Study on the influencing factors of emergency care nurses′ perceived self-competence in palliative care based on dominance analysis / 中国实用护理杂志

Objective:To explore the relative importance of palliative care knowledge, attitude towards palliative care and healthy work environment of emergency care nurses in predicting perceived self-competence in palliative care based on dominance analysis, and to provide empirical evidence for formulating the optimal training course to improve perceived self-competence in palliative care.Methods:Totally 415 emergency care nurses from 22 tertiary hospitals in Hubei province were conducted a cross-sectional survey to complete the general information questionnaire, the Palliative Care Nursing Self-Competence Scale, the Hospice Knowledge Quiz for Nurses, the Frommelt Attitudes Toward Care of the Dying Scale Form B, and the American Association of Critical Care Nurses Healthy Work Environment Assessment Tool from January to March 2021 using convenient sampling method. Dominance analysis was used for statistical analysis.Results:The total score of perceived self-competence in palliative care of 415 emergency care nurses was (225.48 ± 60.61) points, the total score of palliative care knowledge was (12.44 ± 3.83) points, the total score of palliative care attitude was (97.35 ± 9.07) points and the total score of healthy work environment was (72.00 ± 11.99) points. Perceived self-competence in palliative care was positively associated with palliative care knowledge ( r=0.181, P < 0.01), attitude towards palliative care ( r=0.232, P<0.01) and healthy work environment ( r=0.393, P<0.01). Dominance analysis revealed that the healthy work environment, palliative care attitude and palliative care knowledge accounted for 74.15%, 14.97% and 10.88% of the variance of perceived self-competence in palliative care, respectively. Conclusions:The largest degree of prediction for emergency care nurses′ perceived self-competence in palliative care is healthy work environment, attitude next and the third is knowledge. It suggests that promoting a healthy work environment is an important way to improve nurses′ perceived self-competence in palliative care, and improving knowledge level and cultivating positive attitudes also will be better.

Predictors of nurses′ job burnout and depressive symptoms: A dominance analysis of diverse emotion regulation strategies / 中国实用护理杂志

Objective@#To examine the relative importance of four emotion regulation strategies (i.e. cognitive reappraisal, expressive suppression, rumination and mindfulness) in explaining job burnout and depression of nurses.@*Methods@#We conducted a cross-sectional study with questionnaires for 1 037 nurses from two general hospitals. Maslach Burnout Inventory-Human Service Survey (MBI-HSS), the Patient Health Questionnaire-9 (PHQ-9), Emotion Regulation Questionnaire (ERQ), Ruminative Responses Scale (RRS) and Short Inventory of Mindfulness Capability (SIM-C) were assessed.@*Results@#Dominance analysis revealed that in terms of job burnout, rumination, cognitive reappraisal and mindfulness could explain 41.38% (0.132/0.319), 30.09% (0.096/0.319) and 28.53% (0.091/0.319). In terms of depression, rumination and mindfulness could explain 68.6% (0.362/0.528)and 24.43% (0.129/0.528).@*Conclusions@#Rumination and mindfulness were important predictors of job burnout and depression of nurses. This study indicates that reducing ruminative responses and enhancement of mindfulness are the important approach to reduce nurses′ job burnout and depression.

Factors associated with quitting intention among male daily smokers in rural areas / 中华流行病学杂志

Objective To study the intention on quitting smoking and related factors,so as to provide evidence on related important determinants.Methods A cross-sectional study was conducted in 14 villages in Shandong,China.A total of 1 287 male daily smokers were interviewed,face-to-face.Multiple logistic regression method was used to assess the factors associated with quitting intention among male daily smokers.Dominance analysis was used to assess the relative contribution of determinants on quitting intention which were identified in the multiple logistic regression model.Results Among 1 287 male daily smokers,24.7％ expressed quitting intention within the next 6 months.Four determinants for quitting intention were identified in the multiple logistic regression model,including previous experience of quitting attempt (OR=1.691,95％ CI:1.458-1.962),lower level of smoking intensity (OR=0.751,95％CI:0.639-0.884),extensive knowledge on specific health effects of smoking (OR=1.038,95％CI:1.001-1.077) and presence of chronic disease (OR=1.765,95％CI:1.013-3.075).Results from the dominance analysis showed that ‘previous quitting attempt experience’ was the most important determinant regarding quitting intention,followed by low smoking intensity,knowledge of the specific health effects of smoking,and the presence of chronic disease.Conclusion The rate of quitting intention on cigarette smoking among rural male smokers remained low.Quitting intention was associated with previous quit attempt experience.

Factors associated with quitting intention among male daily smokers in rural areas / 中华流行病学杂志

Objective To study the intention on quitting smoking and related factors,so as to provide evidence on related important determinants.Methods A cross-sectional study was conducted in 14 villages in Shandong,China.A total of 1 287 male daily smokers were interviewed,face-to-face.Multiple logistic regression method was used to assess the factors associated with quitting intention among male daily smokers.Dominance analysis was used to assess the relative contribution of determinants on quitting intention which were identified in the multiple logistic regression model.Results Among 1 287 male daily smokers,24.7％ expressed quitting intention within the next 6 months.Four determinants for quitting intention were identified in the multiple logistic regression model,including previous experience of quitting attempt (OR=1.691,95％ CI:1.458-1.962),lower level of smoking intensity (OR=0.751,95％CI:0.639-0.884),extensive knowledge on specific health effects of smoking (OR=1.038,95％CI:1.001-1.077) and presence of chronic disease (OR=1.765,95％CI:1.013-3.075).Results from the dominance analysis showed that ‘previous quitting attempt experience’ was the most important determinant regarding quitting intention,followed by low smoking intensity,knowledge of the specific health effects of smoking,and the presence of chronic disease.Conclusion The rate of quitting intention on cigarette smoking among rural male smokers remained low.Quitting intention was associated with previous quit attempt experience.

Dominance analysis on the association between reasons for smoking and results related to successful smoking cessation / 中华流行病学杂志

Objective To study the association between reasons for smoking and results related to successful smoking cessation. Methods A community-based case-control study was conducted with 642 male adults recognized as successful spontaneous smoking quitters being the subject cases while another 700 male adults who had failed to quit smoking were served as the controls. Russell Reason for Smoking Questionnaire(RRSQ)was used to investigate the reasons for smoking. Dominance logistic regression was performed to determine the relative importance of reasons for starting smoking and the endpoint of successful quit smoking. Results After adjusting the potential confounders of age,age of smoking initiation,marital status,profession,and education,the adjusted means of sedative and stimulation of RRSQ in the successful quitters were significant lower than that in the failed quitters. Results from the dominance logistic regression showed that the first two important factors for smoking cessation were sedative and stimulation of RRSQ,followed by psychological image,automatic,hand-mouth activity,indulgence,and addiction. Conclusion This study demonstrated that factors as dependence-addiction showed more important impacts than the social-psychological ones on the endpoint of successful smoking cessation.

Dominance analysis on the association between reasons for smoking and results related to successful smoking cessation / 中华流行病学杂志

Objective To study the association between reasons for smoking and results related to successful smoking cessation. Methods A community-based case-control study was conducted with 642 male adults recognized as successful spontaneous smoking quitters being the subject cases while another 700 male adults who had failed to quit smoking were served as the controls. Russell Reason for Smoking Questionnaire(RRSQ)was used to investigate the reasons for smoking. Dominance logistic regression was performed to determine the relative importance of reasons for starting smoking and the endpoint of successful quit smoking. Results After adjusting the potential confounders of age,age of smoking initiation,marital status,profession,and education,the adjusted means of sedative and stimulation of RRSQ in the successful quitters were significant lower than that in the failed quitters. Results from the dominance logistic regression showed that the first two important factors for smoking cessation were sedative and stimulation of RRSQ,followed by psychological image,automatic,hand-mouth activity,indulgence,and addiction. Conclusion This study demonstrated that factors as dependence-addiction showed more important impacts than the social-psychological ones on the endpoint of successful smoking cessation.

The dominance analysis on predictive factors of internet addiction among junior high school students in Daqing city / 中华行为医学与脑科学杂志

Objective To explore the relative contribution on predictive factors of internet addiction among junior high school students in Daqing city,and provide basis for targeted intervention on internet addiction.Methods By delaminating grouping method, based on a sample of 646 were surveyed with Internet Addiction Impairment Index and other mental scales. Through dominance analysis, study the relative contribution of various predictive factors of internet addiction. Results The correlation coefficients of life events, social anxiety, depression and positive coping with internet addiction were respectively 0.39, 0.15, 0.12 and 0.09(P＜0.05). Hierarchical regression showed that the total variance of demography in predicting internet addiction was 15%;the total variance of life events, social support, coping styles and emotion variables in predicting internet addiction was 23%. After the variables of demography were controlled, the best predictors for internet addiction were life events,social anxiety, negative coping and objective support, and these four variables explained 18.5% of the total variance of intemet addiction. Dominance analysis indicated that for the regression equation in predicting internet addiction, life events contributed 84. 52%, social anxiety contributed 8. 21% and negative coping contributed 4.72%, objective support contributed 2.54% of the predicted variance. Conclusion Internet addiction should be taking targeted preventive interventions based on the specific reasons.