Development of a Chinese version of the Stress Adaption Scale and the assessment of its reliability and validity among Chinese patients with multimorbidity / 浙江大学学报·医学版

OBJECTIVES@#To develop a Chinese version of the Stress Adaption Scale (SAS) and to assess its reliability and validity among Chinese patients with multimorbidity.@*METHODS@#The Brislin model was used to translate, synthesize, back-translate, and cross culturally adapt the SAS. A total of 323 multimorbidity patients selected by convenience sampling method from four hospitals in Zhejiang province. The critical ratio method, total question correlation method, and graded response model (item characteristic curve and item discrimination) were used for item analysis. Cronbach's alpha coefficient and split-half reliability were used for the reliability analysis. Content validity analysis, structural validity analysis, and criterion association validity analysis were performed by expert scoring method, confirmatory factor analysis, and Pearson correlation coefficient method, respectively.@*RESULTS@#The Chinese version of the SAS contained 2 dimensions of resilience and thriving, with a total of 10 items. In the item analysis, the critical ratio method showed that the critical ratio of all items was greater than 3.0 (P<0.001); the correlation coefficient method showed that the Pearson correlation coefficients for all items exceeded 0.4 (P<0.01). The graded response model showed that items of the revised scale exhibited distinct item characteristic curves and all items had discrimination parameters exceeding 1.0. In the reliability analysis, Cronbach's alpha coefficient of the revised Chinese version of the SAS scale was 0.849, and the split-half reliability was 0.873. In the validity analysis, the item-level content validity index and scale-level content validity index both exceeded 0.80. In the confirmatory factor analysis, the revised two-factor model showed satisfactory fit indices (χ2/df=3.115, RMSEA=0.081, RMR=0.046, GFI=0.937, AGFI=0.898, CFI=0.936, TLI=0.915). In the criterion-related validity analysis, the Chinese version of the SAS score was negatively correlated with the Perceived Stress Scale and the Treatment Burden Questionnaire, with correlation coefficients of －0.592 and －0.482, respectively (both P<0.01).@*CONCLUSIONS@#The Chinese version of the SAS has good reliability and validity, which can be used to evaluate the stress adaption capacity among multimorbidity patients in China, and provides a reference for developing individualized health management measures.

The mediating role of intrinsic motivation between challenge-hindrance stressors and thriving at work among clinical nurses / 中国实用护理杂志

Objective:To explore the relationship between challenge-hindrance stressors and thriving at work in clinical nurses, and to analyze the mediating role of intrinsic motivation.Methods:This was a cross-sectional survey. A total of 319 nurses from the Provincial Hospital Affiliated to Shandong First Medical University, Qilu Hospital of Shandong University, Shandong Provincial Qianfoshan Hospital from May to June 2022 were investigated by general data questionnaire, Challenge-Hindrance Stressors Scale, Intrinsic Motivation Scale and Thriving At Work Scale. Pearson was used to analyze the correlation between various variables, and Amos 23.0 was used to construct a structural equation model to analyze the mediating role of intrinsic motivation between challenging stressors, hindrance stressors, and thriving at work.Results:The score for challenging stressors was (21.22 ± 4.42) points, the score for hindrance stressors was (13.51 ± 3.59) points, the score for intrinsic motivation was (78.96 ± 11.52) points, and the score for thriving at work was (51.27 ± 8.03) points. Challenging stressors was positively associated with intrinsic motivation and thriving at work ( r=0.222, 0.221, both P<0.01), hindrance stressors was negatively associated with intrinsic motivation and thriving at work ( r=-0.152, -0.337, both P<0.01), intrinsic motivation was positively correlated with thriving at work ( r=0.564, P<0.01). Intrinsic motivation was partially mediated between challenging stressors, hindrance stressors and thriving at work, respectively accounting for 16.02% and 13.79%. Conclusions:Challenging stressors and hindrance stressors can indirectly influence their thriving at work through intrinsic motivation. Nursing managers should help nurses treat different stressors correctly to enhance their intrinsic motivation and promote their thriving at work.

The Effect of Thriving and Workplace Spirituality on Innovative Work Behavior and Career Adaptability Among Railway Employees

Introduction-This research aimed to study the effect of Thriving and Workplace Spirituality on Innovative Work Behavior and Career Adaptability among railway employees (TC) because of the competitive environment they experience. Method- The participants were 105 railway employees between the age of 40-60 years, residing in Mumbai, Maharashtra. The purposive and snowball sampling methods were used for the study. The scales used were - Thriving at work scale (Porath et al,2012), Spirit at work scale (SAW) (Kinjersky, 2013), Innovative work behavior ( Jesson, 2009), Career Adapt Abilities Scale – short form (CAAS- SF) (Maggiori et al, 2012). The data were analyzed using 4 independent ‘t tests’. Results-Thriving had a significant effect on Innovative Work Behavior and Career Adaptability among railway employees. Thus Thriving might act as an advantage in the competitive work environment of TCs. Since Thriving cannot be developed individually as a skill, there is a need to study Workplace Spirituality. Results obtained suggest that there was no significant effect of Workplace Spirituality on Innovative Work Behavior which can be attributed to the Covid-19 situation. Later analysis shows that Workplace Spirituality has a significant effect on Career Adaptability, suggesting that the Workplace Spirituality plays will help in better career adaptability among railway employees. Conclusion- Thriving is considered to be a human aspect of sustainability which is important to produce high performance. Thus if we can enhance Workplace Spirituality for railway employees, they might experience Thriving which will eventually contribute to enhancing IWB and Career Adaptability.

The relationship between career resilience and voice behavior in organ transplantation specialist nurses: the mediating role of thriving at work / 中国实用护理杂志

Objective:To investigate the status quo of thriving at work, career resilience and voice behavior in organ transplantation nurses, and mediation effects of thriving at work between the latter two.Methods:From June to August 2018,180 nurses with organ transplant qualification departments in two Grade A hospitals in Fuzhou, Fujian Province were investigated by the general situation survey form, Thriving At Work Scale, Career Resilience Scale and Voice Behavior Scale.Results:The scores of thriving at work, career resilience and voice behavior were 3.68 ± 0.65, 3.56 ± 0.61 and 3.42 ± 0.62. There was a pairwise positive correlation among the three: thriving at work, career resilience and voice behavior( r values were 0.270-0.664, all P<0.05). Thriving at work played a partial mediating role between career resilience and voice behavior ( B values were 0.138-0.611, all P<0.05). Conclusions:Ii is necessary to improve thriving at work, career resilience and voice behavior in organ transplantation nurses. Thriving at work is the intermediary factor between the latter two. The improvement of thriving at work and career resilience will help to promote organ transplant specialist nurses to make positive voice behavior.

Thriving Traditional Birth Attendants in the Nigerian Church: Gate-way to Maternal and Perinatal Mortality - A Typical Example of Conflict in the Church. Review of Practices of Traditional Birth Attendants across the 23 Local Government Areas in Rivers State – South South Nigeria

Background: There is need to educate the pastors and the church congregation for the need for skilled birth attendants to handle pregnancy and labour related challenges in other to reduce maternal and perinatal mortality. This is because, in some “maternities” in Nigeria traditional birth attendants (TBAs) attend to pregnancy related cases and in some instances these unconventional practices are extended to the local churches.Aim: To determine cases of TBAs practicing in churches and help prevent these unconventional obstetrics practices thus preventing maternal and perinatal motality.Methods: It was a cross-sectional study of TBAs across all 23 local government areas of Rivers State in a lecture to prevent maternal death in the month of June 2019 in Port Harcourt, Rivers State Information was coded and analyzed using SPSS version 25.Results: Forty questionnaires were distributed and 37 retrieved. The mean age was 44 years. They were all females. All ofthem were Christians. Their modal age of practice was 1 –5 years. As regards TBAs educational status, those with no formal education were 4 (10.8%), primary 6(16.2%), secondary 20 (54.1%) and tertiary 7 (18.9%). Eleven (29.7%) of the TBAs have ante natal care in the church out of which 6 (16.2%) conducts delivery in the church. Perinatal and maternal deaths recorded by the TBAs in the past 1 year were 7 (18.9%) and 1 (2.7%) respectively.Conclusion: There is need for our Pastors and churches in Nigeria to recognize the place of skilled birth attendants in attending to pregnancy and labour in other to reduce maternal /perinatal mortality and discourage TBAs from practicing in the church. n addition, the study revealed that majority of the TBAs had secondary level of education (54.1%). There is need for churches to encourage their members to seek the pre-requisite training by emphasizing acquiring the necessary education to improve their vocation as birth attendants.

Inventário abrangente de prosperidade: evidências de propriedades psicométricas no Brasil / Comprehensive inventory of thriving: evidence of psychometric properties in Brazil / Inventario integral de la prosperidad: evidencias de propiedades psicométricas en Brasil

O Inventário Abrangente de Prosperidade (IAP) constitui um instrumento que acessa o bem-estar, concebendo o construto numa perspectiva hedônica. Este estudo avaliou as propriedades psicométricas do IAP em 501 adultos brasileiros. A metodologia de análise consistiu em combinação entre análise fatorial confirmatória e análise de redes, incluindo também análise da confiabilidade e validade convergente. Os resultados confirmam a estrutura de 18 fatores de primeira ordem e a de sete fatores de segunda ordem original. O artigo também apresenta uma terceira estrutura com quatro fatores de segunda ordem - χ²/gl = 1,75, CFI = 0,92, TLI = 0,91, RMSEA = 0,042. Foram detectadas diferenças para o ajuste, considerando o sexo dos participantes, em que o modelo obtido tem melhor ajuste para homens. O IAP apresenta validade convergente ao se correlacionar positivamente com felicidade e florescimento no trabalho. Portanto, a versão brasileira do IAP apresenta evidências iniciais de validade para uso em adultos no Brasil. AU

The Comprehensive Inventory of Thriving (CIT) is an instrument that accesses well-being, conceiving the construct from a hedonic perspective. This study evaluated the psychometric properties of the IAP in 501 Brazilian adults. The framework of analysis consisted of a combination of confirmatory factor analysis and network analysis, including reliability analysis and convergent validity. The results confirm the structure of 18 first order factors and seven second order factors from the original research. The present study also presents a third structure with four second order factors - χ²/gl=1.75, CFI=.92, TLI=.91, RMSEA=.042. Differences were detected for the fit considering the gender of the participants, where the model obtained presented a better fit for men. The CIT has convergent validity, correlating positively with happiness and flourishing at work. Therefore, the Brazilian version of the CIT presents initial evidence of validity for use with adults in Brazil. AU

El Inventario Integral de la Prosperidad (IIP) constituye un instrumento que accede al bienestar, concibiendo el constructo en una perspectiva hedónica. Este estudio evaluó las propiedades psicométricas del IIP en 501 adultos brasileños. La metodología de análisis consistió en combinación entre el análisis factorial confirmatorio y el análisis de redes, incluyendo también el análisis de la confiabilidad y validez convergente. Los resultados confirman la estructura de dieciocho factores de primer orden y la de siete factores de segundo orden original. El artículo también presenta una tercera estructura con cuatro factores de segundo orden - χ²/gl=1.75, CFI=.92, TLI=.91, RMSEA=.042. Se detectaron diferencias para el ajuste considerando el sexo de los participantes, donde el modelo obtenido tiene mejor ajuste para hombres. El IIP presenta validez convergente al correlacionarse positivamente con felicidad y desarrollo profesional. Por lo tanto, la versión brasileña del IIP presenta evidencias iniciales de validez para uso en adultos en Brasil. AU

Adaptação portuguesa da Escala de Thriving na adolescência / Portuguese of the Thriving in adolescence scale / Adaptación portuguesa de la Escala de Thriving en la adolescencia

No âmbito da perspectiva do Desenvolvimento Positivo dos Adolescentes, a investigação centra-se no que define não apenas o desenvolvimento normal ou adequado, mas um desenvolvimento ótimo, ou Thriving. O conceito engloba indicadores de Thriving que representam a interação relacional dinâmica e bidirecional do adolescente e contextos desenvolvimentais ao longo do tempo, estado e processo de desenvolvimento. Este estudo teve como objetivo a adaptação à população Portuguesa de Escala de Thriving na Adolescência. Foi avaliada uma amostra de conveniência constituída por 503 estudantes, com idades compreendidas entre os 13 e 19 anos (M = 15,92; DP = 1,17), maioritariamente do género feminino (63%). Originalmente desenvolvida na perspetiva do modelo formativo, a Escala de Thriving inclui sete itens. A exploração das propriedades psicométricas, com recurso a análise com rede nomológica, mostra uma escala multidimensional com propriedades métricas adequadas. Sugere-se a utilidade deste instrumento para a compreensão de um desenvolvimento bem-sucedido na adolescência. (AU

In the field of Positive Adolescent Development research focuses on what defines not only normal or adequate development but optimal development for Thriving. The concept encompasses Thriving indicators that represent a dynamic and bi-directional interplay over time between a young person and the developmental contexts, reflecting both a point-in-time status as well as a developmental process. This study aimed to adapt the Thriving in Adolescence Scale to the Portuguese population. A convenience sample consisted of 503 students aged between 13 and 19 years (M=15.92; SD=1.17), with 63% females. Originally developed from the perspective of the formative model, the Thriving Scale includes seven items. The exploration of psychometric properties, using nomological network analysis, showed a multidimensional scale with adequate metric properties. The use of this instrument is suggested for the understanding of successful development in adolescence. (AU)

La investigación se desenvuelve dentro de la perspectiva del Desarrollo Positivo de los Adolescentes, englobando no solo el desarrollo normal o adecuado, sino que un desarrollo óptimo, o Thriving. El concepto incluye indicadores Thriving que representan la interacción relacional dinámica y bidireccional del adolescente y contextos de desarrollo a lo largo del tiempo, reflejando tanto un estado puntual, como un proceso de desenvolvimiento. Este estudio tuvo como objetivo la adaptación a la población Portuguesa de Escala de Thriving en la Adolescencia. Se evaluó una muestra de conveniencia constituida por 503 estudiantes, con edades comprendidas entre los 13 y 19 años (M = 15,92; DS = 1,17), en su mayoría mujeres (63%). La Escala de Thriving incluye siete ítems, siendo originalmente desarrollada en la perspectiva del modelo formativo. La exploración de las propiedades psicométricas mediante el análisis con red nomológica, muestra una escala multidimensional con propiedades métricas adecuadas. Se sugiere que este instrumento es útil para comprender el desarrollo óptimo en la adolescencia. (AU)

Propriedades Psicométricas do Inventário de Funcionamento Psicológico Positivo: Versões Breve e Abrangente / Propiedades Psicométricas del Inventario de Funcionamiento Psicológico Positivo: Versiones Breve y Comprensiva / Psychometric Properties of the Inventory of Thriving: Brief and Comprehensive Versions

Resumo O bem-estar é u m dos construtos mais estudados no âmbito da Psicologia Positiva. Um indicador recente do referido construto é o funcionamento psicológico positivo, que se relaciona a um estado positivo de funcionamento mental, físico e social. O objetivo do estudo foi reunir evidências de validade das versões abrangente e breve do Inventário de Funcionamento Psicológico Positivo, em amostras brasileiras. O estudo contou com 801 participantes, de ambos os sexos, com idades variando entre 16 e 76 anos, que responderam à versão brasileira das escalas e a outros instrumentos. As análises fatoriais confirmatórias demonstraram que a versão abrangente ficou composta por 54 itens, distribuídos igualmente em 18 fatores de primeira ordem, sendo que a versão breve ficou composta por 10 itens distribuídos em um único fator. Na validação convergente, os fatores positivos da versão abrangente e da versão breve correlacionaram-se positivamente com a satisfação com a vida, o otimismo, as avaliações autorreferentes e o florescimento, enquanto os fatores negativos da versão abrangente correlacionaram-se negativamente com esses construtos. De acordo com os resultados, recomenda-se o uso das escalas em investigações futuras sobre o funcionamento psicológico positivo.

Resumen El bienestar es uno de los constructos más estudiados en el ámbito de la Psicología Positiva. Un indicador reciente de dicho constructo es el funcionamiento psicológico positivo, que se relaciona con un estado positivo de funcionamiento mental, físico y social. El objetivo del estudio era reunir pruebas de validez de las versiones comprensiva y breve de el Inventario de Funcionamiento Psicológico Positivo en muestras brasileñas. El estudio incluyó a 801 participantes, de ambos sexos, con edades comprendidas entre los 16 y los 76 años, que respondieron a la versión brasileña de las escalas y otros instrumentos. El análisis factorial confirmatorio mostró que la versión comprensiva se compone de 54 itens, igualmente distribuidos en 18 factores de primer orden, y la versión breve se compone de 10 itens distribuidos en un solo factor. En validez convergente, los factores positivos de la versión comprensiva y la versión breve se correlacionarón positivamente con la satisfacción con la vida, optimismo, evaluaciones autorreferenciales y floración, mientras que los factores negativos de la versión comprensiva una correlación negativa con estes construtos. De acuerdo con los resultados, se recomienda el uso de las escalas en investigaciones futuras sobre el funcionamiento psicológico positivo.

Abstract Well-being is one of the most studied constructs in the field of Positive Psychology. A recent indicator of this construct is the thriving, which is related to a positive state of mental, physical and social functioning. The present study's objective was to collect validity evidence for the comprehensive and brief versions of the Inventory of Thriving in Brazilian samples. The study involved 801 participants, of both sexes, between the ages of 16 and 76 years, who responded to the Brazilian versions of the scales and other instruments. Confirmatory factor analysis showed that the comprehensive version was composed of 54 items equally distributed among 18 first-order factors; and the brief version was composed of a single factor consisting of 10 items. With respect to convergent validity, the comprehensive and brief versions' positive factors were positively correlated with life satisfaction, optimism, core self-evaluation, and flourishing, while the comprehensive version's negative factors were negatively correlated with these constructs. According to the results, it is recommended to use the scales in future research on thriving.

Impact of workplace mindfulness on thriving at work of nursing staffs / 中国实用护理杂志

Objective To explore the influence and it′s mechanism of workplace mindfulness on thriving at work of nursing staffs. Methods A cross-section survey was conducted to collect data with an online method, the multiple line hierarchical regression analysis method was performed to test the relations between variables. Results The mean workplace mindfulness score of nursewas 4.74±0.63, the mean thriving score was 3.07 ± 0.71. Workplace mindfulness had a significantly positive prediction on thriving at work (β=0.344, P<0.01) of nurses. Conclusions Workplace mindfulness could affect nurses′thriving at work, which is beneficial to improve the growth and vitality of nursing staffs, which in turn to enhance them to abundant and vigorous life.