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To examine mental health status, COVID-19 vaccine intention and barriers among college students in the U.S. Participants: Students (n = 337) registered at a large public university in 2021. Methods: Cross-sectional survey data were collected online and analyzed using independent samples t test, chi-square test, and one-way ANOVA. Results: Compared to male students, females reported greater anxiety (p < 0.05) and fear (p < 0.01). Hispanic participants reported increased anxiety level and the least positive pandemic coping strategies (both p < 0.05) across the ethnic groups. Black students were the racial group with the lowest trust in the safety and effectiveness of COVID-19 vaccine (p < 0.05). Vaccine intention was positively correlated with factors such as vaccine safety measures, and perceptions toward vaccination (both p < 0.001). Conclusions: These gender- and ethnicity- based mental health struggles should be addressed immediately for better health and vaccine promotion outcomes amid the COVID-19 pandemic.

Background: This study compares data on the use of written versus patient simulator methods to evaluate the competence and confidence of RNs after electronic medical record training. Method: A randomized controlled trial compared evaluations of the competence and confidence of newly hired nurses using a written patient admission and discharge versus a high-fidelity simulation manikin. Trained observers evaluated nurses' competence, and the nurses rated their own levels of confidence in their performance. Results: No differences were found in confidence or competence. Conclusion: Evaluating nurse training on electronic medical records via simulation is as good as evaluating them using the traditional written method. [ABSTRACT FROM AUTHOR]

Background: The association between farmers' market characteristics and consumer shopping habits remains unclear. Our objective was to examine associations among distance to farmers' markets, amenities within farmers' markets, frequency of farmers' market shopping, fruit and vegetable consumption, and body mass index (BMI). We hypothesized that the relationship between frequency of farmers' market shopping and BMI would be mediated by fruit and vegetable consumption.Methods: In 15 farmers' markets in northeastern North Carolina, July-September 2015, we conducted a cross-sectional survey among 263 farmers' market customers (199 provided complete address data) and conducted farmers' market audits. To participate, customers had to be over 18 years of age, and English speaking. Dependent variables included farmers' market shopping frequency, fruit and vegetable consumption, and BMI. Analysis of variance, adjusted multinomial logistic regression, Poisson regression, and linear regression models, adjusted for age, race, sex, and education, were used to examine associations between distance to farmers' markets, amenities within farmers' markets, frequency of farmers' market shopping, fruit and vegetable consumption, and BMI.Results: Those who reported shopping at farmers' markets a few times per year or less reported consuming 4.4 (standard deviation = 1.7) daily servings of fruits and vegetables, and those who reported shopping 2 or more times per week reported consuming 5.5 (2.2) daily servings. There was no association between farmers' market amenities, and shopping frequency or fruit and vegetable consumption. Those who shopped 2 or more times per week had a statistically significantly lower BMI than those who shopped less frequently. There was no evidence of mediation of the relationship between frequency of shopping and BMI by fruit and vegetable consumption.Conclusions: More work should be done to understand factors within farmers' markets that encourage fruit and vegetable purchases. [ABSTRACT FROM AUTHOR]