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Background: By analysing the deaths of inpatients in a tertiary hospital in Hangzhou, this study aimed to understand the epidemiological distribution characteristics and the composition of the causes of death. Additionally, this study aimed to predict the changing trend in the number of deaths, providing valuable insights for hospitals to formulate relevant strategies and measures aimed at reducing mortality rates. Methods: In this study, data on inpatient mortality at a tertiary hospital in Hangzhou from 2015 to 2022 were obtained via the population information registration system of the Chinese Center for Disease Control and Prevention. The death data of inpatients were described and analysed through a retrospective study. Excel 2016 was utilized for data sorting, and SPSS 22.0 software was employed for data analysis. The statistical inference of single factor differences was conducted via χ2 tests. The SARIMA model was established via the forecast, aTSA, and tseries software packages (version 4.3.0) to forecast future changes in the number of deaths. Results: A total of 1938 inpatients died at the tertiary hospital in Hangzhou, with the greatest number of deaths occurring in 2022 (262, 13.52%). The sex ratio was 2.22:1, and there were significant differences between sexes in terms of age, marital status, educational level, and place of residence (P < 0.05). The percentage of males in the groups aged of 20 to 29 and 30 to 39 years was significantly greater than that of females (χ2 = 46.905, P < 0.001). More females than males died in the widowed group, and divorced and married males experienced a greater number of deaths than divorced and married females did (χ2 = 61.130, P < 0.001). The proportions of male students with a junior college and senior high school education were significantly greater than that of female students (χ2 = 12.310, P < 0.05). The primary causes of mortality within the hospital setting included circulatory system diseases, injury, poisoning, tumours, and respiratory system diseases. These leading factors accounted for 86.12% of all recorded deaths. Finally, the SARIMA (2, 1, 1) (1, 1, 1)12 model was determined to be the optimal model, with an AIC of 380.23, a BIC of 392.79, and an AICc of 381.81. The MAPE was 14.99%, indicating a satisfactory overall fit of this model. The relative error between the predicted and actual number of deaths in 2022 was 8.02%. Therefore, the SARIMA (2, 1, 1) (1, 1, 1)12 model demonstrates good predictive performance. Conclusions: Hospitals should enhance the management of sudden cardiac death, acute myocardial infarction, severe craniocerebral injury, lung cancer, and lung infection to reduce the mortality rate. The SARIMA model can be employed for predicting the number of deaths. [ABSTRACT FROM AUTHOR]

Background. Nursing professionals are pivotal in coordinating care and incorporating quality and safety strategies to enhance patient outcomes. Therefore, nursing education is paramount in preparing nurses to deliver safe care. Aim. In this study, we aimed to explore the self‐reported patient safety competence acquired by undergraduate nursing students in classroom and clinical settings and to compare their perceptions of how broader patient safety issues are addressed in their programmes. Methods. We conducted a cross‐sectional study in a public university in London, United Kingdom, and included Bachelor of Science nursing students from all fields of nursing and Nursing Associate students (n = 250, response rate 21.3%). Students completed the Health Professional Education Patient Safety Survey (H‐PEPSS). Paired t‐tests examined the differences in learning (classroom versus clinical setting). Analysis of variance was used to explore differences in self‐reported patient safety competencies across programmes and to compare students' perceptions of how broader patient safety issues are addressed in their curricula. Results. Mean domain scores indicate high confidence levels in patient safety competence for learning gained in both classroom and clinical settings for all students (>4.0/5.0). Results also indicate a consensus among students from various programmes that broader patient safety issues are adequately addressed in the curricula. Self‐reported confidence was highest in respondents enrolled in the Nursing Associate programme and students with prior experience in a clinical setting. Students were confident about their learnings of patient safety in their educational programmes. Conclusions. Greater patient safety competence indicates comprehension and familiarity with knowledge boundaries, which in turn acknowledges the limitations of autonomous practice. Our findings underscore the need for targeted educational interventions to enhance specific areas of patient safety competence and emphasise the shared responsibility of educators in fostering a culture of safety within healthcare. [ABSTRACT FROM AUTHOR]

The nursing associate (NA) role was introduced in 2017 with a pilot programme of trainees, and in 2019 became regulated by the Nursing and Midwifery Council (NMC). The role bridges the gap between the healthcare assistant (HCA) and registered nurse (RN), allowing RNs to focus on complex care. With over 9000 NAs on the NMC register and more in training, it is important to understand RN perceptions of the NA professional identity. The findings of a qualitative survey of RNs (n=23) identified the following themes: NMC standards and scope of practice; The 'cheap nurse'; Skills development and progression; A supportive bridging role. Although valued, the role was perceived as a threat, ambiguous and inconsistently implemented. The implications are that the role ambiguity and lack of standardisation need addressing and a clear understanding of these must be articulated for the professions and public alike. [ABSTRACT FROM AUTHOR]

Objectives: This study aimed to investigate the association between internet addiction and dietary habits among Omani junior college students. Methods: This cross-sectional study was conducted at Sultan Qaboos University, Muscat, Oman, among junior college students surveyed in November 2020. The Compulsive Internet Use Scale and a dietary habits questionnaire were used. Chi-square cross-tabulation analyses were used to explore the relationship between internet addiction and dietary habits. Results: A total of 377 students were included in this study. Overall, 59.9% of the junior college students were identified as having an internet addiction. Within this group, 62.8% reported reduced meal sizes and 54.4% reported a decrease in appetite. There was a statistically significant difference in both meal size (X2 = 30.528; P <0.001) and appetite changes (X2 = 28.731; P <0.001) among students with different levels of internet addiction. Conclusion: The results of this study suggest a possible link between internet addiction and altered dietary habits among this population. This study highlights the need for strategies that encourage healthy living behaviours and raise awareness about the adverse effects of internet addiction. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Home Economics of Japan is the property of Japan Society of Home Economics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Student knowledge acquisition and retention are essential in nursing training. This study examined differences in content knowledge acquisition and retention between traditional and flipped classroom (FC) formats. Method: A pretest-posttest quasiexperimental design with a follow-up test was used for this study of associate degree nursing students in a Hong Kong community college. The control group (n = 141) included nursing students in a traditional classroom (TC) setting before COVID-19 compared with nursing students in an FC (n = 130) setting during the pandemic. The effects were evaluated before the course, postcourse, and 3 months after the course. Results: Content knowledge scores for both groups improved after the course. Students in the FC performed better in the short-term (posttest immediately after the course) and long-term (follow-up-test 3 months later) than students in the TC. Conclusion: Implementing the FC method effectively promoted students' knowledge acquisition and retention. [J Nurs Educ. 2024;63(8):501–506.] [ABSTRACT FROM AUTHOR]

This article reports on a small mixed-methods research project undertaken with trainee nursing associates (TNAs) in the south of England. Aim: The aim was to gain insight into the motivation behind undertaking the nursing associate (NA) programme, how the NA role is perceived by service users and the wider healthcare team, and the future career pathways of NAs. Methods: Online questionnaires (n=14) and online focus groups (n=6). Findings: The results suggested undertaking the NA programme increased the TNAs' confidence and ability to use evidence to support their practice; that the role of the NA is not well understood. Some TNAs perceived the NA role as a distinct professional role, whereas others saw it as a way into registered nurse training. Conclusion: Role confusion still exists. Research is needed to capture how professional identities in new health and social care professional groups become established. [ABSTRACT FROM AUTHOR]

This fundamental investigation aimed to deliver a new theoretical perspective to address the brain drain problem from Northeast China. The amenity theory could provide a robust ideological foundation that enables cities to attract talent and drive urban innovation and development. This study explores the spatial–temporal pattern evolution of talent inflow to Northeast China based on data from the China Migrant Dynamic Survey (CMDS) from 2012 to 2018. It utilizes spatial analysis methods and geographic detectors to interpret the factors that influence the spatial heterogeneity of talent inflow from the perspective of urban amenities. The following results were obtained. First, the trend in the number of talent inflows displays an initial increase followed by fluctuations before inflow destinations are concentrated in four major cities and certain resource-based cities in Northeast China. Second, a high-quality labor force is engaged in varied industries. Talents with different academic qualifications could avail themselves of diverse employment choices, primarily in information transmission, software, and information technology services. Those with undergraduate and postgraduate degrees could find positions in the education industry. Third, the talent flow mode has gradually changed from interprovincial to intercity movements within a particular province. However, the mode of talent flow differs according to discrete academic qualifications. Most postgraduates choose the interprovincial flow, and undergraduates and junior college students predominantly select the intercity flow within a particular province. Fourth, the inflow of talent to destinations in Northeast China is based on artificial amenities and tends toward cities that offer efficient public services, abundant leisure facilities, and innovative soft and hard environments. The major factors that affect the spatial differentiation in talent inflow to a city include the number of hospital beds per 10,000 people, scientific research, creative practitioners, talent-related policies, exhibition halls and other leisure and entertainment venues, and average housing prices in the city. Most interactions between artificial environment amenity factors and other elements are better than their individual effects, especially the interactive configuration of affordable urban housing prices, high-quality public resources, such as education and health care, and abundant leisure and entertainment facilities. [ABSTRACT FROM AUTHOR]

This article discusses the use of movies in an interdisciplinary physics course called "The Impact of the Atomic Bomb." The author explains how movies can be used to teach physics concepts, explore the interconnectedness of science and society, and relate science to students' experiences. The article provides a list of movies that have been used in the course, along with their topics and how they address the course's learning outcomes. The author also describes the pedagogy of using movies, including prompts for watching the movies, class discussions, essays, and a final survey. The article concludes by highlighting the benefits of using movies in science courses and encouraging educators to consider incorporating movies in their teaching. [Extracted from the article]

Undergraduate nursing students are voicing high levels of test anxiety within their learning environments. The purpose of this study was to examine the impact of a mindfulness intervention, using systematic desensitization, on community college nursing students’ test anxiety. Data were collected and analyzed with a sample of 107 students randomly selected for a control and intervention group. The intervention group, which listened to a mindfulness podcast while using muscle relaxation, had significantly lower post-intervention test anxiety scores (p <. 001) than the control group. Systematic desensitization is a type of mindfulness that nursing students can use to decrease test anxiety. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study was to understand the factors that contribute to the development of the nursing associate professional identity. Design: A 3‐year longitudinal qualitative study of trainee nursing associates. Methods: Trainee nursing associates in England were interviewed remotely annually in February 2020, March 2021 and March 2022. They also provided diary entries. Data were anonymised, transcribed and analysed thematically. Results: Nursing associate professional identity was developed through: increased knowledge, skills and responsibility; and self‐perceptions of identity alongside responses to the role by colleagues. Tensions arose when the scope of practice expected by organisations differed from that expected by the nursing associates. Frustrations occurred when nursing associates were perceived as substitutes for Registered Nurses in the context of nursing workforce shortages. Conclusion: Nursing associates in this study clearly valued their new knowledge, skills and responsibility, enabling them to provide enhanced patient care. Increased clarity of role boundaries is necessary in enhancing the professional identity of nursing associates and reducing inter‐professional tensions arising from role ambiguity within health and social care organisations. Implications for the Profession: National guidance and employers should provide clarity on the boundaries of the nursing associate role which will strengthen their professional identity and mitigate role ambiguity within health and social care organisations. Reporting Method: The Consolidated Criteria for Reporting Qualitative Research has been used to guide reporting. Patient of Public Contribution: A patient and public involvement group was consulted during the initial study design stage. Impact: This study aimed to understand the factors which contribute to the development of a nursing associate professional identity.Nursing associate professional identity is developed through increased knowledge, skills and responsibility, and the perceptions of identity by participants themselves and their colleagues.The findings should inform the implementation of initiatives to clarify nursing associate role boundaries and the development of similar roles internationally. [ABSTRACT FROM AUTHOR]

This study looked for associations between measures of emotional intelligence in an intensive clinical experience for nursing students in their final semester of an associate degree program. Twenty nursing students from a technical college in the Midwest volunteered to complete the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) before and after an intensive clinical experience. The results were mixed with a significant decrease in several specific scores within the MSCEIT on the Time Point 2 test. Stress levels or fatigue could have impacted participants' decreased performance on the MSCEIT. [ABSTRACT FROM AUTHOR]

Background: The implementation of humanistic care is conducive to providing high quality nursing, improving patient satisfaction and establishing harmonious nursery-patient relationship. Current researchs show that humanistic caring ability is affected by emotional intelligence, empathy, interpersonal communication. But the exact relationship and internal mechanism of such factors have not been fully understood. Objective: To explore the multiple mediating effect of empathy and communication ability on nursing students' emotional intelligence and caring ability. Methods: A case study was conducted by examining a sample of 1,165 nursing students from a junior college in Anhui, China. The multidimensional scales, and a self-designed demographic characteristics questionnaire were utilized. Path relationships and mutual effects were tested using structural equation modeling (SEM). Results: Emotional intelligence, empathy, and communication ability were found to positively affect nursing students' caring ability, as well as positive interrelationships with one another (standardized estimate = 0.312-0.584, p < 0.001). Communication ability and empathy play an important role in mediating the association between emotional intelligence and caring ability, and the effect sizes are 0.169 and 0.121, respectively, while the effect value of empathy and communication ability in emotional intelligence and caring ability was 0.034, which showed partial mediation of the association. The indirect effect of the structural equation was 77.14%. Conclusion: The chain mediating role of empathy and communication ability in emotional intelligence and caring ability is explored, which not only enrichis previous studies, but also reveals the mechanism of emotional intelligence's influence on caring ability. It is essential to continuously improve nursing students' caring ability. From the perspective of nursing educators, they need to develop targeted approaches to help the nursing student improve their emotional intelligence, empathy, and communication skills, further enhancing their caring ability. [ABSTRACT FROM AUTHOR]

Why you should read this article: • To acknowledge the need for trainee nursing associates to develop their understanding of person-centred mental healthcare • To recognise the benefits of involving mental health experts by experience (EBEs) in the education of nursing staff • To read about a project involving the development of long-term one-to-one relationships between trainee nursing associates and EBEs Stigma around mental illness persists in healthcare practice and education. This article details a project undertaken to develop long-term relationships and facilitate learning between trainee nursing associates and mental health experts by experience (EBEs). The project was evaluated using questionnaires and feedback from the students and EBEs involved. The relationships that developed between students and EBEs had many positive implications for students' future practice, with benefits including enhanced understanding of person-centred care, the importance and development of communication skills, holistic views of long-term conditions and increased motivation for undertaking a nursing role. The project also had benefits for the EBEs, such as reciprocal learning opportunities, employment experiences and improved health and well-being. The authors suggest that instead of didactic or one-off encounters with EBEs in education settings, long-term EBE involvement should be implemented. This could help to achieve sustainable reductions in the stigma around mental health and increase students' knowledge of mental health, mental illness and recovery. [ABSTRACT FROM AUTHOR]

Professionalism and safety in patient care are concepts nurses are expected to exhibit in practice. High fidelity simulation was explored to assist in teaching students the behaviors needed to succeed in nursing. Nursing leaders identified areas in which graduates struggle, including critical thinking, skills acquisition, time management, role responsibilities, delegation, and effective communication. The project's purpose was to analyze students' perceptions regarding professional nursing values, identify gaps in knowledge concerning professional behavior, and determine perception change of professional values. A pretest post-test simulation intervention was chosen. Improvement in communication and autonomy was noted with statistically significant findings. [ABSTRACT FROM AUTHOR]

AIM The purpose of this study was to explore whether grit is a predictor of success in associate degree nursing (ADN) programs. BACKGROUND A question that challenges admission decision-making in nursing programs is “Who will succeed?” This question is particularly relevant in ADN programs, which often have higher attrition rates than baccalaureate programs. METHOD This longitudinal, mixed-methods study was conducted with 451 ADN students across nine programs, including interviews with seven unsuccessful students and nine successful students. RESULTS Short Grit Scale scores were not found to be statistically significant as a predictor of academic success; however, themes that emerged from the interviews do align with the theory of grit. CONCLUSION Further research is needed to explore whether recognizing the level of grit in students during admission processes would help identify students who are likely to succeed. [ABSTRACT FROM AUTHOR]

Background: Research is needed to examine whether the coronavirus disease 2019 (COVID-19) pandemic affected nursing students' NCLEX-RN pass rate. A decline in the NCLEX-RN pass rate would be detrimental to the nursing workforce, the nursing shortage, and nursing educational programs. This quantitative comparative study analyzed the effect of the COVID-19 pandemic on nursing students' Comprehensive Predictor scores as a proxy for the NCLEX-RN. Method: An independent t test was conducted to test for a difference in Comprehensive Predictor scores of nursing students before and during the COVID-19 pandemic. Results: There was no statistically significant difference in Comprehensive Predictor scores before and during the pandemic. Conclusion: Because there was no significant change in nursing students' pass rate on the Comprehensive Predictor as a proxy for the NCLEX-RN during the COVID-19 pandemic, the number of new graduate nurses entering clinical practice is expected to remain the same as pre-pandemic levels. [J Nurs Educ. 2023;62(11):638–641.] [ABSTRACT FROM AUTHOR]

Background: Without formal collaboration with community colleges, a summer dual enrollment program was designed for associate degree in nursing (ADN) students to complete asynchronous online baccalaureate nursing (BSN) courses. The program aimed to reduce the time for BSN degree completion and increase the proportion and diversity of BSN nurses. Method: Students enrolled in BSN courses during their ADN program completed up to seven courses during three summers, with seamless matriculation into the BSN program. A longitudinal study explored the demographics and experiences of students from 32 ADN programs. Results: There was greater diversity of dual-enrolled students compared with the RN workforce in the state. Students were satisfied with the program and were able to apply their BSN knowledge when completing their prelicensure courses; however, some found students faced challenges in financing their education. Conclusion: The study and subsequent program growth demonstrated the feasibility of using this approach to engage ADN students earlier in their educational journey. [J Nurs Educ. 2023;62(11):606–613.] [ABSTRACT FROM AUTHOR]

AIM The aim of this study was to investigate programs throughout the United States for seamless academic progression from associate degree nursing (ADN) to baccalaureate degree nursing programs (BSN). BACKGROUND Seamless academic progression has been shown to have a positive effect on increasing the proportion of BSN nurses. Goals to increase the number of BSN-prepared nurses have not been met. METHOD A qualitative descriptive study was conducted to assess how nurse administrators of ADN programs move toward seamless academic progression for students. RESULTS Three themes that described the current state of seamless progression emerged from the data: a) ongoing communication between program leaders, students, and stakeholders; b) development of pathways that enable seamless academic progression; and c) stakeholder influence on academic progression. CONCLUSION Administrators who participated in this study shared that their progression programs were in the early developmental stages. [ABSTRACT FROM AUTHOR]

People often experience conflicts in their interpersonal relationships. To repair and restore a relationship, the perpetrator engages in compensatory behaviour after experiencing feelings of guilt, while the victim attempts to communicate their forgiveness. Although many previous studies focused on the forgiver (i.e., the victim), few have investigated the responses of the forgiven (i.e., the perpetrator). We investigated whether victim forgiveness relieved perpetrator guilt through two studies. Data were collected from Japanese undergraduate and junior college students. In Study 1, we manipulated the presence of victim forgiveness to investigate the effects of forgiveness on perpetrator guilt. Study 2 investigated whether the result of Study 1 was replicated and the effect of forgiveness on moral self-evaluation. Studies 1 and 2 showed that victim forgiveness did not relieve perpetrator guilt. In addition, equivalence testing and Bayes factor strongly supported these null results. Study 2 showed that perpetrators evaluated themselves as relatively immoral compared to their victims when receiving forgiveness. These results suggest that a unilateral approach toward reconciliation (i.e. the victim's pre-emptive forgiveness) is inadequate for restoring the relationship as the perpetrator because they may believe themselves undeserving of forgiveness from the victim. [ABSTRACT FROM AUTHOR]

Background and Objectives: During the COVID-19 pandemic, lockdown and distance learning affected physical activity (PA) levels among college students. The aims were to assess the effectiveness of a tele-health PA promotion program for 6 weeks, among junior college students, on PA level and on the proportion of physically active students during the pandemic. Materials and Methods: A pre–post study design was conducted on 46 students aged 19 (±0.9) years old in Saudi Arabia. The study consisted of online introductory and educational PA classes, followed by a 6-week course during which students received daily online PA promotive messages. Wilcoxon signed-rank and McNemar's tests were used to measure the mean differences in PA level and the changes in proportion of physically active students before and after the program, respectively. Results: The proportion of students who perform walking increased significantly from 47.4% to 68.4% (p = 0.02), while the number of students who perform moderate PA in their leisure time increased significantly from 38.9% to 69.4% (p = 0.02). No significant differences were detected between other PA levels. Conclusions: This program is effective in encouraging more college students to be physically active, but not in improving PA levels. Larger scale studies using PA objective measurement tools are needed. [ABSTRACT FROM AUTHOR]

Background: The nursing associate role was first deployed in England in 2019 to fill a perceived skills gap in the nursing workforce between healthcare assistants and registered nurses and to offer an alternative route into registered nursing. Initially, trainee nursing associates were predominantly based in hospital settings; however, more recently, there has been an increase in trainees based in primary care settings. Early research has focussed on experiences of the role across a range of settings, particularly secondary care; therefore, little is known about the experiences and unique support needs of trainees based in primary care. Aim: To explore the experiences and career development opportunities for trainee nursing associates based in primary care. Methods: This study used a qualitative exploratory design. Semi-structured interviews were undertaken with 11 trainee nursing associates based in primary care from across England. Data were collected between October and November 2021, transcribed and analysed thematically. Findings: Four key themes relating to primary care trainee experiences of training and development were identified. Firstly, nursing associate training provided a 'valuable opportunity for career progression'. Trainees were frustrated by the 'emphasis on secondary care' in both academic content and placement portfolio requirements. They also experienced 'inconsistency in support' from their managers and assessors and noted a number of 'constraints to their learning opportunities', including the opportunity to progress to become registered nurses. Conclusion: This study raises important issues for trainee nursing associates, which may influence the recruitment and retention of the nursing associate workforce in primary care. Educators should consider adjustments to how the curriculum is delivered, including primary care skills and relevant assessments. Employers need to recognise the resource requirements for the programme, in relation to time and support, to avoid undue stress for trainees. Protected learning time should enable trainees to meet the required proficiencies. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Health Promotion & Health Education is the property of National Taiwan Normal University, Department of Health Promotion & Health Education and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

• This study developed a mediation model consisting of behavioral cultural intelligence, academic self-efficacy, and academic adaptation. • Behavioral cultural intelligence significantly influences academic self-efficacy and academic adaptation. • Academic self-efficacy significantly influences academic adaptation. • Academic self-efficacy significantly mediates the relationship between behavioral cultural intelligence and academic adaptation. • These findings emphasized the crucial roles of behavioral cultural intelligence and academic self-efficacy in facilitating academic adaptation for junior college international students, suggesting that educational institutions should recognize and nurture these attributes for enhanced academic experiences. This study developed a mediation model consisting of behavioral cultural intelligence, academic self-efficacy, and academic adaptation. With the subscale of the Cultural Intelligence Scale, the Academic Adjustment Scale, and the General Academic Self-Efficacy Scale, a questionnaire survey was conducted among a sample of 412 international students at 5 public higher vocational colleges in Guangxi, China. The statistical technique of Partial Least Squares Structural Equation Modelling (PLS-SEM) was employed in the software SmartPLS 4.0 to examine the hypothesized relationships among the targeted variables. Results indicated that behavioral cultural intelligence significantly influences academic self-efficacy and academic adaptation. Moreover, academic self-efficacy significantly influences academic adaptation. Notably, academic self-efficacy significantly mediates the relationship between behavioral cultural intelligence and academic adaptation. These findings emphasized the crucial roles of behavioral cultural intelligence and academic self-efficacy in facilitating academic adaptation for junior college international students, suggesting that educational institutions should recognize and nurture these attributes for enhanced academic experiences. [ABSTRACT FROM AUTHOR]

(1) Background: When online teaching or blended teaching becomes the new normal in college teaching and learning during the pandemic phase, how to cope with teaching anxiety and enhance online student engagement has been frequently discussed among scholars and practitioners. (2) Methods: This qualitative study aims to investigate the impact of online college student engagement on junior faculty's online teaching anxiety in the pandemic era, with an emergent shift to online teaching as a new normal for higher education. The study analyzed the ways junior faculty adapted to enhance online student engagement and cope with anxiety-provoking sources. (3) Results: Online teaching anxiety may occur at the beginning of the semester or during a large amount of assessment and marking and can also occur with student complaints and the inactive online engagement of students. Student engagement is the most challenging pedagogical issue during online teaching, especially social and emotional engagement. (4) Conclusion: This study recommends that peer mentoring and university-level faculty professional development services are effective strategies to reduce junior faculty's teaching anxiety. Pedagogy training and support should provide faculty with hands-on activities with problem-solving toolkits that they can take away to their own teaching. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study is to provide individualized concept structure analysis based on the comparisons with concept structure of expert. Fuzzy clustering can distinguish characteristics of concept structures on assessment of examination for registered nurse. Design/methodology/approach: This study adds a regulating factor of covariance matrix to each class in objective function and deletes the constraint of the determinant of covariance matrices. The fuzzy covariance matrices in the Mahalanobis distance with recursive process iteratively can be directly derived by minimizing the objective function and can overcome the drawback of Euclidean distance. Hence, we could extend the distance measure to alternative distance. Findings: To get a more stable partition clustering algorithm, this study replaces all the covariance matrices with the same common covariance matrix and solves the problem of the singular problem for the inverse covariance matrix. Each cluster of data can easily describe features of knowledge structures. Manage the knowledge structures of assessment of examination for registered nurse to construct the model of features in the pattern recognition completely. Practical implications: Provide the empirical data for concepts of Professional and Technical Examination for Registered Nurse from junior college students of learning deficiencies. The results show that students with different response patterns and total score own varied concept structures. Originality/value: Based on the findings and results, some suggestions and recommendations for future research are provided. Integrated algorithm could improve the assessment methodology of cognition diagnosis and manage the knowledge structures of Professional and Technical Examination for Registered Nurse's concepts easily. [ABSTRACT FROM AUTHOR]

Aim: The nursing associate role has created a new second‐level nursing role and provided an alternative route into registered nursing. For some, this provides a previously inaccessible opportunity for career progression. The aim of the study was to understand the factors that influence career choices of trainee nursing associates. Design: A longitudinal qualitative study of trainee nursing associate motivations, experiences and career aspirations. Methods: Semi‐structured interviews with trainee nursing associates from across England, UK, in February 2020 (N = 14) and March 2021 (N = 13). Diary data were also collected. Interview and diary data were analysed thematically. Reporting has followed COREQ guidelines. Results: Nursing associate training was viewed by some as a bridge into registered nursing. Role ambiguity led several to seek perceived security offered by the Registered Nurse profession. Those preferring to remain as nursing associates were keen to embed the bridging role between healthcare assistants and Registered Nurses, valuing a positive workplace culture. [ABSTRACT FROM AUTHOR]

In order to further understand the employment forms, employment dynamics, and employment competitiveness of college students, this paper puts forward an employment quality evaluation model based on fuzzy comprehensive evaluation and immersive virtual realization technology in combination with the employment needs and environment of college students. Through horizontal and vertical comparison, field research, and employment quality evaluation model, this paper deeply understands the employment level of college students. From the perspective of the evaluation results of the employment-related work of the 2020 college students, the excellent employment rate has reached 86.25%. From the perspective of the employment quality trend of graduates, the graduate employment quality score is 77.08, and the undergraduate and junior college students' scores are 74.97 and 77.66, respectively. From the perspective of the excellent employment rate, the employment quality evaluation model proposed in this paper is helpful for the employment of college students. [ABSTRACT FROM AUTHOR]

This study examined three influential factors of junior college students' learning engagement: (a) intrinsic and extrinsic motivation, (b) career decision-making self-efficacy (CDMSE), and (c) self-regulation. Participants included 206 students enrolled in the secretarial administration program in a junior college in South Korea. The primary research findings are as follows. First, intrinsic and extrinsic motivation positively influenced CDMSE. Intrinsic motivation influenced learning engagement through CDMSE and self-regulation; extrinsic motivation did not. Second, CDMSE influenced self-regulation and indirectly influenced learning engagement through self-regulation. Third, self-regulation had the largest effect on learning engagement. The findings highlight the need to examine and enhance students' self-regulation skills and help improve the learning engagement of junior college students. This study confirmed the significance of motivation, CDMSE, and self-regulation for junior college students' learning engagement. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to investigate the multiple mediating effects of achievement motivation and subjective wellbeing between social support and individual occupational identity. Methods: Questionnaire method was used in this study. 565 junior college students majoring in pre-school education were tested by social support scale, achievement motivation scale, subjective wellbeing scale, and occupational identity scale. Results: (1) There isn't significant relationship between perceptions of social support and individual occupational identity. (2) Achievement motivation and subjective wellbeing individually play a mediating role between social support and individual occupational identity. (3) Achievement motivation and subjective wellbeing play a chain mediating effect between elf-efficacy and individual occupational identity. Conclusion: Social support can indirectly predict professional identity of preschool "would-be teachers" through the mediating effect of achievement motivation, subjective wellbeing and the chain mediating effect of achievement motivation and subjective wellbeing. [ABSTRACT FROM AUTHOR]

Background: Effective first aid on the battlefield is vital to minimize deaths caused by war trauma and improve combat effectiveness. However, it is difficult for junior medical students, which have relatively poor human anatomy knowledge and first aid experience. Therefore, we aim to create a treatment simulation software for war trauma, and to explore its application for first aid training. Methods : This study is a quantitative post-positivist study using a survey for data collection. First, high-resolution, thin-sectional anatomical images (Chinese Visible Human (CVH) dataset) were used to reconstruct three-dimensional (3D) wound models. Then, the simulation system and the corresponding interactive 3D-PDF, including 3D models, graphic explanation, and teaching videos, were built, and used for first aid training in army medical college. Finally, the interface, war trauma modules, and training effects were evaluated using a five-point Likert scale questionnaire. All measurements are represented as mean and standard deviations. Moreover, free text comments from questionnaires were collected and aggregated. Results: The simulation software and interactive 3D-PDF were established. This included pressure hemostasis of the vertex, face, head-shoulder, shoulder-arm, upper forearm, lower limb, foot, and punctures of the cricothyroid membrane, pneumothorax, and marrow cavity. Seventy-eight medical students participated in the training and completed the questionnaire, including 66 junior college students and 12 graduate students. The results indicated that they were highly satisfied with the software (score: 4.64 ± 0.56). The systems were user-friendly (score: 4.40 ± 0.61) and easy to operate (score: 4.49 ± 0.68). The 3D models, knowledge of hemostasis, and puncture were accurate (scores: 4.41 ± 0.67, and 4.53 ± 0.69) and easily adopted (scores: 4.54 ± 0.635, and 4.40 ± 0.648). They provided information about hemostasis and puncture (all scores > 4.40), except for cricothyroid membrane puncture (scores: 4.39 ± 0.61), improved the learning enthusiasm of medical students (score: 4.55 ± 0.549), and increased learning interest (score: 4.54 ± 0.57). Conclusion: Our software can effectively help medical students master first aid skills including hemostasis, cricothyroid membrane and bone marrow puncture, and its anatomy. This may also be used for soldiers and national first aid training. [ABSTRACT FROM AUTHOR]

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This study aims to explore the associations between the instructor's class smartphone use regulations, students' attitudes towards using smartphones and the risk of addiction. Study participants came from the first, second, and third year students in a five-year junior college in Taoyuan City, and they completed a self-administrated questionnaire in 2021. Among the participants, 70.3% reported the all-day smartphone use regulation. The average score of the smartphone addiction scale was 68.77 (score range: 26-130). The results of regression model showed that smartphone use regulation (β = 0.117, p < .05) and the "usefulness" attitude towards smartphone use (β = 0.464, p < .001) were associated with the score of the smartphone addiction scale. Findings of this study suggest that class instructors should understand students' attitudes towards smartphone use and formulate appropriate class regulations to limit smartphone, in order to help prevent students from the risk of smartphone addiction. [ABSTRACT FROM AUTHOR]

Background: To provide an economical and practical defibrillator for first aid teaching and training, to reduce the cost of teaching and training, increase teaching and training equipment, provide trainees with more hands-on training sessions, and improve first aid capabilities. Methods: Developing a special teaching defibrillator with the same structure and operation configuration as the clinical medical emergency defibrillator. The appearance, structure and operating accessories of the two defibrillators are the same. The difference between the defibrillator and the clinical medical emergency defibrillator are as follows: the clinical medical emergency defibrillator can be energized, and there are expensive electronic accessories and defibrillation accessories for charging and discharging in the machine. When discharging, the electrode plate has current discharged into the human body; the power plug of the "special defibrillator for teaching and training" is a fake plug. When the power is plugged in, no current enters the body and the machine. There are no expensive electronic accessories and defibrillation accessories for charging and discharging, and no current is discharged during discharge. Then compare the teaching effect of the special defibrillator for teaching and training and the clinical medical emergency defibrillator (including operation score and attitude after training). Results: The scores of defibrillator operation in the experimental group of junior college students (87.77 ± 4.11 vs. 83.30 ± 4.56, P < 0.001) and the experimental group of undergraduate students (90.40 ± 3.67 vs. 89.12 ± 3.68, P = 0.011) were higher than those in the corresponding control group; The attitude of junior college students in the experimental group and undergraduate students in the experimental group after training was more positive than that of the corresponding control group (P < 0.05). Conclusions: The special defibrillator for teaching and training can save the purchase cost of teaching equipment, increase teaching and training resources, and improve the trainee's defibrillation ability, defibrillation confidence and defibrillation security. [ABSTRACT FROM AUTHOR]

The purpose of the study is to provide harmonic exercises for the female students that will have known effects on the growth of motor skills, certain offensive skills, and the development of motor skills. The researcher employed the experimental technique in a single group. The study was carried out on a randomly chosen sample of junior students at the College of Physical Education and Sports Sciences for Girls using the (numbers) method, with a total of (16) students and a percentage of 22.62%. In addition to the primary experiment, which lasted (8) weeks, the exploratory experiment, pre-tests, and post-tests were carried out at various stages. The study was conducted on November 28, 2022, using statistical techniques. The researcher reached the conclusion that harmonic exercises have an impact on the development of motor abilities, as well as the emergence of differences between pre- and post-tests of the variables in accordance with the specificity of motor ability-skill and the purpose of the tests in terms of time and degree. [ABSTRACT FROM AUTHOR]

Introduction:AnDescriptive Study was conducted to assess the Attitude Towards Alcohol Consumption Among Junior College Students in the Selected College of Ahmednagar. Objectives:To assess the attitude of Junior College students towards alcohol consumption, to find out the association between selected socio-demographic variables and attitude towards alcohol consumption of Jr. College students at selected urban colleges. Methodology:Sample of 100 junior college students were selected by using purposive sampling technique. A semantic differential scale (attitude scale) was used to assess the attitude of Junior College students towards alcohol consumption. Descriptive and inferential statistics were used to analyze the data. Result: The study revealed that, 3 (3%) of the Junior College students had the favorable attitude, 42(42%) of them had neutral attitude and 55 (55%) had unfavorable attitude towards alcohol consumption. The average attitude score of Junior College students towards alcohol consumption at selected urban colleges was 80.62 with the standard deviation of 8.09. Study also concluded that there was significant association of selected demographic variables. Conclusion: Concludes that, there was significant association of educational stream with attitude towards alcohol consumption with demographic characteristics of Jr. College students in selected Urban Colleges. [ABSTRACT FROM AUTHOR]

At present, research in the field of college students' entrepreneurship has proliferated, but these studies tend to analyze the net benefits of various factors on entrepreneurial activities, which are affected by the configuration effects of multiple factors; hence, it remains unclear whether entrepreneurial education can make graduates more efficient to started their own companies. To fill this gap in the literature, drawing on general systems theory and using fuzzy-set qualitative comparative analysis (fsQCA), we take 1,87,914 undergraduate and junior college students from 1,231 colleges and universities in China as a sample to explore the relationships among the five conditions in the entrepreneurship education environment and cognitive level (i.e., the quality of staff, subject curriculum, entrepreneurial competition, intentions, and opportunity identifications) and entrepreneurial activities. The fsQCA results show that none of these factors are sufficient for entrepreneurial activity. In contrast, three combinations of the five conditions (i.e., co-creation type, competition-oriented environment, and entrepreneurship education that fits under the guidance of entrepreneurial intention) can produce high entrepreneurial activity, as well as substitution and complementarity among the various elements within the configuration. These results show that the combined effect of the five conditions is more conducive to the entrepreneurial activities of college students. Finally, after a discussion of the study's findings, theoretical, and practical contributions are analyzed with regard to the field of entrepreneurship in Chinese colleges, and alternative options indicate that college students are more likely to become entrepreneurs in the future. [ABSTRACT FROM AUTHOR]

This paper presents an in-depth analysis and research on the identification of psychological crisis signals of college students using the optimized Dufferin equation. The early warning index system of college students' psychological crisis was established and tested on 300 junior college students, and the early warning system of college students' psychological crisis was established by using structural equation model, focusing on the mediating effect of coping mode between stress source and stress response and the mediating effect of stress source between social support and stress response. At the same time, the characteristics of psychological crises among college students of different genders and grades were compared and analyzed. To address the shortcomings of the classical Dufferin equation with limited noise immunity, the use of a higher-order double-coupled Dufferin system was further improved. A detection model based on the higher-order double-coupled system was established, and its feasibility was verified by the psychological crisis signal. The geometric features of the phase trajectory are adopted as the basis for judging the system state, which greatly reduces the computational effort. Based on defining the conceptual connotation of college students' psychological crisis behavior system, the vulnerability of college students' psychological crisis behavior system is interpreted from the perspective of system self-organization theory, and the vulnerability of college students' psychological crisis behavior is mainly expressed in latent and manifest states, and its vulnerability transformation is a self-organization process. A questionnaire survey was conducted for ordinary college students to examine the performance of college students' vulnerability state of the subject who endured college students' psychological crisis behavior, and it was concluded that most college students appear to be normal and healthy on the surface, but college students' vulnerability is in an uncertain state of intermediate transition. [ABSTRACT FROM AUTHOR]

Background: Clinical placements play an important role in helping nursing students to achieve clinical competence, but these placements can be highly challenging and stressful. It has been shown that stress can be either a trigger or aggravating factor for ill-health in general, but studies have seldom differentiated the impact of general health status on perceived stress. This study examined factors associated with perceived stress of clinical practice among nursing students with a particular focus on the effect of general health status on stress. Methods: This was a cross-sectional quantitative study conducted among 724 associate nursing degree students in Southern Taiwan. Results: Health status scores varied from 28 to 139, with an average of 68.40 (SD = 25.75). Health status was reported to be 'good' (scores 28–55) in 35.5% of participants, moderate (scores 56–83) in 24.6%, and poor (Scores ≧ 84) in 39.9% of participants. Perceived stress scores ranged from 0 to 95 points with an average score of 36.65 (SD ± 15.95). The classification and regression tree (CART) analysis showed health status as the most important factor linked to perceived stress with a Normalized Importance value of 100%. Those who reported general health status (measured through General Health Questionnaire (GHQ)-28) score of ≤34.5 perceived mild stress and those with a score of > 34.5–< 84.5 perceived moderate stress. A score of 84.5 was found to be the point of transition to perceptions of severe stress. When health status score was greater than 84.5, perceived stress was at a severe or extremely severe level. Conclusions: Our findings indicated health status as a potential measure to identify students who were most vulnerable to perceived stress. Given the cross-sectional design of this study and the bidirectional relationship between health and stress, more studies are needed to fully establish the predictive link between general health status and vulnerability to stress. [ABSTRACT FROM AUTHOR]

Background: The psychology of university and college students is immature, they are thus more likely to suffer from depression due to the COVID-19 pandemic. The present study aims to investigate the self-reported depression status of Chinese university and college students and explore its influencing factors. Methods: We conducted a network-based online survey, and a total of 17,876 participants completed the questionnaire. Depression was measured by the Self-Rating Depression Scale (SDS). Univariate analysis and multivariate logistic analysis were performed to explore the influencing factors of self-reported depression symptoms. Results: The proportion of self-reported depression symptoms, mild self-reported depression symptoms, and moderate to severe (M/S) self-reported depression symptoms was 65.2, 53.7, and 11.5%, respectively. The mean score of self-reported depression was 54.8 ± 9.0. Female, personality type of partial introversion, junior college educational level, "moderate" or "high" self-perceived risk of infection, "moderately" or "highly" impacted by the outbreak, and being eager to go back to school were risk factors for M/S self-reported depression symptoms (p < 0.05). While, "moderate" or "high" concern about the outbreak, "moderate" or "high" satisfaction with pandemic prevention and control measures, and having health literacy on communicable diseases were protective factors for M/S self-reported depression symptoms (p < 0.05). Conclusion: The status of self-reported depression symptoms among university and college students was severer than expected, and the influencing factors were multifaceted. Government and school administrators should strengthen the dissemination of knowledge on disease prevention and control. Moreover, much attention should be paid to female and junior college students. [ABSTRACT FROM AUTHOR]

The article discusses research on the strengthening of critical thinking skills in associate degree nursing students through combined pedagogies of concept mapping using the nursing process and simulation. The study evaluates nursing actions during simulation performance in medication administration, interview skills for a diabetic patient, infection control and patient safety measures. It examines the appropriateness of teaching and learning strategies to support critical thinking skills.

Introduction: Stress is a major health issue in adolescents owing to the important transitions experienced during this period. Aromatherapy is an effective method for the reduction of stress in adolescents. Purpose: The aims of this study were to examine the effect of aromatherapy on the regulation of the autonomic nervous system (ANS) along with stress relief and to explore the effect of aromatherapy on adolescents with different levels of stress. Methods: This quasi-experimental study comprised three types of treatments: control (no essential oil), pure essential oil therapy (sandalwood), and blended essential oil therapy (sandalwood-lavender). The heart rate variability (HRV) was calculated to evaluate the post-exercise recovery of the ANS to the baseline level in the recruited adolescents. To examine the efficiency of aromatherapy, Friedman test was used to assess the significance of difference in all parameters (i.e., mean heart rate, SDNN, normalized LF, normalized HF, and LF/HF) between baseline and after exercise among the three treatment conditions. Results: The participants comprised 43 junior college students (8 males and 35 females) with a mean age of 18.21 ± 0.99. Significant differences in changes of two HRV parameters (normalized LF and LF/HF) were associated with both essential oil therapies compared to those in the control group (p<0.05), and one more HRV parameter (normalized HF) exhibited significant difference related to blended essential oil therapy compared to that of the control group. Besides, changes in two HRV parameters (mean heart rate and normalized HF) of both essential oil therapies in the low level stress subgroup showed significant differences compared to those of the control group (p<0.05). Conclusions: This study demonstrated that aromatherapy could be used for ANS regulation with stress-relieving effects in adolescents. The participants with a low stress level appeared to respond better to the blended essential oil therapy, whereas those with medium to high levels of stress appeared to respond poorly to aromatherapy compared to the control. [ABSTRACT FROM AUTHOR]

Background: This research examines the meaning of nursing professional identity development from the perspectives of both associate degree nursing students and baccalaureate degree nursing students in their final semester. It provides insight into the student's understanding of nursing professional identity and the factors students identified as supporting or detracting from it. Method: Participants were guided through individual interviews using semistructured interview questions and later invited to focus groups with other students to clarify and elaborate on previous comments. Results: Results demonstrated both groups shared many descriptions of what it means to be a nursing professional, including knowledge, caring, teamwork, and integrity. Good communication, confidence, competence, critical thinking, advocacy, and leadership were concepts the participants frequently used to describe the professional nurse. Conclusion: This research helps to further the understanding of this significant topic in nursing education and to serve as a basis for student activities that help foster nursing professional identity formation. [ABSTRACT FROM AUTHOR]

The article discusses the importance of career planning for registered nursing associate (RNA) in the United Kingdom to ensure that aspiring RNAs will have an informed decisions about their professional career path. Also cited are the steps in career planning like self-assessment to identify one's strengths, weaknesses, opportunities and threats (SWOT), and the inclusion of the RNAs in the Nursing and Midwifery Council (NMC) register.