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Li S, Xu J, Jia X, Zhao Y, Liu X, Wang Y. Translation and psychometric validation of the Chinese version of the metacognitive awareness scale among nursing students. Front Psychol 2024; 15:1354810. [PMID: 38817836 PMCID: PMC11139026 DOI: 10.3389/fpsyg.2024.1354810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2024] [Accepted: 04/18/2024] [Indexed: 06/01/2024] Open
Abstract
Objective This study endeavors to translate and psycho-metrically validate the metacognitive awareness inventory scale (MAS) for nursing students in China. Method A total of 592 nursing students were enlisted from four universities situated in the eastern, southern, western, and northern regions of China. Content validity and reliability were evaluated using the content validity index and item-total correlation coefficient, and Cronbach's alpha coefficients, respectively. Convergent validity examined the goodness of fit among sub-scales through the average extracted variance and composite reliability. Results Exploratory factor analysis confirmed the first-order and second-order factor models, contributing to a cumulative variance of 89.4 and 59.5%, respectively. The Cronbach's alpha values were 0.963 and 0.801, respectively. Confirmatory factor analysis outcomes indicated an excellent overall fit index for the model, satisfying the convergent validity criteria and achieving a target coefficient of 96.0%, which is consistent with the original scale structure. Conclusion The Chinese version of the MAS (C-MAS) is a reliable and valid instrument for assessing metacognitive awareness among Chinese nursing students. Further research should consider a broader sample of nursing students across China to reinforce the scale's applicability.
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Affiliation(s)
- Shasha Li
- Department of Nursing, College of Medical Science, Huzhou University, Huzhou, Zhejiang, China
| | - Jun Xu
- Ningbo Municipal Hospital of Traditional Chinese Medicine (TCM), Affiliated Hospital of Zhejiang Chinese Medical University, Ningbo, Zhejiang, China
| | - Xuejing Jia
- Hebei University of Chinese Medicine, Shijiazhuang, Hebei, China
| | - Yanjun Zhao
- Department of Nursing, Weifang University of Science and Technology, Shouguang, Shandong, China
| | - Xiaojing Liu
- Department of Nursing, College of Medical Science, Huzhou University, Huzhou, Zhejiang, China
| | - Yuecong Wang
- Department of Nursing, College of Medical Science, Huzhou University, Huzhou, Zhejiang, China
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Wu J, Li Y, Lin Q, Zhang J, Liu Z, Liu X, Rong X, Zhong X. The effect of occupational coping self-efficacy on presenteeism among ICU nurses in Chinese public hospitals: a cross-sectional study. Front Psychol 2024; 15:1347249. [PMID: 38356774 PMCID: PMC10865889 DOI: 10.3389/fpsyg.2024.1347249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Accepted: 01/08/2024] [Indexed: 02/16/2024] Open
Abstract
Background Nurses are the largest occupational group in the health field, with inestimable value in realizing universal health coverage, and nurses' physical and mental health has become an ordinary global reality. Compared with explicit absence, nurses' presenteeism has a more lasting impact and significant harm and loss. It has become an essential factor affecting nurses' physical and mental health, declining quality of healthcare services, and elevated healthcare-related risks. There is a lack of research exploring whether occupational coping self-efficacy influences nurses' presenteeism behavior, especially in less-developed regions of China. Objective This study aimed to investigate the current status of ICU nurses' occupational coping self-efficacy and presenteeism in public hospitals in western China and to explore the impact of ICU nurses' occupational coping self-efficacy on presenteeism. Methods A cross-sectional research design selected 722 ICU nurses in western China from January to February 2023 as survey respondents. A general information questionnaire, Occupational Coping Self-Efficacy Scale (OCSE-N), and Stanford Presenteeism Scale (SPS-6) were used. SPSS 21.0 software was used for statistical analysis. Pearson correlation analysis and multivariate hierarchical regression were used to explore the influence of ICU nurses' occupational coping self-efficacy on presenteeism. Results A total of 722 ICU nurses completed the questionnaire. The OCSE-N score of ICU nurses was (22.24 ± 6.15), and the SPS-6 score was (16.83 ± 4.24). The high presenteeism was 67.23%. Correlation analysis showed that in ICU nurses, OCSE-N total score was negatively correlated with SPS-6 total score (r = -0.421, p < 0.05), indicating that the higher the level of occupational coping self-efficacy, the lower the presenteeism. Multiple hierarchical regression analysis showed that occupational coping self-efficacy strongly predicted presenteeism, accounting for approximately 18.35% of the total variance. Conclusion There is a correlation between ICU nurses' occupational coping self-efficacy and presenteeism, and nurses' occupational coping self-efficacy affects presenteeism differently. Managers should pay attention to nurses' occupational coping self-efficacy to promote nurses' presenteeism reduction.
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Affiliation(s)
- Jijun Wu
- Department of Cardiology, Deyang People’s Hospital, Deyang, China
| | - Yuxin Li
- School of Nursing, North Sichuan Medical College, Sichuan, China
| | - Qin Lin
- Shulan International Medical College, Zhejiang Shuren University, Hangzhou, China
| | - Jiquan Zhang
- Department of Nursing, Deyang People’s Hospital, Deyang, China
| | - Zhenfan Liu
- Department of Nursing, Deyang People’s Hospital, Deyang, China
| | - Xiaoli Liu
- Department of Nursing, Deyang People’s Hospital, Deyang, China
| | - Xian Rong
- Sichuan Nursing Vocational College, Sichuan, China
| | - Xiaoli Zhong
- Department of Nursing, Deyang People’s Hospital, Deyang, China
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Huang H, Ding Y, Liang Y, Wan X, Peng Q, Zhang Y, Kong D, Chen C. The association between perfectionism and academic procrastination among undergraduate nursing students: The role of self-efficacy and resilience. Nurs Open 2023; 10:6758-6768. [PMID: 37464544 PMCID: PMC10495727 DOI: 10.1002/nop2.1922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 03/08/2023] [Accepted: 06/05/2023] [Indexed: 07/20/2023] Open
Abstract
AIMS This study aimed to investigate the associations between perfectionism and undergraduate nursing students' academic procrastination, the mediating effects of self-efficacy and the moderating role of resilience. DESIGN A cross-sectional survey. METHODS The survey was conducted from March to May 2022 with a sample of 587 undergraduate nursing students in two undergraduate universities in China. A descriptive statistical approach, Pearson's correlation analysis and the Hayes' PROCESS Macro model 4 and 14 were used to analyse the available data. RESULTS Adaptive perfectionism and maladaptive perfectionism negatively and positively predicted academic procrastination in nursing undergraduates, respectively. Self-efficacy played a partially mediating role in the association between adaptive perfectionism and academic procrastination. Furthermore, resilience played a moderating role in the association between adaptive perfectionism and academic procrastination. CONCLUSIONS Maladaptive perfectionism and low levels of resilience and self-efficacy may increase the risk of academic procrastination among nursing undergraduates. Nursing educators can take measures to decrease the risk of academic procrastination among nursing undergraduate students by guiding them to cultivate adaptive perfectionism tendencies and improve their self-efficacy and resilience. IMPACT The findings of this study can be used to develop targeted coping and prevention measures for nursing educators to reduce the incidence of academic procrastination among nursing undergraduates. PATIENT OR PUBLIC CONTRIBUTION Five hundred eighty-seven undergraduate nursing students from two undergraduate universities participated in the study and responded to questions on perfectionism and academic procrastination, etc.
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Affiliation(s)
- Haitao Huang
- Institute of Nursing and Health, School of Nursing and HealthHenan UniversityKaifengChina
| | - Yueming Ding
- Institute of Nursing and Health, School of Nursing and HealthHenan UniversityKaifengChina
| | - Yipei Liang
- School of BusinessHenan UniversityKaifengChina
| | - Xiao Wan
- Institute of Nursing and Health, School of Nursing and HealthHenan UniversityKaifengChina
| | - Qianwen Peng
- Institute of Nursing and Health, School of Nursing and HealthHenan UniversityKaifengChina
| | - Yiming Zhang
- Institute of Nursing and Health, School of Nursing and HealthHenan UniversityKaifengChina
| | - Deren Kong
- Institute of Nursing and Health, School of Nursing and HealthHenan UniversityKaifengChina
| | - Chaoran Chen
- Institute of Nursing and Health, School of Nursing and HealthHenan UniversityKaifengChina
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Wang Y, Huang Y, Zheng R, Xu J, Zhang L, Zhu P, Lu Z, Wang L, Xie J, Zhao J, Dong F. The contribution of perceived death competence in determining the professional quality of life of novice oncology nurses: A multicentre study. Eur J Oncol Nurs 2023; 62:102273. [PMID: 36709716 DOI: 10.1016/j.ejon.2023.102273] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 01/04/2023] [Accepted: 01/22/2023] [Indexed: 01/25/2023]
Abstract
PURPOSE Novice nurses find it challenging to cope with patient dying and death, especially in a death taboo cultural context, such as mainland China. By taking the example of Chinese novice oncology nurses, this study aimed to explore the contribution of their perceived death competence in determining their professional quality of life. METHOD A multicentre, cross-sectional study was conducted in six tertiary cancer hospitals in mainland China involving 506 novice oncology nurses. Measurements were the Coping with Death Scale-Chinese version, the Professional Quality of Life Questionnaire, and the Coping Style Questionnaire. Hierarchical multiple regression analyses were used to analyse the data. RESULTS Death competence was significantly associated with compassion satisfaction (r = 0.509, P < 0.001), burnout (r = -0.441, P < 0.001) and secondary traumatic stress (r = -0.154, P < 0.001) which are the three dimensions of professional quality of life. The results of hierarchical multiple regression analyses demonstrated that death competence positively predicted compassion satisfaction and negatively predicted burnout (P < 0.01), but had no significant impact on secondary traumatic stress after coping style was entered into the model (P > 0.05). CONCLUSIONS Novice oncology nurses who perceive themselves to be incompetent in dealing with patient dying and death are more likely to experience poor professional quality of life in the death taboo cultural context. Cultural-sensitive interventions and a supportive work environment are important to enhance these nurses' death competence, increasing their professional quality of life and ultimately contributing to better end-of-life cancer care management.
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Affiliation(s)
- Yanhui Wang
- Department of Hepatobiliary Cancer, Tianjin Medical University Cancer Hospital and Institute, National Clinical Research Centre for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Centre for Cancer, Tianjin, China
| | - Ying Huang
- School of Nursing, Chengde Medical College, Chengde, China
| | - Ruishuang Zheng
- Department of Hepatobiliary Cancer, Tianjin Medical University Cancer Hospital and Institute, National Clinical Research Centre for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Centre for Cancer, Tianjin, China.
| | - Jingyu Xu
- Department of Hepatobiliary Cancer, Tianjin Medical University Cancer Hospital and Institute, National Clinical Research Centre for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Centre for Cancer, Tianjin, China
| | - Liuliu Zhang
- Department of Nursing, Jiangsu Province Cancer Hospital, Nanjing, China
| | - Ping Zhu
- Department of Nursing, Jiangsu Province Cancer Hospital, Nanjing, China
| | - Zhenqi Lu
- Department of Nursing, Fudan Cancer Hospital, Shanghai, China
| | - Li Wang
- Department of VIP Medical Services, Cancer Hospital Chinese Academy of Medical Sciences, Beijing, China
| | - Juan Xie
- Department of Nursing, Shanxi Province Cancer Hospital, Xi'an, China
| | - Jiang Zhao
- Department of Nursing, Shanxi Province Cancer Hospital, Xi'an, China
| | - Fengqi Dong
- Department of Hepatobiliary Cancer, Tianjin Medical University Cancer Hospital and Institute, National Clinical Research Centre for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Centre for Cancer, Tianjin, China.
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Huang H, Ding Y, Liang Y, Zhang Y, Peng Q, Wan X, Chen C. The mediating effects of coping style and resilience on the relationship between parenting style and academic procrastination among Chinese undergraduate nursing students: a cross-sectional study. BMC Nurs 2022; 21:351. [PMID: 36496370 PMCID: PMC9741794 DOI: 10.1186/s12912-022-01140-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Accepted: 12/07/2022] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND How to kindle the learning enthusiasm of nursing students and reduce the incidence of academic procrastination is an important factor in reducing student attrition and improving the quality of nursing education. OBJECTIVES To investigate the mediating role of coping style and resilience on the association between parenting styles and academic procrastination among nursing undergraduates. METHODS A cross-sectional study of 683 nursing undergraduates was conducted in China from March to May 2022. Parenting styles, coping style, resilience, and academic procrastination were measured using questionnaires. Descriptive analysis, Pearson's correlation analysis and Hayes' PROCESS Macro in SPSS 25.0 were used to test the model. RESULTS Positive parenting style had a significantly direct effect on academic procrastination and through three significantly indirect pathways: (1) through positive coping style (B = - 0.048, 95% CI: - 0.074 to - 0.025), accounting for 14.71% of the total effect; (2) through negative coping style (B = - 0.044, 95% CI: - 0.071 to - 0.021), accounting for 13.64% of the total effect; and (3) through resilience (B = - 0.074, 95% CI: - 0.107 to - 0.044), accounting for 22.82% of the total effect. Moreover, negative parenting style had a significantly direct effect on academic procrastination and through two significantly indirect pathways: (1) through negative coping style (B = 0.056, 95% CI: 0.032 to 0.086), accounting for 21.73% of the total effect, and (2) through resilience (B = 0.028, 95% CI: 0.004 to 0.055), accounting for 10.93% of the total effect. CONCLUSIONS Intervention measures to reduce the academic procrastination of nursing undergraduates should include the evaluations of coping styles and resilience of nursing students and cultivation strategies to promote their positive coping styles and resilience.
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Affiliation(s)
- Haitao Huang
- grid.256922.80000 0000 9139 560XInstitute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, People’s Republic of China
| | - Yueming Ding
- grid.256922.80000 0000 9139 560XInstitute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, People’s Republic of China
| | - Yipei Liang
- grid.256922.80000 0000 9139 560XSchool of Business, Henan University, Kaifeng, People’s Republic of China
| | - Yiming Zhang
- grid.256922.80000 0000 9139 560XInstitute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, People’s Republic of China
| | - Qianwen Peng
- grid.256922.80000 0000 9139 560XInstitute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, People’s Republic of China
| | - Xiao Wan
- grid.256922.80000 0000 9139 560XInstitute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, People’s Republic of China
| | - Chaoran Chen
- grid.256922.80000 0000 9139 560XInstitute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, People’s Republic of China
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Huang H, Ding Y, Zhang Y, Peng Q, Liang Y, Wan X, Chen C. Resilience and positive coping style affect the relationship between maladaptive perfectionism and academic procrastination among Chinese undergraduate nursing students. Front Psychol 2022; 13:1014951. [PMID: 36337484 PMCID: PMC9632482 DOI: 10.3389/fpsyg.2022.1014951] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Accepted: 10/06/2022] [Indexed: 11/30/2022] Open
Abstract
Background Previous studies have not investigated the role of resilience and coping style on the association between maladaptive perfectionism and academic procrastination among nursing undergraduates. However, how to mobilize the learning enthusiasm of nursing students and reduce the incidence of academic procrastination is an important factor to reduce nursing loss and improve nursing quality. Objectives To investigate the influence of maladaptive perfectionism, resilience and coping style on academic procrastination among Chinese undergraduate nursing students. Methods A cross-sectional study was conducted. A convenience sampling method was used to select 665 nursing undergraduates from March to May 2022 in China. Maladaptive perfectionism, coping style, resilience, and academic procrastination were measured using questionnaires. The descriptive analysis, Pearson’s correlation analysis and the Hayes’ PROCESS Macro in SPSS 25.0 were used to test the model. Results The results showed that nursing undergraduates’ maladaptive perfectionism, resilience, positive coping style and academic procrastination were significantly correlated between every two variables, with coefficients ranging between −0.290 and 0.584. In addition, resilience played a partial mediating role in maladaptive perfectionism and academic procrastination, accounting for 15.70% of the total effect; in the meantime, this process was moderated by positive coping style. Conclusion Maladaptive perfectionism positively predicted nursing undergraduates’ academic procrastination; as a mediating mechanism with moderating, resilience and positive coping style further explained how maladaptive perfectionism promoted the academic procrastination of nursing undergraduates. Understanding this mechanism is of great significance for nursing educators to reduce the risk of academic procrastination in nursing undergraduates.
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Affiliation(s)
- Haitao Huang
- School of Nursing and Health, Institute of Nursing and Health, Henan University, Kaifeng, China
| | - Yueming Ding
- School of Nursing and Health, Institute of Nursing and Health, Henan University, Kaifeng, China
| | - Yiming Zhang
- School of Nursing and Health, Institute of Nursing and Health, Henan University, Kaifeng, China
| | - Qianwen Peng
- School of Nursing and Health, Institute of Nursing and Health, Henan University, Kaifeng, China
| | - Yipei Liang
- School of Business, Institute of Business Administration, Henan University, Kaifeng, China
| | - Xiao Wan
- School of Nursing and Health, Institute of Nursing and Health, Henan University, Kaifeng, China
| | - Chaoran Chen
- School of Nursing and Health, Institute of Nursing and Health, Henan University, Kaifeng, China
- *Correspondence: Chaoran Chen,
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Luo WT, Mao A. Impacts of COVID-19 pandemic on professional identity development of intern nursing students in China: A scoping review. PLoS One 2022; 17:e0275387. [PMID: 36227891 PMCID: PMC9560130 DOI: 10.1371/journal.pone.0275387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 09/15/2022] [Indexed: 11/06/2022] Open
Abstract
PURPOSE Clinical experience plays a vital role in the development of the professional identity (PI) of nursing students. China has applied a strict zero- COVID health policy in combating the COVID-19 pandemic since December 2019 and studies have been conducted in different places of China to explore PI development of nursing students during the pandemic time among the intern nursing students who are on clinical practices. This review study aims to synthesize the previous studies and provide a comprehensive picture of the impacts of the pandemic on the PI development of intern nursing students. METHODS Arksey and O'Malley's five-stage scoping review framework was used. Combinations of keywords were used to search relevant articles in both Chinese and English databases published from inception of the articles until the final search date (10 March 2022). The initially included articles were also appraised for their quality, and those that passed the appraisal were left for data analysis. The analytic results were cross-checked among the reviewers. RESULT Three themes emerged from the included studies: 1) the PI levels, 2) the impacts of personal and social factors of PL, and 3) the specific impact of the COVID-19 pandemic. The levels of students' PI ranged from 66%-80% of the total scores in PI instruments, almost the same levels as in pre-pandemic time, despite the elevated social image of nurses after the COVID-19 pandemic. There is no consensus about the impacts of most personal and social factors on students' PI across the studies. The impacts of COVID-19 on PI were both positive and negative. CONCLUSIONS COVID-19 epidemic exerted complicated impacts on the PI of intern nursing students. While it is necessary to address the fear of the COVID-19 pandemic among intern nursing students, the pandemic may not be an opportunistic time to enhance the students' PI.
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Affiliation(s)
| | - Aimei Mao
- Kiang Wu Nursing College of Macau, Macau, Macau
- * E-mail:
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Huang H, Tang H, Lu G, Chen C, Peng Q, Zhang Y, Liang Y, Wan X, Ding Y. Perceived Parenting Style and Subjective Well-Being among Chinese Nursing Undergraduates: The Role of Self-Efficacy and Gender. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191912654. [PMID: 36231954 PMCID: PMC9566302 DOI: 10.3390/ijerph191912654] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Revised: 09/29/2022] [Accepted: 09/30/2022] [Indexed: 05/08/2023]
Abstract
The question of how to improve the subjective well-being (SWB) of nursing students is an important factor for reducing nursing loss and improving nursing quality. The current study aimed to investigate the influence of parenting style and self-efficacy (SE) on SWB among Chinese nursing undergraduates. The moderating role of gender between parenting style and SWB was also examined. Descriptive analysis, Pearson's correlation analysis, and the Hayes' PROCESS Macro Model 4 and Model 5 were used to analyze the available data. A total of 665 nursing undergraduates (Mage = 19.86, SD = 1.19) completed questionnaires. The results showed that PPS was positively correlated with SWB (r = 0.421, p < 0.01), while NPS was negatively correlated with SWB (r = -0.167, p < 0.01). Meanwhile, SE was positively correlated with PPS (r = 0.167, p < 0.01) and negatively correlated with NPS (r = -0.175, p < 0.01). In addition, SE was positively correlated with SWB (r = 0.273, p < 0.01) and played a partial mediating role in the association between parenting style and SWB. Furthermore, gender moderated the direct effect of parenting style on SWB. Specifically, compared with male nursing students, parenting style has a greater influence on the SWB of female nursing students. These findings can be used to develop targeted improvement strategies for nursing educators to improve SWB levels among nursing undergraduates.
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Affiliation(s)
- Haitao Huang
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng 475004, China
| | - Haishan Tang
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng 475004, China
| | - Guangli Lu
- Institute of Business Administration, School of Business, Henan University, Kaifeng 475004, China
- Correspondence: author: (G.L.); (C.C.)
| | - Chaoran Chen
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng 475004, China
- Correspondence: author: (G.L.); (C.C.)
| | - Qianwen Peng
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng 475004, China
| | - Yiming Zhang
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng 475004, China
| | - Yipei Liang
- Institute of Business Administration, School of Business, Henan University, Kaifeng 475004, China
| | - Xiao Wan
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng 475004, China
| | - Yueming Ding
- Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng 475004, China
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