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Therapist factors are generally thought to be important predictors of the capacity to understand and respond to clinical material. The current study aims to identify which features of personality and clinical symptomatology predict a trainee therapist's rating of cognitive behavioural (CB) and psychodynamic interpersonal (PI) processes in video recordings of these therapies. Eighty psychology trainees completed the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) and watched two video recordings of therapy sessions showing prototypical examples of CB and PI psychotherapy, rating the processes they could identify using the Comparative Psychotherapy Process Scale (CPPS). Trainees accurately differentiated CB from PI process while viewing the CB session but rated the CB video higher in PI processes than the PI video itself. Bayesian regression models showed that the most consistent MMPI-2-RF scale that predicted variance in ratings was hypomanic activation (RC9) predicting higher ratings of all psychotherapy processes in both conditions, while clinical scale factors such as Aggressiveness-Revised (AGGR-r) and personality scale factors of Psychoticism-Revised (PSYC-r) and Negative Emotionality/Neuroticism-Revised (NEGE-r) showed some notable but less consistent predictions. The variances in psychotherapy process ratings accounted for by MMPI-2-RF scales ranged from 15% to 51%. The study suggests that some clinical symptoms and personality factors do influence the rating of psychotherapy processes by psychology trainees, but further studies would be required to substantiate such findings. These findings have relevance to therapist training and selection for clinical training and therapist mental health.

A significant number of university students are leaving their institutions before completing their degrees. The present research project applied embeddedness theory, from organizational research, to understand student retention in a tertiary student population, and develop a quantitative instrument that measured university student embeddedness. In Study One, a mixed-methods approach was employed to determine whether the Fit (similarity between the student and the university), Links (count of relationships at university), and Sacrifice (losses upon leaving university) dimensions of embeddedness related to students’ self-reported reasons for remaining enrolled at their university. Qualitative results from 15 undergraduate students indicated that intent to remain could be understood within the embeddedness dimensions of Fit, Links, and Sacrifice. These themes were employed to build the University Student Embeddedness (USE) scale. The measure was examined against Rasch measurement model assumptions for each of its subscales using data collected from 299 Australian tertiary students. Study Two sought to examine exploratory evidence of the concurrent validity of the scores from this developed measure. Responses from a separate sample of 196 Australian tertiary students showed only the Fit scale significantly related to student intentions to stay at university. All USE scales correlated with academic-related skills and motivations. These results suggest that the Fit scale may be valuable in identifying students at risk of dropout. Early identification of “at risk” students may lead to the development of targeted retention interventions. However, the USE’s role in detection requires further validation and the development of consistent findings within other student cohorts.

Trans youth are at high risk of mental health difficulties and negative life events. Strong parental support is highly protective however there is little understanding of what factors facilitate the process of parental understanding and acceptance of a child’s gender identity. We aimed to better understand a) preexisting factors influencing levels of parental acceptance of their child’s gender identity; b) the factors parents find helpful in facilitating acceptance of their child’s gender identity once they become aware; and c) how parents experience extended family, cultural and religious reactions. Using cross-sectional survey data, we explored the experiences of parents and guardians (N = 194). Quantitative data were primarily analyzed using Bayesian regression models and qualitative data were thematically analyzed. Several factors were salient in influencing parental acceptance, including the nature of their child’s gender identity, and levels of awareness and acceptance of the child’s gender identity at time of initial parental awareness. Multiple factors aided acceptance, including information, peer support, and the quality of the dyadic relationship. Findings provide a better understanding of how parental acceptance of a child’s gender identity develops. We provide recommendations on what may help parents to optimally support their child, such as accessible, good-quality information.

Purpose Physical activity (PA) participation offers many benefits for persons with multiple sclerosis (MS). Persons with MS are significantly less active than the general population; however, there is insufficient evidence regarding the association between geographical remoteness and PA participation in persons with MS. We identify PA levels across levels of rurality in an Australian MS population. Materials and methods The Australian MS Longitudinal Study collects regular survey data from persons with MS in Australia, including demographic, clinical, and health behavioural data. Physical activity engagement was identified with the International Physical Activity Questionnaire-short form and geographical remoteness was identified from participants’ postcode using the Access and Remoteness Index for Australia. Hurdle regression analysis examined the relationship between remoteness and PA participation, and level of PA, after controlling for confounding. Results Data from 1260 respondents showed that 24% of persons with MS did not participate in any PA. Remoteness was not associated with the participation in any PA (OR 1.04; 89% highest density probability interval (HDPI) estimate 0.88, 1.22). Amongst those with any PA (n = 960), those living in more remote areas had, on average, higher levels of PA (RR 1.21; 89% HDPI estimate 1.11, 1.34). Conclusions Physical activity promotion does not need to differ based on geographical location.

There are similarities in the performance demands of circus and other performance domains such as leanness sports and dance, yet little is known about the mental health of circus artists. We explored self-reported disordered eating and exercise addictions in a sample of 500 circus artists. The sample consisted of aerial acrobats (71%), floor acrobats (13%), object manipulators (9%), and equilibrists (6%) who participate in circus at a range of performance levels (amateur 50%, part/full-time professional 41%, student 6%, retired 3%). Similar to elite athletes in leanness sports, approximately 36% of the circus artists in our sample were classified as ‘at risk’ of an eating disorder. A binomial logistic regression model suggested that being ‘at risk’ of an eating disorder was negatively related to participants’ age and trait resilience, positively related to exercise addictions, and differences among circus categories were found (i.e., higher among equilibrium and aerial acrobatics). Using a Bayesian estimation procedure, a linear regression model suggested that exercise addiction scores were positively related to participants’ weekly training time and being ‘at risk’ for an eating disorder, negatively associated with their years of experience in circus, and differences between circus categories (high levels in equilibrium) and modality of engagement in circus (higher levels among amateurs) were identified. Consequently, these exploratory study findings indicate that a complex interaction of factors might impact the development of disordered eating and exercise addictions among circus artists. Implications for discipline-specific and experience-specific interventions to address these maladaptive behaviours are discussed.

Currently, there are few robustly evaluated social and emotional wellbeing (SEWB) measures available for use with Aboriginal youth in research, policy, and practice. As such, this study used a Rasch measurement approach to examine the psychometric properties of Strong Souls, a 25-item self-reported SEWB instrument, created for use with Aboriginal youth in the Northern Territory. Our sample (N = 154) included youth (15–25 years old) living on Whadjuk (metropolitan Western Australia; N = 91) and Kamilaroi countries (rural New South Wales; N = 63). Using Rasch modelling techniques, evidence for multidimensionality in the scale was observed, resulting in subsequent analyses conducted separately on two subscales: Psychological Distress and Resilience. The Resilience subscale did not meet the Rasch model assumptions, with poor person and item separation and reliability indexes suggesting the scale was not reliably differentiating between participants’ Resilience scores. The Psychological Distress subscale had mixed separation and reliability index results, with good construct validity implied but poorer ability to target the distress of participants. Our findings provide novel evidence demonstrating the functioning of Strong Souls in a contemporary sample of Aboriginal youth, suggesting further modifications of the instrument are required before it can be used with confidence as a reliable measure in this population group.

Background Crises and disasters disproportionally impact people with chronic health conditions such as multiple sclerosis (MS). Objective To assess the impact of the COVID-19 pandemic and the Australian Black Summer Bushfires on health behaviours in people with MS. Methods People with MS, carers, healthcare and advocacy professionals were recruited online between May-July 2020 for an online survey and telephone interviews. Results Survey items relating to health behaviours were completed by 113 people with MS, and 18 people with MS, 4 MS advocates, 5 healthcare professionals, and 2 carers were interviewed. The bushfires affected 34.5% and the pandemic affected 74.3% of survey participants with MS. The pandemic and bushfires caused a decrease in physical activity in 53.8% and 55.3% of participants respectively, as well as increases in unhealthy eating (43.6% and 24.3% respectively) and alcohol consumption (35.4% and 10.5% respectively), and a decrease in typical sleeping patterns (40.5% and 39.5% respectively). Conversely, 27.5% of participants reported an increase in physical activity during the pandemic. Interview data detailed the circumstances and motivations for changes in health behaviours, as well as consequences, including reduced mobility, fitness, mood disturbances, and weight gain. Conclusion There is a need to increase support and health promotion for people with MS to maintain or initiate positive health behaviours, especially in times of adversity.

The Connor-Davidson Resilience Scale’s (CD-RISC) 10 item variant has previously demonstrated acceptable psychometric properties of its test scores using traditional methods (e.g., confirmatory factor analysis), and concurrent validity with resilience-related outcomes, particularly in samples of younger adults. While alternative methods of examining the psychometric properties of the long-form CD-RISC exist in the literature, the short-form measure has unclear evidence of local item independence and a unidimensional structure, which are key assumptions of a polytomous Rasch model approach to examining the measure’s psychometric properties. The current study employed a sample of young adult university students (n = 708, xage = 26.43 years (s = 7.77)) on their nursing practicum placements to examine the CD-RISC-10 against the polytomous Rasch measurement model criteria. The analyses suggested a seven-item variant of the CD-RISC-10 performed acceptably, and omitted issues with local item dependence and item misfit. Effect sizes of the standardized parameters estimated for the 7-item and original 10-item versions of the CD-RISC-10, when predicting compassion fatigue and compassion satisfaction, were small (s = −0.24, s = −0.23) and moderate (s = 0.48, s = 0.47) for the respective measures, which suggested similar efficacy when examining the test scores’ concurrent validity. The shorter version of the CD-RISC-10 consequently demonstrated generally acceptable psychometric properties for its test scores, and remained a parsimonious approach to examining individual psychological resilience that will benefit from further development. (PsycInfo Database Record (c) 2021 APA, all rights reserved)

Background Nurse navigators are an emerging workforce providing care to people with multiple chronic conditions. The role of the navigators is to identify patients requiring support in negotiating their health care. Purpose A critical discourse analysis was used to examine qualitative data collected from nurse navigators and consenting navigated patients to identify key indicators of how nurse navigators do their work and where the success of their work is most evident. Discussion Nurse navigators help patients who have lost trust in the health system to re-engage with their interdisciplinary health care team. This re-engagement is the final step in a journey of addressing unmet needs, essential to hospital avoidance. Conclusion Nurse navigators provide a continuum of authentic and holistic care. To acknowledge the true value of nurse navigators, their performance indicators need to embrace the value-added care they provide.

Objective: There is a paucity of quantitative measures of resilience specifically validated for young Aboriginal people in Australia. We undertook the first investigation of validity and reliability of the Connor-Davidson Resilience Scale (CD-RISC) in a sample of Australian Aboriginal people, with a focus on youth. Method: We conducted a cross-sectional study of resilience among a sample of 122 Aboriginal youth (15–25 years old) in New South Wales and Western Australia, featuring self-completes of the 10-item CD-RISC in online (N = 22) and face-to-face (N = 100) settings. A Rasch analysis using the 122 CD-RISC responses determined item independence, response category adequacy, differential item functioning, unidimensional measurement, person and item reliability, and item fit. Confirmatory factor analysis was also conducted, complementary to the Rasch analysis. Results: Four problematic items from the original instrument were removed, due to item dependence (items 2, 6 and 9; Q 3,* > 0.30) and differential item functioning (item 4; > 0.43 logits between males and females). The final 6-item instrument exhibited improved item separation (ISI = 2.14) and reliability index values (IRI =.82) – suggesting an improved structure – however several limitations such as a prominent ceiling effect were evident (i.e., positive measure targeting coefficient of 0.99 logits). Conclusion: Findings suggest the CD-RISC instrument should be applied in Aboriginal contexts with caution. Further psychometric examination of the CD-RISC with Aboriginal youth is warranted before it can be used with confidence by researchers and clinicians.

Aim To understand the impact and causes of ‘Failure to Attend’ (FTA) labelling, of patients with chronic conditions. Background Nurse navigators are registered nurses employed by public hospitals in Queensland, Australia, to coordinate the care of patients with multiple chronic conditions, who frequently miss hospital appointments. The role of the nurse navigator is to improve care management of these patients. Evidence for this is measured through improvement in patient self-management of their conditions, a reduction in preventable hospital admissions and compliance with attendance at outpatient clinics. Failure to attend (FTA) is one measure of hospital utilisation, identifying outpatient appointments that are cancelled or not attended. Method The cohort for this study was patients with multiple chronic conditions, and nurse navigators coordinating their care. Data describing the concept of FTA were thematically analysed twelve months into this three year evaluation. Results Although the patient is blamed for failing to attend appointments, the reasons appear to be a mixture of systems error/miscommunication between the patient and the health services or social reasons impacting on patient’s capacity to attend. Themes emerging from the data were: access barriers; failure to recognise personal stigma of FTA; and bridging the gap. Conclusion The nurse navigators demonstrate their pivotal role in engaging with outpatient services to reduce FTAs whilst helping patients to become confident in dealing with multiple appointments. There are many reasons why a patient is unable to attend a scheduled appointment. The phrase ‘Failure to Attend’ has distinctly negative connotations and can lead to a sense of blame and shame for those with complex chronic needs. We propose the use of the neutral phrase “appointment did not proceed” to replace FTA.

Objectives Oncology health professionals experience high levels of burnout and compassion fatigue, affecting their health and the care they provide. This study aimed to establish whether present-centered awareness and attention (a component of mindfulness) is uniquely associated with burnout and compassion fatigue in oncology professionals. Methods An international sample of oncology professionals (n = 118) completed an online questionnaire with validated measures of present-centered awareness and attention, empathy, compassion fatigue, and burnout. Hierarchical multiple regressions were used to model relations among the independent variable (present-centered awareness and attention) and the criterion variables of burnout (disengagement, exhaustion) and compassion fatigue (compassion satisfaction, compassion burnout, secondary traumatic stress) after statistically controlling for empathy, age, gender, years of experience, and patient contact hours. Results Mean hours of patient contact per week was 23.52 (SD = 13.62), with 26 (22.03%) reporting 40 h or more. Higher hours of patient contact per week were positively associated with secondary traumatic stress. Present-centered awareness and attention was associated with lower disengagement, lower emotional exhaustion, higher compassion satisfaction, lower secondary traumatic stress, and lower compassion burnout. In each model, present-centered awareness accounted for unique variance after controlling for age, gender, years of experience, patient contact hours per week, and empathy scores. The amount of unique variance accounted for by present-centered awareness ranged from 4 to 10%. Conclusions Oncology professionals reporting higher levels of present-centered awareness and attention reported higher compassion satisfaction and lower secondary traumatic stress, compassion burnout, exhaustion, and disengagement. Promoting present-centered awareness may be a mechanism that contributes to less burnout in oncology professio

Circus artists perform physically demanding skills in a high-stress environment, yet little is known about their mental health. We explored emotional states of depression, anxiety, stress and flourishing in a sample of 500 circus artists. The predominantly female sample (n = 415) encompassed a range of performance levels (amateur 50%, part/full-time professional 41%, student 6%, retired 3%), with aerial acrobatics (71%) being the most frequently represented main circus discipline in the sample. Compared to previously established normative scores of a non-clinical population, circus artists scored higher on scales of emotions reflecting depression, anxiety, and stress, and lower on flourishing. They also scored higher on both state and trait resilience compared to previously established normative scores. Using a Bayesian estimation procedure, linear regression analyses showed that resilience, circus factors, and demographics (i.e., age and gender) explained between 24% and 51% of the variance in emotional states of depression, anxiety, stress, and flourishing. Consistently, circus artists with higher levels of state/trait resilience reported higher levels of psychological wellbeing, indicated by lower levels of emotional states of depression, anxiety and stress, and higher levels of flourishing. Therefore, the development of interventions for circus artists who experience lower levels of psychological wellbeing appears warranted.

Objective To investigate differences in motivation perceptions towards exercise per Self Determination Theory and Theory of Planned Behaviour between active and insufficiently active persons with multiple sclerosis, given the well-being enhancements associated with exercise engagement for this population. Design Cross-sectional between-groups design where active persons ≥ 14 points on the Godin Leisure Time Exercise Questionnaire, and insufficiently active < 14. Setting Community setting in Australia. Participants Seventy Australian participants (Mean age = 49.61 years (SD= 12.79), FIM 64:6 , Patient Disability Disease Steps Median = 3). Interventions Not applicable. Main Outcome Measures Godin Leisure Time Exercise Questionnaire, and adaptations of Self Determination Theory (autonomous and controlling forms of motivation) and Theory of Planned Behaviour (attitudes to exercise, subjective norms to exercise, behavioural control to exercise, and intention to exercise) items tailored towards exercise perceptions. Results Active persons perceived higher ratings in comparison to insufficiently active persons of autonomous motivations towards their exercise d = 0.85, in addition to positive attitudes towards the value of exercised = 1.28, their behavioural control over exercise d = 1.86, and their enhanced intentions to engage in exercise d = 1.14. All effect sizes were large (d > 0.80). Conclusions These findings suggest the value of considering ways of enhancing the perceived autonomy towards engaging in physical activity, in addition to the reduction of barriers towards participating and enhancing positive attitudes towards the value of physical activity, when practitioners are working with persons living with MS.

OBJECTIVES: Oncology health professionals experience high levels of burnout and compassion fatigue, affecting their health and the care they provide. This study aimed to establish whether present-centered awareness and attention (a component of mindfulness) is uniquely associated with burnout and compassion fatigue in oncology professionals. METHODS: An international sample of oncology professionals (n = 118) completed an online questionnaire with validated measures of present-centered awareness and attention, empathy, compassion fatigue, and burnout. Hierarchical multiple regressions were used to model relations among the independent variable (present-centered awareness and attention) and the criterion variables of burnout (disengagement, exhaustion) and compassion fatigue (compassion satisfaction, compassion burnout, secondary traumatic stress) after statistically controlling for empathy, age, gender, years of experience, and patient contact hours. RESULTS: Mean hours of patient contact per week was 23.52 (SD = 13.62), with 26 (22.03%) reporting 40 h or more. Higher hours of patient contact per week were positively associated with secondary traumatic stress. Present-centered awareness and attention was associated with lower disengagement, lower emotional exhaustion, higher compassion satisfaction, lower secondary traumatic stress, and lower compassion burnout. In each model, present-centered awareness accounted for unique variance after controlling for age, gender, years of experience, patient contact hours per week, and empathy scores. The amount of unique variance accounted for by present-centered awareness ranged from 4 to 10%. CONCLUSIONS: Oncology professionals reporting higher levels of present-centered awareness and attention reported higher compassion satisfaction and lower secondary traumatic stress, compassion burnout, exhaustion, and disengagement. Promoting present-centered awareness may be a mechanism that contributes to less burnout in oncology profe

Context Testosterone concentrations decline with age, and lower testosterone concentrations are associated with several morbidities, including sexual dysfunction, obesity, type 2 diabetes mellitus (T2DM), and metabolic syndrome. Objective Because dietary habits play a critical role in weight regulation and T2DM management, the aim of this systematic review and meta-analysis was to summarize and critically evaluate the evidence from randomized controlled trials to determine the effects of calorie restriction (CR) on testosterone concentrations in men. Data Sources A literature search was conducted across 4 databases, from their inception until March 2020. Data Extraction The screening and data extraction were completed by 2 authors independently, and in a blinded manner, according to a priori inclusion and exclusion criteria. Data Analysis Of the 4198 studies identified from the initial search, 7 randomized controlled trials were included for data extraction. Significant increases in total testosterone concentrations were reported in 3 of 4 studies in which CR was examined with overweight or obese men, compared with the control groups. Significant decreases in total testosterone concentrations were reported in 2 of 3 studies in which the effects of CR were examined with normal-weight, healthy men, compared with the control groups. In all 4 studies that examined the effect of CR on sex hormone–binding globulin concentrations, the intervention significantly increased sex hormone–binding globulin concentrations compared with that of the control groups irrespective of body composition. Conclusion This systematic review and meta-analysis provide some evidence that CR affects testosterone concentrations in men and this effect depends on their body mass index. PROSPERO registration no. CRD42020173102

Aim: To understand the impact and causes of 'Failure to Attend' (FTA) labelling, of patients with chronic conditions. Background: Nurse navigators are registered nurses employed by public hospitals in Queensland, Australia, to coordinate the care of patients with multiple chronic conditions, who frequently miss hospital appointments. The role of the nurse navigator is to improve care management of these patients. Evidence for this is measured through improvement in patient self-management of their conditions, a reduction in preventable hospital admissions and compliance with attendance at outpatient clinics. Failure to attend (FTA) is one measure of hospital utilisation, identifying outpatient appointments that are cancelled or not attended. Method: The cohort for this study was patients with multiple chronic conditions, and nurse navigators coordinating their care. Data describing the concept of FTA were thematically analysed twelve months into this three year evaluation. Results: Although the patient is blamed for failing to attend appointments, the reasons appear to be a mixture of systems error/miscommunication between the patient and the health services or social reasons impacting on patient's capacity to attend. Themes emerging from the data were: access barriers; failure to recognise personal stigma of FTA; and bridging the gap. Conclusion: The nurse navigators demonstrate their pivotal role in engaging with outpatient services to reduce FTAs whilst helping patients to become confident in dealing with multiple appointments. There are many reasons why a patient is unable to attend a scheduled appointment. The phrase 'Failure to Attend' has distinctly negative connotations and can lead to a sense of blame and shame for those with complex chronic needs. We propose the use of the neutral phrase “appointment did not proceed” to replace FTA. Implications for Nursing management: This article advocates for further consideration of collaborative models that engage the

Existing literature examining burnout in psychotherapists has not adequately considered the contributing role of emotional labor. Similarly, emotional labor research has not sufficiently explored how this construct operates in the context of psychologists who provide individual psychotherapy. To address these existing gaps in the literature, thematic analysis was conducted on interviews with 24 psychologists who provide individual psychotherapy to determine the perceived consequences of emotional labor identified by the participants. Participants discussed personal growth, feeling depleted and exhausted, and craving space free from people and work-related emotion as consequences of emotion management in the context of providing individual psychotherapy. The findings suggest that emotional labor can exert positive, negative, and neutral effects on psychologists providing psychotherapy and is worthy of attention as a variable in efforts to promote positive well-being. In the occupational group of psychologists providing individual psychotherapy, performing emotional labor can lead to personal growth, emotional exhaustion, and a need to distance oneself from work-related emotion. (PsycInfo Database Record (c) 2020 APA, all rights reserved)

Introduction The management of patients who need chronic and complex care is a focus of attention internationally, brought about by an increase in chronic conditions, requiring significantly more care over longer periods of time. The increase in chronic conditions has placed pressure on health services, financially and physically, bringing about changes in the way care is delivered, with hospital avoidance and home-based care encouraged. In this environment, nurses play an important role in co-ordinating care across services. This review formed one part of a funded project that explored the nurse navigator role within a proposed 24-hour telephone-call service in one regional area that has a diverse population in terms of cultural identity and geographical location in relation to service access. Aim The review reports on the extant literature on the nurse’s role in the provision of afterhours telephone services for patients with chronic and complex conditions. The specific aim was to explore the effectiveness of services for patients in geographically isolated locations. Methods The methodological approach to the review followed the Preferred Reporting System for Meta-Analyses (PRISMA) guidelines. A thematic analysis was used to identify themes with chronic care models underpinning analysis. Results Three themes were identified; nurse-led decision making; consumer profile; and program outcomes. Each theme was divided into two sub-themes. The two sub-themes for decision making were: the experience of the staff who provided the service and the tool or protocol used. The two sub-themes for consumers profile were; the geographic/demographic identity of the consumers, and consumer satisfaction. The final theme of outcomes describes how the effectiveness of the service is measured, broken into two sub-themes: the economic/workforce outcomes and the consumer outcomes. Discussion The provision of an after-hours telephone service, in whatever model used should align with a Ch

Introduction This paper reports on the findings of the Nursing and Midwifery Exchange Program, initiated to promote rural and remote nursing and midwifery, and to facilitate clinical skills development and clinical collaboration between health services in Queensland, Australia. The project was undertaken over an 18-month period in one state of Australia, offering structured, temporary exchange of personnel between metropolitan and rural health services. Background Globally, there is an increasing awareness of nursing shortages, and with it, the need to ensure that nurses and midwives are prepared for specialist roles and practice. This is particularly important in rural and remote areas, where there are pre-existing barriers to access to services, and difficulties in attracting suitably qualified, permanent staff. Methods A mixed methods approach to the evaluation was undertaken with two cohorts. One cohort was the nurses and midwives who participated in the exchange (n = 24) and the other cohort were managers of the participating health services (n = 10). The nurses and midwives who participated in the exchange were asked to complete a questionnaire that included questions related to embeddedness and job satisfaction. The managers participated in a Delphi series of interviews. Results Those who participated in exchange reporting a higher score on the reported degree of understanding of rural client, which was accompanied with a moderate-to-large effect size estimate (d = 0.61). Nurses/midwives in the exchange group reported higher scores on their perceptions of aspects of their home community that would be lost if they had to leave, which was accompanied with a large effect size (d = 0.83). Overall, NMEP was reported by the participants to be a positive way to improve professional development opportunities for nurses and midwives. The findings also show the program supported practical collaboration and raised the profile of nursing and midwifery in rural areas. Con

Background Patients with complex chronic conditions experience fragmentation of care, unnecessary hospitalization and reduced quality of life, with an increased incidence of poor health outcomes. Aim(s) The aim of this paper was to explore how nurse navigators manage client care. This was achieved through an examination of narratives provided by the nurse navigator that evaluated their scope of practice. Method(s) All nurse navigators employed by Queensland Health were invited to participate in a study evaluating the effectiveness of the service. Eighty‐four self‐reported vignettes were thematically analysed to understand the work from the nurses’ perspectives. Results Two themes emerged from the vignettes. Theme 1, the layers of complexity, is comprised of three sub‐themes: the complex patient, the complex system and patient outcomes. Theme 2, professional attributes, has two sub‐themes: person‐centred care and clinical excellence. Conclusion Navigators innovatively integrate services and address the fragmented nature of the health system. They apply expert clinical and social skills, through consistent and robust communication, to meet the needs of those with multiple chronic conditions. Implications for nursing management Results provide insight into the new role, illuminating the work they achieve, despite system complexities.

Background Hospitals and other health care providers frequently experience difficulties contacting patients and their carers who live remotely from the town where the health service is located. In 2016 Nurse Navigator positions were introduced into the health services by Queensland Health, to support and navigate the care of people with chronic and complex conditions. One hospital in Far North Queensland initiated an additional free telephone service to provide another means of communication for patients and carers with the NNs and for off-campus health professionals to obtain details about a patient utilising the service. Calls made between 7am and 10pm, seven days per week are answered by a nurse navigator. Aim To report utilisation of the service by navigated clients and remotely located clinicians compared to use of navigators’ individual work numbers and direct health service numbers. We report the reason for calls to the free number and examine features of these calls. Methods Statistical analysis examined the call reason, duration of calls, setting from where calls originated and stream of calls. Interactions between the reasons for calls and the features of calls, such as contact method, were examined. Results The major reason for calls was clinical issues and the source of calls was primarily patients and carers. Clinical calls were longer in duration. Shorter calls were mainly non-clinical, made by a health professional. Setting for calls was not related to the reason. The most frequent number used was the individual mobile number of the NN, followed by the hospital landline. Although the free number was utilised by patients and carers, it was not the preferred option. Conclusion As patients and carers preferred to access their NN directly than via the 1800 number, further research should explore options best suited to this group of patients outside normal business hours.

Objective Resilience, the ability to bounce back from adversity or change, has undergone many varying conceptualisations, with the most recent consensus being that a combination of state and trait factors are relevant to the consideration of this construct. However, there currently exists no instruments that measure resilience with a state and trait approach, therefore this research aimed to develop and validate the state–trait assessment of resilience scale (STARS). Method An online survey containing the STARS and cross‐validation measures was given to a sample of 274 adult members of the community (nmales = 34, nfemales = 238, ngender fluid = 2, Mage = 28.33, SDage = 10.59). Results An item response theory approach to examining the psychometric properties of the STARS supported the measures, which suggested that the state and trait measures reliably estimated the resilience of individuals. The examination of convergent and concurrent validity with other theoretically associated measures provided further support for the validity of the STARS. Conclusion The STARS may be a useful measure to track and predict an individual's resilience within a variety of demanding professional contexts, such as work within Allied Health, policing, or the military. Future research using the STARS in samples with different occupational and demographic characteristics to further examine the generalisability of the measure is encouraged.

Background The self‐concept of children has an impact on later behavioural development and psychopathology; therefore, evidence of the accurate measurement of self‐concept is important. Harter and Pike's (1984, Child Development, 55, 1969) commonly used measure of self‐concept, the Pictorial Scale of Perceived Competence and Social Acceptance for Children, has demonstrated varying evidence of its construct validity and reliability, particularly with preschool‐ or kindergarten‐aged participants. Aim To examine the measurement properties of the Acceptance and Competence measures, and to substantiate the measures’ adequacy within the latter participant age range. Sample One hundred and ninety‐seven preschool or kindergarten‐aged children (M = 5.40 years, SD = 0.30) provided data as part of the Animal Fun study over three measurement periods. Methods The study conducted a pair of Rasch analyses on the Acceptance and Competence measures described prior, with adherence to the assumptions of univariate measurement, item fit, item invariance, and response category adequacy examined as part of these analyses. Results While the Acceptance measure demonstrated adequate reliability outside of some potentially misfitting items, the study identified several limitations for the Competence measure, including potential gender‐based and verbal IQ‐based response biases. Conclusions Practitioners and research applications of these subscales may benefit from the response recoding recommendations provided in this study for the Acceptance measure, as they improved the measure's properties. The study provides potential solutions to item adequacy concerns, and avenues for future research, involving these measures.

Objective: This study aimed to understand more about the experiences of Indigenous employees within mainstream Australian workplaces. Employment and retention rates for Indigenous employees continue to be disproportionately lower than the mainstream Australian population. The potential impact of the inter‐cultural workplace context has featured little in the current research and public discourse on employment and retention rates. This study contributes further research and practice implications within the inter‐cultural and organisational psychology literature. Method This qualitative study investigated the experiences of 10 Indigenous participants in a metropolitan area who are, or have been, employed in mainstream Australian workplaces. In‐depth interviews were conducted using grounded theory methodology and participants' responses coded to identify themes. Results Results suggested that some Indigenous employees experience mainstream workplaces as inter‐culturally complex environments. This setting is also found to present an increased range of psychosocial barriers to successful employment and retention. A working theory of inter‐cultural code‐switching between mainstream and minority groups is proposed. Conclusion The inter‐cultural environment of mainstream Australian workplaces may be requiring Indigenous employees to display high levels of cultural agility to achieve successful employment and retention outcomes. The implications of this study suggest that widespread government initiatives to increase Indigenous employment are unlikely to result in sustained increases in employment and retention unless inter‐cultural considerations are given due attention.

Aims This study re‐examines the validity of a model of occupational resilience for use by nursing managers, which focused on an individual differences approach that explained buffering factors against negative outcomes such as burnout for nurses. Background The International Collaboration of Workforce Resilience model (Rees et al., 2015, Frontiers in Psychology, 6, 73) provided initial evidence of its value as a parsimonious model of resilience, and resilience antecedents and outcomes (e.g., burnout). Whether this model's adequacy was largely sample dependent, or a valid explanation of occupational resilience, has been subsequently un‐examined in the literature to date. To address this question, we re‐examined the model with a larger and an entirely new sample of student nurses. Methods A sample of nursing students (n = 708, AgeM(SD) = 26.4 (7.7) years), with data examined via a rigorous latent factor structural equation model. Results The model upheld many of its relationship predictions following further testing. Conclusions The model was able to explain the individual differences, antecedents, and burnout‐related outcomes, of resilience within a nursing context.

Objective Burnout is a significant problem affecting the nursing workforce and is associated with significant personal suffering and high rates of nurse turnover. Efforts to further understand the variables that explain burnout are needed. The aim of this cross-sectional study was to examine both environmental and individual factors that may explain burnout among nurses. Method We recruited 1848 Australian nurses to complete several online questionnaires measuring the practice environment (Practice Environment Scale of the Nursing Work Index), burnout (Professional Quality of Life Scale), trait negative affect (Spielberger State-Trait Anxiety Inventory form Y2) and resilience (Connor Davidson Resilience Scale). Correlational analysis as well as hierarchical regression was used to determine the relative importance of variables in explaining burnout scores. Results All of the practice environment scales were significantly related to burnout in the negative direction, and these relationships were above .3 for all except the relationship scale (r = –.256) and the participation in hospital affairs scale (r = –.285). Overall, the regression model accounted for 62% of the variance in nurse burnout scores. Trait negative affect, resilience and two aspects of practice environment (Manager sub-scale and Staffing sub-scale) all explained significant variance in burnout scores. The largest contribution came from the two individual variables (resilience and trait negative affect) that together explained 55% of the variance in burnout scores. Conclusions Findings suggest that health service administrators should provide nursing staff with education and support to build individual resilience. Workplaces that attend to staffing and resource issues and have managers who provide high levels of support to their staff appear to be essential strategies to help prevent nurse burnout.

Aim With increasing age and chronicity in populations, the need to reduce the costs of care while enhancing quality and hospital avoidance, is important. Nurse‐led co‐ordination is one such model of care that supports this approach. The aim of this research was to assess the impact that newly appointed Navigators have on service provision; social and economic impact; nurses’ professional quality of life and compassion fatigue; and analysis of the change that has occurred to models of care and service delivery. Design A concurrent mixed‐method approach was selected to address the research aims. Methods The research project was funded in July 2018 and will conclude in December 2020. Several cohorts will be studied including; patients assigned to a navigator, patients not assigned to a navigator, family members of patients assigned a navigator; and a sample sized estimated at 140 navigators. Discussion This study provides a comprehensive international longitudinal and mixed method framework for evaluating the impact of nurse navigators on quality of care outcomes for patients with chronic conditions.

Objective The following research protocol evaluates the Queensland Health Nursing and Midwifery Exchange Program (NMEP) and evaluates how exposure to diverse clinical settings, may impact the nursing and midwifery workforce on individual and organisational levels. Design This protocol details a mixed methodology allowing for both quantitative and qualitative data. The study is being undertaken in three stages; a survey of the participating nurses and midwives; a systematic review; and a Delphi study with an expert review group. Setting The study is a Queensland wide study across rural/remote, regional and metropolitan locations. Subjects This study will follow approximately 70 nurses and midwives employed by Queensland Health from diverse areas and streams at various stages within their clinical career. Interventions Nurses and Midwives participate in a three or six-month professional exchange to a rural/remote or metropolitan location. Main outcome measure(s) This study will evaluate the impact and sustainability of the NMEP program through measurement of burnout, job embeddedness, job strain, job satisfaction and attrition through a series of surveys. In addition to this, a systematic review and Delphi with executive experts will be conducted to consider a future pathway/model for nursing and midwifery exchange. Results This study has commenced and will be completed September of 2019. Conclusion The NMEP program is one novel approach to nursing and midwifery workforce concerns and looks to present excellent opportunities for the crossover of skills and ideas related to clinical, professional and service integration between metropolitan and rural practice.

Social network sites (SNS) allow for interaction between musicians and fans, including parasocial relationships. The present research approaches the topic from the perspective of psychology and particularly previous research concerning attachment styles, celebrity interest, and their correlates. Using an online survey (N = 464), we considered whether psychological variables could predict whether individuals interact with musicians on SNS, and their opinions about doing so. Findings demonstrate that users’ celebrity attitudes and relationship attachment styles are important in predicting the extent to which they utilize SNS to interact with musicians. Therefore, it seems that SNS music fan behaviors have an overtly psychological component, such that further research might adopt a psychological rather than technological approach in predicting commercial usage.

The aim of the present study was to test the validity of the Brief Self-Control Scale (BSCS; Tangney, Baumeister and Boone 2004) including its dimensional structure based on competing one- and two-factor models, discriminant validity from the conceptually-related self-discipline construct, invariance across multiple samples from different national groups, and predictive validity with respect to health-related behaviors. Samples of undergraduate students (total N = 1282) from four national groups completed the brief self-control scale, the self-discipline scale from the NEO-PI-R, and self-report measures of binge drinking, exercise, and healthy eating. Confirmatory factor analytic models supported a two-factor structure of self-control encompassing restraint and non-impulsivity components. The model exhibited good fit in all samples and invariance of factor loadings in multi-sample analysis. The restraint and non-impulsivity components exhibited discriminant validity and were also distinct from self-discipline. Structural equation models revealed that non-impulsivity predicted binge drinking in three of the samples, and restraint predicted exercise in two samples, with no role for self-discipline. Results point to a multi-dimensional structure for trait self-control consistent with previous theory separating impulsive- and control-related components.

Despite the current prevalence of users performing musical activities on social media, and on Facebook in particular, little research has examined these behaviors from the perspective of consumer psychology. A cross-sectional, convenience sample of 400 participants (Mage = 22.56, SDage = 7.79) completed an online questionnaire. The findings illustrated that the constructs of opinion leadership, innovativeness, and self-efficacy within the consumer psychology literature were associated with performing music-related activities on Facebook, including the active creation/consumption of music content and use of music listening applications. Thus, music activities performed on Facebook have an overt consumer psychological component. These findings indicate that to understand music-related activities on social media, further research should consider psychological variables in explaining this common and economically important activity.

Introduction The Mindful Self-Care and Resiliency (MSCR) programme is a brief psychosocial intervention designed to promote resilience among various occupational groups. The intervention is based on the principles of mindfulness and also incorporates an educational self-care component. The current paper presents the protocol for a pilot study that will evaluate the effectiveness of this programme among general practitioners working in rural Queensland, Australia. Methods and analysis We will measure the impact of the MSCR programme on levels of employee resilience (Connor-Davidson Resilience Scale; State-Trait Assessment of Resilience STARS), compassion satisfaction and compassion fatigue (Professional Quality of Life Scale), self-compassion (Self-Compassion Scale) and mood (Positive and Negative Affect Scale). We will also assess the impact of the programme on job satisfaction (The Abridged Job in General Scale), absenteeism/presenteeism (The WHO Health and Work Performance Questionnaire) and general well-being (WHO Five Well-being Index). Repeated measures analysis of variance will be used to analyse the impact of the intervention on the outcome measures taken at pre, post, 1-month, 3-month and 6-month follow-ups. We will conduct individual interviews with participants to gather data on the feasibility and acceptability of the programme. Finally, we will conduct an initial cost-effectiveness analysis of the programme. Ethics and dissemination Approval for this study was obtained from the Curtin University Human Research ethics committee and the study has been registered with the Australian Clinical Trials Registry. Results will be published and presented at national and international congresses.

Despite the widespread prevalence of psychological distress that affects many higher education students, existing student-stress research remains largely atheoretical. To address this gap, this paper applies Siegrist’s (1996) effort-reward imbalance model in a theoretical investigation of student stress. We surveyed Australian university students (N = 2,451) to identify whether discrepancies between efforts expended and rewards obtained influence student-distress outcomes (e.g., withdrawal/departure intentions). More than one-third of the students (37.5%) reported detrimental effort-reward imbalances, and these imbalances positively correlated with burnout and withdrawal intentions. Ultimately, burnout fully mediated the relationship between effort-reward imbalance and withdrawal intentions for both first-year and subsequent-year students. Unexpectedly, student resilience did not moderate these relationships. In light of these results, implications pertaining to the conceptualization and management of student distress and attrition are offered.

It has been well documented that workplace stress can have a negative impact on nurse well-being and productivity, and can result in the syndrome of compassion fatigue, which is comprised of secondary traumatic stress and burnout. Identifying effective and practical workplace interventions to help improve nurse resilience to prevent compassion fatigue is therefore a high priority. This study trialled the effectiveness of a brief mindful self-care and resiliency intervention for nurses working in an Australian tertiary hospital compared to nurses in a wait list control condition. A total of 91 nurses participated in the study (n = 65 intervention condition; n = 26 control condition). The intervention involved a 1-day workshop followed by three weekly mindfulness practice sessions. Nurses completed measures of burnout, secondary traumatic stress, negative mood, self-compassion, compassion satisfaction, subjective quality of life and general self-efficacy at pre-test, post-test and 6-month follow-up. Analysis revealed that compared to the control group, the intervention group had significant reductions in burnout and depressed mood upon completion of the MSCR. Follow-up data indicated that these reductions persisted at 6-month post-MSCR for the intervention group. While interactions between intervention and control conditions for other measures failed to reach statistical significance, follow-up analysis revealed significant improvements in compassion satisfaction, self-compassion and subjective quality of life for nurses completing the intervention. As a whole, the findings demonstrate that a brief mindfulness-based self-care intervention is effective at improving the emotional functioning of nurses.

The Professional Quality of Life scale is a measure intended to provide practitioners and researchers with an indication of a caring professional’s compassion satisfaction, burnout, and secondary traumatic stress. While this measure has been used extensively in nursing research, owing to the relevancy of patient-care associated satisfaction and fatigue within this profession, information regarding the construct validity of this measure is less well represented in the literature. We examined the construct validity of the Professional Quality of Life scale using a Rasch analysis procedure on each of its three scales, as a means of substantiating their measurement adequacy. Responses on the Professional Quality of Life scale from 1615 registered nurses (age x= 46.48 years, SD = 11.78) were analysed. While support for the measurement adequacy (invariance, person/item fit, and unidimensionality) of the compassion satisfaction scale was found, the burnout and secondary traumatic stress scales did not demonstrate adequate measurement properties. We instead present an alternative measurement model of these subscales, involving items from each, to form a robust measure of compassion fatigue, and provide recoding, scoring, and normed scores for both measures. Our findings indicate that use of the Professional Quality of Life scale’s burnout and secondary traumatic stress scales may require caution, while our revised compassion satisfaction and fatigue scales provide robust measurement options for practitioners and researchers.

Purpose: This study explored the predictors of the outcomes of turnover and occupation attrition intentions for speech-language pathologists. The researchers examined the mediating effects of job satisfaction and strain on the relationship between stress and the latter outcomes. Additionally, the researchers examined the importance of embeddedness in predicting turnover intentions after accounting for stress, strain and job satisfaction. Method: An online questionnaire was used to explore turnover and attrition intentions in 293 Australian speech–language pathologists. Result: Job satisfaction contributed to a significant indirect effect on the stress and turnover intention relationship, however strain did not. There was a significant direct effect between stress and turnover intention after accounting for covariates. Embeddedness and the perceived availability of alternative jobs were also found to be significant predictors of turnover intentions. The mediating model used to predict turnover intentions also predicted occupation attrition intentions. The effect of stress on occupation attrition intentions was indirect in nature, the direct effect negated by mediating variables. Qualitative data provided complementary evidence to the quantitative model. Conclusion: The findings indicate that the proposed parsimonious model adequately captures predictors of speech–language pathologists’ turnover and occupation attrition intentions. Workplaces and the profession may wish to consider these retention factors.

Social network sites (SNS) allow for interaction between musicians and fans, including parasocial relationships. The present research approaches the topic from the perspective of psychology and particularly previous research concerning attachment styles, celebrity interest, and their correlates. Using an online survey (N = 464), we considered whether psychological variables could predict whether individuals interact with musicians on SNS, and their opinions about doing so. Findings demonstrate that users’ celebrity attitudes and relationship attachment styles are important in predicting the extent to which they utilize SNS to interact with musicians. Therefore, it seems that SNS music fan behaviors have an overtly psychological component, such that further research might adopt a psychological rather than technological approach in predicting commercial usage.

Despite the current prevalence of users performing musical activities on social media, and on Facebook in particular, little research has examined these behaviors from the perspective of consumer psychology. A cross-sectional, convenience sample of 400 participants (Mage = 22.56, SDage = 7.79) completed an online questionnaire. The findings illustrated that the constructs of opinion leadership, innovativeness, and self-efficacy within the consumer psychology literature were associated with performing music-related activities on Facebook, including the active creation/consumption of music content and use of music listening applications. Thus, music activities performed on Facebook have an overt consumer psychological component. These findings indicate that to understand music-related activities on social media, further research should consider psychological variables in explaining this common and economically-important activity.

Despite the current prevalence of users performing musical activities on social media, and on Facebook in particular, little research has examined these behaviors from the perspective of consumer psychology. A cross-sectional, convenience sample of 400 participants (Mage = 22.56, SDage = 7.79) completed an online questionnaire. The findings illustrated that the constructs of opinion leadership, innovativeness, and self-efficacy within the consumer psychology literature were associated with performing music-related activities on Facebook, including the active creation/consumption of music content and use of music listening applications. Thus, music activities performed on Facebook have an overt consumer psychological component. These findings indicate that to understand music-related activities on social media, further research should consider psychological variables in explaining this common and economically important activity.

Introduction: The Mindful Self-Care and Resiliency (MSCR) programme is a brief psychosocial intervention designed to promote resilience among various occupational groups. The intervention is based on the principles of mindfulness and also incorporates an educational self-care component. The current paper presents the protocol for a pilot study that will evaluate the effectiveness of this programme among general practitioners working in rural Queensland, Australia. Methods and analysis: We will measure the impact of the MSCR programme on levels of employee resilience (Connor-Davidson Resilience Scale; State-Trait Assessment of Resilience STARS), compassion satisfaction and compassion fatigue (Professional Quality of Life Scale), self-compassion (Self-Compassion Scale) and mood (Positive and Negative Affect Scale). We will also assess the impact of the programme on job satisfaction (The Abridged Job in General Scale), absenteeism/presenteeism (The WHO Health and Work Performance Questionnaire) and general well-being (WHO Five Well-being Index). Repeated measures analysis of variance will be used to analyse the impact of the intervention on the outcome measures taken at pre, post, 1-month, 3-month and 6-month follow-ups. We will conduct individual interviews with participants to gather data on the feasibility and acceptability of the programme. Finally, we will conduct an initial cost-effectiveness analysis of the programme. Ethics and dissemination: Approval for this study was obtained from the Curtin University Human Research ethics committee and the study has been registered with the Australian Clinical Trials Registry. Results will be published and presented at national and international congresses. Trial registration number: ACTRN12617001479392p; Pre-results.

Poor motor skills have been associated with a range of interpersonal and intrapersonal difficulties, including poor self-competence, peer problems, and internalizing problems such as anxiety and depression. The Elaborated Environmental Stress Hypothesis provides a theoretical framework for understating these relationships. Studies have recently begun to evaluate this framework; however, ongoing empirical investigation is required. Currently, the extent to which these relationships may differ across factors such as gender remains unclear. The current study tests an indirect effect of motor skills on internalizing problems via peer problems and perceived self-competence in a community sample of 164 children (81 males; 83 females) aged 7 to 12 years. A combination of clinician-administered, self-report, and parent-rated measures were used. Regression analysis using PROCESS indicated that the relationship between motor skills and internalizing problems was not moderated by gender. Motor skills did have an indirect effect on internalizing problems via perceived scholastic competence and peer problems. Results provide partial support for part of the Elaborated Environmental Stress Hypothesis; perceived scholastic competence and peer problems are mechanisms through which motor skills are related to internalizing problems in school-aged children. This study highlights potentially important targets for psychomotor interventions for this age group. Highlights: The Environmental Stress Hypothesis suggests that motor skills may have an indirect effect on internalizing problems via factors such as peer problems and perceived self-competence. A community sample of 164 children aged 7-12 years provided measures of motor skills and psychosocial functioning. Motor skills had an indirect effect on internalizing problems via perceived scholastic competence and peer problems. This relationship was not moderated by gender.

Purpose: Numerous studies have reported a robust relationship between early phonological awareness (PA) and subsequent reading achievement, in addition to the critical role of the alphabetic principle in predicting and supporting later reading and spelling development. Given this association, there has been an increasing push to teach these skills to young children prior to word level reading and spelling instruction. This study evaluated the effectiveness of the Cracking the Code (CtC) program with students aged 3;8–5;4. CtC is a teacher-implemented program, designed to explicitly target PA skills and alphabet knowledge. Method: A pre-test post-test group design was used to evaluate the effectiveness of the program. Four schools in metropolitan Western Australia were randomly assigned to either the control or experimental condition within a parallel groups design. The control group participated in an alternative program matched for duration and frequency, targeting semantics and grammar. Result: The children in the experimental condition improved significantly more in PA, alphabet knowledge and non-word reading, and spelling after intervention than the control group. Conclusion: These findings demonstrate that classroom-based, teacher-delivered PA and alphabet knowledge instruction can be effective for 3;8–5;4 year-olds.

Background: The elaborated environmental stress hypothesis (EESH) provides a framework that describes how motor skills may indirectly cause internalizing problems through various mediating psychosocial factors. While there is evidence to support this framework, little is known about how the proposed relationships may vary across different stages of development. Aims: This study aimed to investigate whether peer problems and perceived self-competence mediated the relationship between motor skills and internalizing problems in pre-primary children, and at 18-month follow up. Sample: A community sample of 197 pre-primary school children (M = 5.40 years, SD = 0.30 years; 102 males, 95 females) participated at Time 1, with 107 completing the Time 2 follow-up. Methods: Standardized instruments were used to measure motor skills and verbal IQ. Perceived self-competence was measured using a self-report measure. Participant peer problems and internalizing problems were measured using teacher report. Age, gender, and verbal IQ were included as covariates. Results: Mediation analysis using PROCESS showed that the relationship between motor skills and internalizing problems was mediated by peer problems at Time 1. At Time 2, the relationship was mediated by peer problems and perceived physical competence. Conclusions: The current results indicate the EESH may function differently across different periods of development. The transition from pre-primary to Grade 1 represents a time of important cognitive and psychosocial development, which has implications for how the relationship between motor skills and internalizing problems can be understood. These findings highlight potential age-appropriate targets for psychomotor interventions aiming to improve the emotional well-being of young children.

© 2017 The British Psychological Society. Background: The elaborated environmental stress hypothesis (EESH) provides a framework that describes how motor skills may indirectly cause internalizing problems through various mediating psychosocial factors. While there is evidence to support this framework, little is known about how the proposed relationships may vary across different stages of development. Aims: This study aimed to investigate whether peer problems and perceived self-competence mediated the relationship between motor skills and internalizing problems in pre-primary children, and at 18-month follow up. Sample: A community sample of 197 pre-primary school children (M = 5.40 years, SD = 0.30 years; 102 males, 95 females) participated at Time 1, with 107 completing the Time 2 follow-up. Methods: Standardized instruments were used to measure motor skills and verbal IQ. Perceived self-competence was measured using a self-report measure. Participant peer problems and internalizing problems were measured using teacher report. Age, gender, and verbal IQ were included as covariates. Results: Mediation analysis using PROCESS showed that the relationship between motor skills and internalizing problems was mediated by peer problems at Time 1. At Time 2, the relationship was mediated by peer problems and perceived physical competence. Conclusions: The current results indicate the EESH may function differently across different periods of development. The transition from pre-primary to Grade 1 represents a time of important cognitive and psychosocial development, which has implications for how the relationship between motor skills and internalizing problems can be understood. These findings highlight potential age-appropriate targets for psychomotor interventions aiming to improve the emotional well-being of young children.

Poor motor skills have been associated with a range of interpersonal and intrapersonal difficulties, including poor self-competence, peer problems, and internalizing problems such as anxiety and depression. The Elaborated Environmental Stress Hypothesis provides a theoretical framework for understating these relationships. Studies have recently begun to evaluate this framework; however, ongoing empirical investigation is required. Currently, the extent to which these relationships may differ across factors such as gender remains unclear. The current study tests an indirect effect of motor skills on internalizing problems via peer problems and perceived self-competence in a community sample of 164 children (81 males; 83 females) aged 7 to 12 years. A combination of clinician-administered, self-report, and parent-rated measures were used. Regression analysis using PROCESS indicated that the relationship between motor skills and internalizing problems was not moderated by gender. Motor skills did have an indirect effect on internalizing problems via perceived scholastic competence and peer problems. Results provide partial support for part of the Elaborated Environmental Stress Hypothesis; perceived scholastic competence and peer problems are mechanisms through which motor skills are related to internalizing problems in school-aged children. This study highlights potentially important targets for psychomotor interventions for this age group. Highlights: The Environmental Stress Hypothesis suggests that motor skills may have an indirect effect on internalizing problems via factors such as peer problems and perceived self-competence. A community sample of 164 children aged 7-12 years provided measures of motor skills and psychosocial functioning. Motor skills had an indirect effect on internalizing problems via perceived scholastic competence and peer problems. This relationship was not moderated by gender.

It has been well documented that workplace stress can have a negative impact on nurse well-being and productivity, and can result in the syndrome of compassion fatigue, which is comprised of secondary traumatic stress and burnout. Identifying effective and practical workplace interventions to help improve nurse resilience to prevent compassion fatigue is therefore a high priority. This study trialled the effectiveness of a brief mindful self-care and resiliency intervention for nurses working in an Australian tertiary hospital compared to nurses in a wait list control condition. A total of 91 nurses participated in the study (n = 65 intervention condition; n = 26 control condition). The intervention involved a 1-day workshop followed by three weekly mindfulness practice sessions. Nurses completed measures of burnout, secondary traumatic stress, negative mood, self-compassion, compassion satisfaction, subjective quality of life and general self-efficacy at pre-test, post-test and 6-month follow-up. Analysis revealed that compared to the control group, the intervention group had significant reductions in burnout and depressed mood upon completion of the MSCR. Follow-up data indicated that these reductions persisted at 6-month post-MSCR for the intervention group. While interactions between intervention and control conditions for other measures failed to reach statistical significance, follow-up analysis revealed significant improvements in compassion satisfaction, self-compassion and subjective quality of life for nurses completing the intervention. As a whole, the findings demonstrate that a brief mindfulness-based self-care intervention is effective at improving the emotional functioning of nurses.

The nature of nursing work is demanding and can be stressful. Previous studies have shown a high rate of burnout among employed nurses. Recently, efforts have been made to understand the role of resilience in determining the psychological adjustment of employed nurses. A theoretical model of resilience was proposed recently that includes several constructs identified in the literature related to resilience and to psychological functioning. As nursing students are the future of the nursing workforce it is important to advance our understanding of the determinants of resilience in this population. Student nurses who had completed their final practicum were invited to participate in an online survey measuring the key constructs of the ICWR-1 model. 422 students from across Australia and Canada completed the survey between July 2014 and July 2015. As well as several key demographics, trait negative affect, mindfulness, self-efficacy, coping, resilience, and burnout were measured. We used structural equation modeling and found support for the major pathways of the model; namely that resilience had a significant influence on the relationship between mindfulness, self-efficacy and coping, and psychological adjustment (burnout scores). Furthermore, as predicted, Neuroticism moderated the relationship between coping and burnout. Results are discussed in terms of potential approaches to supporting nursing students who may be at risk of burnout.

There has been a recent rapid growth in the number of psychology courses offered online through institutions of higher education. The American Psychological Association has highlighted the importance of ensuring the effectiveness of online psychology courses (Halonen et al., 2013). Despite this, there have been inconsistent findings regarding student grades, satisfaction, and retention in online psychology units. Equivalency Theory (Simonson, 1999; Simonson et al., 1999) posits that online and classroom-based learners will attain equivalent learning outcomes when equivalent learning experiences are provided. We present a study of an online introductory psychology unit designed to provide equivalent learning experiences to the pre-existing face-to-face version of the unit. Using quasi-experimental methods, academic performance, student feedback, and retention data from 866 Australian undergraduate psychology students were examined to assess whether the online unit developed to provide equivalent learning experiences produced comparable outcomes to the ‘traditional’ unit delivered face-to-face. Student grades did not significantly differ between modes of delivery, except for a group-work based assessment where online students performed more poorly. Student satisfaction was generally high in both modes of the unit, with group-work the key source of dissatisfaction in the online unit. The results provide partial support for Equivalency Theory. The group-work based assessment did not provide an equivalent learning experience for students in the online unit highlighting the need for further research to determine effective methods of engaging students in online group activities. Consistent with previous research, retention rates were significantly lower in the online unit, indicating the need to develop effective strategies to increase online retention rates. While this study demonstrates successes in presenting students with an equivalent learning experience, we recommend