunemotional traits mediated the relationships between childhood maltreatment and two subtypes of aggression and whether these mediating processes were moderated by friendship quality. A cross-sectional study was conducted among 2407 adolescents between 11 and 16 years (M age = 12.75, SD = .58) in Shanxi province, China. Participants filled out questionnaires regarding childhood maltreatment, callous-unemotional traits, aggression, and friendship quality. The results indicated that childhood maltreatment was significantly and positively associated with proactive and reactive aggression, and these relationships were partially mediated by callous-unemotional traits after controlling for demographic variables. Friendship quality moderated the relationship between childhood maltreatment and proactive aggression as well as callous-unemotional traits and proactive aggression. These relationships became weaker for adolescents with high levels of friendship quality. Friendship quality did not moderate the effects of childhood maltreatment and callous-unemotional traits on reactive aggression. [ABSTRACT FROM AUTHOR]

To evaluate the factor structure, reliability, and validity of the Personality Inventory for DSM-5 (PID-5) in Chinese nonclinical adolescents, a total of 1,442 Chinese middle school youths (M age = 14.85, girls = 52.4%) were recruited in the present study. All the participants completed the full-length 220-item PID-5. Some participants (n = 1,003) were administered adolescents' social adjustment as a criterion measure at the same time and 236 participants took part in longitudinal assessment of the PID-5 and adolescents' social adjustment 6 months later. First, exploratory structural equation modeling analyses supported a six-factor structure of the PID-5 in our present sample. Second, Negative Affectivity, Detachment, Antagonistic, and Disinhibition domains had positive correlations with negative social adjustment, and negative correlations with positive social adjustment concurrently and longitudinally, with the exception of Constraint and Psychoticism. Third, Cronbach's alpha for the PID-5 traits ranged from.57 to.91 in the full sample. The 6-month test–retest reliability by indexes of interclass correlation coefficient showed poor to good stability. As a whole, our findings provided preliminary evidence of the PID-5 as a reliable and valid measure of adolescents' maladaptive personality traits in mainland China. [ABSTRACT FROM AUTHOR]

Aims: To determine if there is a moderating effect of cultural intelligence between the conflict of nursing relationships and teamwork. Background: Relationship conflicts that exist in the nursing teamwork cannot be ignored. It would lead to poor teamwork and impact on patients' poor outcomes. In the meantime, cultural intelligence has been proven that people who have a higher cultural intelligence can do better at the work. Methods: The sample included 550 clinic nurses from five different hospitals in Shanghai. The Cultural Intelligence Scale, the Relationship Conflict Scale, and the Nursing Teamwork Survey Scale were used to investigate. Through the Johnson–Neyman method and SPSS Process Macro, the moderating effect of cultural intelligence was analysed. Results: The findings showed that cultural intelligence was founded to be significant (b = 2.03, p < 0.01). When the cultural intelligence score is greater than or equal to 90.8, the relationship conflict between nurses will not affect teamwork. Conclusions: The findings of this study may provide data to improve nurses' performance in team cooperation. Implication for nursing management: Nursing managers should pay attention to the construction of the nurse's cultural intelligence. Nursing managers should guide nurses in daily work to continuously develop their own cultural intelligence. Enable nurses to effectively transfer social skills from one culture to another, and improve teamwork skills. [ABSTRACT FROM AUTHOR]

Aim: To determine the level of dignified care provided by critical care nurses, and explore the associated individual factors. Background: Dignity is a fundamental right of human beings. Critically ill patients are dependent on nurses. Their need for respect and dignity is liable to be neglected in intensive care unit settings. Both critically ill survivors and dying patients suffer mental anguish due to loss of dignity. Method: This was a cross‐sectional study of 526 critical care nurses working at intensive care units for adults in Zhejiang Province, China. Data were collected from February 2021 to May 2021 using the Intensive Care Unit Dignified Care Questionnaire, Wong and Law Emotional Intelligence Scale, Jefferson Scale of Empathy‐Health Professional and Nurses Professional Values Scale‐Revised. Results: The total score of dignified care was 67.37 (8.83), with the standard score as 74.07 (12.99). Participants who performed poorly in absolute and relative dignity accounted for 8.4% and 31.2% of the total sample, respectively. Emotional intelligence (β =.379, p <.001), empathy (β =.319, p <.001), professional values (β =.147, p <.001), age (β =.075, p =.003) and training in dignified care (β =.074, p =.010) were associated with dignified care, explaining 67.6% of the variance. Conclusion: The average level of participants' behaviours of maintaining patient dignity was medium. Critical care nurses need to improve their ability to maintain relative dignity of patients. Emotional intelligence, empathy, professional values, age level and training in dignified care were predictors of dignified care. Implications for Nursing Management: Improving emotional intelligence, empathy and professional values of critical care nurses and training them (especially less experienced nurses) will enhance their ability in dignified care. This study provides a novel perspective to help nursing managers develop interventions to promote humanized care in the intensive care unit. [ABSTRACT FROM AUTHOR]

Aim: This study aimed to investigate the impact of self‐efficacy on the relationship between organizational climate and humanistic practice ability (HPA) in Chinese nurses. Background: To date, studies on the effect of organizational climate on nursing care have focused on care outcomes rather than care processes. Thus, this effect remains poorly understood. Methods: A total of 757 participants were sampled from three tertiary hospitals in Guangdong Province from November to December 2019; subsequently, they completed a structured electronic questionnaire. A structural equation model was used to explore the impact of nursing organizational climate on nurses' HPA. Results: A total of 688 valid questionnaires were collected. The nurses' average HPA score was 107.82 (SD 12.47). There was a positive correlation between organizational climate and HPA (r =.409, p <.05). Additionally, self‐efficacy mediated this relationship (p <.01). Conclusions: This study provides new insights into nursing organizational climate, self‐efficacy and nurses' HPA. Implications for Nursing Management: The significant mediating effect of self‐efficacy suggests that managers should implement nurse professional development programmes using targeted strategies to foster greater self‐efficacy, which could improve the quality of care and nurse–patient relationships. [ABSTRACT FROM AUTHOR]

Background/Aims: This study aimed to translate the perceived insufficient milk questionnaire into the Chinese language, Mandarin, perform cultural adaptation, and evaluate its validity and reliability. Methods: The perceived insufficient milk questionnaire was translated using a forward-backward process. An expert panel evaluated content validity with both item and scale content validity indices. Construct validity was assessed by exploratory and confirmatory factor analysis. Internal consistency reliability was evaluated by the Cronbach alpha coefficient. With a 1-week interval, the test-retest reliability was assessed by intraclass correlation coefficient. Results: A total of 328 participants were recruited. The item-level content validity index was as high (0.83–1.0), and the scale-level content validity index was 0.92, indicating excellent validity. A single-factor model was verified as acceptable with good fit indices. The internal consistency (Cronbach alpha coefficient=0.943) and test-retest reliability (intraclass correlation coefficient range: 0.870–0.974) were good. Conclusions: The Chinese version of the perceived insufficient milk questionnaire had acceptable validity and reliability. It is helpful for healthcare providers to evaluate mother's beliefs about breastmilk quantity and nutritional quality, preventing early cessation of breastfeeding through timely interventions. [ABSTRACT FROM AUTHOR]

The mental health of individuals has become increasingly important during the novel coronavirus-2019 (COVID-19) pandemic. Given the number of healthcare staff that are helping to treat the victims of COVID-19 all over the world, there is a lack of research concerning the mental health of healthcare staff, and of the prior studies carried out, the research has been relatively descriptive and has not used more sophisticated types of analyses (e.g. latent profile analysis [LPA]). The aim of the present study was to investigate profiles of mental health among Chinese healthcare staff during the COVID-19 pandemic. The sample comprised of 456 healthcare staff, and participants completed an online survey including individual information and their working status during the COVID-19 pandemic. The survey included the Chinese Mental Health Scale (MHS-C), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS). Utilizing the LPA, two profiles of mental health (good mental health and poor mental health) were identified for Chinese healthcare staff during the COVID-19 pandemic. Compared to those with a good mental health profile, those with poor mental health profile had significantly higher scores on SAS and SDS. Female healthcare staff had higher mental health disturbances than males. Taking care and protecting the mental health of healthcare staff is very important in the fight against COVID-19. The need for employers to implement positive and effective measures among mental healthcare staff is likely to help them to cope better with mental health issues and improve mental health, as well as enhance resilience. Healthcare staff with good mental health can dedicate themselves to better nursing practice and nursing education during the COVID-19 epidemic. [ABSTRACT FROM AUTHOR]

Caregiving burden proves to be a risk factor of anxiety disorders and anxiety affection. The current study investigates how an endogenous personality dimension – neuroticism – moderates the association between caregiving burden and anxiety affection. Between 2015 and 2017, the study deployed a cross-sectional survey of 674 (response rate = 89%) older adults who were hospitalized for dementia at two hospitals. From all primary caregivers of these patients, 661 agreed to participate in the survey which yielded 661 matched dyads as the final sample. Caregiving burden, neuroticism, and anxiety affection were each measured by established assessment instruments. We employed multivariate OLS regression to test the moderator and regressor effects. We found that care burden is a significant risk factor of higher levels of anxiety affection (β =.17, p <.001), and accounts for 4.6% of the variance in anxiety. Neurotic personality is also significantly associated with a greater level of anxiety (β =.26, p <.001). Neurotic personality moderates the association between anxiety and care burden (β =.24, p <.001). Our findings suggest that social and healthcare workers should assess caregiver personality and burden as well as provide support, resources, and coping strategies to those with neurotic personality traits or high care burden in an effort to reduce anxiety among caregivers. [ABSTRACT FROM AUTHOR]

Workplace social capital positively influences the quality but reduces the cost of healthcare services. Academic research suffers from limited and inadequate culturally sensitive nurses' workplace social capital instruments. Here we report on the design and protocol of a culturally focused instrument development study in China. The overarching objective of our dual phase study is to develop and validate a questionnaire measuring nurses' workplace social capital tailored toward Chinese cultural values and norms. In the first phase of INSTRUMENT DEVELOPMENT, the qualitative phase, we will conduct interviews with purposefully sampled nurses from five geographically diverse regions capturing 16 provinces in China to formulate the initial version of the Nurses' Workplace Social Capital Questionnaire (NWSCQ). Data collection will be stopped at the saturation point and content analysis will be performed for interview data in parallel. The initial version of the NWSCQ will be evaluated and confirmed by two-rounds of expert consultation (target N = 20) and pre-tested among 70 nurses. During the second phase of INSTRUMENT VALIDATION or the quantitative phase, we will validate the psychometric properties of the NWSCQ. The validity and reliability of the questionnaire will be examined and validated through three cross-sectional surveys among nurses (target N = 1154) randomly selected from 12 tertiary hospitals. We have reported our study protocol with the intention of sharing our experience with researchers in other countries who are striving to advance the phenomenon of culturally sensitive and social normatively appropriate nurses' workplace social capital. Findings from our study should advance the development of culturally appropriate and valid instrument of nurses' workplace social capital, another important step toward recognition and incorporation of cultural diversity in the daily operation of healthcare industry. [ABSTRACT FROM AUTHOR]

Emotion perception has a vital influence on social interaction. Previous studies discussed mainly the relationship between facial emotion perception and aggressive behavior from the perspective of hostile attributional bias and the impaired violence inhibition mechanism. The present study aims to provide new evidence of different emotion perception patterns between the violent and non-violent criminal samples through a new indicator of the facial emotion recognition test, Facial Emotion Perception Tendency (FEPT), calculated by counting the times a participant recognizes a set of emotional stimuli as a particular specific emotion, and to further examine the association between aggressive behaviors and FEPT. 101 violent and 171 non-violent offenders, as well as 81 non-offending control participants, were recruited to complete the emotion recognition task with morphed stimuli (Study 1). We further recruited 62 non-offending healthy male participants to finish the Buss -Perry Aggression Questionnaire (BPAQ) after the emotion recognition task in Study 2. Both nonviolent and violent offenders were significantly lower in overall accuracy of emotion recognition and disgust FEPT, but higher in happy FEPT, than nonoffending healthy controls. Non-violent offenders had significantly lower fear FEPT than violent offenders, and had higher anger FEPT than non-offending controls. The results also revealed that the level of physical aggression was positively correlated with fear FEPT, while negatively correlated with anger FEPT. The current study demonstrated that FEPT was associated with aggressive behavior and implies the importance of improving the emotion decoding ability of offenders. Also, the concept "FEPT" proposed in this study is of significance for further exploration of how individuals' tendency to perceiving a particular emotion can be correlated with social behaviors. [ABSTRACT FROM AUTHOR]

The Big Five Inventory-2 (BFI-2) has received wide recognition since its publication because it strikes a good balance between content coverage and brevity. The current study translated the BFI-2 into Chinese, evaluated its psychometric properties in four diverse Chinese samples (college students, adult employees, adults treated for substance use, and adolescents), and compared its factor structure with those obtained from two U.S. samples. Across two studies, the Chinese BFI-2 demonstrated good reliability (Cronbach's α and test–retest reliability), structural validity, convergent/discriminant validity, and criterion-related validity at the domain level. At lower levels of analyses, some facets and negatively worded items functioned better among participants with higher than those with lower education levels. Implications, limitations, and future directions are discussed. [ABSTRACT FROM AUTHOR]

Weight-related school bullying and victimization have become important public health issues among adolescents around the world. This study aims to examine gender differences in the effects of Body Mass Index (BMI) on school bullying and victimization among secondary school students. This study conducted a survey among 2849 adolescents—1393 girls (48.9%) and 1456 boys (51.1%). The students were between 12 and 18 years of age and were recruited from ten secondary schools in 2019 in Suqian City in China. The study showed that overweight boys were more likely to bully others and be bullied by peers compared to normal weight boys. In contrast, overweight girls reported less bullying than normal-weight girls. No significant relationship was found between overweight and victimization among female students. The implications for comprehensive sexuality education practices are also discussed. [ABSTRACT FROM AUTHOR]

Aim: To explore the mediating role of fear and resilience on the relationship between clinical nurses' reporting of skin lesions and their anxiety and depression during the coronavirus disease 2019 (COVID‐19) pandemic. Background: Prolonged personal protective equipment wearing may cause severe skin lesions among clinical nurses. The possible relationship between clinical nurses' reporting of skin lesions and their anxiety and depression remains unknown. Moreover, little is known about what factors could mediate such a relationship. Methods: This is a cross‐sectional online survey. CHERRIES was used to report results. Results: Of 2014 participants, 94.8% (n = 1910) reported skin lesions. Skin lesions were positively related to anxiety (p <.001, β =.228, SE =.099) and depression (p <.001, β =.187, SE =.093). Fear activated while resilience buffered the relationship between clinical nurses' reporting of skin lesions and anxiety and between skin lesions and depression. Conclusion: Reduced fear and enhanced resilience level were related to decreased levels of anxiety and depression among clinical nurses. Implications for nursing management: Nurse managers should evaluate the occurrence and severity of clinical nurses' skin lesions, arrange reasonable working duration to relieve skin lesions, provide appropriate psychological support to reduce clinical nurses' fear and implement various strategies to enhance their resilience, thereby decreasing their anxiety and depression. Clinical trial registration number: ChiCTR2000030290 [ABSTRACT FROM AUTHOR]

Aims: To describe adult intensive care nurses' experiences and attitudes towards intrahospital transport (IHT) of critically ill patients and to assess the relationship between nurses' characteristics, attitudes and experiences. Design Cross‐sectional survey. Methods: Factor analysis identified factors within the attitudinal and experience domains. Univariate analysis was performed to demonstrate the relationship between attitudinal and experience factors and demographic and professional characteristics of the participants. Multiple regression equations were applied to determine associations between nurses' experiences and attitudes. The study took place from July to August 2019. Results: A total of 480 nurses from 12 adult intensive care units in China participated, with a response rate of 65%. Most respondents had a baccalaureate nursing degree (75%). The majority (80%) had participated in IHT of critically ill more than five times in the previous 12 months and 90% agreed that checklists led to an improvement in patient safety during transport. However, 75% of respondents expressed that transport increased the workload of the nurses who accompany patients off unit and those who remained in the intensive care unit (66%). Variables that were associated with a favourable perception of transport competency and checklists/tool use were nurses' prior transport experiences and knowledge/training. Conclusion: Nurses perceived IHT was a sourse of stress and increased workload. Checklists and training were beneficial for patient safety during IHT. Impact The findings point out a clear need for ICU nurse training, standardised policy/procedure and customisation of existing intrahospital transfer checklists according to hospital procedures and local circumstances. New research is needed to evaluate the impact of novel IHT interventions on patient safety and nurses' stress. [ABSTRACT FROM AUTHOR]

Past evidence has revealed the negative effects of children's witnessing of family violence. With our increasingly aging society comes a higher risk of elder abuse, which creates new challenges in the form of the indirect and direct victimisation of children in the home. However, research on the relationship between children's witnessing of elder abuse and their victimisation experiences is limited. This study examines the physical and mental health outcomes of witnessing elder abuse, as well as the relationship between children's witnessing of elder abuse at home and child abuse victimisation. A large‐scale representative sample of 18,504 students aged 14–18 from six major cities in China was analysed to investigate the associations. The results showed that children who had witnessed more than one type of elder abuse were more likely to have depression and poor health than those who had witnessed only one type. Children's witnessing of elder abuse was also significantly associated with child abuse and bullying victimisation. These findings offer implications for policy making and service delivery in family‐based child protection and interventions: Future interventions aimed at addressing indirect child victimisation should be integrated with those focused on direct forms of victimisation in order to effectively identify at‐risk families as a whole. [ABSTRACT FROM AUTHOR]

An increasing number of studies have focused on the relationship between neighbourhood environment and depressive symptoms among older people. However, the underlying mechanisms are still unclear. This study examined the association between neighbourhood environment and depressive symptoms among older urban Chinese adults and the mediator role of social capital in this association. Using a quota sampling approach, 472 respondents aged 60 years or older were recruited from 23 urban communities of Shanghai, China, in 2020. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale. Social capital was measured by two latent constructs: cognitive social capital (e.g., trust, reciprocity, belongingness) and structural social capital (e.g., memberships, social participation). Perceived physical neighbourhood environment was assessed in terms of health care, security, and public transportation status. Structural equation modelling was conducted to test the study hypotheses. Health care services in the community had a direct effect on depressive symptoms (β = −0.097, p <.05). Cognitive social capital played a mediator role in the relationship between physical neighbourhood environment and depressive symptoms (community health care: β = −0.124, p <.01; community security: β = −0.284, p <.01). The mediator effect of structural social capital in the relationship between physical neighbourhood environment and depressive symptoms was not significant. The findings highlight the role of physical neighbourhood environment in fostering community‐based social capital and promoting mental health among older adults in urban China. Policy strategies could focus on improving community health care and security to promote mental health. [ABSTRACT FROM AUTHOR]

Purpose: Social work practice needs emotional labor input, the level of which is related to job satisfaction, and well-being. The aim of this study was to validate the Chinese version of the Emotional Labor Scale (ELS) for social workers in Mainland, China. Method: Using a quota sampling method, 476 social workers in Mainland China were selected, and the reliability, and validity of the translated ELS was tested. Results: Exploratory factor analysis (EFA) and confirmatory factor analysis revealed a six-factor structure, which was consistent with the original scale. The Chinese version of ELS was indicated to have good factorial validity (KMO = 0.75, Bartlett's test of sphericity: χ2 = 882.65, df = 91, p < 0.001) and reliability (Cronbach's α = 0.69). Conclusions: The validated Chinese version of ELS was applicable in future assessments of emotional labor of social workers in recruitment, training and supervision work in Mainland China. Cutoff scores were also suggested. [ABSTRACT FROM AUTHOR]

Background: Instrumental support, which is defined as practical, tangible, and informational assistance extended to patients, is crucial for older people in transition. However, little is known about instrumental support in transitional care. Thus, the aim of this study was to evaluate the instrumental support of older people in transitional care. Methods: This cross-sectional study was conducted using the Questionnaire of Instrumental Support in Transitional Care (QISCT) to collect data from 747 older people in China from September to November 2020. Survey items consisted of a sociodemographic characteristics questionnaire and the QISCT. Multiple regression analyses were conducted to examine the association between independent variables and the QISCT scores. Results: The total score of the QISCT was 39.43 (± 9.11), and there was a significant gap between the anticipated support and received support. The satisfaction of instrumental support was low. Multiple regression analyses showed that educational level, the number of intimate relationships, monthly family income, monthly costs of transitional care, diabetes, and chronic obstructive pulmonary disease were associated with instrumental support in transitional care. Conclusions: To cope with the burden caused by chronic disease, the government and transitional care teams should establish a demand-oriented transitional care service model and pay more attention to helping older people obtain adequate and satisfactory instrumental support. [ABSTRACT FROM AUTHOR]

This study aimed to translate the Spiritual Perspectives Scale (SPS) into a Mandarin Chinese version (C-SPS) and evaluate its psychometric properties among 154 palliative care nurses from twelve community healthcare centres in Shanghai, China. Exploratory factor analysis suggested two factors (spiritually related activities and spiritual beliefs), accounting for 67.49% of the total variance. The Cronbach's α of the total C-SPS score was 0.89, and its split-half coefficient (Spearman-Brown reliability coefficient) was 0.72. The C-SPS showed consistently acceptable psychometric properties of reliability and validity. It can be used to evaluate the level of spiritual perspectives of nurses in China. [ABSTRACT FROM AUTHOR]

The understanding of stigma resistance and its prevalence is limited due to the limitation of existing measures. This study aims to modify the Stigma Resistance Scale (SRS) and assess the psychometric properties of Chinese patients with mental illness. Seven experts were invited to assess the content validity of the Chinese version of the SRS (C‐SRS), which has been translated and adapted into Chinese. Convenience samples were included from two psychiatric hospitals and three community healthcare centers in Beijing, China. A total of 484 patients completed the survey from November 2020 to July 2021. Samples were randomized into two parts exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). EFA (n = 242) yielded three factors with Cronbach's α of 0.932 for the total scale, and 0.835, 0.877, and 0.858 for the subscales. CFA (n = 242) revealed good model fit (χ2/df = 2.190, RMSEA = 0.070). The domain‐total correlation scores were 0.834–0.939. The correlation coefficient of test‐retest ranged from 0.726 to 0.887. The correlation coefficient between the C‐SRS and Stigma Resistance subscale of the Internalized Stigma of Mental Illness scale was 0.399. This study found that the C‐SRS has evidence of excellent reliability and validity for assessing stigma resistance. It could be used in Chinese people with mental illness to identify and address stigma resistance. [ABSTRACT FROM AUTHOR]

Introduction: To facilitate community-based dementia screening, we developed a voice recognition-based digital cognitive screener (digital cognitive screener, DCS). This proof-of-concept study aimed to investigate the reliability, validity as well as the feasibility of the DCS among communitydwelling older adults in China. Methods: Eligible participants completed demographic, clinical, and the DCS. Diagnosis of mild cognitive impairment (MCI) and dementia was made based on the Montreal Cognitive Assessment (MoCA) (MCI: MoCA < 23, dementia: MoCA < 14). Time and venue for test administration were recorded and reported. Internal consistency, test-retest reliability and inter-rater reliability were examined. Receiver operating characteristic (ROC) analyses were conducted to examine the discriminate validity of the DCS in detecting MCI and dementia. Results: A total of 103 participants completed all investigations and were included in the analysis. Administration time of the DCS was between 5.1-7.3 min. No significant difference (p > 0.05) in test scores or administration time was found between 2 assessment settings (polyclinic or community center). The DCS showed good internal consistency (Cronbach's alpha = 0.73), test-retest reliability (Pearson r = 0.69, p < 0.001) and inter-rater reliability (ICC = 0.84). Area under the curves (AUCs) of the DCS were 0.95 (0.90, 0.99) and 0.77 (0.67, 086) for dementia and MCI detection, respectively. At the optimal cut-off (7/8), the DCS showed excellent sensitivity (100%) and good specificity (80%) for dementia detection. Conclusion: The DCS is a feasible, reliable and valid digital dementia screening tool for older adults. The applicability of the DCS in a larger-scale community-based screening stratified by age and education levels warrants further investigation. [ABSTRACT FROM AUTHOR]

Aim: This study examined the validity and reliability of the Analysing and Developing Adaptability and Performance in Teams to Enhance Resilience (ADAPTER) Scale in a sample of Chinese nurses. Background: Nurse shortage caused by job stress in China is becoming more acute, while research on team resilience training among nurses is still rising. To accurately and consistently describe team resilience status prior to training and evaluate the effects of resilience interventions at the team level among nurses, it is critical to develop a valid and reliable Chinese measure. Methods: This was a cross‐sectional study of 838 nurses. The scale was translated into Chinese according to Brislin's guidelines. Validity was evaluated by content validity, discriminative validity, exploratory and confirmatory factor analyses and convergent validity. Reliability was estimated by item‐to‐total correlations, internal consistency and test–retest reliability. Results: Exploratory and confirmatory factor analyses revealed a four‐factor model. Content validity was good and discriminative validity showed a significant discriminative ability. The concurrent validity was acceptable. The reliability was demonstrated with item‐to‐total correlations of greater than.40, Cronbach's alpha of.97 and intraclass correlation coefficients of.946. Conclusions: The Chinese version of the scale is a valid and reliable instrument. Implications for Nursing Management: The scale can provide insight into nurses' team resilience and thereby inform the development of specific interventions aimed at improving the team resilience of nurses. [ABSTRACT FROM AUTHOR]

Aim: To investigate the influence of perceived organisational justice, professional identity and emotional labour on nurses' job performance. Background: Previous studies have not explored the impact of professional identity and emotional labour on the relationship between perceived organisational justice and job performance. However, how to mobilize the enthusiasm of nurses and improve their job performance is the key for nursing managers to realize the sustainable development of hospitals. Methods: A cross‐sectional survey design was conducted. A total of 951 nurses from public hospitals in China participated in the survey from March–June 2021. The descriptive statistical approach, Pearson's correlation analysis and the PROCESS Macro Model 4 and 14 in regression analysis were used to analyse the available data. Results: The results showed that nurses' perceived organisational justice, professional identity, emotional labour and job performance were significantly positive correlations between every two variables, with coefficients ranging between.24 and.75. Professional identity played a whole mediating role in perceived organisational justice and job performance, accounting for 98.04% of the total effect; meanwhile, this process was moderated by emotional labour. Conclusions: Perceived organisational justice positively predicted nurses' job performance; as a mediating mechanism with moderating, professional identity and emotional labour further explained how perceived organisational justice promoted the job performance of nurses. Implications for nursing management: This study highlighted the moderated mediation role of professional identity and emotional labour between nurses' perceived organisational justice and job performance. Understanding this mechanism has guiding significance for nursing managers to improve nurses' job performance. [ABSTRACT FROM AUTHOR]

The fast‐developing Internet is changing the way people interact, this new phenomenon helps people build and accumulate online social capital. However, the influence of online social capital on individual health is controversial. Based on the social capital theory, this study examined the effect of online social capital on health in subgroups with different levels of offline social capital. Data from the China Family Panel Studies of 2016 were used (N = 13,910), and the propensity score matching approach was used to address potential endogeneity problems. The results show that offline social capital had significant positive associations with individual health; although online social capital had few effects on individual health overall, significant health effects of online social capital were observed in subgroups with different offline social capital levels. In subgroups with less general trust and neighborhood social capital, more online social capital was associated with less depression; while in subgroups with more neighborhood social capital, more online social capital was associated with an elevated probability of two‐week morbidity. Our findings further clarify the relationship between online/offline social capital and individual health. Online social capital can be considered as a supplement of offline social capital when it comes to health promotion, and more online contact should be encouraged when offline social capital of individuals or within the community is scarce. [ABSTRACT FROM AUTHOR]

Aims and objectives: To explore hospital healthcare professionals' knowledge and attitudes towards dementia care in China. Background: Hospital healthcare professionals deliver most diagnosis and treatment for people with dementia in China. Literature shows that healthcare professionals' knowledge and attitudes are of great importance in providing optimum dementia care. However, there is limited research of healthcare professionals' dementia knowledge and attitudes within hospital contexts in China. Design: A cross‐sectional survey was conducted between April and December 2019. Methods: A self‐report questionnaire composed of demographics and knowledge and attitude scales related to dementia was used for doctors and registered nurses working in settings where people with dementia are cared for in eleven public tertiary hospitals in Hebei Province, China. The STROBE checklist was adhered to in this study. Results: In total, 603 healthcare professionals completed the study. The majority of respondents were registered nurses (71.3%). The overall mean knowledge score was 20.7 (SD = 2.9) out of a maximum possible score of 30. The overall mean score for attitudes was 91.3 (SD = 15.9) out of a maximum possible score of 140. Standard multiple linear regression analysis revealed that the highest level of education, the experience of searching for dementia‐related information and willingness to receive dementia training or education were significant predictors of knowledge scores. The department, the experience of working with people with dementia, length of dementia care, interest in dementia care and training type were significant predictors of attitude scores. Conclusions: Deficits in the knowledge of dementia and a low level of positive attitude were identified among the healthcare professionals who work in hospital settings where people with dementia are cared for in China. Relevance to clinical practice: Education and training in dementia care should be integrated into undergraduate nursing and medical programmes and provided for healthcare professionals after commencing employment. [ABSTRACT FROM AUTHOR]

Aims: To translate 25‐item Dementia Knowledge Assessment Scale into Chinese and evaluate its psychometric properties amongst Chinese healthcare providers. Background: The prevalence of dementia is increasing in China, but development of relevant training for healthcare providers is still in its infancy stage. A comprehensive, valid and reliable Chinese knowledge‐of‐dementia measure is needed to identify training needs and evaluate the effect of educational interventions. Design: A cross‐sectional survey. Methods: The Dementia Knowledge Assessment Scale was translated into Chinese following the modified Brislin's translation model. Content and face validity were established by an expert panel in dementia care and healthcare providers. A convenience sample of 290 healthcare providers in care homes and hospitals was recruited. Construct validity was evaluated through confirmatory factor analysis, concurrent validity and known groups' comparisons method. Reliability was evaluated through internal consistency reliability and 2‐week test–retest reliability. This study used the STROBE checklist for reporting. Results: The content validity index was 0.98. The confirmatory factor analysis model revealed that the four‐factor model was partly supported in the present study. The moderate correlation between Chinese version of Dementia Knowledge Assessment Scale and Alzheimer's Disease Knowledge Scale indicated acceptable concurrent validity. The mean score of the scale and subscale scores showed significant differences between health professionals and care assistants, except for the subscale of "Care Considerations." The reliability was demonstrated with Cronbach's alpha of.77 and intra‐class correlation coefficients of each subscale between.74 and.92 among 56 respondents. Conclusions: The Chinese version of Dementia Knowledge Assessment Scale demonstrated acceptable concurrent validity but marginal factorial validity and satisfactory reliability amongst Chinese healthcare providers. Therefore, applying the four‐factor structure of Chinese version scale should be considered. Relevance to clinical practice: Chinese version of Dementia Knowledge Assessment Scale can be used to understand the training needs of healthcare providers in dementia. [ABSTRACT FROM AUTHOR]

Leaders have been thought to play a vital role in influencing employees' unethical behavior. However, what happens to leaders and followers in the aftermath of unethical conduct has received little attention in the literature. Drawing from the correspondent inference theory, we examine the conditions under which leaders attribute their followers' unethical behavior to poor moral character and eventually assign them low performance ratings. Through a two-wave research design and data from 290 matched employee–leader dyads, we found that a leader is more likely to infer that a follower who has engaged in unethical behavior is of poor moral character when the leader has a higher moral identity, and the leader will impose lower performance ratings on this follower when the leader prefers lower moral decoupling. [ABSTRACT FROM AUTHOR]

Aims: The aim of this study is to investigate nurses' research capacity and related training needs in Shanghai to provide evidence to further nursing research training. Materials and Methods: A cross-sectional design with a convenience sample of 1226 clinical registered nurses, including the Nursing Research Capacity of Self-Evaluation Questionnaire and Research Training Needs Form, was recruited from 14 public hospitals in Shanghai, China. And the influencing factors of nurses' research capacity were analyzed. Results: The mean score of nurses' research capacity was (46.25 ± 22.90) in Shanghai, that was at a low-to-medium level. The influencing factors of nurses' research capacity including age ( F = 15.983, P < 0.001), education ( F = 20.738, P < 0.001), professional title ( F = 6.993, P = 0.001), working years ( F = 7.803, P < 0.001), department ( F = 8.545, P < 0.001), and position ( F = -3.354, P = 0.001). The most critical factor is the time to participate a study ( P < 0.001). And what the nurses demanded were writing skills, special lectures, and participating in colleagues' projects mostly. Conclusion: Nurse's scientific research capacity still needs to be improved in Shanghai. The key to improving this situation is the individualized scientific research training and education for nurses and the practice of more participation in scientific research projects. [ABSTRACT FROM AUTHOR]

The Brief Problem Monitor (BPM) is a 19-item instrument newly developed for screening children and adolescents for emotional and behavioral problems. The aim of this study was to investigate the psychometric properties of the youth-report and parent-report versions of the BPM (BPM-Y and BPM-P) among Chinese youth. Data was collected from two samples: a middle school student sample (n = 1,246, girls = 516 [41.4%]) and a community youth sample from families suffering adversity (n = 383, girls = 143 [37.3%]). We conducted a series of confirmatory factor analyses to test and compare the latent structures of the BPM-Y and BPM-P. Results suggested that the three-factor model of the BPM-Y and BPM-P fit the data best. And based on the omnibus fit indices and difference between them, the items of the BPM-Y and BPM-P support measurement invariance across informants (both youth- and parent-report) for the three-factor model. Internal consistency coefficients were satisfactory (Cronbach's α =.73 ~.90). In terms of convergent validity, BPM factors and BPM scores showed expected correlations with strength and difficulties behavior, callous–unemotional traits, psychopathic traits, and social competence. In sum, our findings supported that the three-factor structuure of BPM-Y and BPM-P could be a promising instrument to screen emotional and behavioral problems in Chinese youth. [ABSTRACT FROM AUTHOR]

Coping strategies have the ability to reduce immediate and long‐term stress from cyberbullying experiences. This study compares the perceptions of cyberbullying victims and non‐victims in relation to the coping strategies for different types of cyberbullying victimisation. A group of 1,339 Chinese adolescents from vocational schools in Jiangxi province participated in the study. Effects of demographic factors, cyberbullying victimisation and self‐compassion on coping strategies were computed with logistic regression analysis. Results showed that cyberbullying victims indicated a stronger preference towards doing nothing, or to rely on themselves, instead of seeking help. Both victims and non‐victims indicated 'Asking a parent/family for help' as the first choice across all victimisation types. The effects of self‐compassion on coping with cyberbullying were found to be significant. This study provides evidence that can be used to enhance policy and practice for effectively enabling parents and professionals' involvement in cyberbullying intervention. Cyberbullying prevention programs should therefore arm parents with the knowledge to provide support to, and strengthen self‐compassion of children, to modulate positive coping emotions and cyber behaviour. [ABSTRACT FROM AUTHOR]

Background: The high prevalence of burnout among nurses produces huge health service losses. Existing literature found that occupational stressors and low levels of job satisfaction were related to burnout, whilst personality traits such as type A personality and neuroticism influenced occupational stressors, job satisfaction, and burnout. The purpose of this study was to investigate the mediating effect of job satisfaction on the relationship between occupational stressors and burnout among Chinese older nurses, and explore the moderating effects of type A personality and neuroticism on the relationships among occupational stressors, job satisfaction and burnout. Methods: A cross-sectional study was conducted in five provinces and municipalities (mainly in Shandong) in China. A total of 527 female older nurses (age≧40) were included in this study. Structural equation modelling (SEM) approach was employed to investigate the mediating effect of job satisfaction on the relationship between occupational stressors and burnout. Multi-group analysis was conducted to explore the moderating effects of type A personality and neuroticism on the relationships among occupational stressors, job satisfaction and burnout. Results: Both nurses with high type A personality and high neuroticism had higher occupational stressors, higher burnout and lower job satisfaction. Occupational stressors had direct effect (β = 0.29, P = 0.001) and indirect effect mediated by low levels of job satisfaction (β = 0.25, P = 0.001) on burnout. Type A personality had significant moderated effect (P = 0.007) on the relationships among occupational stressors, job satisfaction and burnout, whereas the moderated effect of neuroticism was not significant. Conclusions: Low levels of job satisfaction mediated the relationship between occupational stressors and burnout among Chinese older nurses, and both the direct and indirect effect of occupational stressors on burnout were moderated by type A personality. Hospital administrators should take specific measures such as transferring older nurses to easier positions to reduce their occupational stress, thereby increasing their job satisfaction and reducing their burnout, which is especially important for the older nurses with high type A personality. [ABSTRACT FROM AUTHOR]

Aims: To explore the role of self‐efficacy (SE) in the effect of patient empowerment on self‐management behaviours among patients with chronic illness and to investigate the moderating effect of three types of health locus of control (HLC) in this moderated mediation model. Design: Cross‐sectional design. Methods: Data were collected in a general tertiary hospital, and a sample of 254 patients was recruited between August and October 2020. The effect of moderation and mediation was tested by the PROCESS macro (Model 4 and Model 8) for SPSS 25.0 by Hayes using 5000 bootstrap samples. Results: Self‐efficacy significantly mediated the relationship between patient empowerment and self‐management behaviour with a 95% confidence interval excluding zero. The chance HLC demonstrated a moderating effect, and the interaction effect on SE and self‐management behaviour was significant. Conclusion: Patient empowerment may improve confidence and adherence to self‐management among people with chronic illness, and such benefits were conditional on the HLC of patients. Impact: This study addresses the relationship between patient empowerment and self‐management behaviour in patients with different personality characteristics. This result indicated that classifying the type of HLC may enable the identification of subgroups of patients who may subsequently benefit from patient empowerment. In a patient‐centred programme, nurses and other healthcare professionals correctly identifying patients' HLC type and understanding the implications and then providing appropriate health care plans for patients with different health beliefs may be useful to tailor the decision‐making process. [ABSTRACT FROM AUTHOR]

Recent studies have suggested a link between bullying victimization and passive bystander behaviors, such as more outsider behaviors and fewer defender behaviors. However, little is known about the internal mechanism underpinning this relation. The present study aimed to examine the direct and indirect relationships between bullying victimization and two types of bystander behaviors (defender behavior and outsider behavior), considering the possible mediator role of bullying sensitivity and moral disengagement among Chinese adolescents. Participants were 435 primary school students aged from 11 to 13 years (M = 12.27, SD = 0.69) who completed measurements of bullying victimization, bullying sensitivity, moral disengagement, and bystander behaviors. The results of the total effect model indicated that bullying victimization was positively related to outsider behavior and negatively related to defender behavior. The results from the structural equation modelling (SEM) analysis showed that bullying sensitivity mediated the relationship between bullying victimization and defender behavior. The relationship between bullying victimization and outsider behavior was mediated by moral disengagement, as well as the multiple mediation of bullying sensitivity and moral disengagement. These results highlight the roles of bullying sensitivity and moral disengagement in explaining the relation between bullying victimization and bystander behavior among adolescent students. The findings provide important implications for developing intervention programs aiming at school bullying prevention. [ABSTRACT FROM AUTHOR]

An emerging body of research has linked intimate partner violence (IPV) victimization with negative mental health outcomes among women in postreform China. However, limited scholarly attention has been given to the independent effects of multiple types of IPV victimization on depressive symptoms among men and women. Little is known if these independent effects will vary by gender in China where research on the association between IPV victimization and mental health did not emerge until fairly recently. Given this research paucity, this study aims to (a) examine the independent effects of different types of lifetime IPV victimization among married men and women in Sichuan province on their self-reported past 30-day depressive symptoms and (b) explore possible gender variations in these effects. The data utilized in this study came from a subsample of married men (N = 1,083) and women (N = 1,185) from the Third Survey of Chinese Women's Social Status 2010, a representative sample of adults aged 18 to 64 in Sichuan province. Statistical analyses indicate that all types of lifetime IPV victimization are significantly and positively associated with past 30-day depressive symptoms for women, whereas for men lifetime experiences of general controlling behavior and sexual IPV were not statistically associated with depressive symptoms. Moreover, the effects of multiple types of IPV victimization on depressive symptoms do not significantly vary by gender. Bearing this gender-neutral pattern in mind, health professionals, governmental officials, and researchers are strongly encouraged to focus on both married men and women in their IPV and mental health intervention, prevention, and treatment endeavors in postreform China. [ABSTRACT FROM AUTHOR]

Aims: To examine patient-caregiver concordances about psychological distress among Chinese patients with breast cancer undergoing chemotherapy and identify factors related to concordance among patients and family caregivers. Design: Cross-sectional study. Methods: From October 2019 to June 2020, 137 patient-caregiver dyads were enrolled. Sociodemographic information, the distress thermometer (including the problem list), the Distress Disclosure Index and the Family Adaptability and Cohesion Evaluation Scale were used to collect data. Data were analysed using intraclass correlation coefficients (ICC), kappa statistics, two related samples test, chi-square tests and/or Fisher's exact tests and binary logistic regression. Results: Overall, fair agreement was identified between patients' and caregivers' reports (intraclass correlation coefficients [ICC] = .528). Patients reported significantly higher psychological distress scores than paired caregiver reports. Lower psychological distress concordance was found among patients with comorbidities (odds ratio [OR], 0.352; 95% confidence interval [CI], 0.155-0.798) and lower levels of self-disclosure (OR, 0.402; 95% CI, 0.186-0.868). Conclusion: There was relatively low concordance between patients' reports and caregivers' perceptions of psychological distress. Family caregivers tended to underestimate patients' psychological distress. A comorbid condition and lower levels of self-disclosure contributed to this bias. Impact: Having an awareness of the incongruence between patient and caregiver may help healthcare providers better interpret caregiver assessments. Healthcare providers should reinforce patient-caregiver dyadic psychosocial education to improve concordance. More psychological care and substantial emotional support should be provided for Chinese breast cancer patients undergoing chemotherapy by family caregivers and healthcare providers. [ABSTRACT FROM AUTHOR]

Despite the large population of patients with mental disorders and the rapid development of mental health services in China, there are few evaluations of Chinese mental health services from the patient perspective. Relevant instruments with robust psychometric properties are lacking. This study aimed to translate, adapt and validate the WHO responsiveness performance questionnaire for measuring the quality of hospital mental health services among Chinese patients. The adaption of the translated questionnaire incorporated experts' and patients' opinions. For psychometric testing, 193 outpatients and 168 inpatients completed outpatient and inpatient modules, respectively. The adapted questionnaire adhered to the WHO framework of responsiveness domains, and just four items had some wording changes. Item missing rates were below 6%. Both the outpatient and inpatient modules had acceptable internal reliability (Cronbach's α = 0.837 and 0.730) and most domains had desirable average inter-item correlation coefficients. The confirmatory factor analysis indicated an acceptable model fit for the inpatient module, while some goodness-of-fit indices for the outpatient module were a little outside of the recommended ranges. Except for 'talking privately' from the domain of confidentiality (both outpatient and inpatient modules) and 'waiting time' from the domain of prompt attention (the inpatient module), factor loadings of all other items were above 0.5. The Chinese version of the responsiveness performance questionnaire has acceptable feasibility, reliability, and validity in general and it can be used to measure, assess and improve the quality of mental health services in China. [ABSTRACT FROM AUTHOR]

Aim: To explore the prevalence of nurse‐patient disputes and the influencing factors based on an analysis of patient characteristics. Design: A cross‐sectional study. Methods: This study used the convenience sampling method. Three self‐designed questionnaires based on clinical experience and literature review were used to collect the current status of nurse‐patient disputes and to assess patients' humanistic qualities and patients' recognition of nursing work. The Big Five personality questionnaire was used to assess the five personality traits of patients. Results: Of the patients, 9.6% reported having a dispute with nurses. The results of binary logistic regression analysis indicated that patients' humanistic quality, recognition of nursing work and agreeableness in personality traits had a negative predictive effect on nurse‐patient disputes, while family monthly income and neuroticism in personality traits positively predicted disputes. [ABSTRACT FROM AUTHOR]

With the development of big data technology, the privacy concerns of face recognition have become the most critical social issue in the era of information sharing. Based on the perceived ease of use, perceived usefulness, social cognition, and cross-cultural aspects, this study analyses the privacy of face recognition and influencing factors. The study collected 518 questionnaires through the Internet, SPSS 25.0 was used to analyze the questionnaire data as well as evaluate the reliability of the data, and Cronbach's alpha (α coefficient) was used to measure the data in this study. Our findings demonstrate that when users perceive the risk of their private information being disclosed through face recognition, they have greater privacy concerns. However, most users will still choose to provide personal information in exchange for the services and applications they need. Trust in technology and platforms can reduce users' intention to put up guards against them. Users believe that face recognition platforms can create secure conditions for the use of face recognition technology, thus exhibiting a higher tendency to use such technology. Although perceived ease of use has no significant positive impact on the actual use of face recognition due to other external factors, such as accuracy and technology maturity, perceived usefulness still has a significant positive impact on the actual use of face recognition. These results enrich the literature on the application behavior of face recognition and play an important role in making better use of face recognition by social individuals, which not only facilitates their daily life but also does not disclose personal privacy information. [ABSTRACT FROM AUTHOR]

The purpose of this study was to develop a driving behavior scale for professional drivers of heavy semi-trailer trucks in China, and study the causes of such driving behavior and its impact on traffic safety operation. Data was processed by IBM SPSS 25. In addition to principal component analysis, Promax rotation, Bartlett's test, Cronbach's alpha, correlation analysis and binary logistic regression were examined. A DBQ with 4 dimensions and 20 items, and a PDBQ with 1 dimension and 6 items were developed for professional drivers of heavy semi-trailer trucks in China. The KMO coefficients of PDBQ and DBQ were 0.822 and 0.852, respectively, and the significant level of Bartlett's popularity test was p < 0.0001. The accident prediction model showed that the variables related to traffic accidents were negligence/lapses and driving time of heavy semi-trailer truck drivers. 1–5 a.m. was found to be the most dangerous period for drivers of medium and heavy semi-trailer trucks, during which accidents were most likely to happen. As negligence/lapses increased by one unit, the probability of traffic accidents increased by 2.293 times. [ABSTRACT FROM AUTHOR]

Background: The Partners at Care Transitions Measure (PACT-M) is a measure that assesses the quality and safety of care during the transition from hospital to home from the patient's perspective. The aim of this study was to examine the psychometric properties of the Chinese version of the PACT-M in Mainland China.Methods: This was a cross-sectional study. A convenience sample of patients was recruited from three tertiary hospitals affiliated with Zhengzhou University, China. A total of 402 participants were interviewed before discharge, and 306 participants were interviewed one month after discharge from hospital to home using the Chinese version of the PACT-M. The statistical methods used in this study include the critical ratio value, item total correlation, test-retest, Cronbach's alpha, confirmatory factor analysis and exploratory factor analysis.Results: The Chinese version of the PACT-M consists of PACT-M1 and PACT-M2, both of which have two dimensions, the number of items in both parts are consistent with the original English language version. The Cronbach's alpha values of the PACT-M1 and PACT-M2 were 0.802 and 0.741, and the test-retest reliability values were 0.885 and 0.837. The item content validity index and scale content validity index values of the PACT-M1 and PACT-M2 were all 1.0.Conclusion: The Chinese version of the PACT-M shows acceptable validity and reliability and can be used to assess the quality and safety of transitional care from hospital to home from the patient's perspective in mainland China. [ABSTRACT FROM AUTHOR]

Aim: To investigate the influencing factors in professional identity of undergraduate nursing students after the outbreak of COVID‐19. Design: Cross‐sectional study. Methods: The study covered 2,999 nursing students in six undergraduate nursing schools. Several self‐report questionnaires were used to collect the general information, psychological stress, coping styles and professional identity of the undergraduate nursing students. Results: The overall average score of the professional identity of nursing students (3.67 ± 0.51) has increased significantly after the outbreak of COVID‐19. The professional identity of the undergraduate nursing students was negatively correlated with psychological stress (r = −0.23, p <.001), expectation (r = −0.12, p <.001) and avoidance (r = −0.16, p <.001), but was positively correlated with solving problems (r = 0.18, p <.001) and seeking support (r = 0.12, p <.001). Academic performance, positions, grades, reasons for choosing a nursing profession, parents or relatives engaged in nursing work and the risk degree of residence were the factors influencing the professional identity score of undergraduate nursing students' (p <.001). [ABSTRACT FROM AUTHOR]

Aim: The aim of the study was to determine the psychometric properties, construct validity and internal consistency of the Chinese language version of the Nurse Professional Competence scale short form. Design: A methodological design was used. Methods: Questionnaire data from 260 nursing students nearing graduation from 2 universities in China were analysed using confirmatory factor analysis, known‐group validity and internal consistency. Results: The confirmatory factor analysis revealed that the model was acceptable, and the analyses for known‐group validity revealed statistically significant differences in all factors and the total scale of the Nurse Professional Competence scale short form. Internal consistency revealed that Cronbach's alpha values exceeded 0.70 for all factors and the total scale. The Chinese language version of the Nurse Professional Competence scale short form has acceptable construct validity and good internal consistency. [ABSTRACT FROM AUTHOR]

Aims: To investigate the attitudes and beliefs towards the implementation of nurse prescribing among general nurses and nurse specialists. Design: A cross‐sectional survey among general nurses and nurse specialists was conducted in seven provinces and one autonomous region in mainland China using convenience sampling method. Methods: The attitudes and beliefs towards nurse prescribing were assessed using the Nurse Attitudes and Beliefs towards Nurse prescribing scale, of which Cronbach's coefficient was 0.902, retest reliability was 0.808. Respondents from eight hospitals across the country were employed to complete an online questionnaire. Results: Nurse specialists (n = 399) had statistically significantly more favourable intentions towards nurse prescribing than general nurses (n = 415; 105.64 ± 12.83 vs. 96.39 ± 13.16; p <.001). The years of clinical work experience, professional title, education degree were positively correlated with general nurses' and nurse specialists' attitudes and beliefs towards nurse prescribing (p <.05). Among nurse specialists, the variety of specialties and whether they work in nurse‐led clinics on an outpatient basis have positively influence on their intentions towards nurse prescribing (p <.05). [ABSTRACT FROM AUTHOR]

The emergence of China’s e-commerce industry leads to the rapid expansion of the express delivery industry, and the environmental pollution problem triggered by the express packaging wastes has become increasingly critical, severely impacting human health and sustainable social development. The literature regarding the pollution and recycling strategies of e-commerce logistics packaging wastes was first complied with and summarized in this work. Then, the research hypothesis of multi-subject (e-commerce enterprise, government, and third-party enterprises) in the recycling of e-commerce logistics packaging wastes was established. Finally, the effect of multi-subject participation in the recycling of e-logistics packaging wastes was surveyed via questionnaires using structural equation modeling. Results demonstrate that under the background of high-speed e-commerce development, the package pollution problem has become an important problem influencing environmental pollution in various countries across the world. The overall Cronbach’s alpha value of the questionnaires was 0.903, indicating good reliability. The observable variable- standard factor loading coefficient, was always greater than 0.5, indicating that the construct validity was accurate. Third-party and e-commerce enterprises played a significant positive role in the recycling effect of e-commerce logistics packaging wastes, with regression coefficients of 1.981 and 0.575, respectively. The government did not show any obvious influence on the recycling effect of e-commerce logistics packaging wastes. The pollution hazards of logistics packaging wastes of e-commerce enterprises can be effectively mitigated if e-commerce enterprises lead the green consumption needs, the government accelerates the perfection of laws and regulations related to the e-commerce logistics packaging, and a thirdparty professional recycling system is established, among others things. The study results will be of great reference significance for deeply analyzing the problems existing in the current express package pollution control and their causes, exploring the factors influencing the recycling effect of e-commerce logistics packaging wastes and enriching the multi-subject recycling strategies for express package pollution. [ABSTRACT FROM AUTHOR]

Background: To the best of our knowledge, although the Chinese version of the Yale Global Tic Severity Scale (YGTSS) is widely used in child psychiatry departments in China, there is very little evidence focusing on the psychometric characteristics of the Chinese version of YGTSS. In this present study, we aim to re-examine the structure of the Chinese version of YGTSS and investigate its reliability and validity. Methods: A total of 367 children and adolescents with tic disorders aged 5–16 years old participated in the study. The Cronbach's alpha, test-retest reliability and concurrent validity will be calculated. Confirmatory Factor Analysis (CFA) also will be performed to assess the structure of YGTSS. Results: The Cronbach's alpha of the motor tic subscale of YGTSS was 0.84, for the phonic tic subscale of YGTSS, it was 0.90, but for the whole scale, it was 0.58. The test-retest reliability of YGTSS was 0.84. For the results of CFA, the Comparative Fit Index (CFI) of YGTSS based on the Two-Factor Model and Three-Factor Model was 0.97 and 0.96 respectively. The measurement invariance analysis suggested that the Two-Factor model of YGTSS across different age and sex groups was at the accepted level (≥0.90). Conclusion: Overall, according to the results of this research, it suggested that the Chinese version of YGTSS showed good psychometric properties. It can be used in the assessment of tic disorders in the Chinese population. In the future, more comprehensive tools for assessing tics need to be further developed, which can cover the symptoms of premonitory urge and tic related obsessive-compulsive symptoms. [ABSTRACT FROM AUTHOR]

Background: Excessive and persistent health anxiety is a common and disabling but often unrecognized illness. Therefore, screening patients for health anxiety is recommended in primary care. The aim of the present study was to examine the psychometric properties of an updated version of the eight-item Whiteley Index (WI-8) among outpatients in general hospitals in China. Methods: The presented data were derived from a multicenter cross-sectional study. The Chinese version of the WI-8 was administered to a total of 696 outpatients. Cronbach's alpha was used to evaluate the internal consistency of the scale. The validity of the scale was evaluated based on factor analysis and correlation analyses. To assess the discriminant ability, receiver operating characteristic (ROC) analysis was conducted. Results: Cronbach's alpha was 0.937, and it decreased (0.925) after deleting the new 8th item. Factor analysis extracted one factor accounting for 69.2% of the variance. Moderate correlations were found (0.414–0.662) between the WI-8 and General Anxiety Disorder (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Patient Health Questionnaire-15 (PHQ-15) and Somatic Symptom Disorder B-criteria (SSD-12). The ROC curve indicated excellent discriminatory ability to discriminate among patients with health anxiety (AUC = 0.822). Conclusions: The new WI-8 version is a reliable and valid tool to screen for health anxiety in general hospital patients. We recommend the WI-8 as a useful screening tool for health anxiety. [ABSTRACT FROM AUTHOR]

Aim: To develop and evaluate psychometric property of quality nursing care scale (QNCS) from nurses' perspective in the Chinese context. Design: A cross‐sectional survey design. Methods: This study was conducted in two phases. In Phase I, literature review and interviews were conducted to develop the items. In Phase II, content validity was evaluated by five experts. Construct validity was tested through exploratory factor analysis (EFA) among 302 nurses and confirmatory factor analysis (CFA) among 510 nurses from October 2014 to January 2015. Additionally, internal consistency reliability was tested. Results: The EFA extracted six factors including staff characteristics, task‐oriented activities, human‐oriented activities, physical environment, patient outcomes and precondition. All six factors accounted for 74.78% of the total variance to explain quality nursing care. The modified measurement model of the final version of QNCS was supported by the CFA with 48 items in six dimensions. The internal consistency reliability of final QNCS was acceptable. [ABSTRACT FROM AUTHOR]

Aim: The study aimed to explore the association between diabetes‐related distress as a dependent variable and fear of hypoglycaemia as a independent variable in Chinese individuals with type 2 diabetes, which can provide a basis for the development of effective nursing interventions. Design: A cross‐sectional descriptive study. Methods: Pre‐piloted scales were used to determine whether they experienced fear of hypoglycaemia and whether this impacted upon their management of the disease. From June–October 2019, participants were asked to complete the "hypoglycaemia fear survey" and "diabetes distress scales" to assess levels of fear and distress. Stepwise multivariate regression analysis was applied to reveal relationship between distress as a dependent variable and fear as a independent variable. Covariates included demographic, clinical or lifestyle factors. Results: A total of 258 participants were recruited for the survey, and they were characterized by little or no distress (39.53%), moderate distress (45.35%) and high distress (15.12%). The prevalence of moderate to severe distress in patients was 60.47%. Increased diabetes‐related distress was strongly correlated with increased fear of hypoglycaemia and closely associated with the scores of the worry and behaviour subscales. These results indicated that 62.3% of diabetes‐related distress may be explained by fear of hypoglycaemia. Conclusion: Increased diabetes‐related distress is associated with increased fear of hypoglycaemia in individuals with type 2 diabetes. [ABSTRACT FROM AUTHOR]

Aim: To develop a questionnaire on the health behaviour of breast cancer women with adjuvant endocrine therapy and to test its reliability and validity. Design: An instrument‐development study was applied that comprised three steps: conceptualization, item generation, content validity and field testing of the health behavior properties. Methods: On the basis of literature review, the conceptual framework and initial items of each dimension of were designed. The questionnaire investigation was divided into two steps: pre‐experiment (group 1) and psychometrics evaluation (group 2). Correlation procedure and factor analysis were employed to rescreen the items. Reliability testing and validity testing were conducted to analyse the psychometric properties of questionnaire. Results: Exploratory and confirmatory factor analyses yielded a five‐factor solution. Cronbach's α was 0.93, the sub‐semi‐reliability of the questionnaire was 0.79 and internal consistency coefficients was 0.70. [ABSTRACT FROM AUTHOR]

BACKGROUND: The COVID-19 pandemic has changed the social environment of most laborers around the world and has profoundly affected people's ontological security and behavior choices. Among them, the migrant workers are one of the groups most affected by the pandemic. OBJECTIVE: This study explored the mechanism of the impact of the scarcity of ontological security caused by the pandemic on the risk-taking tendency of migrant workers in China through two studies. METHODS: This study adopts two experimental method, with 514 participants in the first study and 357 participants in the second study. RESULTS: The results show that the pandemic-induced scarcity perception of ontological security promotes their risk-taking tendency, and the migrant workers' cognitive reflection ability, sense of unfairness and expected benefits play a significant mediating role in this process. The scarcity perception of ontological security promotes migrant workers' risk-taking tendency by reducing the cognitive reflection ability, triggering the sense of unfairness and overstating expected benefits. CONCLUSIONS: The conclusion of this study can help migrant workers, enterprises and government to avoid potential workplace and social bad behavior. [ABSTRACT FROM AUTHOR]