General Self-efficacy Scores Research Articles

Wellbeing and Burnout of Nurses Undergoing Sexual Assault Nurse Examiner Education Before and During the COVID-19 Pandemic

Background: Burnout is defined as work-related emotional exhaustion, depersonalization, and lack of personal accomplishment. Sexual assault nurse examiners (SANEs) may be at increased risk for burnout. Wellbeing practices protect against burnout. The purpose of this study was to evaluate the wellbeing and burnout of nurses undergoing education to become SANEs, considering the potential impacts of the COVID-19 pandemic. Methods: Data were from the SANE Wellbeing Study offered in conjunction with a SANE education program. The SANE Wellbeing Survey included the Nurse Wellbeing Self-Assessment (NWSAT), Maslach Burnout Inventory (MBI), Connor-Davidson Resilience Scale (CD-RISC), Perceived Stress Scale (PSS), and General Self-Efficacy (GSE) scale. Backward stepwise regression was used to identify factors that predicted NWSAT wellbeing scores. Results: A total of 68 nurses participated; most were female, white/non-Hispanic, bachelor’s-prepared, and worked in non-rural settings. About two-thirds completed the SANE Wellbeing Survey prior to the COVID-19 pandemic. Higher MBI Emotional Exhaustion and PSS scores were associated with lower wellbeing on some NWSAT domains. Working in an emergency department as their primary setting, working in a rural hospital, and lower education level were associated with lower scores on some wellbeing domains. Nurses who completed the survey during the pandemic had lower MBI Personal Accomplishment, CD-RISC, and GSE scores, and higher PSS scores. Conclusion: Nurses who self-select to become SANEs may have good baseline wellbeing and low burnout. Implications for Clinical Forensic Nursing Practice: Strategies to promote wellbeing and prevent burnout after beginning SANE practice can support a healthy SANE workforce and prevent attrition.

Psychosocial Determinants for Self-Reported Health Status in Hemodialysis Patients: A Cohort Analysis of the CONVINCE Randomized Trial.

We investigated whether psychosocial determinants self-efficacy and social support are associated with Health-Related Quality of Life in hemodialysis patients enrolled in the CONVINCE trial. We used baseline data from the cohort of patients involved in the CONVINCE randomized trial of hemodiafiltration versus hemodialysis. Measures included age, gender, relationship status, children, housing, education, employment, comorbidities, dialysis schedules, time of first dialysis, residual kidney function, general self-efficacy and social support scores, and PROMIS measurements for health-related quality of life. Associations were analyzed using hierarchical regression. One thousand three hundred and sixty patients from CONVINCE were the cohort of interest. Mean age was 62±13.5 years (range 20-92), and 66.9% were men. Self-efficacy was a significant predictor for all health-related quality of life domains: depression (β = -0.36, p < 0.001), anxiety (β = -0.35, p < 0.001), social participation (β = 0.32, p < 0.001), cognition (β = 0.29, p < 0.001), fatigue (β = -0.29, p < 0.001), physical function (β = 0.27, p < 0.001), sleep disturbance (β = -0.23, p < 0.001), pain interference (β = 0.21, p < 0.001), pain intensity (β = -0.17, p < 0.001), interdialytic symptoms (β = -0.14, p = 0.002) and intradialytic symptoms (β = -0.14, p = 0.002). Social support was a significant predictor for cognition (β = 0.21, p < 0.001), sleep disturbance (β = -0.11, p = 0.017) and intradialytic symptoms (β =- 0.11, p = 0.02). Higher general self-efficacy scale scores are associated with improvements in cognition, depression, anxiety, social participation, fatigue, physical function, sleep disturbance, pain interference, interdialytic symptoms, pain intensity and intradialytic symptoms. Associations for self-efficacy are larger than those for social support and stronger than previously reported. It is plausible that targeted psychosocial interventions may improve health outcomes in people on hemodialysis.

The Effect of Flipped Classroom Model and Kahoot for Intramuscular Injection Training on Nursing Students’ Knowledge, Skills and Self-Efficacy Levels

Objective: To investigate the effects of using a flipped classroom model and Kahoot for intramuscular injection skill training on the knowledge, skill, and self-efficacy levels of nursing students. Methods: The quasi-experimental study was conducted with a total of 180 nursing students (intervention group n=95, control group n=85). Data were collected using a “Knowledge Level Questionnaire,” “Psychomotor Skill Control Form,” and the “General Self-Efficacy Scale”. The flipped classroom model was used in the intervention group. In addition, the multiple-choice questions in Kahoot were asked to both groups. Results: The final test knowledge scores and general self-efficacy scores of the students in the intervention group were found to be statistically higher than the students in the control group (P&amp;lt;.001). The psychomotor skill scores of the students in the intervention group were statistically higher than the students in the control group (P=.010). Regarding the use of Kahoot, the percentage of correct answers for each question was significantly higher for the intervention group than the control group (P&amp;lt;.05). Conclusion: It can be said that the flipped classroom model and Kahoot are effective in intramuscular injection training. The flipped classroom model and Kahoot could also be used for the teaching of other basic nursing skills.

Patient-Reported Outcomes and Post-Traumatic Stress Disorder Symptoms in Emergency General Surgery

IntroductionPatient-reported outcomes (PRO) are increasingly recognized as a measure of surgical quality and long-term outcomes. There are few PRO data for patients undergoing emergency general surgery (EGS) procedures. Sudden illness and injury are associated with worse health-related quality of life, symptoms of depression, post-traumatic stress. This study aimed to evaluate PRO and post-traumatic stress disorder (PTSD) symptoms in an EGS population. MethodsPatients who underwent an EGS operation and had quality improvement data available from Jan 2020 to Jan 2021 were eligible for inclusion. Participants completed a survey of demographics, socio-economic status, PROMIS PRO measures for general life satisfaction (GLS), general self-efficacy (GSE), and physical function (PF), and the PCL-5 PTSD symptom screening tool. ResultsOne hundred forty-one patients were eligible for inclusion, 40 (28%) completed the study. Mean PRO scores were 52.5 ± 9.3 for GLS, 48.6 ± 8.0 for GSE, and 48.7 ± 9.6 for PF. 12.5% of patients had a low or very low GLS and GSE score, while 32.5% had mild, moderate, or severe PF scores. Seven patients (17.5%) scored >31 on PCL-5 indicating a positive PTSD screen. Regression analysis found American society of anesthesiology score, emergency case, and lower income associated with lower GLS scores. Age, body mass index, and lower income were associated with lower PF scores. ConclusionsWe found that following EGS most patients have average PRO. This limited study did also identify that there are patients potentially at risk for worse functional and mental health outcomes. We plan to use this data to prospectively evaluate the role that EGS plays in these outcomes and how they can be improved on.

Optimism, Resilience, and General Self-Efficacy Predict Lower Somatic Burden during the COVID-19 Pandemic.

There is scarce evidence of a relationship between positive and psychosomatic characteristics. This study aimed to examine the associations of somatic burden with psychological resources such as optimism, resilience, and general self-efficacy. Russian participants (n = 1020) completed measures of psychological resources at Time 1 and somatic symptoms at Time 2. The results showed that somatic burden decreased with greater levels of optimism, resilience, and general self-efficacy. Regarding health and sociodemographic characteristics, female sex increased somatic burden in the model with optimism scores, university education decreased somatic burden in the model with resilience scores, and history of COVID-19 disease increased somatic burden in the models with optimism, resilience, and general self-efficacy scores. This study has theoretical and practical contributions. It combines positive psychology and psychosomatic medicine and highlights the value of psychological resource interventions in the treatment and prevention of somatic burden. These findings may be useful for scientists, clinicians, and practitioners.

Just-in-Time Video Using QR Codes: An Approach to Pediatric Trauma Nursing Education.

High acuity trauma and patients in cardiopulmonary arrest are not frequently seen in all pediatric Level I trauma centers. Yet, nurses are required to manage these patients in fast-paced, high-pressure environments. This project aims to develop and evaluate an education program for high-risk, low-volume equipment and skills in the pediatric emergency department setting. This is a pre- and post-quality improvement study conducted in a Northeastern United States pediatric Level I trauma center. Emergency department nurses were invited to view videos detailing high-risk, low-volume equipment use. For the convenience of access, Quick Response (QR) codes linked to the videos were placed on each piece of equipment reviewed. General self-efficacy and levels of self-efficacy in using the equipment were assessed before the intervention and again after 4 weeks from January to February 2023. A total of 43 pediatric emergency nurses participated in the education. The mean aggregate general self-efficacy score was 32.93. Mean scores in all areas (Level 1 rapid infuser, fluid warmer, blood administration, and securing an endotracheal tube) improved after the intervention. Easily accessible, brief refresher videos linked to QR codes in the pediatric emergency department can help empower nurses who need to use high-risk, low-volume equipment.

THE IMPACT OF “PERISIK KECIL” A GAME-BASED LEARNING ON STUDENT’S SELF-EFFICACY TOWARDS SCIENCE LEARNING

Self-efficacy plays a crucial role in academic success and overall well-being. This study investigated the potential of game-based learning (GBL) to enhance self-efficacy in Form Four students from a secondary school in Seberang Perai Selatan, Pulau Pinang. By gaining insight into students' self-efficacy profiles, educators can adapt their teaching strategies, provide targeted support and create a positive learning environment that promotes self- confidence and performance in science tasks. The collected data were analysed using descriptive statistics and, Pearson’s correlation. Following a GBL activity, 59 students completed a general self-efficacy (GSE) survey. Descriptive analysis revealed an average GSE score (M = 3.10, SD = 0.65), indicating that students have average self-efficacy when trying to solve the game’s problems. Pearson’s correlation analysis identified significant positive correlations between items focussing on confidence in academic and non-academic tasks, suggesting a holistic strengthening of self-efficacy through GBL. This study lays the groundwork for further research exploring how specific GBL design elements impact different aspects of self-efficacy and contribute to long-term learning outcomes.

Application of the solution-focused brief strategies via telephone for family caregivers of persons with dementia: the Alzheimer’s Association National Helpline

Objectives Nearly 75% of persons living with dementia (PLWD) in the US live at home and are cared for by informal family members who have limited access to supportive and accessible services, indicating an increased need for these types of services (Alzheimer’s Association, 2023). The Alzheimer’s Association call centers offer free telephone care consultations, but it currently remains unclear which types of brief telephone support benefit caregivers. This study compares outcomes of participants who received traditional care consultation calls via the Alzheimer’s Association National Helpline with care consultation calls from Helpline staff trained in Solution-Focused Brief Strategies (SFBS), a client-centered evidence- and resource-based approach. Method Sequential callers were randomly assigned to the “traditional” or “SFBS” care consultation groups and were assessed at the time of call (baseline) and post-call (T1). The outcomes of interest were general self-efficacy (GSE), self-efficacy in managing emotions (PROMIS), caregiver mastery, therapeutic alliance, and goal setting. Results Of over 500 callers, callers receiving the SFBS scored higher on therapeutic alliance and goal-setting metrics, such as greater sense of collaboration on goals (effect size = 0.280, p = 0.0005, significant with Bonferroni correction), mutual agreement with care consultant on goals (effect size = 0.418, p < 0.0001, significant with Bonferroni correction), and believing the way the problem was resolved was correct (effect size = 0.286, p = 0.0007, significant with Bonferroni correction) than those receiving the traditional care consultation. Both groups reported improvements in the PROMIS measure, but there were no differences between groups. There were no significant differences in GSE or caregiver mastery scores between groups. Conclusion This study provides evidence for the effectiveness of the integration of SFBS in dementia care consultation calls as part of telephone-based supportive services for dementia caregivers.

PREDICTORS OF COMPLEMENTARY AND ALTERNATIVE MEDICINE USE AMONG HEALTHCARE PROFESSIONALS DURING THE COVID-19 PANDEMIC: A QUANTITATIVE STUDY

Objective: This research was aimed to investigate the effects of need-based, enabling, and predisposing factors on the use of complementary and alternative medicine that emerged only during the COVID-19 pandemic among healthcare professionals.&#x0D; Method: This study was conducted with a descriptive design. The General Self-Efficacy Scale was used to assess self-efficacy, the Coronavirus Fear Scale was used to assess fear, and the Holistic Complementary and Alternative Medicine Questionnaire was used to assess attitude. In total, 374 healthcare professionals were included. Data were collected according to the complementary and alternative medicine Healthcare Model. In the analysis of the data, mean and standard deviation (SD) are given for quantitative data and percentage is given for categorical data. In addition, multinomial logistic regression analysis was performed.&#x0D; Results: 53.2% of the healthcare professionals reported the use of at least one form of complementary and alternative medicine during the COVID-19 pandemic. The use of complementary and alternative medicine showed a relationship between gender, the Coronavirus Fear Scale and the Holistic Complementary and Alternative Medicine Questionnaire scores in predisposing factors. An association between the use of complementary and alternative medicine and the occupation in enabling factors was observed. The use of complementary and alternative medicine was found related to the nature of the workplace in need-based factors. The use of complementary and alternative medicine showed no association with age, marital status, education level, working time, chronic conditions, COVID-19 diagnosis, working status and General Self-Efficacy scores of the healthcare professionals in the COVID-19 clinic.&#x0D; Conclusion: This study concluded that fear associated with COVID-19 and a positive attitude toward complementary and alternative medicine resulted in increased use of complementary and alternative medicine. It was observed that the use of complementary and alternative medicine in health workers working in intensive care, female health workers and nurses was higher than the others.

The Examination of Communication Skills and Self-Efficacy of Coaches

This study was conducted to examine the communication skills and self-efficacy levels of individuals working as coaches. The population of this study, which was conducted using a descriptive research model, consisted of coaches working actively in Turkey, while the sample group consisted of a total of 697 coaches, 203 women and 494 men, on a voluntary basis. The data were obtained by using "Personal Information Form", "General Self-Efficacy Scale" and "Communication Skills Assessment Scale". Independent Samples t test, One Way ANOVA test, Person correlation analysis were used to reach statistical results. It was concluded that the self-efficacy score averages of the coaches participating in the study were higher than the averages of communication skills sub-dimensions. While there was a statistical difference between the education level of the male coaches participating in the study and the communication principles and basic skills sub-dimensions of communication skills, no difference was found in other sub-dimensions. While there was no statistical difference in the communication skills sub-dimensions and the education level of female coaches, a significant difference was found in general self-efficacy scores. Significant differences were found in the coaching levels of male coaches participating in the study and in the sub-dimension of general self-efficacy and communication. In addition, significant differences were found in the coaching levels of female coaches and in the sub-dimensions of self-expression, active listening and non-verbal communication and willingness to communicate. As a result, there is a parallelism between the self-efficacy and communication skills of the coaches participating in the study. In other words, it can be said that as the competence of male and female coaches in their jobs increases, their communication skills also increase.

Construction of a model for adolescent physical and mental health promotion based on the multiple mediating effects of general self-efficacy and sleep duration

We developed a model for promoting adolescent physical and mental health (MH) to investigate the integrated pathways of physical activity (PA), MH, general self-efficacy (GSE), and sleep duration (SD) promotion among adolescents in China. The research hypotheses were tested using questionnaires, descriptive statistics, and validated factor analysis. The mean age of the respondents was 14.94 ± 1.76 years, the PA level was 2.49 [95% confidence interval (CI): 2.46–2.53], the GSE score was 2.60 (95% CI: 2.57–2.64), the SD was 436.52 min/day (95% CI: 432.89–440.15), and the total mean MH score was 1.72 (95% CI: 1.69–1.76) (model fitness index: χ2/df = 1.295, comparative fit index = 0.999, Tucker–Lewis index = 0.997, root mean square error of approximation = 0.014, standardized root mean square residual = 0.007). The SD accounted for 46.85% of the mediating effect. The adolescents exhibited moderately low PA levels, severe SD deficits, and high rates of overall MH abnormalities. Consequently, the constructed model for promoting adolescent physical health and MH was confirmed to be reliable; GSE and SD are significant factors mediating MH promotion.

Equine-assisted therapy effectiveness in improving emotion regulation, self-efficacy, and perceived self-esteem of patients suffering from substance use disorders

Substance Use Disorders (SUD) is a universal overwhelming public health problem and is associated with other psychological and mental health ailments such as emotion regulation, perceived self-esteem, and self-efficacy problems. Complementary and alternative medicine may be beneficial. The aim of this study was to assess the effectiveness of equine-assisted therapy in improving emotion regulation, self-efficacy, and perceived self-esteem among patients suffering from substance use disorders. It was carried out using a randomized controlled trial design at Behman hospital, Cairo, Egypt. It included 100 patients suffering from SUD attending the setting, equally randomized into an intervention group to receive the equine assisted therapy and a control group to receive the regular care. Data were collected using a self-administered questionnaire with standardized tools for assessment of emotion regulation, General Self-Efficacy (GSE), and perceived self-esteem. The intervention group received weekly equine-assisted therapy sessions over 6 weeks in addition to their standard regular therapy. Patients in both groups had similar demographic and SUD characteristics, as well as baseline scores of reappraisals, suppression, GSE and perceived self-esteem. At post-intervention, the intervention group had significant improvements in all these scores in comparison with the control group, as well as their baseline. The multivariate analysis identified the study intervention as a significant positive predictor of the reappraisal and GSE scores, and a negative predictor of the suppression and perceived self-esteem negative score. In conclusion, equine assisted-therapy as a complementary treatment in patients suffering from SUD is effective in improving their emotion regulation, self-efficacy, and perceived self-esteem. A wider use of this approach is recommended in SUD patients along with provision of needed facilities and resources, and training nurses in its administration. Further research is proposed to assess its long-term effectiveness. The clinical trial was registered in the “Clinical Trials.gov Protocol Registration and Results System (PRS);” registration number is (05632185/2022) and the full date of first registration is 10/11/2022.

Real world evidence on the characteristics of regular and intermittent users of a very-low calorie diet program and associations with measures of program success, health, and quality of life.

Very low-calorie diet (VLCD) programs are readily available in Australia. However, there is a lack of real-world evidence describing the characteristics related to positive outcomes. To examine the demographic, eating, self-efficacy and program engagement characteristics of VLCD users in Australia, and the associations between user characteristics and program success, weight loss, quality of life (QOL) and health. Cross-sectional data from Australian adults: regular users (n=189: VLCD user ≥4days/week for >4weeks) and intermittent users (n=111, VLCD user <4weeks and/or <4days/week). Self-reported data on demographics, VLCD program use, support, eating behavior, weight-related QOL, mental health, physical health, self-efficacy, and physical activity. Descriptive and inferential statistics were performed in R. Compared to regular users, intermittent users reported lower percentage weight loss (15.1%±SD 9.8 vs. 9.9%±SD 6.8, relative to starting weight), fewer reported their VLCD program as very successful (44% vs. 35%), higher depressive symptom scores (8.7±SD 2.8 vs. 6.7±SD 5.1), and lower general self-efficacy (23.9±SD 4.7 vs. 29.4±SD 5.7), nutrition self-efficacy (11.9±SD 2.0 vs. 14.5±SD 3.1) and weight-related QOL scores (60.9±SD 22.2 vs. 65.0±SD 11.8; p<0.001 for all). In regular users, older age and longer program duration were associated with greater total weight loss, support, and program success (p<0.001 for all). In intermittent users, program success was greater when dietitian support was used (odds ratio [OR] 6.50) and for those with higher BMIs (OR 1.08, p<0.001 for all). In both groups, more frequent support was associated with better weight-related QOL (p<0.001). This study provides real-world evidence that regular VLCD users had greater success and weight loss than intermittent program users. These findings may be used to tailor and improve the delivery of VLCD programs in Australia and other countries with retail access to VLCDs.

Telehealth Satisfaction in Patients Receiving Virtual Atrial Fibrillation Care: Quantitative Exploratory Study.

Telehealth can optimize access to specialty care for patients with atrial fibrillation (AF). Virtual AF care, however, may not fit with the complex needs of patients with AF. This study aims to explore the correlation among attitudes toward health care technologies, self-efficacy, and telehealth satisfaction as part of the future planning of virtual AF clinic care. Patients with AF older than 18 years from an urban-based, highly specialized AF clinic who had an upcoming telehealth visit were invited to participate in a web-based survey. The survey asked about demographic characteristics; use of technology; general, computer, and health care technology self-efficacy (HTSE) and health care technology attitudes, using a validated 30-item tool; and telehealth satisfaction questionnaire using a validated 14-item questionnaire. Data were analyzed with descriptive statistics, correlational analyses, and linear regression modeling. Participants (n=195 of 579 invited, for a 34% response rate) were primarily older, male, and White, had postsecondary schooling or more, and had high self-reported overall and mental health ratings. A variety of technologies were used in their daily lives and for health care, with the majority of technologies comprising desktop and laptop computers, smartphones, and tablets. Self-efficacy and telehealth satisfaction questionnaire scores were high overall, with male participants having higher general self-efficacy, computer self-efficacy, HTSE, and technology attitude scores. After controlling for age and sex, only HTSE was significantly related to individuals' attitudes toward health care technology. Both general self-efficacy and attitude toward health care technology were positively related to telehealth satisfaction. Consistent with a previous study, only HTSE significantly influenced attitudes toward health care technology. This finding confirms that, in this regard, self-efficacy is not a general perception but is domain specific. Considering participants' predominant use of the telephone for virtual care, it follows that general self-efficacy and attitude toward health care technology were significant contributors to telehealth satisfaction. Given our patients' frequent use of technology and high computer self-efficacy and HTSE scores, the use of video for telehealth appointments could be supported.

Mediating role of psychological resilience in the relationship between self-efficacy and professional identity among nurses

ABSTRACT To explore the mediating role of resilience in the relationship between general self-efficacy and professional identity of nurses during the COVID-19 pandemic. A cross-sectional design was employed. A total of 982 nurses from four Grade III, class A hospitals in Shandong Province were investigated using general information questionnaire, nurses’ professional identity rating scale, general self-efficacy scale (GSES), and Connor-Davidson flexibility scale (CD-RISC). SPSS22.0 and Amos21.0 were used for data analysis and structural equation modeling. p % counseling The nurses had a score of （27.038±5.933） for general self-efficacy score, 38.290±6.234 for psychological resilience, and （114.99±16.209） for professional identity. A positive correlation between general self-efficacy, professional identity, and psychological resilience (<0.01) was found. The SEM analysis shows that psychological resilience plays a mediating role between general self-efficacy and professional identity. The ratio of the effect is 75.155. During the COVID-19 pandemic, the levels of general self-efficacy and professional identity of nurses was medium, while psychological resilience was high. Nurses’ general self-efficacy can affect their professional identity through psychological resilience. During the pandemic, the psychological status of nurses should not be ignored. Nursing managers should fully utilize of group and cognitive therapy based on mindfulness to improve nurses’ psychological resilience and general self-efficacy, and to promote nurses’ professional identity, so as to ensure the lower turnover rate.

General self-efficacy as a mediator of the association between adverse childhood experiences and psychological distress in gender-minority individuals.

To investigate the mediating role of general self-efficacy (i.e., belief in one's competence to cope with a broad range of stressful or challenging demands) in the relationship between adverse childhood experiences (ACEs) and psychological distress (i.e., symptoms of stress, anxiety and depression) in gender minority individuals, which include people with a gender identity that is not aligned with their sex assigned at birth. The study sample included gender minority participants who participated in Waves 4 and 5 of Project AFFIRM, a multi-site longitudinal study of gender minority health. ACEs, general self-efficacy, and psychological distress were measured using the Behavior Risk Factor Surveillance System ACE Module at Wave 4, the PROMIS General self-efficacy measure at Wave 4, and the Brief Symptoms Inventory Global Severity Index (GSI) at Wave 5, respectively. After adjustment for covariates, including age, race, sex assigned at birth, and income, multivariable linear regression analyses were conducted to assess each component of the proposed mediation model. Next, mediation analyses were used to determine whether general self-efficacy mediated the association between ACEs and psychological distress. The sample for this study consisted of 166 gender minority adults with a mean age of 38.6 ± 12.2 years. Most were non-Hispanic White (46.4%) and female assigned at birth (59.6%). Mean ACEs score was 3.2 ± 2.1 (range 0-8), mean general self-efficacy score was 13.9 ± 3.6 (range 4-20), and mean raw-score GSI was 17.3 ± 13.7 (range 0-64). Participants who reported experiencing more ACEs had greater psychological distress (B 1.60; 95% CI=0.66, 2.54) and lower general self-efficacy (B -0.41; 95% CI = -0.67, -0.15). In addition, lower general self-efficacy was associated with higher psychological distress (B -1.06; 95% CI = -1.61, -0.51). Bootstrap estimation of the indirect effect was significant (95% CI=0.14, 0.90) and explained 27.1% (95% CI=7.76, 69.76) of the total effect of ACEs on psychological distress in gender minority adults. Our findings suggest that general self-efficacy partially mediated the positive association between ACEs and psychological distress in gender minority adults. Interventions that aim to improve general self-efficacy may be beneficial in alleviating psychological distress in gender minority adults. Nurses can play an important role in reducing the health risks associated with ACEs by screening gender minority individuals using a trauma-informed approach to care and offering resources and referrals, as appropriate.

The General Self-Efficacy Scale in a population planned for bariatric surgery in Sweden: a psychometric evaluation study

ObjectivesThis study psychometrically evaluated General Self-Efficacy (GSE) Scale in patients planned for bariatric surgery in Sweden.DesignA cross-sectional psychometric study. The psychometric evaluation was guided by the COnsensus-based Standards for the...

Exploring effect of psychological first aid education on vocational nursing students: A quasi-experimental study

BackgroundPsychological first aid (PFA) is an internationally recognized approach to providing initial psychological support to the general public by both professionals and non-professionals. With increasing psychological care needs under frequent global disasters, it is urgent to provide PFA training to community rescuers in resource-limited countries. Vocational nursing students account for the largest proportion of the reserve workforce serving the community. However, they were scarcely educated about PFA in public emergencies. ObjectivesTo evaluate the impacts of PFA training on knowledge and competency, general self-efficacy, and resilience among vocational nursing students. DesignA quasi-experimental study with pre-posttest comparison. SettingA provincial vocational college in XXXX. ParticipantsOne hundred and three sophomore vocational nursing students were recruited from a vocational college. MethodsThe eligible participants were provided with the PFA educational program developed from international and national PFA guidelines. Before and after the intervention, researchers used the PFA of Orientation Pre/Post Test questionnaire, the General Self-Efficacy Scale, and the Connor-Davidson Resilience Scale to evaluate participants' learning outcomes. The paired t-test and Wilcoxon signed-rank test were used to compare the difference in outcomes between the pre- and post-test. ResultsAfter the PFA educational intervention, the participants' scores on PFA-related knowledge and competence significantly increased (p < .001). There were also statistically significant differences in general self-efficacy, total resilience, tenacity, and optimism scores observed between the pre- and post-test (p < .001). However, there was no significant increase in strength scores after the intervention. ConclusionsThe PFA training effectively improved vocational nursing students' knowledge and competency, general self-efficacy, and resilience. Further studies with a control group and follow-ups are needed to explore the long-term effects of PFA education.

The role of self-efficacy, well-being capability and diabetes care assessment for emotional and diabetes management challenges during the COVID-19 pandemic: Findings from a follow-up study

This study aimed to investigate the potential protective role of baseline resources and capabilities for experiencing challenges to emotional well-being and perceived access to and quality of diabetes care during the COVID-19 pandemic in a Danish type 2 diabetes population (N = 1608). We investigated how differences in self-efficacy, well-being capability, socioeconomic status, health status, and perceptions of diabetes care measured before the COVID-19 pandemic were related to experiences of well-being and diabetes management challenges during the pandemic. The study is based on a survey conducted shortly before the pandemic (autumn 2019) and a follow-up survey during the pandemic (autumn 2020), which included questions about impacts of the pandemic. We used this longitudinal data to quantitatively investigate in regression analyses how self-reported baseline indicators of chronic care access and quality (PACIC), self-efficacy (GSE), health (EQ VAS), and well-being capability (ICECAP-A), and registry-based socioeconomic indicators were associated with the probability of reporting negative impacts on emotional wellbeing and diabetes management. Results showed that respondents with higher baseline general self-efficacy and higher well-being capability scores, who more often considered care well-organised and were in better health before the pandemic, were less likely to report pandemic-related negative impacts on emotional well-being. Considering diabetes care well organised before the pandemic was associated with a lower probability of adverse impacts on diabetes care. The results thus broadly confirmed that several indicators of higher levels of baseline resources and capabilities were associated with a lower probability of reporting negative impacts of the pandemic. However, some variation in predictors was observed for general well-being outcomes, compared to diabetes-care specific challenges, and findings on socioeconomic status as indicated by education were mixed.

Psycho-behavioral Factors Related to Weight Regain After Bariatric Surgery

The purpose of this study was to examine the connection between weight regain 2 to 5years after bariatric surgery and three psycho-behavioral factors: mental health, general health efficacy, and emotional regulation. A convenience sample of 120 participants was recruited, 80 of whom had already had bariatric surgery 2 to 5years earlier, whereas 40 were candidates for such procedure but did not undergo it yet. Each participant filled a consent form, a socio-demographic one, and extra three questionnaires related to socio-behavioral characteristics: Mental Health Inventory (MHI), General Self-efficacy (GSE), and Difficulty in Emotional Regulation Scale (DERS). SPSS version 25 was used to analyze the data, and a one-sample Kolmogorov-Smirnov test was conducted to examine the distribution of the continuous variables. Those in the non-reducers group experienced (2.19 ± 0.63) greater difficulties than the reducers group (1.82 ± 0.39) when it came to their emotional regulation, whereas the candidate group (1.96 ± 0.47) were situated in-between the groups already operated in terms of their DERS scores (p = 0.008). The reducers group had higher GSE scores (2.75 ± 0.35) than the non-reducers group (2.59 ± 0.39) (p = 0.03). Effective emotional regulation is linked to weight loss maintenance after bariatric surgery. Difficulties in emotional regulation are negatively correlated with maintaining weight loss among bariatric patients who undergo surgery. General self-efficacy is positively correlated with weight loss maintenance after bariatric surgery.