Moral caring competency and moral distress among Ghanaian nurses in adult care settings: A descriptive-correlational study.

Background: Nurses in adult care settings frequently encounter moral distress due to the daily ethical obligations they must fulfill. In contrast to other healthcare professionals, nurses often grapple with a heightened frequency of moral dilemmas, resulting in increased moral distress. Objective: This study aimed to explore the levels and relationship between moral caring competency and moral distress among Ghanaian nurses in adult care settings. Methods: This quantitative study utilized a descriptive-correlational design. A multistage sampling was used to select three public hospitals. Simple random sampling was used to recruit 231 nurses from the three public hospitals. Data were collected from June to July 2023 using validated questionnaires. The study utilized frequency and percentages, mean and standard deviation, and Spearman's Correlation. Results: The nurses had a low level of moral caring competency (M = 2.18, SD = 0.340). The composite moral distress score was 227.31, indicating a high level of moral distress among the nurses. Furthermore, there was a moderate, negative significant relationship between moral caring competency and moral distress (rs = -.474, N = 231, p <0.001). Conclusions: Nurses in public hospitals had limited personal cognitive, affective, and psychomotor abilities to address patient moral issues. The nurses also experience significant moral distress when delivering patient care. Furthermore, to decrease the level of moral distress, moral caring competency should be strengthened among nurses. Therefore, it is recommended that nurse administrators provide adequate organizational support and implement continuous moral training to improve nurses' moral caring competency and mitigate their moral distress. Healthcare policymakers are encouraged to develop or refine policies to navigate moral dilemmas and reduce moral distress among nurses. Future studies employing qualitative designs can explore the influence of culture on moral caring competency within the Ghanaian setting.

Social poverty indicators with school bullying victimization: evidence from the global school-based student health survey (GSHS).

BACKGROUND: School bullying is prevalent in children and adolescents. Bullying victims are seen higher risk of negative psychological outcomes. Previously published studies suggested that social indicators may pose significant influence on bullying victimization. However, the association between social poverty and bullying victimization has not been exclusively discussed. METHODS: In this cross-sectional study, we analyzed the association between 6 commonly used social poverty indicators (Poverty Headcount Ratio, PHR; Poverty Gap, PG; Squared Poverty Gap, SPG; monthly household per capita income, PCI; Watts' Poverty Index, WPI; the Gini Index, Gini) and the prevalence of school bullying at country level by using the Global school-based Student Health Survey (GSHS) database. RESULTS: Altogether 16 countries were included into the final analysis, with school bullying victimization prevalence ranged from 12.9 to 47.5%. Bubble plots revealed statistically significant associations between the three indicators measuring absolute poverty level (PHR, PCI, WPI) and bullying victimization. Subsequently performed principal component regression indicated that, for all types of bullying victimization, the increase of absolute poverty level was related to elevated prevalence rates, and the association was particularly strong for verbal bullying victimization. CONCLUSIONS: Our study results may suggest that absolute social poverty is an important parameter for constructing and implementing school bullying victimization intervention strategies and measures.

Factors influencing turnover intention among male nurses in China: A large-scale descriptive correlational study.

AIM: This study examined the correlation among turnover intention, emotional intelligence and job burnout in male nurses and determined its influencing factors. BACKGROUND: The number of male nurses has increased in China; however, the turnover rate is very high. Nurses' turnover intention is related to job burnout and emotional intelligence. INTRODUCTION: Recent studies have shown that job burnout and emotional intelligence are related to medical and health institution employees' intention to leave their jobs. It is not clear if the same conclusions can be drawn about male nurses. METHODS: For this cross-sectional study, 627 male nurses were recruited from across China between May and July 2018. Data were collected through an online questionnaire, and Pearson's product-moment correlation coefficient and multiple linear regression were performed to analyse the data. RESULTS: There was a weak negative, moderate positive and moderate negative correlation between turnover intention and emotional intelligence, turnover intention and job burnout, and emotional intelligence and job burnout, respectively. Factors that significantly affected turnover intention among male nurses included job burnout, young age, lack of interest in nursing and working in the emergency department. CONCLUSION: The study revealed the factors that affected male nurses' turnover intention and the relationships between turnover intention, emotional intelligence and job burnout. IMPLICATIONS FOR NURSING MANAGEMENT AND SOCIAL POLICY: Hospital managers should provide necessary help and support to reduce male nurse turnover rates and incorporate emotional intelligence training. The policy should eliminate the unfair college admission practices for students choosing nursing majors, raise the nursing profession's salaries and vigorously develop specialty nursing. In addition, diversified values should be promoted, and stereotypes of male nurses in nursing should be broken.

A cross-sectional study of clinical emergency department nurses' occupational stress, job involvement and team resilience.

INTRODUCTION: The occupational stress of clinical nurses has drawn increasing attention. It has been proven that occupational stress is related to job involvement, and job involvement affects team resilience. However, research on the relationship between emergency nurses' occupational stress, job involvement and team resilience is lacking. AIM: To explore relationships between occupational stress, job involvement, and team resilience among a sample of emergency nurses and determined significant influencing factors of occupational stress in emergency departments. METHODS: In four hospitals in Shandong, China, 187 emergency room nurses participated in a study. The Utrecht Work Engagement Scale, the Chinese version of the Stressors Scale for Emergency Nurses, and a scale for evaluating the team resilience of medical professionals were used to collect data. RESULTS: The overall occupational stress score of nurses working in the emergency departments in Shandong province was 81.07 ± 25.80. The results of Single-factor analysis demonstrated that the scores indicating the occupational stress for emergency nurses differed significantly with respect to age, education level, marital status, children, professional title, work experience and work shift (P < 0.05). Additionally, there is a negative correlation between job involvement and team resilience and occupational stress. Multiple linear regression results showed that the job involvement, team resilience and work shift were statistically significant influencing factors of the level of occupational stress (change R2 = 17.5 %, F = 5.386, P < 0.001). CONCLUSIONS: Stronger team resilience and more active job involvement resulted in lower occupational stress levels experienced by emergency nurses.

The relationship between personality profile and self-care among patients with type 2 diabetes.

Background: As a chronic disease, diabetes needs special self-care behaviors until the end of life. Personality traits are considered to be effective psychological factors in controlling diabetes and self-care in patients with diabetes. The present study was conducted to determine the relationship between personality profile and self-care among people with type 2 diabetes. Methods: In this descriptive-correlational study conducted in 2021, 160 patients with type 2 diabetes referred to the diabetes clinic of Imam Khomeini Educational and Medical Center in Ardabil were selected by convenience sampling method. The data collection tools included the Diabetes Self-Care Activities questionnaire (SDSCA) and the short form of the Millon Multi-Axis Clinical Test (MCMI-3), which were completed through interviews with patients. Data were analyzed by SPSS software using descriptive statistics (mean, SD, and frequency) and inferential statistics (Pearson correlation coefficient and linear regression). Results: Based on the results, apart from the obsessive personality disorder, which had a positive relationship with self-care behaviors, a significant negative correlation was observed between schizoid, avoidant, depressed, dependent, antisocial, self-harming, borderline, and paranoid personality disorders with self-care behaviors (p < 0.01). Conclusion: The results showed that there is a significant negative relationship between personality profile and self-care status of patients with type 2 diabetes. In other words, a person's personality profile can predict self-care behaviors. Accordingly, personality traits can be considered as one of the influencing factors on self-care in the educational programs of diabetic patients. Holding educational classes to empower patients using psychological interventions and teaching effective solutions can be an effective step toward increasing the level of mental-physical health and self-care of patients with type 2 diabetes.

The relationships between students' comprehension of conversational implicatures and their achievement in reading comprehension.

The most important thing in effective communication is understanding not only what is said, but also why it is said. Therefore, the development of pragmatic competence in another language is essential to be able to communicate effectively. Pragmatic competence plays an important role in enabling interlocutors to work out what is intended by what is said. In this sense, special emphasis should be placed on the pragmatic aspects of language in order to enable language learners to use language appropriately. In this regard, this study aims to investigate whether there is a relationship between students' comprehension of conversational implicatures and their achievement in reading comprehension. To this end, the data were collected from first-year 122 students at one of the private universities in northern Cyprus with different bachelor's degrees via the Multiple-Choice Discourse Completion Test (MCDCT) and the reading test. The quantitative data were analysed by means of A Pearson Correlational Analysis, Simple Linear Regression, and Canonical Correlational Analysis. The results of the study revealed that comprehension of conversational implicatures of first-year university students is positively related to their achievement in reading comprehension. Moreover, it has been depicted that among the eight implicature types, topic change, indirect refusal, and disclosure are more related (0.855) to reading comprehension. Therefore, these three implicature types provide the most contribution to the participants' comprehension of conversational implicatures. As it is, they are more powerful predictors of reading comprehension. In addition to these results, there is only one high positive correlation among the six reading subskills; that is between the subskill to identify ideas and opinions of the writer and the subskill to scan a text to find specific information (0.749). In the light of the findings, this study yields crucial implications for language teachers, material developers, and curriculum designers to take full advantage of these associations for promoting EFL learners' achievement in reading and comprehension of conversational implicatures in the target language.

Correlational study on cyberbullying and social abilities in intercultural teenagers.

This article analyzes the relationship between cyberbullying profile by racist reasons and social abilities in a group of intercultural teenagers living in Spain (N = 1478). The study includes participants aged between 12 and 16 years old (M = 13.99; SD = 1.352). Of these, 738 were male (49.9%) and 740 were female (50.1%). A correlational study was carried out using online tools with suitable psychometrics parameters (content-construct validity and reliability). The first one was a scale that measured social abilities, and the second one evaluated racist or xenophobic cyberbullying, differentiating the victim and aggressor profiles. The results indicated five main findings: (1) generally, the participants analyzed present all their social abilities; (2) for the most part, these participants do not normally experience cyberbullying; (3) a positive correlation exists between the majority of social abilities analyzed and the cybervictim profile. It was also observed a negative correlation between the social ability associated with the ability of making requests and this profile; (4) there is a positive correlation among the six social abilities analyzed and the cyberaggressor profile; (5) the racist or xenophobic cyberbullying are driven not only by the absence of social abilities, but in some cases, they are also driven by socio-demographic variables (i.e., age and gender). Likewise, this work shows how the absence of some social abilities in some participants involve racist or xenophobic experiences as victims and as aggressors, which may be of interest for the analysis of teenagers' behavior in intercultural contexts, as well as according to age and gender. More transcultural research need to be carried out to know the global perspective of the link between social abilities and the different profiles of racist and xenophobic cyberbullying, framed in the context of social psychology and studies of mass communication.

Intervención educativa sobre la diabetes tipos 2 en una población sin hogar de Miami-Dade / Educational Intervention on Type 2 Diabetes in a Miami-Dade Homeless Population

Resumen: Objetivo: Las personas sin hogar tienen significativamente más necesidades de salud y tasas más altas de morbilidad y mortalidad, así como más hospitalizaciones y/o rehospitalizaciones que la población en general, causadas por factores como la pobreza extrema, el acceso deficiente a la atención médica y los desafíos en la adherencia a los medicamentos, por lo cual el presente estudio se propuso aplicar una intervención educativa sobre la diabetes tipo 2, dirigida a las personas sin hogar residentes en un refugio, con el fin de mejorar las técnicas de autocontrol y autocuidado de esta enfermedad crónica. Materiales y métodos: La intervención educativa fue realizada en un refugio para personas sin hogar de Miami Dade, con 250 participantes y consistió en tres sesiones de autocontrol y autocuidado de la diabetes y una lista de recursos de la comunidad en el idioma de preferencia de la persona (inglés o español). Las evaluaciones incluyeron una encuesta antes y después de la intervención y una evaluación previa y posterior mediante el cuestionario Diabetes Knowledge (DKQ-24). Resultados: Datos demográficos: 88% hombres y 12% mujeres, 40% hispanos, 36% afroamericanos, 26% caucásicos, idioma 64% inglés y 36% español. Hubo una diferencia significativa en la medición antes y después de dos meses de la intervención educativa (p <0,000). Conclusiones: La intervención educativa para mejorar la calidad de vida, el autocontrol y el autocuidado de los pacientes sin hogar con diabetes tipo 2 tuvo un efecto positivo y estos resultados pueden proporcionar la base para intervenciones futuras que ayuden a los profesionales de la salud a identificar las necesidades y abordarlas a través de intervenciones educativas adaptadas al contexto. Aprobación n. IRB 17-OR-372-ME del Institutional Review Board (IRB).

Abstract: Objective: Homeless people have significantly more health needs and higher rates of morbidity and mortality, as well as more hospitalizations and / or rehospitalizations than the general population, caused by factors such as extreme poverty, poor access to medical care and the challenges in adherence to medications, for which the present study set out to apply an educational intervention on type 2 diabetes, aimed at homeless people living in a shelter, in order to improve self-control and self-care techniques of this chronic disease. Materials and methods: The educational intervention was conducted in a Miami Dade homeless shelter with 250 participants and consisted of three diabetes self- management and self-care sessions and a list of community resources in the preferred language of the community. person (English or Spanish). The evaluations included a survey before and after the intervention and a pre- and post-evaluation using the Diabetes Knowledge questionnaire (DKQ-24). Results: Demographic data: 88% male and 12% female, 40% Hispanic, 36% African American, 26% Caucasian, 64% English and 36% Spanish language. There was a significant difference in the measurement before and after two months of the educational intervention (p <0.001). Conclusions: Educational intervention to improve the quality of life, self-control, and self-care of homeless patients with type 2 diabetes had a positive effect and these results may provide the basis for future interventions that help health professionals to identify needs and address them through context-specific educational interventions. Approval n. IRB 17-OR-372-ME of the Institutional Review Board (IRB).

Learning About Your Mental Health From Your Playlist? Investigating the Correlation Between Music Preference and Mental Health of College Students.

The present study explored the correlation between music preference and mental health of college students to make an empirical contribution to research in this field. The self-reported music preference scale and positive mental health scale of college students were adopted to conduct a questionnaire survey in college students. Common method variance was conducted to test any serious common method bias problem. No serious common method bias problem was observed. The results showed that college students' preference for pop music, Western classical music, and Chinese traditional music has a significant and positive correlation with their mental health. Furthermore, college students' preference for heavy music has a significant and inverse correlation with their mental health. This research presents a correlational study; therefore, no causality can be inferred.

Cross-sectional study of the relationship between experiences of incivility from staff nurses and undergraduate nursing students' sense of belonging to the nursing profession.

AIM: This study examined the frequency of incivility for undergraduate nursing students and the relationship between staff nurse incivility and nursing students' sense of belonging. Factors between program semester and students' body mass index (BMI) to staff nurse incivility and students' sense of belonging were assessed. BACKGROUND: Sense of belonging enhances belonging development to the profession. However, no studies address the relationship between incivility and nursing students' sense of belonging. METHODS: A cross-sectional design assessed the relationship between staff nurse incivility and undergraduate nursing students' sense of belonging to the nursing profession. An online survey was administered to 123 pre-licensure junior and senior undergraduate nursing students from February 1, 2021, to May 5, 2021. Correlation coefficient, descriptive statistics, Fisher r-to-z transformation, 95% confidence intervals were calculated. RESULTS: Staff nurse incivility inversely correlated with undergraduate nursing students' sense of belonging (rs=-.358; p <.001). American Indian or Alaskan Native students reported the highest mean frequency of incivility (1.25 ± .421). There were no significant differences in correlations based on semester or BMI. CONCLUSION: Staff nurse incivility is inversely associated with sense of belonging in students. Further research is needed to test interventions mitigating the effects of incivility on belonging.

Correlations among spiritual care competence, spiritual care perceptions and spiritual health of Chinese nurses: A cross-sectional correlational study.

BACKGROUND: The significance of spiritual care competence among nurses has been emphasized across countries and cultures in many studies. However, there were few studies on correlations among spiritual care competence, spiritual care perceptions, and spiritual health of nurses in China. OBJECTIVE: To investigate spiritual care competence, spiritual care perceptions, and spiritual health, and examine the correlations among spiritual care competence, spiritual care perceptions and spiritual health, and the mediating role of spiritual health between other two variables of Chinese nurses. METHODS: A cross-sectional and correlational design was implemented, and the STROBE Checklist was used to report the study. A convenience sample of 2,181 nurses were selected from 17 hospitals in 3 provinces, China. Participants provided data on sociodemographic by completing the Chinese Version of the Spiritual Care Competence Scale, the Chinese Version of the Spiritual Care-Giving Scale, and the Spiritual Health Scale Short Form. Descriptive statistics, univariate, multiple linear regression, and Pearson correlation analysis were used to analyze data. RESULTS: The total scores of spiritual care competence, spiritual care perceptions, and spiritual health were 58.25 ± 16.21, 144.49 ± 16.87, and 84.88 ± 10.57, respectively, which both were moderate. Spiritual care competence was positively correlated with spiritual care perceptions (r = 0.653, p < 0.01) and spiritual health (r = 0.587, p < 0.01). And spiritual health played a mediating role between the other two variables (accounting for 35.6%). SIGNIFICANCE OF RESULTS: The spiritual care competence, spiritual care perceptions, and spiritual health of Chinese nurses need to be improved. It is recommended that nursing managers should pay attention to spiritual care education of nurses, and improve spiritual care perceptions and spiritual health in multiple ways, so as to improve their spiritual care competence and to maximize the satisfy spiritual care needs of patients in China.

Vascular Assessment in Patients With a Lower Limb Wound: A Correlational Study of Photoplethysmography and Laser Doppler Flowmetry Toe Pressure Techniques.

BACKGROUND: Vascular assessment of the lower limbs is essential in patients with diabetes. In the presence of noncompressible arteries, the ankle brachial index (ABI) can either be inconclusive or provide false-positive results. Toe pressure measurement has been suggested as an alternative as a noninvasive method for detecting peripheral arterial disease (PAD). Toe pressure measurement can be performed either by photoplethysmography (PPG) or by Laser Doppler flowmetry (LDF). The aim of this study was to determine correlations between the two techniques in order to promote the use of PPG in clinical practice. METHODS: This was a prospective correlational study of 108 consecutive recruited adult patients, with and without diabetes, with at least one lower limb wound from a University-affiliated hospital wound care clinic. Toe pressure measurements were both performed with PPG and LDF devices. RESULTS: Mean toe pressure values for PPG and LDF were, respectively, 83.7 (SD 35.4) and 79.5 (SD 32.0) mmHg (with a paired t-test 3.969, P < 0.01). In patients with at least one lower limb wound, a strong linear relation was found between PPG and LDF toe pressure techniques with a Pearson's r correlation coefficient of 0.920 (P < 0.001). CONCLUSIONS: PPG and LDF toe pressure techniques are equivalent in patients with at least one lower limb wound, irrespective of the presence of diabetes. Therefore, in the presence of an ABI with inconclusive results, such as in a patient with noncompressible vessels, both toe pressure techniques can be used for assessing the vascular supply of the lower limb with a wound.

Medication Administration Safety Practices and Perceived Barriers Among Nurses: A Cross-Sectional Study in Northern Nigeria.

Introduction: Safe medication administration is a vital process that ensures patients' safety and quality of life. However, reports of medication errors and their solutions are lacking. The aim of this study was to examine the correlation between medication administration safety practices and perceived barriers among nurses in northern Nigeria. Methods: A descriptive approach to research and cross-sectional design was applied to this study. The study population included nurse employees of the Zamfara State Government in northern Nigeria. Simple random sampling and systematic sampling were used in selecting the respondents of the study. Descriptive analysis and the Spearman rank-order correlation were used in data analysis. Results: Fewer than 50% of the respondents were found to agree or strongly agree that they identify allergic patients before administering medication. Most of the respondents had agreed or strongly agreed with the following as barriers to medication administration safety practices: lack of appropriate coordination between physicians and nurses, and lack of favorable policies and facilities. There was a very weak positive correlation between medication safety practices and barriers to medication safety practices, and the correlation was statistically significant (rs = 0.180, P = 0.009). Conclusion: There was a high level of desirable medication administration safety practices that the respondents followed. Nonidentification of a patient's allergic status and inadequate information on the effects of medications were among the identified medication administration practice gaps. There should be policies guiding medication administration in all hospitals in Zamfara, Nigeria.

The correlation of population, population density, age, and sex to the number of confirmed cases of COVID-19 among local government units in the National Capital Region / The Health Sciences Journal

INTRODUCTION@#The NCR had amassed 752,668 cases of COVID-19 as of September 2021, the highest among the regions in the Philippines. This study aimed to determine the correlation between population, population density, age, and sex with the number of cases among local government units (LGU) in the National Capital Region (NCR).@*METHODS@#The data for population, population density, age, and sex distribution of the LGUs of NCR were retrieved from the 2015 Philippine census while the data for cases were from DOH’s COVID-19 Tracker. Pearson correlation coefficient was computed to determine the correlation between population, population density and cases. Phi and Cramer’s V statistic were computed to determine associations between sex, age groups, and cases.@*RESULTS@#There was little or no correlation between population density and number of cases (r = 0.236) but was good (r = 0.905) when Quezon City was excluded for being an outlier. There was good correlation between population and number of cases (r = 964, p < 0.001). There was very weak to no association between sex and number of COVID-19 cases. There was a statistically significant moderate association between age and COVID-19 cases (f = 0.145, p < 0.001).@*CONCLUSION@#The study has shown that population density and population have a good correlation with the number of COVID-19 after Quezon City was removed as a data point. There is a moderate association between age and number of COVID-19 cases. There is a very weak to no association between sex and COVID-19 cases.

Plain Radiographs Can Safely Be Used to Measure and Follow Up on Tibial Component Alignment in Unicondylar Knee Replacement: A Correlation Study With CT Scans.

Background and objective Unicondylar knee replacement (UKR) is one of the most frequently performed arthroplastic operations worldwide. Migration and subsidence regarding the tibial component of UKR is a well-known phenomenon. In this study, we aimed to analyze whether plain radiographs are a reliable means to measure the true coronal and sagittal alignment of the UKR's tibial component. Methods Patients undergoing a UKR procedure at our center between December 2020 and March 2011 were eligible for this study. Inclusion criteria were as follows: the presence of well-aligned standard and reproducible anteroposterior and lateral X-rays taken one week before or after a low-radiation artifact-reduced CT scan. Sixty-six knees were included in the study. Coronal and sagittal alignment of the tibial component was measured in a standard manner by two observers on both X-rays and CT scans. A correlation analysis was performed, and the margin of error was established. Results Intra-observer reliability was high among the two observers whether for X-ray or CT scan measurements [intraclass correlation coefficient (ICC): >0.900]. On the other hand, coronal plane measurements had lower inter-observer ICC values on both X-rays and CT scans while reliability on the sagittal plane was higher. There was a high correlation between radiographic measurements on X-rays and CT scans on both planes. Conclusion Even though the measurements on plain radiographs were slightly different from the ones obtained from CT scans, the correlation between them was very strong. Caution should be exercised when measuring the coronal alignment of the tibial implant on X-rays since it is more frequently affected by rotational misalignment.

Ansiedad rasgo-estado, estrés académico y estilos de afrontamiento en estudiantes de enfermería en México / Trait-state anxiety, academic stress and coping styles in nursing university students in Mexico

Objetivo principal: Identificar un modelo con regresión múltiple para relacionar la Ansiedad Rasgo-Estado, con las situaciones de estrés académico y estilos de afrontamiento; además, comparar las diferencias de las respuestas entre hombres y mujeres estudiantes de enfermería de una universidad pública en México. Metodología: Se evaluó a 675 estudiantes de entre 18 y 24 años a través de los cuestionarios Inventario de Ansiedad Rasgo-Estado, Inventario de Estrés Académico y el Perfil de Estrés de Nowack, el modelo se obtuvo mediante el análisis de regresión. Resultados principales: el modelo identificó a las dimensiones valoración negativa, la minimización de la amenaza y el inverso de valoración positiva del estilo de afrontamiento, así como con las situaciones de estrés académico (exposición de un trabajo, masificación en el aula, trabajos obligatorios, trabajo en grupo, intervención en el aula, sobrecarga académica, y competitividad entre compañeros) como predictores de la Ansiedad Rasgo, y explicaron el 84% de la varianza (R2 = .84). En cuanto al análisis comparativo, el sexo femenino presentó niveles más altos de ansiedad, estrés académico, así como en el estilo de afrontamiento de concentración del problema, en comparación con los hombres. Conclusión principal: la presencia de situaciones de estrés académico y los estilos de afrontamiento negativos pueden ser condiciones generadoras de la ansiedad rasgo. Si se identifican oportunamente, podría ayudar a controlarlos o eliminarlos, antes de que puedan afectar la salud y el desempeño académico de los estudiantes de enfermería. (AU)

Objective: Identify a model with multiple regression to relate State-Trait Anxiety, with the situations of academic stress and coping styles; in addition, compare the differences in the responses between male and female, nursing students at a public university in Mexico. Methodology: were evaluated 675 students between 18 and 24 years old, through the Trait-State Anxiety Inventory, Academic Stress Inventory and the Nowack Stress Profile questionnaires. This model was obtained through regression analysis. Main results: The model identified the following dimensions as predictors of Anxiety-Trait: negative assessment, threat minimization and the inverse of positive assessment of the coping style, as well as with academic stress situations (exposure of a job, overcrowding in the classroom, obligatory works, group work, classroom intervention, academic overload, and competitiveness between classmates) as predictors of Anxiety-Trait and explained 84% of the variance (R2 = .84). Regarding the comparative analysis, the female sex presented higher levels of anxiety, academic stress, as well as in the coping style of concentration of the problem compared to the men. Main conclusion: the presence of academic stress situations and negative coping styles can be conditions that generate trait anxiety. If they are identified in a timely manner, it could help controlling or eliminating them, before they can affect the health and academic performance of nursing students. (AU)

Exposing Empirical Links between COVID-19 Situation Report and Available Data: The Case of Nigeria.

Ever since the index case of COVID-19 was announced in Nigeria, the number of confirmed cases has gradually increased to 46,140 (about 4.5% of total confirmed cases in Africa) as the time of writing this article. This seemingly low number of confirmed cases has provoked heated debates among researchers. This cross-sectional study explores the Nigerian COVID-19 report to expose some links between the number of confirmed cases, testing, and some environmental conditions. The findings reveal that there is no state in Nigeria which has up to 12 confirmed cases per 10,000 population. That means, the number of confirmed COVID-19 cases is less than 0.15% of the population of people across each state in Nigeria. On the flip side, it was revealed that the proportion of samples tested for COVID-19 is low compared to the population. The percentages ranging from less than 0.1% to a maximum of 0.7% of each state population in which 23 states out of the 37 states are within the less than 0.1% range. Furthermore, there is a substantial correlation (ρ (37)=0.903, p< 0.001) between the confirmed cases and testing. In contrast, no substantial correlation was found between the former with either average temperature or rainfall.

Factors associated with spiritual care competencies in Taiwan's clinical nurses: A descriptive correlational study.

AIMS AND OBJECTIVES: To determine factors associated with nurses' spiritual care competencies. BACKGROUND: Holistic nursing care includes biopsychosocial and spiritual care. However, nurses are limited by a lack of knowledge, time constraints and apprehension of assessing spiritual issues, which leaves them unable to assess and meet patients' spiritual needs. Thus, when patients experience spiritual distress, clinical nurses lose the opportunity to support spiritual growth and self-actualisation. In Taiwan, spiritual care, religion and culture are unique compared to those in other countries. Overall, factors associated with Taiwanese nurses' spiritual care competencies lack comprehensive exploration. METHODS: This study adopted a descriptive correlational design using cross-sectional survey (see Appendix S1). Cluster sampling was used to select clinical nurses from fourteen units of a medical centre and a regional hospital. Data were collected from January-June 2018 with a 97.03% response rate. Clinical nurses completed a background questionnaire, spiritual care practice questionnaire, spirituality and spiritual care-related scales. Data were analysed using descriptive and linear regression. This report followed the STROBE checklist. RESULTS: Spiritual care competence ranged from 44-123 (mean 84.67 ± 12.88; range 27-135). The majority of clinical nurses rated their spiritual care competence as moderate (64-98). The significant factors associated with nurses' spiritual care competence were education, religion, interest in spiritual care, having role models, past life events, barriers to providing spiritual care of the spiritual care practice score, and spiritual attitude and involvement score. The overall model was significant (p < .001) and accounted for 55.0% of variance (adjusted R2  = .488). CONCLUSIONS: Most clinical nurses have moderate spiritual care competence. Objective factors identified affect clinical nurses' spiritual care competencies. RELEVANCE TO CLINICAL PRACTICE: To improve nurses' spiritual care competencies, objective factors that affect clinical nurses' spiritual care competencies must be emphasised. Multiple strategies for enhancing nurses' own spiritual well-being can be provided via employee health promotion projects and activities, and promoting nurses' spirituality and spiritual care competencies can be explored in clinical settings through bedside teaching, situational simulation, objective structured clinical examinations and self-reflection.

Correlation study between increased fetal movement during the third trimester and neonatal outcome.

BACKGROUND: We aimed to analyze the correlation between increased fetal movements in the third trimester and neonatal outcomes. METHODS: We enrolled pregnant women (n = 219) who reported increased/excessive fetal movements in the third trimester in our hospital. A control group of healthy women (n = 278) who had undergone regular childbirth and delivery in our hospital during the same period and did not report abnormal fetal movements were also recruited. All pregnant women underwent fetal non-stress test. We analyzed the neonatal weight, appearance, pulse, grimace, activity, and respiration score, degrees of amniotic fluid contamination, amniotic fluid volume, conditions of umbilical cord around the neck and cord length, and incidence of small for gestational age. In addition, the incidence of preterm delivery, cesarean section rate, postpartum hemorrhage, and other postpartum complications were also analyzed. We then analyzed the correlation between increased/excessive fetal activity and neonatal outcomes. RESULTS: Women with complaints of increased/excessive fetal movements exhibited increased fetal movements mainly around 31 and 39 weeks of gestation. Several pregnancy variables, including number of previous delivery, gestational age (less than 34 weeks and more than 37 weeks) and vaginal birth rate, were associated with increased/excessive fetal movements. In addition, women who reported increased/excessive fetal movements had higher odds of large for gestational age (LGA), particularly those with gestational age over 37 weeks. CONCLUSION: Increased/excessive fetal movements may be used to predict adverse neonatal outcome such as LGA.

Relación entre las dimensiones de personalidad según el P-IPG y la calidad de vida laboral percibida / Relação das dimensões de personalidade segundo o P-IPG e a qualidade de vida profissional percebida / The relation between personality dimensions according to P-IPG and the perceived labor life quality

Resumen La calidad de vida laboral (CVL) y la personalidad constituyen dos de los tópicos de mayor interés en la investigación del comportamiento humano en la organización. La presente investigación tuvo como objetivo identificar si es posible predecir la CVL a partir de algunas dimensiones de personalidad. Para su desarrollo, se utilizó un diseño descriptivo correlacional con una muestra conformada por 145 trabajadores de cinco empresas del sector privado de la ciudad de Bogotá. La personalidad se evaluó por medio de la prueba PPG-IPG, de Gordon (1993), y para la calidad de vida se utilizó el PCVL, de Gómez-Rada (2010). Se analizaron los resultados por medio estadísticos descriptivos y de carácter correlacional entre las variables con los coeficientes producto momento de Pearson y los rangos de Spearman. Los resultados muestran que la valoración de la CVL se encuentra relacionada positivamente con el hecho de que el trabajador muestre una personalidad más positiva, en términos de mayor autoestima, cautela, originalidad, comprensión y vitalidad.

Resumo A qualidade de vida profissional (QVP) e a personalidade constituem dois dos tópicos de maior interesse na pesquisa do comportamento humano na organização. Esta pesquisa teve como objetivo identificar se é possível predizer a QVP a partir de algumas dimensões de personalidade. Para seu desenvolvimento, foi utilizado um desenho descritivo correlacional com uma amostra conformada por 145 trabalhadores de cinco empresas do setor privado da cidade de Bogotá, Colômbia. A personalidade foi avaliada por meio do teste PPG-IPG, de Gordon (1993), e para a qualidade de vida foi utilizado o PCVL, de Gómez-Rada e Ponce de León (2010). Foram analisados os resultados por meios estatísticos descritivos e de caráter correlacional entre as variáveis com os coeficientes produto momento de Pearson e as categorias de Spearman. Os resultados mostram que a avaliação da QVP se encontra relacionada positivamente com o fato de o trabalhador mostrar uma personalidade mais positiva, em termos de mais autoestima, cautela, originalidade, compreensão e vitalidade.

Abstract Labor life quality (CVL, for its Spanish acronym) and personality conform two of the most interesting topics in human behavior research within the organization. The aim of this research was to identify whether it was possible to predict CVL as of some personality dimensions. To do so a correlational descriptive design was used. The sampling was made up of 145 workers at 5 private sector companies in the city of Bogotá. Personality was evaluated through the Gordon PPG-IPG test, and for life quality, Gómez PCVL (2010) was used. The results were analyzed by means of descriptive statistics and the relation between variables was analyzed through Pearson moment-product coefficients and Spearman ranges. Results show that CVL valuation is positively related to the fact that the worker shows a more positive personality in terms of greater self-steem, caution, originality, understanding, and vitality.