ObjectiveTo explore the association between clinical leadership and quality of work life, as well as the mediating role of coping style in this relationship.SettingThree tertiary-level hospitals in Liaoning Province, China.ParticipantsA total of 1209 nurses were recruited for this study. Registered nurses who work full time with at least 1 year of work experience were eligible as subjects. Exclusion criteria were nurses who work indirectly with patients, such as in education, administration or research.Primary and secondary outcome measuresQuestionnaires consisting of the work-related Quality of Life Scale, the Nurse Leadership Scale and the Simplified Coping Style Questionnaire, as well as a demographic data sheet, were used to collect participant information. Pearson’s correlation analysis, hierarchical multiple regression analysis, and asymptotic and resampling strategies were used to analyse the data.ResultsThe mean overall quality of work life score among Chinese nurses was 3.50±0.60. After adjusting for demographic characteristics, clinical leadership was positively associated with the score of quality of work life (β=0.55, p<0.01). Clinical leadership explained 27% of the variance in quality of work life. Coping style partially mediated the relationship between clinical leadership and quality of work life. The proportion of mediation of active coping was 21.82% and of passive coping was 5.79%.ConclusionsClinical leadership was positively associated with quality of work life and coping style partially mediated the relationship between clinical leadership and quality of work life among nurses in China. Implementing measures focusing on both clinical leadership and coping style may provide success in improving the quality of work life of nurses.

This study aimed to investigate the common status of self-management in liver transplant recipients and to explore the mediating role of hope in the relationship between social support and self-management. Two hundred and ten liver transplant recipients from two tertiary hospitals were included. Questionnaires were used for general demographic information, the Perceived Social Support Scale, the Herth Hope Index, and the Self-Management Questionnaire for Liver Transplantation Recipients. Lifestyle management of liver transplant recipients was good, while the communication with physicians, cognitive symptom management, and exercise dimensions were less than satisfactory. Minimal assurance of family and education levels were significantly associated with self-management. Social support was positively correlated with self-management and hope ( r = .31, p < .01; r = .40, p < .01). Hope was positively correlated with self-management ( r = .39, p < .01). Additionally, the effect of social support on self-management was partially mediated (β = .17, p < .01) by hope. The proportion of mediation of hope was 40.09%. Therefore, well-designed interventions that boost both social support and hope may help improve self-management behavior in liver transplant recipients.

To translate the Organ Transplant Symptom and Well-Being instrument (OTSWI) into Chinese and test the reliability and validity of the Chinese version. A total of 259 patients with organ transplants were recruited from The First Affiliated Hospital of China Medical University in Shenyang, from November 2020 to January 2021. Construct validity was evaluated using exploratory factor analysis (EFA) and reliability were assessed using test-retest reliability and internal consistency. The Cronbach’s α of the Chinese version of the Organ Transplant Symptom and Well-being instrument was 0.93. EFA demonstrated that 80.785% of the total variance was explained by a seven-factor solution. The criterion validity of the SF-36 was -0.460 (p < .01), while the test-retest reliability was 0.710. The Chinese version of the OTSWI questionnaire is a valid and reliable instrument for assessing the quality of life of organ transplant patients for symptoms and well-being in China.

No abstract

BACKGROUND The initial outbreak of the COVID-19 disease occurred in Wuhan, China around the Spring Festival in 2020. In the face of such a high-intensity catastrophic epidemic response, Chinese doctors and nurses faced huge psychological pressure including fear, anxiety, and depression. OBJECTIVE The purpose of our study is to test the association between front-line clinical workers' fatigue and depression and anxiety during the COVID-19 epidemic. METHODS The current study is a cross-sectional, online survey administered to 275 healthcare professionals in Wuhan from February 22, 2020 to February 29, 2020. All respondents completed a questionnaire via WeChat, which collected demographics and responses on the Self-Rating Anxiety Scale (SAS), the Center for Epidemiologic Studies Depression Scale (CES-D), and the Fatigue Scale-14 (FS-14). RESULTS A total of 275 participants completed the survey, including 46 doctors (16.73%) and 229 nurses (83.27%). Depression was significantly positively associated with physical fatigue (OR 1.61, 95% CI 1.41-1.83), mental fatigue (OR 1.98, 95% CI 1.60-2.45), and the total score (OR 1.56, 95% CI 1.39-1.75) after adjusting for age, occupation, gender, educational background, marital status, having children, years working, job title, and supporting time in Wuhan. Significant positive associations were also observed between the symptoms of anxiety and physical fatigue (OR 1.64, 95% CI 1.44-1.87), mental fatigue (OR 2.11, 95% CI 1.71-2.60), and the total score (OR 1.58, 95% CI 1.42-1.71) in the adjusted model. Similar associations between fatigue, depression, and anxiety were found in the analyses stratified by gender and occupation. CONCLUSIONS The current study demonstrated that, among the front-line clinical workers in Wuhan, fatigue is significantly associated with depression and anxiety and mental fatigue contributes to a greater risk than physical fatigue on the mental health of clinical workers. Males and doctors were found to be more vulnerable to psychological problems such as depression and anxiety under fatigue, suggesting the need for targeted psychological interventions.

Aim The aim of this study was to assess employment rates and states and the factors influencing liver transplant recipients in China. Design A cross‐sectional study. Methods A total of 212 liver transplant recipients were included in this study. Questionnaires for general situation information and the Hospital Anxiety and Depression Scale, Perceived Social Support Scale and Chronic Disease Self‐Efficacy Scale were used. Results Among the liver transplantation, 212 recipients were included in the study, 125 (59%) were employed after liver transplantation compared with 148 (69.8%) who were employed before liver transplantation. Among the 125 recipients that returned to work, only 38.2% thought their employment states were good before liver transplantation, while 81.6% thought that their employment states were good after liver transplantation. Gender, age and employment status before transplantation, aetiology of liver disease, number of physical activities, per capita monthly income, comorbidity and depression were significantly associated with return to work. Self‐efficacy, social support, liver function and nature of work were significantly associated with employment state.