Objective:To identify predictors of pregnancy and live birth outcomes in assisted reproductive technology(ART)cycles based on patient characteristics,hormonal profile,and embryo transfer variables.Methods:This retrosp...Objective:To identify predictors of pregnancy and live birth outcomes in assisted reproductive technology(ART)cycles based on patient characteristics,hormonal profile,and embryo transfer variables.Methods:This retrospective cohort study included 50 fresh in vitro fertilization(IVF)/intracytoplasmic sperm injection(ICSI)cycles selected from ART participants at a single tertiary ART center.Controlled ovarian stimulation was performed using recombinant follicle stimulating hormone(rFSH),gonadotropin-releasing hormone(GnRH)antagonist,and menotropins;oocyte retrieval occurred 36 h after trigger and embryo transfer was performed on day 3 or 5.Outcomes(chemical pregnancy,ongoing pregnancy,abortion,live birth)were compared across groups stratified by maternal age,antral follicle count(AFC),anti-Müllerian hormone(AMH),baseline luteinizing hormone(LH),estradiol(E2)at trigger,and endometrial thickness.Multivariate regression was used to identify independent predictors of live birth.Results:A total of 124 ART patients were screened during the study period,of whom 50 participants meeting the eligibility criteria were included in the final analysis.The median age of the participants was 35.8 years[interquartile range(IQR)32.5–39.6].The median AFC was 8(IQR 4–14),AMH level was 1.4 ng/mL(IQR 0.7–2.9),and the median endometrial thickness at embryo transfer was 10.2 mm(IQR 9.0–11.3).Chemical,ongoing,abortion,and live birth rates were 62%,32%,12%,and 16%,respectively.Younger maternal age(<35 years),higher AFC(>12),AMH 1–4 ng/mL,and endometrial thickness≥10 mm were associated with more favorable pregnancy outcomes.In multivariate analysis,higher baseline LH(β=0.089;95%CI 0.017–0.162;P=0.02)and greater endometrial thickness(β=0.145;95%CI 0.011–0.278;P=0.04)independently predicted live birth,whereas age,AFC,AMH,and E2 did not.Conclusions:Maternal age,ovarian reserve markers,LH levels,and endometrial thickness collectively influence ART outcomes.Baseline LH and endometrial receptivity are key independent predictors of live birth and may guide individualized treatment strategies.展开更多
BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their...BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their RTW process.Hence,scientific research is necessary to explore the barriers and facilitating factors of returning to work for young and middle-aged CRC survivors.AIM To examine the current RTW status among young and middle-aged CRC survivors and to analyze the impact of RTW self-efficacy(RTW-SE),fear of progression(FoP),eHealth literacy(eHL),family resilience(FR),and financial toxicity(FT)on their RTW outcomes.METHODS A cross-sectional investigation was adopted in this study.From September 2022 to February 2023,a total of 209 participants were recruited through a convenience sampling method from the gastrointestinal surgery department of a class A tertiary hospital in Chongqing.The investigation utilized a general information questionnaire alongside scales assessing RTW-SE,FoP,eHL,FR,and FT.To analyze the factors that influence RTW outcomes among young and middle-aged CRC survivors,Cox regression modeling and Kaplan-Meier survival analysis were used.RESULTS A total of 43.54%of the participants successfully returned to work,with an average RTW time of 100 days.Cox regression univariate analysis revealed that RTW-SE,FoP,eHL,FR,and FT were significantly different between the non-RTW and RTW groups(P<0.05).Furthermore,Cox regression multivariate analysis identified per capita family monthly income,job type,RTW-SE,and FR as independent influencing factors for RTW(P<0.05).CONCLUSION The RTW rate requires further improvement.Elevated levels of RTW-SE and FR were found to significantly increase RTW among young and middle-aged CRC survivors.Health professionals should focus on modifiable factors,such as RTW-SE and FR,to design targeted RTW support programs,thereby facilitating their timely reintegration into mainstream society.展开更多
Background Birth weight is a critical economic trait in livestock production.However,its genetic architecture remains poorly understood due to historical limitations in sample size and reliance on low-density SNP arra...Background Birth weight is a critical economic trait in livestock production.However,its genetic architecture remains poorly understood due to historical limitations in sample size and reliance on low-density SNP arrays.In this study,we utilized low-coverage whole-genome sequencing(lcWGS)to genotype 3,007 Hu sheep,bypassing the cost and resolution constraints of conventional genotyping arrays while achieving scalable genome-wide variant detection.Results LcWGS with high imputation accuracy(97.8%allelic concordance)enabled genome-wide association studies(GWAS)identifying two novel quantitative trait loci(QTLs)on chromosomes 6 and 9.The chromosome 9 QTL encompassed a regulatory region functionally linked to PLAG1 expression through expression quantitative trait locus(eQTL)mapping.Compared with wild-type homozygotes,heterozygous carriers of the lead SNP(chr9:g.35920172A>G)presented a 9.85%increase in birth weight(3.35 kg vs.3.68 kg;Δ=0.33 kg).Notably,the derived allele of this SNP exhibited low frequencies of<0.1 across most global sheep breeds except Dorper,highlighting its potential for selective breeding applications.Leveraging lcWGS data,haplotype-based fine-mapping prioritized three candidate causal variants.A secondary QTL on chromosome 6 colocalized with the FecB mutation,a well-established locus associated with increased litter size.Intriguingly,individuals carrying one FecB allele showed a 6.18%reduction(0.22 kg)in birth weight,which tentatively indicates potential pleiotropic influences on both growth and reproductive traits.Conclusion This study demonstrates the utility of lcWGS as a cost-effective,high-resolution tool for dissecting complex traits in livestock.Our findings not only advance the understanding of birth weight genetics in sheep but also offer a blueprint for accelerating genetic improvement programs in global livestock production through costeffective,genome-wide approaches.展开更多
Objective Accurately identifying the key influencing factors of psychological birth trauma in primiparous women is crucial for implementing effective preventive and intervention measures.This study aimed to develop an...Objective Accurately identifying the key influencing factors of psychological birth trauma in primiparous women is crucial for implementing effective preventive and intervention measures.This study aimed to develop and validate an interpretable machine learning prediction model for identifying the key influencing factors of psychological birth trauma in primiparous women.Methods A multicenter cross-sectional study was conducted on primiparous women in four tertiary hospitals in Sichuan Province,southwestern China,from December 2023 to March 2024.The Childbirth Trauma Index was used in assessing psychological birth trauma in primiparous women.Data were collected and randomly divided into a training set(80%,n=289)and a testing set(20%,n=73).Six different machine learning models were trained and tested.Training and prediction were conducted using six machine learning models included Linear Regression,Support Vector Regression,Multilayer Perceptron Regression,eXtreme Gradient Boosting Regression,Random Forest Regression,and Adaptive Boosting Regression.The optimal model was selected based on various performance metrics,and its predictive results were interpreted using SHapley Additive exPlanations(SHAP)and accumulated local effects(ALE).Results Among the six machine learning models,the Multilayer Perceptron Regression model exhibited the best overall performance in the testing set(MAE=3.977,MSE=24.832,R2=0.507,EVS=0.524,RMSE=4.983).In the testing set,the R2 and EVS of the Multilayer Perceptron Regression model increased by 8.3%and 1.2%,respectively,compared to the traditional linear regression model.Meanwhile,the MAE,MSE,and RMSE decreased by 0.4%,7.3%,and 3.7%,respectively,compared to the traditional linear regression model.The SHAP analysis indicated that intrapartum pain,anxiety,postpartum pain,resilience,and planned pregnancy are the most critical influencing factors of psychological birth trauma in primiparous women.The ALE analysis indicated that higher intrapartum pain,anxiety,and postpartum pain scores are risk factors,while higher resilience scores are protective factors.Conclusions Interpretable machine learning prediction models can identify the key influencing factors of psychological birth trauma in primiparous women.SHAP and ALE analyses based on the Multilayer Perceptron Regression model can help healthcare providers understand the complex decision-making logic within a prediction model.This study provides a scientific basis for the early prevention and personalized intervention of psychological birth trauma in primiparous women.展开更多
Objective To investigate the association between birth weight and dementia risk and the mediating roles of chronic diseases,and to assess potential biological pathways underlying the birth weight-associated dementia r...Objective To investigate the association between birth weight and dementia risk and the mediating roles of chronic diseases,and to assess potential biological pathways underlying the birth weight-associated dementia risk based on large-scale proteomics.Methods We used data from 279743 participants aged 40 to 69 years enrolled in the UK Biobank.Birth weight was categorized into low birth weight(≤2500 g),normal birth weight(2500-3999 g),and macrosomia(≥4000 g).Multivariable Cox proportional hazards regression models were used to assess the associations between birth weight categories and all-cause dementia and its subtypes(Alzheimer's disease and vascular dementia).Proteomics analyses were conducted to identify proteins and the potential pathways involved.Results Low birth weight was associated with higher risks for all-cause dementia and its subtypes.The hazard ratios were 1.18(95%CI,1.08-1.30)for all-cause dementia,1.14(95%CI,1.00-1.31)for Alzheimer's disease,and 1.22(95%CI,1.01-1.48)for vascular dementia.A non-linear relationship was observed between birth weight and dementia risk(P for nonlinearity<0.001).Certain cardiometabolic diseases in middle-aged adults,such as diabetes,stroke,hypertension,and dyslipidemia,played a significant mediating role in the relationship between low birth weight and dementia risk,with the mediation proportion being 6.3%to 15.8%.Proteomic analyses identified 21 proteins linked to both low birth weight and all-cause dementia risk,which were significantly enriched in the pathways for viral protein interaction with cytokines and cytokine receptors,adipocytokine signaling,and cytokine-cytokine receptor interaction.Conclusion Low birth weight is positively associated with dementia risk.Cardiometabolic diseases in middle-aged adults may mediate the relationship between low birth weight and dementia risk.A number of proteins and the associated pathways underscore the relationship between low birth weight and dementia risk.展开更多
Background: Birth weight has been identified as one of the most significant predictors of a child’s physical growth, development, and survival in later life. A quest to provide an answer on the impact of maternal ant...Background: Birth weight has been identified as one of the most significant predictors of a child’s physical growth, development, and survival in later life. A quest to provide an answer on the impact of maternal anthropometry on neonatal birth weight necessitated this study. Materials and methods: It is a cross-sectional descriptive hospital based study that involved 130 participants selected using a systematic sampling method, utilizing a semi-structured, pre-tested interviewer administered questionnaire. Data were collected using a standard procedure and were summarized using proportions, and the Chi square test was used to explore the association between categorical variables. Predictors of birth weight were determined using logistic regression. The level of statistical significance was set at p Results: Participants had a mean age of 28.6 ± 5.1 years, mean weight of 72.2 ± 11.2 kg and mean height of 1.63 ± 0.07m while the mean fetal birth weight was 3.10 ± 0.56 kg. There was a significant association between maternal delivery body mass index and neonatal birth weight (p Conclusion: The prevalence of low birth weight and macrosomia in this study population was high. The focus should be geared towards balanced nutrition support for all mothers at booking so as to mitigate the risks associated with these extremes of birth weight.展开更多
Preterm birth(PTB),defined as delivery before 37 weeks of gestation,is the most common adverse pregnancy outcome[1].PTB is a global health concern,with an estimated 13.4 million cases in 2020[1],accounting for more th...Preterm birth(PTB),defined as delivery before 37 weeks of gestation,is the most common adverse pregnancy outcome[1].PTB is a global health concern,with an estimated 13.4 million cases in 2020[1],accounting for more than one in 10 births worldwide.Compared to full-term births,PTBs are associated with a higher risk of short-and long-term complications,including bronchopulmonary dysplasia,necrotizing enterocolitis,visual impairment,and cerebral injuries[2].Despite substantial research efforts to prevent PTB,the global PTB rate has shown little improvement over the past decade[1].Therefore,identifying additional risk factors remains a critical goal in preventing PTB.展开更多
BACKGROUND Extended care based on self-efficacy theory to elderly patients with intertrochanteric fractures will provide data reference to optimize the care plan of these patients,reduce patients’concurrent mental di...BACKGROUND Extended care based on self-efficacy theory to elderly patients with intertrochanteric fractures will provide data reference to optimize the care plan of these patients,reduce patients’concurrent mental diseases,and improve prognosis.AIM To analyze the value of extended nursing based on the self-efficacy theory in older patients with intertrochanteric fractures.METHODS Older patients with intertrochanteric fractures(n=88)admitted to our hospital between January 2021 and December 2024 were randomly divided into two groups-the control group(n=44,routine nursing)and the observation group(n=44,extended nursing)-via balloting and treated for 12 weeks.The mental state,pain severity,limb function,and self-nursing ability of all patients before and after nursing were analyzed.RESULTS After nursing,the Hamilton Anxiety Scale and General Self-Efficacy Scale scores of patients in the two groups improved.Notably,Hamilton Anxiety Scale and General Self-Efficacy Scale scores in the observation group were lower and higher,respectively,than those in the control group(P<0.05).The pain severity in the observation group(2.64±0.22)was lower than that in the control group(2.85±0.41)(P<0.05).The recovery rate of limb function was higher in the observation group than in the control group(P<0.05).In addition,the self-nursing ability scores of the patients in both groups increased,with a significantly higher score in the observation group(P<0.05).CONCLUSION Extended nursing based on the self-efficacy theory can significantly improve mental state,relieve pain,and promote the recovery of limb function and self-nursing ability in older patients with intertrochanteric fractures.展开更多
Public participation is crucial in mitigating disasters.Stemming from the ongoing debate on benefit-and risk-driven approaches to landslide mitigation,this study seeks to uncover the factors and underlying mechanisms ...Public participation is crucial in mitigating disasters.Stemming from the ongoing debate on benefit-and risk-driven approaches to landslide mitigation,this study seeks to uncover the factors and underlying mechanisms that affect farmers'willingness to participate in landslide prevention and mitigation(WPLPM).Conducted in Heifangtai,Gansu Province,China,renowned as the"landslide natural laboratory",this research employs multiple linear regression analysis on data from 399 questionnaires to pinpoint the key determinants of farmers'WPLPM.The findings reveal:(1)the"risk perception paradox"exists—farmers have high-risk perception but low WPLPM;(2)the impact of risk perception on WPLPM is tempered by self-efficacy related to fund,learning ability,and operation ability,offering an insight into the"risk perception paradox";and(3)There are significant positive influences of farmers'benefit perception,social network,and perceived responsibility on their WPLPM.Based on these insights,the study offers targeted policy recommendations.展开更多
BACKGROUND Patients with gastric cancer(GC)frequently experience notable psychological distress,which often manifests as anxiety and depression.Identifying key contributing factors is essential for developing effectiv...BACKGROUND Patients with gastric cancer(GC)frequently experience notable psychological distress,which often manifests as anxiety and depression.Identifying key contributing factors is essential for developing effective interventions to improve mental health outcomes.AIM To investigate the relationships between anxiety/depression,self-efficacy,and social support in patients with GC and identified significant risk factors.METHODS We enrolled 124 patients with GC undergoing treatment at Chongqing University Cancer Hospital between May 2021 and May 2024.Information regarding the patients’anxiety and depression evaluated by the hospital anxiety and depression scale(HADS),[including a subscale for anxiety(HADS-A)and a separate subscale for depression(HADS-D)]self-efficacy,measured by the general self-efficacy scale(GSES),and social support,assessed by the perceived social support scale(PSSS),was gathered.Relationships among HADS,GSES,and PSSS scores were determined through Pearson correlation analysis.Risk factors for anxiety and depression among patients with GC were identified using univariate and multivariate analyses,specifically binary logistic regression.RESULTS The obtained data demonstrated mild psychological distress(mean HADS-A:8.74±3.70;mean HADS-D:10.26±3.84),suboptimal self-efficacy levels(GSES:17.81±5.45),and moderate social support(PSSS:56.27±11.28).Correlational analysis revealed significant inverse relationships between psychological distress(anxiety and depression)and both social support and self-efficacy(P<0.01),with self-efficacy showing a strong positive association with social support(P<0.01).Univariate analysis revealed that gender,age,clinical stage,tumor size,GSES,and PSSS were closely associated with anxiety and depression in patients with GC.Multivariate logistic regression identified three independent predictors of these mood disturbances:Advanced age(≥60),large tumor size(≥3 cm),and diminished GSES scores(<18).CONCLUSION Our findings suggest that patients with GC generally experience mild anxiety and depression,which are closely related to low self-efficacy and insufficient social support.Age,tumor size,and low self-efficacy are independent predictors of anxiety and depression.In clinical practice,psychosocial interventions should be integrated,with a focus on high-risk populations,to improve patients’mental health.展开更多
BACKGROUND Postpartum depression(PPD)represents a significant public health concern,adversely affecting both new mothers and their infants.Despite routine early screening,PPD can persist beyond the initial postpartum ...BACKGROUND Postpartum depression(PPD)represents a significant public health concern,adversely affecting both new mothers and their infants.Despite routine early screening,PPD can persist beyond the initial postpartum months,with notably high incidence rates even one year after childbirth.Persistent PPD has been associated with poor developmental outcomes in infants,highlighting the need for continued monitoring and support during this critical period.Understanding the broader impacts of persistent PPD is essential for developing effective interventions to improve maternal and infant well-being.AIM To explore the impact of persistent PPD on infant developmental behavior and maternal self-efficacy.METHODS We recruited 60 postpartum women who experienced persistent depression after childbirth in our hospital from January 2020 to December 2024 as the research subjects.The study collected basic characteristics of both infants and mothers,analyzed the self-efficacy of the mothers and the developmental behaviors of the infants,and conducted a correlation analysis to examine the relationship between postpartum persistent depression in mothers and the developmental behaviors and self-efficacy of infants.The Bootstrap method was used to verify the significance of the mediating effect.RESULTS The basic characteristics of infants and mothers show that 53.33%are male,58.33%are born via vaginal delivery,88.33%have a normal body mass index,51.67%are aged between 25 and 29 years,70%are non-agricultural workers,51.67%have a per capita household income over 4000 yuan,96.67%are full-term births,and 58.33%of the fathers are aged between 26 and 32 years.In terms of infant development behavior,the gross motor skills score is relatively low(38.44±12.15).Regarding maternal self-efficacy,the skill score(45.68±5.49)and mental activity score(46.37±3.72)are both at a low level.Correlation analysis reveals that postpartum persistent depression is significantly negatively correlated with maternal self-efficacy and infant development behavior(β=-0.439,-0.657,P<0.001),while self-efficacy is positively correlated with infant development behavior(β=0.728,P<0.001).The path coefficient and Bootstrap method test indicate that self-efficacy acts as a mediator between postpartum persistent depression and infant development behavior,accounting for 54.80%of the effect(P<0.05),while the direct effect of postpartum persistent depression on infant development behavior is 45.20%(P<0.05).CONCLUSION Persistent PPD significantly negatively impacts infant developmental outcomes,with maternal self-efficacy serving as a partial mediator.These findings suggest that interventions targeting both depressive symptoms and selfenhancement may effectively promote infant health development.展开更多
This study aimed to explore the mediating roles of self-efficacy and intrinsic motivation on the relationship between teacher autonomy and teacher job satisfaction.Data were from the Teaching and Learning International...This study aimed to explore the mediating roles of self-efficacy and intrinsic motivation on the relationship between teacher autonomy and teacher job satisfaction.Data were from the Teaching and Learning International Survey(TALIS 2018),with a sample of 3131 junior high school teachers(female=2337;male=794)from Shanghai,China.The mediating effect was analyzed using structural equation modeling.The results showed that teacher autonomy was positively associated with teacher job satisfaction,self-efficacy,and intrinsic motivation.Both self-efficacy and intrinsic motivation were associated with teacher job satisfaction.Self-efficacy was associated with teacher intrinsic motivation.Self-efficacy and intrinsic motivation not only served as independent mediators between teacher autonomy and teacher job satisfaction but also played a chain mediating role.Moreover,the separate mediating effect of self-efficacy was the most significant.Findings are consistent with the job demands-resources model by which diminished teacher autonomy ould explain lower teacher job satisfaction.展开更多
Drawing upon self-determination theory,this study examines the effects of vicarious abusive supervision on third-party’s self-efficacy and task performance within organizational contexts.Data were collected via surve...Drawing upon self-determination theory,this study examines the effects of vicarious abusive supervision on third-party’s self-efficacy and task performance within organizational contexts.Data were collected via surveys from 337 employees across diverse organizations.The results indicate that vicarious abusive supervision significantly undermines both self-efficacy and task performance among employees who are indirectly exposed to such behavior but not directly targeted.Furthermore,self-efficacy serves as a mediator between vicarious abusive supervision and task performance;however,this mediating effect is attenuated for employees with a high promotion focus.These findings provide valuable theoretical and practical insights,particularly in the domain of organizational behavior,by emphasizing the critical role of promotion focus in mitigating the negative effects of vicarious abusive supervision.This research contributes to the organizational behavior literature by shifting the focus from the traditional supervisor-subordinate dynamic to a third-party perspective,thereby enriching our understanding of how vicarious abusive supervision impacts employees within organizational settings.The study underscores the importance of self-efficacy and promotion focus as key factors in unethical leadership contexts.展开更多
BACKGROUND Global tumor incidence rises and therapies advance,driving oncology nursing specialization.Granting nurses prescriptive authority optimizes care but polarizes nurses'attitudes due to factors like risk a...BACKGROUND Global tumor incidence rises and therapies advance,driving oncology nursing specialization.Granting nurses prescriptive authority optimizes care but polarizes nurses'attitudes due to factors like risk and competence,hindering policy implementation.AIM To investigate the current status of the attitudes of oncology specialist nurses toward having prescribing authority,specifically concerning symptom management and supportive care in oncology practice,and we conducted a path analysis of their influencing factors.METHODS As participants in the survey,oncology specialist nurses working in hospitals of different grades in Jiangsu Province were selected from March 2025 to May 2025 using a stratified sampling method.The questionnaires were administered using the general information questionnaire,the beliefs and attitudes about nurses'prescriptive authority scale,the nurses'professional identity scale,and the selfefficacy scale.Pearson’s method was used to analyze the correlation between beliefs and attitudes about the prescriptive authority,professional identity,and self-efficacy of nurses.Multiple linear regression was performed to analyze the factors influencing the beliefs and attitudes of nurses’prescriptive authority.The Amos plug-in was used to construct structural equation models to analyze the influencing pathways.RESULTS A total of 329 questionnaires were distributed,and 328 valid questionnaires were returned(effective recovery rate:99.70%).The total score of the 328 oncology nurses on the beliefs and attitudes about nurses'prescriptive authority scale was 101.88±15.13,indicating a moderately high level.Univariate analysis revealed that gender and hospital grade were associated with this score(P<0.05).The Pearson correlation analysis revealed that self-efficacy was positively correlated with the scores of the beliefs and attitudes about nurses’prescriptive authority scale and the nurses’professional identity scale(r=0.4999,P<0.0001 and r=0.7048,P<0.05,respectively),whereas occupational identity was positively correlated only with the former(r=0.6209,P<0.05).Multiple linear regression analysis revealed occupational identity and self-efficacy as the factors influencing the scores of the beliefs and attitudes about nurses’prescriptive authority scale(P<0.05).The results of the path analysis revealed that selfefficacy significantly positively affected nurses’occupational identity and their beliefs and attitudes about having prescriptive authority;occupational identity played a mediating role between the two,with a mediating effect accounting for 54.46% of the total effect,and the structural equation model was well-fitted.CONCLUSION Oncology nurses have more positive attitudes toward prescriptive authority.In addition,self-efficacy positively and indirectly affects nurses’attitudes toward prescriptive authority through the mediating effect of occupational identity.This can be used as a basis for clinical practice to take targeted measures to improve nurses’self-efficacy and occupational identity,thus creating favorable conditions for effectively implementing the policy of prescriptive authority.展开更多
Preterm birth and suboptimal fetal growth remain significant perinatal challenges worldwide.Recent data indicate that China's perinatal profile has improved due to reductions in preterm birth rates.However,the cou...Preterm birth and suboptimal fetal growth remain significant perinatal challenges worldwide.Recent data indicate that China's perinatal profile has improved due to reductions in preterm birth rates.However,the country has a 6.5%prevalence of small-for-gestational-age(SGA),ranking fifth globally in total SGA birth numbers^([1,2]).展开更多
This study examines how training opportunities influence teachers’job satisfaction,emphasizing the mediating effect of AI self-efficacy among primary and secondary school teachers in Wuhan,China.Current research empl...This study examines how training opportunities influence teachers’job satisfaction,emphasizing the mediating effect of AI self-efficacy among primary and secondary school teachers in Wuhan,China.Current research employed a quantitative,cross-sectional design.Data were collected using an online questionnaire from 655 primary and secondary school teachers in Wuhan.Structural equation modelling(PLS-SEM)was utilized for data analysis.Results confirmed significant positive relationships between training opportunities and both AI self-efficacy and job satisfaction.Besides,AI self-efficacy was found to significantly mediate the relationship between training opportunities and job satisfaction.This study contributes to the body of knowledge by empirically showed the relatively unexplored psychological pathway(AI self-efficacy)linking training opportunities to job satisfaction within AI-intensive educational contexts.The findings enhance understanding of how structured training in AI can positively influence teachers’attitudes and job-related outcomes.Educational policymakers and administrators can utilise these findings to develop specialised training programs,thereby improving teacher self-efficacy,job satisfaction and overall effectiveness in responding to technology changes.展开更多
This study explores the interaction of responsible leadership,supportive climate,and creative self-efficacy in enhancing knowledge sharing among employees in the banking sector.Data from 314 employees(42%Females,58%Ma...This study explores the interaction of responsible leadership,supportive climate,and creative self-efficacy in enhancing knowledge sharing among employees in the banking sector.Data from 314 employees(42%Females,58%Males)were analyzed using structural equation modeling(SEM)and a time-lagged survey design.The analysis revealed a higher responsible leadership to be associated with both creative self-efficacy and knowledge sharing.Additionally,the study found that supportive climate moderation to significantly,strengthening the relationship between responsible leadership and knowledge sharing.Creative self-efficacy partially mediated this relationship to be stronger.The results indicate that responsible leadership and a supportive climate are crucial socio-cognitive mechanisms for enhancing knowledge sharing in organizations.The banking sector should aim to promote collaborative work partnerships implementing responsible leadership practices and cultivating supportive work environments to bolster organizational growth and competitiveness.展开更多
This study examined the effects of design thinking pedagogy on undergraduates’career decision-making selfefficacy and employability in career education.Using a quasi-experimental design,Chinese college students(N=93)...This study examined the effects of design thinking pedagogy on undergraduates’career decision-making selfefficacy and employability in career education.Using a quasi-experimental design,Chinese college students(N=93)were participants in two wings.The experimental group(n=47)received the design thinking pedagogy,while the control group(n=46)followed the regularly teacher-centered method.The students completed the career decision-making self-efficacy scale and employability scale before and after the intervention.Independent samples t-test results showed that design thinking pedagogy significantly improves students’career decision-making self-efficacy and employability.The ANCOVA results showed that the pretest scores of career decision-making self-efficacy and employability had no significant association with the experimental intervention.There was no interaction between the treatment and pretest scores.It would seem that experimental design thinking pedagogy implemented in career guidance courses has little effect compared to the usual course presentation.Nonetheless,prospects for the implementation of design thinking-guided learning activities to support interdisciplinary learning for improved higher education and career development outcomes need further exploration.展开更多
This study explored the role of learning engagement in the relationship between academic self-efficacy and self-directed learning ability among nursing students.Participants were 328 Chinese nursing students(male=11.3...This study explored the role of learning engagement in the relationship between academic self-efficacy and self-directed learning ability among nursing students.Participants were 328 Chinese nursing students(male=11.3%,female=88.7%;mean age=20.86 years;SD=1.75 years).The participants completed surveys on academic self-efficacy(Academic Self-efficacy Scale),learning engagement(Learning Engagement Scale),and self-directed learning ability(Self-directed Learning Instrument).Hayes regression-based PROCESS macro analysis revealed that learning engagement mediated the relationship between academic self-efficacy and self-directed learning ability.The hierarchical regression analysis showed higher academic self-efficacy to be associated with self-directed learning ability.Additionally learning engagement was associated with higher self-directed learning ability.Based on thesefindings,there is a need for interventions to improve students’self-directed learning ability through increasing their academic self-efficacy and enhancing learning engagement.展开更多
Background:Academic stress is a critical factor influencing university students’well-being.However,research has shown that stress is not a unidimensional construct;different types of stressors(challenge vs.hindrance)...Background:Academic stress is a critical factor influencing university students’well-being.However,research has shown that stress is not a unidimensional construct;different types of stressors(challenge vs.hindrance)may lead to distinct outcomes.This study constructed a structural equation model(SEM)to examine the relationships between challenge and hindrance academic stressors and students’well-being,as well as the mediating mechanisms.Methods:Data were collected from 836 undergraduates at six universities in China(58.4%female,41.6%male;Mean age=20.47±1.46 years).Descriptive statistics,Pearson correlations,and SEM with 5000 bootstrap resamples were conducted to test hypothesized paths and mediating effects.Results:Direct path analysis revealed that challenge stressors positively predicted meaning in life(β=0.329,p<0.001)but not academic self-efficacy(β=-0.004,p=0.915),while hindrance stressors negatively predicted meaning in life(β=-0.371,p<0.001).Meaning in life strongly predicted academic self-efficacy(β=0.543,p<0.001)and well-being(β=0.301,p<0.001),and academic self-efficacy further contributed to well-being(β=0.190,p<0.001).Bootstrapping confirmed that meaning in life significantly mediated the effects of both challenge(β=0.099,95%CI[0.063,0.144])and hindrance stressors(β=-0.112,95%CI[-0.162,-0.076])on well-being.The serial mediation pathway was also significant for both models(challenge:β=0.034,95%CI[0.019,0.049];hindrance:β=-0.038,95%CI[-0.057,-0.024]).Conclusions:This study partially validates the dual-pathway model of academic stress in higher education and highlights the pivotal roles of meaning in life and academic self-efficacy in the stress-well-being relationship.展开更多
文摘Objective:To identify predictors of pregnancy and live birth outcomes in assisted reproductive technology(ART)cycles based on patient characteristics,hormonal profile,and embryo transfer variables.Methods:This retrospective cohort study included 50 fresh in vitro fertilization(IVF)/intracytoplasmic sperm injection(ICSI)cycles selected from ART participants at a single tertiary ART center.Controlled ovarian stimulation was performed using recombinant follicle stimulating hormone(rFSH),gonadotropin-releasing hormone(GnRH)antagonist,and menotropins;oocyte retrieval occurred 36 h after trigger and embryo transfer was performed on day 3 or 5.Outcomes(chemical pregnancy,ongoing pregnancy,abortion,live birth)were compared across groups stratified by maternal age,antral follicle count(AFC),anti-Müllerian hormone(AMH),baseline luteinizing hormone(LH),estradiol(E2)at trigger,and endometrial thickness.Multivariate regression was used to identify independent predictors of live birth.Results:A total of 124 ART patients were screened during the study period,of whom 50 participants meeting the eligibility criteria were included in the final analysis.The median age of the participants was 35.8 years[interquartile range(IQR)32.5–39.6].The median AFC was 8(IQR 4–14),AMH level was 1.4 ng/mL(IQR 0.7–2.9),and the median endometrial thickness at embryo transfer was 10.2 mm(IQR 9.0–11.3).Chemical,ongoing,abortion,and live birth rates were 62%,32%,12%,and 16%,respectively.Younger maternal age(<35 years),higher AFC(>12),AMH 1–4 ng/mL,and endometrial thickness≥10 mm were associated with more favorable pregnancy outcomes.In multivariate analysis,higher baseline LH(β=0.089;95%CI 0.017–0.162;P=0.02)and greater endometrial thickness(β=0.145;95%CI 0.011–0.278;P=0.04)independently predicted live birth,whereas age,AFC,AMH,and E2 did not.Conclusions:Maternal age,ovarian reserve markers,LH levels,and endometrial thickness collectively influence ART outcomes.Baseline LH and endometrial receptivity are key independent predictors of live birth and may guide individualized treatment strategies.
基金Supported by the Chongqing Medical University Program for Youth Innovation in Future Medicine,No.W0019Chongqing Municipal Education Commission’s 14th Five-Year Key Discipline Support Project,No.20240101 and No.20240102。
文摘BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their RTW process.Hence,scientific research is necessary to explore the barriers and facilitating factors of returning to work for young and middle-aged CRC survivors.AIM To examine the current RTW status among young and middle-aged CRC survivors and to analyze the impact of RTW self-efficacy(RTW-SE),fear of progression(FoP),eHealth literacy(eHL),family resilience(FR),and financial toxicity(FT)on their RTW outcomes.METHODS A cross-sectional investigation was adopted in this study.From September 2022 to February 2023,a total of 209 participants were recruited through a convenience sampling method from the gastrointestinal surgery department of a class A tertiary hospital in Chongqing.The investigation utilized a general information questionnaire alongside scales assessing RTW-SE,FoP,eHL,FR,and FT.To analyze the factors that influence RTW outcomes among young and middle-aged CRC survivors,Cox regression modeling and Kaplan-Meier survival analysis were used.RESULTS A total of 43.54%of the participants successfully returned to work,with an average RTW time of 100 days.Cox regression univariate analysis revealed that RTW-SE,FoP,eHL,FR,and FT were significantly different between the non-RTW and RTW groups(P<0.05).Furthermore,Cox regression multivariate analysis identified per capita family monthly income,job type,RTW-SE,and FR as independent influencing factors for RTW(P<0.05).CONCLUSION The RTW rate requires further improvement.Elevated levels of RTW-SE and FR were found to significantly increase RTW among young and middle-aged CRC survivors.Health professionals should focus on modifiable factors,such as RTW-SE and FR,to design targeted RTW support programs,thereby facilitating their timely reintegration into mainstream society.
基金supported by the Biological Breeding-National Science and Technology Major Project(2022ZD0401403)Shaanxi Provincial Key Research and Development Program(2024NC2-GJHX-15)Shaanxi Livestock and Poultry Breeding Double-chain Fusion Key Project(2022GD-TSLD-46-0401).
文摘Background Birth weight is a critical economic trait in livestock production.However,its genetic architecture remains poorly understood due to historical limitations in sample size and reliance on low-density SNP arrays.In this study,we utilized low-coverage whole-genome sequencing(lcWGS)to genotype 3,007 Hu sheep,bypassing the cost and resolution constraints of conventional genotyping arrays while achieving scalable genome-wide variant detection.Results LcWGS with high imputation accuracy(97.8%allelic concordance)enabled genome-wide association studies(GWAS)identifying two novel quantitative trait loci(QTLs)on chromosomes 6 and 9.The chromosome 9 QTL encompassed a regulatory region functionally linked to PLAG1 expression through expression quantitative trait locus(eQTL)mapping.Compared with wild-type homozygotes,heterozygous carriers of the lead SNP(chr9:g.35920172A>G)presented a 9.85%increase in birth weight(3.35 kg vs.3.68 kg;Δ=0.33 kg).Notably,the derived allele of this SNP exhibited low frequencies of<0.1 across most global sheep breeds except Dorper,highlighting its potential for selective breeding applications.Leveraging lcWGS data,haplotype-based fine-mapping prioritized three candidate causal variants.A secondary QTL on chromosome 6 colocalized with the FecB mutation,a well-established locus associated with increased litter size.Intriguingly,individuals carrying one FecB allele showed a 6.18%reduction(0.22 kg)in birth weight,which tentatively indicates potential pleiotropic influences on both growth and reproductive traits.Conclusion This study demonstrates the utility of lcWGS as a cost-effective,high-resolution tool for dissecting complex traits in livestock.Our findings not only advance the understanding of birth weight genetics in sheep but also offer a blueprint for accelerating genetic improvement programs in global livestock production through costeffective,genome-wide approaches.
基金supported by the Sichuan Province Nursing Scientific Research Project Plan(H23022)the 2022 Municipal-University Science and Technology Strategic Cooperation Special Fund of Nanchong Science and Technology Bureau(22SXQT0222)。
文摘Objective Accurately identifying the key influencing factors of psychological birth trauma in primiparous women is crucial for implementing effective preventive and intervention measures.This study aimed to develop and validate an interpretable machine learning prediction model for identifying the key influencing factors of psychological birth trauma in primiparous women.Methods A multicenter cross-sectional study was conducted on primiparous women in four tertiary hospitals in Sichuan Province,southwestern China,from December 2023 to March 2024.The Childbirth Trauma Index was used in assessing psychological birth trauma in primiparous women.Data were collected and randomly divided into a training set(80%,n=289)and a testing set(20%,n=73).Six different machine learning models were trained and tested.Training and prediction were conducted using six machine learning models included Linear Regression,Support Vector Regression,Multilayer Perceptron Regression,eXtreme Gradient Boosting Regression,Random Forest Regression,and Adaptive Boosting Regression.The optimal model was selected based on various performance metrics,and its predictive results were interpreted using SHapley Additive exPlanations(SHAP)and accumulated local effects(ALE).Results Among the six machine learning models,the Multilayer Perceptron Regression model exhibited the best overall performance in the testing set(MAE=3.977,MSE=24.832,R2=0.507,EVS=0.524,RMSE=4.983).In the testing set,the R2 and EVS of the Multilayer Perceptron Regression model increased by 8.3%and 1.2%,respectively,compared to the traditional linear regression model.Meanwhile,the MAE,MSE,and RMSE decreased by 0.4%,7.3%,and 3.7%,respectively,compared to the traditional linear regression model.The SHAP analysis indicated that intrapartum pain,anxiety,postpartum pain,resilience,and planned pregnancy are the most critical influencing factors of psychological birth trauma in primiparous women.The ALE analysis indicated that higher intrapartum pain,anxiety,and postpartum pain scores are risk factors,while higher resilience scores are protective factors.Conclusions Interpretable machine learning prediction models can identify the key influencing factors of psychological birth trauma in primiparous women.SHAP and ALE analyses based on the Multilayer Perceptron Regression model can help healthcare providers understand the complex decision-making logic within a prediction model.This study provides a scientific basis for the early prevention and personalized intervention of psychological birth trauma in primiparous women.
文摘Objective To investigate the association between birth weight and dementia risk and the mediating roles of chronic diseases,and to assess potential biological pathways underlying the birth weight-associated dementia risk based on large-scale proteomics.Methods We used data from 279743 participants aged 40 to 69 years enrolled in the UK Biobank.Birth weight was categorized into low birth weight(≤2500 g),normal birth weight(2500-3999 g),and macrosomia(≥4000 g).Multivariable Cox proportional hazards regression models were used to assess the associations between birth weight categories and all-cause dementia and its subtypes(Alzheimer's disease and vascular dementia).Proteomics analyses were conducted to identify proteins and the potential pathways involved.Results Low birth weight was associated with higher risks for all-cause dementia and its subtypes.The hazard ratios were 1.18(95%CI,1.08-1.30)for all-cause dementia,1.14(95%CI,1.00-1.31)for Alzheimer's disease,and 1.22(95%CI,1.01-1.48)for vascular dementia.A non-linear relationship was observed between birth weight and dementia risk(P for nonlinearity<0.001).Certain cardiometabolic diseases in middle-aged adults,such as diabetes,stroke,hypertension,and dyslipidemia,played a significant mediating role in the relationship between low birth weight and dementia risk,with the mediation proportion being 6.3%to 15.8%.Proteomic analyses identified 21 proteins linked to both low birth weight and all-cause dementia risk,which were significantly enriched in the pathways for viral protein interaction with cytokines and cytokine receptors,adipocytokine signaling,and cytokine-cytokine receptor interaction.Conclusion Low birth weight is positively associated with dementia risk.Cardiometabolic diseases in middle-aged adults may mediate the relationship between low birth weight and dementia risk.A number of proteins and the associated pathways underscore the relationship between low birth weight and dementia risk.
文摘Background: Birth weight has been identified as one of the most significant predictors of a child’s physical growth, development, and survival in later life. A quest to provide an answer on the impact of maternal anthropometry on neonatal birth weight necessitated this study. Materials and methods: It is a cross-sectional descriptive hospital based study that involved 130 participants selected using a systematic sampling method, utilizing a semi-structured, pre-tested interviewer administered questionnaire. Data were collected using a standard procedure and were summarized using proportions, and the Chi square test was used to explore the association between categorical variables. Predictors of birth weight were determined using logistic regression. The level of statistical significance was set at p Results: Participants had a mean age of 28.6 ± 5.1 years, mean weight of 72.2 ± 11.2 kg and mean height of 1.63 ± 0.07m while the mean fetal birth weight was 3.10 ± 0.56 kg. There was a significant association between maternal delivery body mass index and neonatal birth weight (p Conclusion: The prevalence of low birth weight and macrosomia in this study population was high. The focus should be geared towards balanced nutrition support for all mothers at booking so as to mitigate the risks associated with these extremes of birth weight.
基金supported by the National Natural Science Foundation of China(8200340181972981)+1 种基金the Scientific and Technological Project of Henan Province(222102310150,China)the Open Research Fund of the National Health Commission Key Laboratory of Birth Defects Prevention(NHCKLBDP202504,China).
文摘Preterm birth(PTB),defined as delivery before 37 weeks of gestation,is the most common adverse pregnancy outcome[1].PTB is a global health concern,with an estimated 13.4 million cases in 2020[1],accounting for more than one in 10 births worldwide.Compared to full-term births,PTBs are associated with a higher risk of short-and long-term complications,including bronchopulmonary dysplasia,necrotizing enterocolitis,visual impairment,and cerebral injuries[2].Despite substantial research efforts to prevent PTB,the global PTB rate has shown little improvement over the past decade[1].Therefore,identifying additional risk factors remains a critical goal in preventing PTB.
文摘BACKGROUND Extended care based on self-efficacy theory to elderly patients with intertrochanteric fractures will provide data reference to optimize the care plan of these patients,reduce patients’concurrent mental diseases,and improve prognosis.AIM To analyze the value of extended nursing based on the self-efficacy theory in older patients with intertrochanteric fractures.METHODS Older patients with intertrochanteric fractures(n=88)admitted to our hospital between January 2021 and December 2024 were randomly divided into two groups-the control group(n=44,routine nursing)and the observation group(n=44,extended nursing)-via balloting and treated for 12 weeks.The mental state,pain severity,limb function,and self-nursing ability of all patients before and after nursing were analyzed.RESULTS After nursing,the Hamilton Anxiety Scale and General Self-Efficacy Scale scores of patients in the two groups improved.Notably,Hamilton Anxiety Scale and General Self-Efficacy Scale scores in the observation group were lower and higher,respectively,than those in the control group(P<0.05).The pain severity in the observation group(2.64±0.22)was lower than that in the control group(2.85±0.41)(P<0.05).The recovery rate of limb function was higher in the observation group than in the control group(P<0.05).In addition,the self-nursing ability scores of the patients in both groups increased,with a significantly higher score in the observation group(P<0.05).CONCLUSION Extended nursing based on the self-efficacy theory can significantly improve mental state,relieve pain,and promote the recovery of limb function and self-nursing ability in older patients with intertrochanteric fractures.
基金funded by National Social Science Foundation of China(Grant Number 24&ZD164)。
文摘Public participation is crucial in mitigating disasters.Stemming from the ongoing debate on benefit-and risk-driven approaches to landslide mitigation,this study seeks to uncover the factors and underlying mechanisms that affect farmers'willingness to participate in landslide prevention and mitigation(WPLPM).Conducted in Heifangtai,Gansu Province,China,renowned as the"landslide natural laboratory",this research employs multiple linear regression analysis on data from 399 questionnaires to pinpoint the key determinants of farmers'WPLPM.The findings reveal:(1)the"risk perception paradox"exists—farmers have high-risk perception but low WPLPM;(2)the impact of risk perception on WPLPM is tempered by self-efficacy related to fund,learning ability,and operation ability,offering an insight into the"risk perception paradox";and(3)There are significant positive influences of farmers'benefit perception,social network,and perceived responsibility on their WPLPM.Based on these insights,the study offers targeted policy recommendations.
文摘BACKGROUND Patients with gastric cancer(GC)frequently experience notable psychological distress,which often manifests as anxiety and depression.Identifying key contributing factors is essential for developing effective interventions to improve mental health outcomes.AIM To investigate the relationships between anxiety/depression,self-efficacy,and social support in patients with GC and identified significant risk factors.METHODS We enrolled 124 patients with GC undergoing treatment at Chongqing University Cancer Hospital between May 2021 and May 2024.Information regarding the patients’anxiety and depression evaluated by the hospital anxiety and depression scale(HADS),[including a subscale for anxiety(HADS-A)and a separate subscale for depression(HADS-D)]self-efficacy,measured by the general self-efficacy scale(GSES),and social support,assessed by the perceived social support scale(PSSS),was gathered.Relationships among HADS,GSES,and PSSS scores were determined through Pearson correlation analysis.Risk factors for anxiety and depression among patients with GC were identified using univariate and multivariate analyses,specifically binary logistic regression.RESULTS The obtained data demonstrated mild psychological distress(mean HADS-A:8.74±3.70;mean HADS-D:10.26±3.84),suboptimal self-efficacy levels(GSES:17.81±5.45),and moderate social support(PSSS:56.27±11.28).Correlational analysis revealed significant inverse relationships between psychological distress(anxiety and depression)and both social support and self-efficacy(P<0.01),with self-efficacy showing a strong positive association with social support(P<0.01).Univariate analysis revealed that gender,age,clinical stage,tumor size,GSES,and PSSS were closely associated with anxiety and depression in patients with GC.Multivariate logistic regression identified three independent predictors of these mood disturbances:Advanced age(≥60),large tumor size(≥3 cm),and diminished GSES scores(<18).CONCLUSION Our findings suggest that patients with GC generally experience mild anxiety and depression,which are closely related to low self-efficacy and insufficient social support.Age,tumor size,and low self-efficacy are independent predictors of anxiety and depression.In clinical practice,psychosocial interventions should be integrated,with a focus on high-risk populations,to improve patients’mental health.
基金Supported by the Key Medical Research Project of Hebei Province in 2020,No.20201360.
文摘BACKGROUND Postpartum depression(PPD)represents a significant public health concern,adversely affecting both new mothers and their infants.Despite routine early screening,PPD can persist beyond the initial postpartum months,with notably high incidence rates even one year after childbirth.Persistent PPD has been associated with poor developmental outcomes in infants,highlighting the need for continued monitoring and support during this critical period.Understanding the broader impacts of persistent PPD is essential for developing effective interventions to improve maternal and infant well-being.AIM To explore the impact of persistent PPD on infant developmental behavior and maternal self-efficacy.METHODS We recruited 60 postpartum women who experienced persistent depression after childbirth in our hospital from January 2020 to December 2024 as the research subjects.The study collected basic characteristics of both infants and mothers,analyzed the self-efficacy of the mothers and the developmental behaviors of the infants,and conducted a correlation analysis to examine the relationship between postpartum persistent depression in mothers and the developmental behaviors and self-efficacy of infants.The Bootstrap method was used to verify the significance of the mediating effect.RESULTS The basic characteristics of infants and mothers show that 53.33%are male,58.33%are born via vaginal delivery,88.33%have a normal body mass index,51.67%are aged between 25 and 29 years,70%are non-agricultural workers,51.67%have a per capita household income over 4000 yuan,96.67%are full-term births,and 58.33%of the fathers are aged between 26 and 32 years.In terms of infant development behavior,the gross motor skills score is relatively low(38.44±12.15).Regarding maternal self-efficacy,the skill score(45.68±5.49)and mental activity score(46.37±3.72)are both at a low level.Correlation analysis reveals that postpartum persistent depression is significantly negatively correlated with maternal self-efficacy and infant development behavior(β=-0.439,-0.657,P<0.001),while self-efficacy is positively correlated with infant development behavior(β=0.728,P<0.001).The path coefficient and Bootstrap method test indicate that self-efficacy acts as a mediator between postpartum persistent depression and infant development behavior,accounting for 54.80%of the effect(P<0.05),while the direct effect of postpartum persistent depression on infant development behavior is 45.20%(P<0.05).CONCLUSION Persistent PPD significantly negatively impacts infant developmental outcomes,with maternal self-efficacy serving as a partial mediator.These findings suggest that interventions targeting both depressive symptoms and selfenhancement may effectively promote infant health development.
文摘This study aimed to explore the mediating roles of self-efficacy and intrinsic motivation on the relationship between teacher autonomy and teacher job satisfaction.Data were from the Teaching and Learning International Survey(TALIS 2018),with a sample of 3131 junior high school teachers(female=2337;male=794)from Shanghai,China.The mediating effect was analyzed using structural equation modeling.The results showed that teacher autonomy was positively associated with teacher job satisfaction,self-efficacy,and intrinsic motivation.Both self-efficacy and intrinsic motivation were associated with teacher job satisfaction.Self-efficacy was associated with teacher intrinsic motivation.Self-efficacy and intrinsic motivation not only served as independent mediators between teacher autonomy and teacher job satisfaction but also played a chain mediating role.Moreover,the separate mediating effect of self-efficacy was the most significant.Findings are consistent with the job demands-resources model by which diminished teacher autonomy ould explain lower teacher job satisfaction.
文摘Drawing upon self-determination theory,this study examines the effects of vicarious abusive supervision on third-party’s self-efficacy and task performance within organizational contexts.Data were collected via surveys from 337 employees across diverse organizations.The results indicate that vicarious abusive supervision significantly undermines both self-efficacy and task performance among employees who are indirectly exposed to such behavior but not directly targeted.Furthermore,self-efficacy serves as a mediator between vicarious abusive supervision and task performance;however,this mediating effect is attenuated for employees with a high promotion focus.These findings provide valuable theoretical and practical insights,particularly in the domain of organizational behavior,by emphasizing the critical role of promotion focus in mitigating the negative effects of vicarious abusive supervision.This research contributes to the organizational behavior literature by shifting the focus from the traditional supervisor-subordinate dynamic to a third-party perspective,thereby enriching our understanding of how vicarious abusive supervision impacts employees within organizational settings.The study underscores the importance of self-efficacy and promotion focus as key factors in unethical leadership contexts.
文摘BACKGROUND Global tumor incidence rises and therapies advance,driving oncology nursing specialization.Granting nurses prescriptive authority optimizes care but polarizes nurses'attitudes due to factors like risk and competence,hindering policy implementation.AIM To investigate the current status of the attitudes of oncology specialist nurses toward having prescribing authority,specifically concerning symptom management and supportive care in oncology practice,and we conducted a path analysis of their influencing factors.METHODS As participants in the survey,oncology specialist nurses working in hospitals of different grades in Jiangsu Province were selected from March 2025 to May 2025 using a stratified sampling method.The questionnaires were administered using the general information questionnaire,the beliefs and attitudes about nurses'prescriptive authority scale,the nurses'professional identity scale,and the selfefficacy scale.Pearson’s method was used to analyze the correlation between beliefs and attitudes about the prescriptive authority,professional identity,and self-efficacy of nurses.Multiple linear regression was performed to analyze the factors influencing the beliefs and attitudes of nurses’prescriptive authority.The Amos plug-in was used to construct structural equation models to analyze the influencing pathways.RESULTS A total of 329 questionnaires were distributed,and 328 valid questionnaires were returned(effective recovery rate:99.70%).The total score of the 328 oncology nurses on the beliefs and attitudes about nurses'prescriptive authority scale was 101.88±15.13,indicating a moderately high level.Univariate analysis revealed that gender and hospital grade were associated with this score(P<0.05).The Pearson correlation analysis revealed that self-efficacy was positively correlated with the scores of the beliefs and attitudes about nurses’prescriptive authority scale and the nurses’professional identity scale(r=0.4999,P<0.0001 and r=0.7048,P<0.05,respectively),whereas occupational identity was positively correlated only with the former(r=0.6209,P<0.05).Multiple linear regression analysis revealed occupational identity and self-efficacy as the factors influencing the scores of the beliefs and attitudes about nurses’prescriptive authority scale(P<0.05).The results of the path analysis revealed that selfefficacy significantly positively affected nurses’occupational identity and their beliefs and attitudes about having prescriptive authority;occupational identity played a mediating role between the two,with a mediating effect accounting for 54.46% of the total effect,and the structural equation model was well-fitted.CONCLUSION Oncology nurses have more positive attitudes toward prescriptive authority.In addition,self-efficacy positively and indirectly affects nurses’attitudes toward prescriptive authority through the mediating effect of occupational identity.This can be used as a basis for clinical practice to take targeted measures to improve nurses’self-efficacy and occupational identity,thus creating favorable conditions for effectively implementing the policy of prescriptive authority.
基金funded by the Natural Science Foundation of Hunan Province(grant number 2024JJ5283 to XH)。
文摘Preterm birth and suboptimal fetal growth remain significant perinatal challenges worldwide.Recent data indicate that China's perinatal profile has improved due to reductions in preterm birth rates.However,the country has a 6.5%prevalence of small-for-gestational-age(SGA),ranking fifth globally in total SGA birth numbers^([1,2]).
文摘This study examines how training opportunities influence teachers’job satisfaction,emphasizing the mediating effect of AI self-efficacy among primary and secondary school teachers in Wuhan,China.Current research employed a quantitative,cross-sectional design.Data were collected using an online questionnaire from 655 primary and secondary school teachers in Wuhan.Structural equation modelling(PLS-SEM)was utilized for data analysis.Results confirmed significant positive relationships between training opportunities and both AI self-efficacy and job satisfaction.Besides,AI self-efficacy was found to significantly mediate the relationship between training opportunities and job satisfaction.This study contributes to the body of knowledge by empirically showed the relatively unexplored psychological pathway(AI self-efficacy)linking training opportunities to job satisfaction within AI-intensive educational contexts.The findings enhance understanding of how structured training in AI can positively influence teachers’attitudes and job-related outcomes.Educational policymakers and administrators can utilise these findings to develop specialised training programs,thereby improving teacher self-efficacy,job satisfaction and overall effectiveness in responding to technology changes.
文摘This study explores the interaction of responsible leadership,supportive climate,and creative self-efficacy in enhancing knowledge sharing among employees in the banking sector.Data from 314 employees(42%Females,58%Males)were analyzed using structural equation modeling(SEM)and a time-lagged survey design.The analysis revealed a higher responsible leadership to be associated with both creative self-efficacy and knowledge sharing.Additionally,the study found that supportive climate moderation to significantly,strengthening the relationship between responsible leadership and knowledge sharing.Creative self-efficacy partially mediated this relationship to be stronger.The results indicate that responsible leadership and a supportive climate are crucial socio-cognitive mechanisms for enhancing knowledge sharing in organizations.The banking sector should aim to promote collaborative work partnerships implementing responsible leadership practices and cultivating supportive work environments to bolster organizational growth and competitiveness.
基金supported by Hanshan Normal University Research Initiation Program(QD2024214).
文摘This study examined the effects of design thinking pedagogy on undergraduates’career decision-making selfefficacy and employability in career education.Using a quasi-experimental design,Chinese college students(N=93)were participants in two wings.The experimental group(n=47)received the design thinking pedagogy,while the control group(n=46)followed the regularly teacher-centered method.The students completed the career decision-making self-efficacy scale and employability scale before and after the intervention.Independent samples t-test results showed that design thinking pedagogy significantly improves students’career decision-making self-efficacy and employability.The ANCOVA results showed that the pretest scores of career decision-making self-efficacy and employability had no significant association with the experimental intervention.There was no interaction between the treatment and pretest scores.It would seem that experimental design thinking pedagogy implemented in career guidance courses has little effect compared to the usual course presentation.Nonetheless,prospects for the implementation of design thinking-guided learning activities to support interdisciplinary learning for improved higher education and career development outcomes need further exploration.
基金supported by the Medical and Health Communication Research Center of Zigong Academy of Medical Sciences(No.YXJKCB-2024-06)the Demonstration Project for Consolidating the Scientific and Educational Support for Medical Talents(Scientific Research Team for improving the Service Quality of“the Elderly and the Young”).
文摘This study explored the role of learning engagement in the relationship between academic self-efficacy and self-directed learning ability among nursing students.Participants were 328 Chinese nursing students(male=11.3%,female=88.7%;mean age=20.86 years;SD=1.75 years).The participants completed surveys on academic self-efficacy(Academic Self-efficacy Scale),learning engagement(Learning Engagement Scale),and self-directed learning ability(Self-directed Learning Instrument).Hayes regression-based PROCESS macro analysis revealed that learning engagement mediated the relationship between academic self-efficacy and self-directed learning ability.The hierarchical regression analysis showed higher academic self-efficacy to be associated with self-directed learning ability.Additionally learning engagement was associated with higher self-directed learning ability.Based on thesefindings,there is a need for interventions to improve students’self-directed learning ability through increasing their academic self-efficacy and enhancing learning engagement.
文摘Background:Academic stress is a critical factor influencing university students’well-being.However,research has shown that stress is not a unidimensional construct;different types of stressors(challenge vs.hindrance)may lead to distinct outcomes.This study constructed a structural equation model(SEM)to examine the relationships between challenge and hindrance academic stressors and students’well-being,as well as the mediating mechanisms.Methods:Data were collected from 836 undergraduates at six universities in China(58.4%female,41.6%male;Mean age=20.47±1.46 years).Descriptive statistics,Pearson correlations,and SEM with 5000 bootstrap resamples were conducted to test hypothesized paths and mediating effects.Results:Direct path analysis revealed that challenge stressors positively predicted meaning in life(β=0.329,p<0.001)but not academic self-efficacy(β=-0.004,p=0.915),while hindrance stressors negatively predicted meaning in life(β=-0.371,p<0.001).Meaning in life strongly predicted academic self-efficacy(β=0.543,p<0.001)and well-being(β=0.301,p<0.001),and academic self-efficacy further contributed to well-being(β=0.190,p<0.001).Bootstrapping confirmed that meaning in life significantly mediated the effects of both challenge(β=0.099,95%CI[0.063,0.144])and hindrance stressors(β=-0.112,95%CI[-0.162,-0.076])on well-being.The serial mediation pathway was also significant for both models(challenge:β=0.034,95%CI[0.019,0.049];hindrance:β=-0.038,95%CI[-0.057,-0.024]).Conclusions:This study partially validates the dual-pathway model of academic stress in higher education and highlights the pivotal roles of meaning in life and academic self-efficacy in the stress-well-being relationship.
