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This study examined the development of the therapy alliance over the first six sessions of couple therapy using a dyadic latent growth curve. The role of relationship adjustment, symptom distress, and attachment to alliance development were also examined. Participants were 165 couples in a treatment-as-usual setting. The alliance increased over the first six therapy sessions for males and females with males following a curvilinear pattern of growth. Additionally, female relationship adjustment was related to initial alliance levels for females while symptom distress was related to female alliance development. Male attachment avoidance and female attachment anxiety were related to male initial alliance. Couple therapists need to pay attention to intake level of female adjustment, symptom distress, and attachment—along with male attachment, as these are related to alliance development. Therapists should also be mindful that female and male alliance follow a different developmental trajectory. [ABSTRACT FROM AUTHOR]

Across studies, intuitive eating is associated with many health indicators. The Intuitive Eating Scale-2 (IES-2), the instrument for measuring intuitive eating, had not previously been explored with a sample of sexual minority [Sexual minority refers to individuals who experience consensual sexual identity, attraction, or behavior that is non normative (typically sexual minority individuals are lesbian, gay, bisexual, queer, or non-heterosexual)] individuals despite the disparities in eating behaviors and stress that persist among this population. Further, past work suggests the context of being partnered can be both protective and harmful for eating behaviors, highlighting an important avenue for investigating intuitive eating at the dyad level. This study sought to investigate the factor structure of the IES-2 and to explore the associations between both partner's mental health, relational quality, and interpersonal eating interactions within a dyadic sample of 228 married male sexual minority couples (88% white, 8.8% Latino or Hispanic, 5.3% African American or Black, and 5.9% in other racial or ethnic groups). The original four-factor solution did not fit the current sample; instead, a new, fifth factor emerged, which was labeled as Eating Not as Coping. Intuitive eating behaviors were dyadically associated with mental and relational health and partners' health-related interactions with one another. Future use of the IES-2 is informed by present results which may also inform recommendations for practice with and study of health and relationships. [ABSTRACT FROM AUTHOR]

Few digital divorce interventions have undergone rigorous randomized control trial study (RCT) testing of their physical and psychological health effects. This paper describes the Cooperation after Divorce (CAD) intervention including background, target group, design and engagement strategies, intervention development, content, and theoretical cornerstones. The 17-module digital psychoeducational intervention addresses three main content areas: (1) the divorcee themselves, (2) the children, and (3) co-parenting. The content of the modules provided psychoeducation and therapeutic activities focused on the maladaptive interactional patterns between former partners and how to develop new interactional schemas, including a focus on when and how to communicate with the former partner in a way that does not escalate conflict. A randomized controlled trial (N = 778) assessed the effect of CAD in terms of number of sick days. Participants were assessed at 3-, 6- and 12-month post-divorce. Independent samples t test revealed that participants in the intervention group on average reported 5.82 fewer sick days one year post-divorce than did participants in the control condition. The results suggest that digital post-divorce interventions decrease sick days for newly divorce individuals, thereby offering long-term human, family, and public health benefits. [ABSTRACT FROM AUTHOR]

Background and Method: The experiences of 454 psychotherapy trainees when providing therapy to patients were surveyed in a multinational sample largely from European countries, as part of the collaborative SPRISTAD study, using established measures of trainees' Healing Involvement (HI) and Stressful Involvement (SI). Results: The results of cross‐sectional analyses included the delineation of four differential patterns of therapeutic work involvement showing approximately half the trainees experienced an Effective Practice (high HI, low SI) while the other half experienced either a Challenging Practice (high HI, high SI), a Disengaged Practice (low HI, low SI) or a Distressing Practice (low HI, high SI). Discussion: Strong‐to‐moderate correlations were found between involvement styles and trainees' individual personal and professional characteristics, and among training programme and workplace situational conditions, and their possible applications to candidate selection and training practices were discussed. A strong association was seen between HI and SI qualities of trainees' therapeutic work and their positive or negative experiences of current professional development. Implications for training and hypotheses for future longitudinal studies were proposed based on the results. [ABSTRACT FROM AUTHOR]

Background: This study examined the topic of online psychological counselling, focusing on the perspectives of both clients and professionals. In light of the widespread adoption of computer‐mediated psychological support during the COVID‐19 pandemic, the research analysed how it has taken shape in the collective consciousness, the role of trust, and perceived effectiveness. Method: The sample consisted of 133 professionals (M = 46) and 716 patients (M = 33), recruited through non‐probabilistic snowball sampling. Data, collected through two ad hoc questionnaires, were analysed using the EVOC 2005 software (for social representations) and SPSS (for quantitative data). Results: Overall, regarding the social representation of online psychological support, in the central core of the therapists' representation there seems to be a structured idea of the emotional distance that online therapy inevitably brings with it. In the core of the patients' representation, the idea of online support has been structured as a form of assistance that has shown its full usefulness during the pandemic. Quantitative data reveal a perceived efficacy of online psychological support comparable to in‐person therapy. Efficacy is enhanced by an already‐established trust relationship. The adoption of the online mode seems to have favoured the deployment of new resources by therapists and patients, attesting to an adaptation to this new way of conducting therapy. The online mode, in particular, will continue to be chosen by both, along with face‐to‐face meetings, as a mode of psychological support post‐pandemic. Conclusion: Based on these findings, this study holds strong potential for practical application in the field of remote therapy. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to determine the trajectories of therapeutic alliance development in individual systemic psychotherapy for adults with adaptation disorders and the differences in alliance development between groups with different treatment outcomes. Method: The longitudinal quasi‐experiment included 20 patients undergoing individual outpatient psychotherapy treatment in private practice for over a year. Therapeutic alliance was evaluated three times, by the psychotherapist and the patient simultaneously. Treatment outcomes were estimated twice based on patient ratings. Their clinical significance was assessed using the Reliable Change Index, analysis of variance for independent groups and trend analysis. The analyses concerned global therapeutic alliance and its three dimensions: goals, tasks and bonds. Results: The study supported the hypothesised linear trend. It also confirmed a greater increase in alliance quality over the course of treatment in patients whose therapy was more successful. Conclusion: The results indicate that, in patients with adaptation disorders, alliance development in systemic therapy follows a stable linear trend. The linear change observed for global therapeutic alliance is paralleled by similar trends in goals, tasks and bonds. Strong alliance correlates with better treatment outcomes. [ABSTRACT FROM AUTHOR]

Background: Group Radical Openness (GRO) has been shown to be a feasible and acceptable intervention for individuals who struggle with costly overcontrol. This paper explores participants' reports of attributions of change following the engagement in GRO. Method: Fourteen participants took part in qualitative interviews. An adapted version of 'The Revised Client Change Interview Schedule: Version 5' was used to capture the experiences of change following the intervention (Elliott & Rodgers, 2008). Research participants were outpatients of a psychiatric hospital who attended GRO. The sample consisted of 14 participants (6 females: 8 males); mean age 44.4 years; and age range 18–58. All participants attended 26, 3‐h group sessions. Reflexive thematic analysis was used to identify the specific aspects of the group therapy to which clients attributed change. Results: The analysis identified three superordinate themes, each with two subthemes. These included Safety and Connection (Safety and Tribe; Open and Genuine Facilitation); Understanding Overcontrol (Awareness of Overcontrol; The GRO Approach); and Carrying GRO Forward (Increased Awareness and Capacity to Reflect; Internalising GRO). Conclusion: Group Radical Openness was shown to be an acceptable group therapy treatment for people with an overcontrolled coping style. This paper further clarifies the participants' experiences of GRO and what aspects led to change from their perspective. [ABSTRACT FROM AUTHOR]

This study utilized a quasi-experimental, pretest–posttest design to evaluate the effectiveness of a community-based program (Power of Dad; POD) for promoting inner-city, low-income, fatherless boys' psychosocial well-being. This program provides these boys with a 5-month experiential curriculum that includes psychological health and social skills. Graduates from the program were compared to a control group from the same community in terms of pretest–posttest differences in four psychosocial outcomes: self-esteem, overall quality of life, mother–adolescent closeness, and attitude toward physical dating violence. The findings suggest that the program had positive effects on closeness with the mother and the overall quality of life for inner-city, low-income, fatherless boys who completed the program. Implications of the findings and future research directions are discussed. [ABSTRACT FROM AUTHOR]

To date, several theoretical models have been proposed to explain how the expected and natural grief processes turns into psychiatric disorders. Nevertheless, there is a paucity of empirical research examining the basic assumption of psychoanalytic theory regarding pre-death conflict and bereavement related guilt. Accordingly, the current study aimed to investigate the mediator role of bereavement related guilt in the relationship between the pre-death conflict and maladaptive grief process. The sample consisted of 447 bereaved adults who lost a loved one due to death in the last 5 years. The Unfinished Business in Bereavement (UBBS), Bereavement Guilt Scale (BGS), Beck Depression Inventory (BDI), and Prolonged Grief Disorder Scale (PG-13) scales were administered. The results indicated that the UBBS scores were positively correlated with both BDI and PG-13 scores, and BGS scores mediated these relationships. Obtained findings were discussed in relation to psychoanalytic theory and existing studies in the grief literature. [ABSTRACT FROM AUTHOR]

Occupations are everyday activities people do that bring meaning and purpose to life and is culturally shaped. This research aimed to explore the occupations of Chinese older adults living with a terminal illness and their caregivers in Singapore. Using a qualitative exploratory approach, 16 care recipient-family caregiver dyads were recruited from a local hospice provider. Semi-structured interviews were carried out and reflexive thematic analysis was employed. Three themes and seven subthemes described the challenges and changes to daily life faced by care recipients and caregivers as they adjusted to living with the terminal condition. Findings suggest that in a family-centric society, the occupations of care recipients are greatly impacted by their families. It is imperative to engage with family members in goal setting and intervention plans to facilitate therapy gains and carry-over into real life. These results may be applicable to other family-centric societies, but further research is required. [ABSTRACT FROM AUTHOR]

Psychological interventions are important tools for addressing different mental disorders around the world, and considering cultural diversity during the implementation of psychological intervention may lead to improved outcomes. This scoping review updates on the knowledge about the cultural adaptation of cognitive behavioral therapy in the Arab world. This study included 21 studies about the cultural adaptation of cognitive behavioral therapy and other types of psychological interventions that have been implemented for Arab people. The sources of information were PUBMED, Web of Science Journal, CINHA, and search engine Google. For scoping review, the PRISMA-ScR framework was followed. The results showed that the process of cultural adaptation of CBT for Arab people focused on the following stages: (1) define the target group, (2) review the literature and select content, (3) feedback from stakeholders, (4) producing a guide for adaptation, (5) translation and adaptation process, (6) testing process for the adapted tools, and (7) final refinement. The process of cultural adaptation for CBT was superficial and focused on the content but not on the context. In addition, the cultural adaption process for CBT for Arab people focused on three major areas: (1) cultural awareness, (2) assessment and engagement, and (3) technique modification. [ABSTRACT FROM AUTHOR]

We examined the feasibility, acceptability, and clinical potential of a smartphone-based Approach-Avoidance Modification Training (AAMT) that required users to deliberately display anger and positive emotions (AAMT-AP) to move (dys-)functional stress-related beliefs away from and towards themselves, respectively. The per protocol sample consisted of N = 30 participants randomized to an AAMT-AP condition, a swipe control condition, or an inactive control condition. Feasibility and acceptability of the intervention and study design were assessed directly and changes in clinical outcomes (perceived stress (primary outcome), dysfunctional beliefs, symptoms of depression, and emotion regulation skills) one week after intervention completion. The results indicated that AAMT-AP was feasible and acceptable to participants. Moreover, notable effect sizes for clinical outcomes in comparison with both control conditions provided preliminary evidence for its therapeutic potential. Future research should evaluate the efficacy of AAMT-AP in sufficiently powered randomized controlled trials. [ABSTRACT FROM AUTHOR]

Cognitive behavioral therapy, prolonged exposure, and eye movement desensitization and reprocessing are effective treatments for posttraumatic stress disorder (PTSD). They emphasize the processing of trauma-related memories and exposure as central components in treatment. In contrast, the metacognitive model emphasizes that PTSD is caused by a persistent negative thinking style, and the goal is to find alternative coping strategies and modify metacognitive beliefs without the use of exposure. In a quasi-experimental A-B design, patients diagnosed with PTSD received either MCT (n = 32) or TAU "treatment as usual" (n = 28) consisting of exposure-based treatments and were tested on different measures of symptoms. The results indicated that both treatments were effective and performed well on both trauma and anxiety symptoms. Recovery rates and clinical improvement were higher in the MCT condition at post-treatment. The study indicates that MCT could potentially be a viable alternative to trauma-focused treatment of PTSD. Clinical trial registration: The study is a clinical and quality audit of an ordinary routinely delivered clinical service in a specialized trauma clinic involving treatments for patients with PTSD. The trial was a preliminary stage in a larger trial of chronic PTSD. [ABSTRACT FROM AUTHOR]

Background: There is evidence to suggest that undocumented, unaccompanied migrant youths confront emotional and physical hardships while working in the U.S. agriculture industry. However, little is known about the type of support available to these youths that could protect them from negative developmental outcomes. Objective: This qualitative research was designed to explore Guatemalan migrant youths' available support types, expectations of coming to the U.S. for work, and the life lessons learned from being undocumented, unaccompanied minors in the agriculture industry. Methods: A total of 10 unaccompanied Guatemalan youths (age range 15–17 years, Mage = 16.4 years; 100% male; 100% undocumented) participated in individual semi-structured audio-voice-recorded interviews in the Southeast. Interview responses were transcribed, coded, and analyzed. Results: Thematic analysis yielded three primary interconnected themes: (1) "Coping and managing sadness by reaching out to others," (2) "I have a dream but then, reality hits," and (3) "Life lessons for future migrants." Conclusion: Findings suggest that despite their vulnerable social position, Guatemalan migrant youth in U.S. agriculture displayed an optimistic attitude, exercised persistence, and developed resourcefulness. Besides these competencies, youth possessed social networks with left-behind families, developed and leveraged new social ties to "manage sadness," and built a tight-knit community away from their countries of origin. [ABSTRACT FROM AUTHOR]

Background: Seeking help is an essential step for victims of bullying to cope with and possibly stop bullying and thus prevent and reduce the consequences of bullying. Focusing on the group of bullied adolescents, however, shows that many of them do not seek help. Objectives: This study aimed to (1) describe the prevalence of help-seeking for bullying victimization, (2) analyze the relationship between help-seeking and associated individual factors, (3) describe the prevalence of formal help-seeking, and (4) investigate associations between formal help-seeking and the factors above. Method: A subsample of a nationally representative survey of n = 453 12- to 17-year-old adolescents who reported being bullied in the last couple of months was analyzed. Bivariate analyses and multivariate logistic regression analyses were used to investigate factors associated with help-seeking and formal help-seeking. Results: Of the bullied adolescents, 60% sought help after experiencing victimization. Among these, 32% sought formal help, for example, from social workers. Most (63%) also sought help from family and friends. Family cohesion and self-efficacy were positively and well-being was negatively associated with help-seeking. Among adolescents who sought help, age was positively and self-efficacy was negatively associated with formal help-seeking. Conclusion: A trustful and supportive environment, especially within families, is essential to facilitate adolescents' help-seeking. Within formal settings, specific procedures for identifying and addressing bullied adolescents are necessary for younger adolescents and adolescents with lower self-efficacy. [ABSTRACT FROM AUTHOR]

When experiencing the loss of a loved one, individuals adapt and change how they understand death, how they interpret the meaning of the loss, and how they remember the deceased. In the present study (N = 164), we investigated whether the time since the loss – recent or distant – was associated with individuals' bereavement, attitudes toward death, and their meaning of death. We found that individuals who experienced a recent loss reported more grief and more negative death attitudes compared to individuals who experienced a loss more than 5 years ago. Moreover, the bereavement appeared to completely mediate the time since the loss and the individuals' attitudes about death. The findings suggest that time-dependent adaptations after a loss shifts individuals' death attitudes, grief symptoms, and thoughts about death. [ABSTRACT FROM AUTHOR]

Background and Significance: In neonatal intensive care, the communication of difficult news can have lingering repercussions throughout the lives of those receiving such information. Uncertainty and stress associated with the COVID-19 pandemic may negatively influence this sensitive yet essential communication process. Purpose: To analyze the communication of difficult news during the COVID-19 pandemic from the perspective of parents of newborns admitted to a neonatal intensive care unit. Methods: A qualitative, descriptive research study was completed in a hospital in Brazil. Individual and semistructured interviews were conducted with 21 parents of newborns hospitalized in an intensive care unit and submitted to thematic analysis. Results: Three themes were built: "Tools and strategies to manage difficult news," "What makes difficult news hard to listen," and "The importance of being prepared to receive difficult news." When comparing these findings with prepandemic literature, the COVID-19 period changed communication dynamics, including coping tools and altered family dynamics. Additionally, assessing healthcare providers' positive and negative behaviors by parents could clarify essential skills to support the family's hospitalization process during a crisis. Implications for Practice and Research: Applying and investing in skills training such as spirituality assessment, providing clear and straightforward information, and empathy can reduce the impact of difficult news and, thus, requires both recognition and action from healthcare professionals. Knowing some of the effects COVID-19 had on the communication process for parents with critically ill infants, healthcare providers can better prepare themselves for communication in several scenarios and establish successful interactions. [ABSTRACT FROM AUTHOR]

Introduction: The COVID-19 pandemic has significantly impacted the home healthcare industry, with increased rates of burnout and stress among homecare rehabilitation professionals (hcRPs). This study aimed to (1) examine the nature of burnout and occupational stress among homecare rehabilitation professionals at a large home care organization in Ontario, Canada, transitioning out of the pandemic, and (2) assess its impact on work participation and engagement. Methods: We conducted a cross-sectional survey using the National Institute for Occupational Safety and Health Generic Job Stress Questionnaire and Copenhagen Burnout Inventory to examine burnout and job stress. Results: One hundred thirty-nine participants identified that work stress and burnout are more likely to occur when one struggles to cope, experiences unexpected circumstances, and feels a lack of control, which can lead to anger and emotional exhaustion. The adjusted odds ratio for emotional exhaustion was 5.46, indicating that the probability of experiencing work stress among homecare rehabilitation professionals increases as emotional exhaustion increases. Significant associations were found between coping with daily tasks and levels of burnout. Conclusion: Work stress and burnout influence coping, unexpected circumstances in homecare rehabilitation professionals work–life. Furthermore, highlighting the need to provide organizational support and policies that specifically address these issues in the home care sector. [ABSTRACT FROM AUTHOR]

Paramedics play a pivotal role in delivering emergency medical care, contributing to excellence in the prehospital environment and ensuring a seamless continuum of healthcare. Achieving this objective is subject to various factors. This review aims to explore, the relationship between paramedic personality profiles and key factors including stress, burnout and employment retention or attrition. The JBI approach was used to perform a scoping review. Key words including paramedic* , ambulance* , personalit* , retention OR attrition and burnout OR stress were inserted into the search engines OVID, CINAHL Plus, Scopus, Web of Science Core Collection, Psychology ProQuest, and Nursing ProQuest. Titles and abstracts of 226 results were screened and inclusion and exclusion criteria applied. Full texts of the remaining 18 results were screened to inform the results. Three themes emerged relevant to the objective including the correlation of neuroticism with stress and burnout, personality types and mental illness with the ability to cope during stressful situations and finally resilience and burnout with the intention to quit. Further research should be completed into specific personality characteristics, including neuroticism, perfectionism, and excitability to facilitate the development of strategies aimed at improving the health and wellbeing of paramedics and EMT workers internationally. [ABSTRACT FROM AUTHOR]

Objective: Breast cancer is responsible for disruptive changes in women's lives, causing them to experience diverse and intense negative emotions that can affect their perception of well-being. The present study aimed to characterize difficulties in emotion regulation (ER), according to Gratz and Roemer's multidimensional assessment, in women with breast cancer and to relate them with General Well-Being and its different domains: Physical, Social/Familial, Emotional, and Functional. Method: Ninety-five Portuguese women with breast cancer aged between 32 and 75 years answered a sociodemographic and clinical questionnaire and the Portuguese versions of the Difficulties in Emotion Regulation Scale and the Functional Assessment of Cancer Therapy – General. Data were collected in an oncology public hospital. Results: In general, difficulties in ER presented negative correlations with General Well-Being and its domains. The multiple regression analysis findings indicated that two specific types of difficulties, Limited Access to ER Strategies and Lack of Emotional Clarity, play a significant role in predicting well-being, especially in the Emotional domain, which was most compromised in these patients. Conclusions: These difficulties should be approached within psycho-oncological interventions as they are essential contributors to improving emotional and general well-being and fostering psychological adaptation to breast cancer. [ABSTRACT FROM AUTHOR]

Students studying abroad often face numerous challenges, such as cultural shock and loneliness. Existing research has shown that online platforms can play a vital role in international students' acculturation process. The current study adopts the social cognitive theory (SCT) framework to explore the relationship between online cultural participation (online heritage cultural participation and online cross-cultural participation) and acculturation (psychological adaptation and sociocultural adaptation), as well as to examine the mediating role of cultural psychological status (cultural self-awareness and cultural identity clarity). Chinese international students studying in Europe (N = 302) were recruited as the research target to explore the acculturation process of international students in a social environment that has significant cultural differences from their home environment. The results suggest that (1) online cultural participation can affect Chinese international students' psychological adaptation by influencing students' cultural psychological status, and (2) cultural psychological status plays a mediating role in the relationship between online cultural participation and international students' psychological acculturation. This study reveals that cultural psychological status and connections to the heritage culture may be essential in international students' acculturation process. Relevant institutions in international students' home and host countries could offer courses or lectures about cultural recognition so that students in unfamiliar environments can establish healthy cultural awareness and identities to aid in their acculturation. [ABSTRACT FROM AUTHOR]

Background: Clinical decision-making is a crucial skill for undergraduate nursing students to develop. This study assessed the effects of a mobile clinical decision-support (mCDS) app on clinical reasoning and decision-making in undergraduate nursing students and their perceived acceptance of the app. Method: Following the technology acceptance model, a randomized controlled trial with a pretest-posttest design was conducted. Students in the experimental group used an mCDS app (Medscape) for sepsis and cardiac tamponade scenarios, and students in the control group used traditional tools. Outcomes included perceived usefulness, ease of use, attitudes, clinical reasoning, clinical decision-making skills, satisfaction, and behavioral intent to use the app. Results: Students in the experimental group had significantly higher posttest clinical reasoning scores (p =.04) and cardiac scenario clinical decision-making scores (p =.01) compared with students in the control group. Conclusion: Integrating mCDS apps into clinical nursing education enhances students' clinical reasoning and decision-making. [J Nurs Educ. 2024;63(12):835–843.] [ABSTRACT FROM AUTHOR]

The article focuses on promoting self-care in healthcare settings, particularly for patients with long-term conditions. Topics include the role of general practice nurses in empowering patients, strategies for overcoming barriers to self-care, and the importance of self-care for healthcare professionals themselves.

Rates of HIV acquisition remain high among adolescent girls and young women (AGYW) in sub-Saharan Africa. We explored South African, Ugandan, and Zimbabwean AGYW's experiences in a crossover trial of two HIV prevention products: Daily oral pre-exposure prophylaxis pills and a monthly dapivirine vaginal ring. A subset of participants (n = 25) across all sites completed up to three serial in-depth interviews (SIDIs). The SIDIs explored barriers to product use, coping strategies, and the resulting outcomes. Coded textual data were analyzed using a product acceptability conceptual framework. Participants in the SIDIs described managing the array of challenges they encountered through formal adherence support, strategic product disclosure, and personally adapted strategies. For both products, perceived discreetness of the product and decision-making around disclosure was an important component of participants' narratives. Participants tailored their coping strategies based on available personal resources (e.g., cell phone alarms for PrEP reminders, social support through disclosure) or study provided resources (e.g., encouragement from staff, adherence groups). Notably, challenges participants encountered with each product during the crossover period helped inform product selection during the choice period. Our findings suggest that—even in a context where AGYW have access to several options for HIV prevention—challenges to consistent product use remain, but accessible support mechanisms and informed choice can help mitigate these challenges. Enacting that choice may also empower AGYW to reach their short and long-term life goals—including for HIV prevention. (NCT03593655, 20th July 2018). [ABSTRACT FROM AUTHOR]

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Objective: The objective of the study was to analyze the process of adaptation in parents residing in Poland whose child has revealed their gay/lesbian sexual orientation or gender identity and determine the stages and conditions of this process. Background: When a young person discloses their gay/lesbian sexual orientation or transgender identity, their parents' reaction has a significant impact on their psychological well‐being and on whether their family system can survive. Method: This study, carried out from July to November 2022, involved conducting 21 interviews with parents residing in Poland whose child (whether a younger child, an adolescent, or an emerging adult) had come out about their gay/lesbian sexual orientation or transgender identity. Results: Analysis of interviews conducted during the research revealed the main stages of the process of parents' adaptation to their child coming out: initial attribution, coming out, secondary attribution, confrontation, and acceptance. For individual stages, we categorized reactions, which complement the description of an individual trajectory of adaptation. Conclusion: It is our opinion that for parents experiencing their child's coming out, the concept of their adaptation should be expanded to include a theory of grief and psychological crisis, highlighting the parents' need for cognitive‐functional validation of the situation. Implications: Future research should seek to individualize the adaptation trajectories of parents whose child has come out about their sexual orientation or gender identity and relate these analyses to both mothers' and fathers' parental roles. [ABSTRACT FROM AUTHOR]

Extensive evaluations exist concerning the linkage between objective task demands and subsequent effects on user performance. However, the human user also experiences a range of emotions related to external task demands. Problematically, little is known about the associations between emotional valence, and arousal associated with the task demand–performance axis. In this paper, we advance a theoretical model concerning such interactive influences using three dimensions: (1) emotional valence, (2) arousal, and (3) task demand. The model evaluates the impact of these dimensions on user performance. It also identifies critical emotional user states, particularly those resulting in negative performance effects, as well as non-critical emotional states that can positively impact performance. Finally, we discuss the implications for affect-adaptive systems that can mitigate the impact of critical emotional states while leveraging the benefits of non-critical ones. PRACTITIONER SUMMARY: To effectively model performance and prevent errors in safety-critical human-machine systems, it is crucial to consider user states of emotional valence, arousal, and the current task demand. The proposed model enables the classification of critical and non-critical states within affect-adaptive systems. States characterised by negative valence, high arousal, and overload should be avoided to foster high performance, especially in safety-critical environments. Additionally, the present work offers recommendations for preserving and restoring non-critical states to ensure optimal performance and provides implications for training. [ABSTRACT FROM AUTHOR]

Background Korea operates the Personal Assistance Service (PAS) program, a social service program that assists with the daily activities and coping needs of individuals with disabilities. In January 2013, the eligibility to enroll in the PAS program was expanded to include all individuals with severe disabilities. Objective As supporting individuals with disabilities is important in reducing disparities related to the uptake of health screening, this study investigated whether eligibility expansion of the PAS program was associated with increased participation in the National Health Screening Program (NHSP) among adults with severe disabilities. Methods Nationwide data from Korea that included 24 701 individuals were used. The treatment group included individuals with severe disabilities, while the control group included those with mild disabilities. The difference-in-difference approach was used to estimate differences in participation in the NHSP between the two groups before and after the intervention period. A negative binomial distribution model was applied in the analysis with adjustment for all independent variables. Results The expansion of the PAS program was directly related to an increase in NHSP uptake by people with severe disabilities (increase by 0.044 times compared to the control group following the implementation of the policy). Conclusions Expanding the eligibility for the PAS program was associated with an increase in NHSP participation among individuals with severe disabilities. These findings suggest the importance of supporting individuals with disabilities by increasing participation in health screenings to reduce potential related health disparities. [ABSTRACT FROM AUTHOR]

Purpose: In response to the COVID-19 pandemic, holistic nurses at an academic level 1 trauma center in Hawaii utilized a novel holistic approach to combat stress and anxiety symptoms while promoting nurse's well-being. This assessment aimed to determine whether a brief session incorporating Reiki and meditation could decrease nurses' perceived stress and anxiety while increasing perceived happiness and coping ability. Methods: Two Reiki-certified holistic nurses developed a mobile 10-minute individual well-being session called "Zen Den." In each session, the holistic nurse provided hands-on Reiki concurrent with a meditation streamed by a free online application. Pre and post-self-assessments were measured using a Likert scale. Findings: Participants (N = 92) showed an average decrease in perceived stress by 46% and anxiety by 45%, and an increase in feelings of happiness by 17% and perceived coping ability by 18%. Conclusion: This novel approach to promote well-being in the workplace can be achieved using existing resources such as Reiki-trained staff, a quiet space, and a 10-minute well-being session with guided meditation using a free online application. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study was to explore the essence of the lived experiences of palliative care professionals in cultivating mindfulness, with a focus on the meaning of mindfulness in their lives and how mindfulness is experienced throughout their process of caring for others. Design: This was a qualitative study using a phenomenological approach. Methods: Eleven palliative care professionals (three physicians, four nurses, three psychologists, and one spiritual care provider) partook in in-depth interviews. Data were collected from the in-depth interviews and analyzed according to the method of Giorgi. Findings: Two major themes emerged from this study. First, the palliative care professionals realized the need for self-care amid emotional burden, including recognizing their feelings of guilt and self-doubt, emotional contagion of grief, reflections of others' fragility on themself, and their self-imposed limitations. Second, they noticed the transformative impact of mindfulness on them, including detecting reconnection with their body, changes in their personal values, self-acceptance, and liberation. Conclusion: Palliative care professionals can cultivate self-acceptance and facilitate entirely new life experiences through the practice of mindfulness. For them, mindfulness is not merely a self-regulation technique but an existential epiphany, offering hope for self-care and empowerment. [ABSTRACT FROM AUTHOR]

Background: Children affected by war and political violence deploy agentic competencies to cope with trauma symptoms and psychological difficulties. However, it does not always act as a protective factor to help them adjust to potentially traumatic events. Aims: We expected to explore the association between agency, trauma symptoms and psychological difficulties and the mediating role of hope and life satisfaction in a group of child victims of military violence in Palestine. Methods: 965 children aged 8 to 14 were assessed with self-reported measures, War Child Agency Assessment Scale, Children Revised Impact of events scale, Strengths and difficulties scale, Child Hope Scale and Brief Multidimensional Students Life Satisfaction Scale. Structural Equation Modelling was performed having Agency as a predictor, trauma symptoms, psychological difficulties as an outcome variable and life satisfaction and hope as a mediator. Results: We found a direct and positive effect of agency on trauma symptoms, psychological difficulties, and life satisfaction and hope on the two dependent variables. Life satisfaction and hope mediated the association between agency and the outcome variables. Conclusion: Agency can help defend children from trauma and psychological maladaptation when it acts on life satisfaction and hope. At the same time, it might worsen psychological dysfunctions when working directly on trauma symptoms and difficulties. Clinical interventions must help children to foster agentic resources in activating hope and life satisfaction. [ABSTRACT FROM AUTHOR]

Background: The intensive care unit environment exposes nurses to high-stress situations that potentially affect their mental and physical health. Resilience is a protective factor that can enhance the well-being of intensive care unit nurses. Objective: To investigate the current evidence regarding resilience in intensive care unit nurses and identify factors that promote resilience. Methods: A comprehensive literature search was undertaken for primary research conducted between January 1990 and December 2022. The updated framework of Whittemore and Knafl was used as a guide. Studies were critically appraised for methodological quality by using the Johns Hopkins Nursing evidence-based practice appraisal tool. Results: Twelve studies were included; most used quantitative methods to measure resilience. The findings indicate that intensive care unit nurses exhibit various levels of resilience, the literature contains inconsistencies about factors affecting resilience, and resilience protects nurses against negative psychological outcomes. Discussion: Nurses' resilience levels should be regularly assessed to identify areas for improvement and gauge the impact of resilience interventions. By continuously monitoring and adapting support strategies on the basis of resilience changes over time, organizations can meet the needs of intensive care unit nurses. Conclusion: More research is needed to comprehend the factors that impact resilience and devise interventions to boost resilience in intensive care nurses. [ABSTRACT FROM AUTHOR]

Secondary traumatic stress (STS), the emotional duress that results when an individual hears about the firsthand trauma experiences of another, is a significant concern for many social workers, particularly those in high-stress and trauma-exposed environments such as emergency rooms or psychiatric hospitals. Newly graduated social workers are especially susceptible to STS due to their limited experience and exposure to the emotional distress of clients. Yet, limited studies have focused on newly graduated social workers and STS. This study is twofold: (1) it attempts to provide insight into the experiences of pediatric emergency room social workers (PERSW) with STS, and (2) to explicate the utility of the findings in practical strategies to assist newly graduated and current social workers entering high-stressful work environments. A thematic analysis and semi-structured interviews were used with twenty-three pediatric emergency room social workers with at least one year of experience. The analysis revealed three themes: (1) the trauma of the job, (2) the effects of STS, and (3) coping strategies for STS. The findings underscore the need for a specialized toolkit for new graduates in pediatric emergency social work, offering resources and strategies tailored to the unique challenges of this field. [ABSTRACT FROM AUTHOR]

The article discusses the impact of the COVID-19 pandemic on college students' mental health, particularly stress, anxiety, and depression. It presents a conceptual model proposing that emotional intelligence and self-leadership can help students cope with stress. Empirical studies have confirmed the effectiveness of self-leadership in reducing student stress, but caution is advised to avoid maladaptive coping behaviors. The article provides practical advice for educators to apply emotion regulation and self-leadership strategies in the classroom to enhance student coping and reduce stress and anxiety. [Extracted from the article]

During organizational entry, newcomers often draw upon internal resources like coworkers and supervisors to navigate their roles. Could external interactions with customers or patients hold the key to newcomer adjustment in certain job contexts? Our study, rooted in the conservation of resources theory, identifies a critical link between mistreatment from external parties and newcomer adjustment—a connection that is explained by rumination and work engagement. Through two studies involving new nurses in China (Study 1: four-wave cross-lagged panel design, N = 181; Study 2: four-wave time-lagged design, N = 198), we uncover that mistreatment from patients results in rumination among newcomers, leading to diminished task mastery and role clarity, as mediated by reduced work engagement. This ripple effect of external mistreatment persists even when accounting for internal mistreatment (abusive supervision and coworker incivility). Our results illustrate how negative interactions with external entities can hinder newcomer adjustment—a revelation with far-reaching implications for practitioners and future research.1 [ABSTRACT FROM AUTHOR]

Purpose: To translate and cross-culturally adapt the King's Parkinson's Disease Pain Scale (KPPS) into Spanish. Methods: The English KPPS was forward translated into Spanish, back translated, and revised by the original developers. Cross-cultural adaptation of relevant target groups was conducted following COSMIN standards. Cognitive pretesting in Spanish people with Parkinson's Disease (PD) and pain was performed via three semi-structured focus group meetings. Changes were implemented based on qualitative and quantitative analyses. A Delphi study (two rounds) of individual assessments by Spanish experts was conducted. Changes were implemented based on the Content Validity Index (CVI) at item and scale levels (I-CVI/S-CVI). Results: Five Spanish professionals performed the initial translation. Thirty-eight inter-translation inconsistencies were identified, and consensus was reached for a unified version. After back translation and confirmation with scale developers, the pre-final Spanish KPPS was obtained. Cognitive pretesting in 30 people with PD-related pain identified 5 items where terminology changes were made to assure comprehensibility. The Delphi study in 14 Spanish experts underlined the necessity to further modify two items. After the second round, all experts agreed on the modifications and I-CVI and S-CVI were satisfactory. Conclusions: The KPPS was successfully translated and cross-culturally adapted into Spanish. IMPLICATIONS FOR REHABILITATION: The King's Parkinson's Disease Pain Scale (KPPS) was translated into Spanish by 5 independent experts. Cross-cultural validity was assessed by Spanish Parkinson's Disease (PD) patients and neurology experts. The Spanish KPPS adaptation was relevant, understandable, and comprehensive. Rehabilitation professionals will have access to the Spanish KPPS version for assessing PD-related pain in Spanish speaking patients. [ABSTRACT FROM AUTHOR]

The aim of this study was to assess whether the involvement of major salivary and lacrimal glands in primary Sjögren's syndrome (pSS) affected the psychological resilience of patients. This cross‐sectional study included 116 patients with pSS. Data were collected through clinical examinations, measurement of salivary flow rates (SFRs), and from Schirmer's test, as well as from patient‐reported outcome measures (PROMs), such as the European League Against Rheumatism (EULAR) Sjögren's Syndrome Patient Reported Index (ESSPRI), Brief Resilience Scale (BRS), Work Productivity and Activity Impairment (WPAI), Oral Health Impact Profile‐14 (OHIP‐14), and the Hospital Anxiety and Depression Scale (HADS). Hyposalivation was defined as an unstimulated SFR of ≤0.1 mL/min. The BRS score (mean ± SD = 2.60 ± 0.69) was lower in patients with recurrent parotitis (2.11 ± 0.37) than in those without recurrent parotitis (2.67 ± 0.86), in the whole group. In patients with an unacceptable symptom state (ESSPRI score ≥ 5 points), a lower BRS score was observed in patients with both hyposalivation and ocular dryness (2.59 ± 0.69) than in patients with isolated hyposalivation (2.84 ± 0.84). The BRS score was also negatively associated with the WPAI‐Daily Impairment and OHIP‐14 scores in patients with hyposalivation as well as with HADS‐A (the seven items of HADS relating to the anxiety dimension) and HADS‐D (the seven items of HADS relating to the depression dimension) in the whole group. The results suggest that psychological resilience in pSS may be affected by recurrent parotitis, the levels of anxiety and depression, as well as hyposalivation with ocular dryness. [ABSTRACT FROM AUTHOR]

Background/Aims: For midwifery students, differences between the academic and clinical settings may cause culture shock, as a result of the dynamic and demanding nature of clinical practice. This study explored culture shock among midwifery students during clinical attachments in Brunei Darussalam, as they developed leadership and management skills. Methods: Through written essays, 43 university students shared their perspectives on factors contributing to culture shock, challenges hindering clinical learning, and suggestions for how to enhance the learning experience. Their essays were analysed thematically. Results: Culture shock resulted from a lack of familiarity with the clinical environment, role confusion related to leadership and poor communication and adaptability skills. The participants emphasised the importance of a gradual introduction to leadership, and advocated for more practical, hands-on learning. Conclusions: Further research is needed to investigate additional strategies for improving students' readiness in developing their leadership and managerial skills. Implications for practice: Educators and clinical policymakers must collaborate to improve student preparation for clinical practice. Educators should address clinical challenges, while clinical policymakers should invest in training for staff to effectively mentor students. [ABSTRACT FROM AUTHOR]

Background: Persistent pain is the biggest global cause of years lived with disability. Physiotherapists working in pain care aim to take a holistic perspective helping persons to gain a multidimensional understanding of their condition and achieve meaningful goals despite their symptoms. In recent years there has been a paradigm shift in physiotherapeutic pain care toward a psychologically informed physiotherapy approach. Physiotherapists have incorporated principles of strategies such as: cognitive behavioral therapy (CBT); acceptance and commitment therapy (ACT); psychological flexibility; or mindfulness-based therapies in helping persons move forwards despite their pain. Objectives: The purpose of this study was to explore the lived experience of physiotherapists using psychological strategies in pain care. Methods: Seven participants were purposefully recruited for this study and data was collected through semi-structured interviews. Interpretative phenomenological analysis (IPA) methods were used to analyze the data. Master themes were developed to help express the qualitative meanings of the lived experiences. Findings: Seven master themes were identified: 1) Trust; 2) Active listening; 3) Developing understanding; 4) Exploring the journey; 5) Making it meaningful; 6) Being held; and 7) Holding space and sitting with emotions. All themes are interwoven and profoundly connected in the essence of a safe "space." Conclusion: Participants described a journey toward holding space and sitting with emotions. All themes were interwoven and profoundly connected in the essence of a safe "space," where persons can voice their emotions in a non-judgmental environment. The themes may represent a pathway for the physiotherapist to facilitate a person on their journey of healing. [ABSTRACT FROM AUTHOR]

Objectives: To examine and compare problem-focused and positive-coping styles among individuals with varying levels of cannabis use disorder (non-users to mild, moderate, and severe users), providing insights into how coping strategies may differ across these groups. Methods: A cross-sectional study collected data on cannabis use disorder in Rawalpindi and Islamabad. It included moderate and severe cases from rehab centers using purposive convenience sampling, mild users through snowball sampling in educational and recreational settings, and non-users primarily from educational institutes and offices. Only those meeting DSM-V criteria were included. Data was collected using the brief Coping Orientation to Problems Experienced inventory and DSM-5 criteria, analyzed with SPSS 21. Results: Out of all 204 participants, 104 (51%) were cannabis users, average age of 27 years (SD = 5.37), while 100 individuals (49%) were nonusers having average age of 25 years (SD = 5.65). Positive coping did not show significant variation across all three levels of cannabis use disorder (p =.909), but problem-focused coping revealed a significant variation (p =.001). Conclusion: Significant differences exist in the use of problem-focused coping styles between individuals with cannabis use disorder and non-users. [ABSTRACT FROM AUTHOR]

Background: There is a high prevalence of generalized anxiety disorder among immigrants in South Korea. The effect on health behavior is a major concern. However, epidemiological studies suggest that African asylum seekers with generalized anxiety disorders most often manifest co-occurring alcohol use disorder attributes. This study aimed to examine the mediating and moderating effect of emotional intelligence and coping strategies on the generalized anxiety disorder and alcohol use disorder of African asylum seekers in South Korea. Methods: Using the SPSS PROCESS macro, a cross-sectional quantitative survey design, self-reported questionnaires were distributed to 302 African asylum seekers living in South Korea. The data was performed with descriptive statistics and moderated mediation analysis using ordinary least squares path analysis to investigate all research problems. Results: The study path model showed a good fit and supported the hypothesis that generalized anxiety disorder has a detrimental effect on alcohol use disorder and a negative effect on emotional intelligence. Emotional intelligence was proven to be a mediator, and coping strategies moderated the relationship between generalized anxiety disorder and alcohol use disorder. Conclusions: Emotional intelligence and coping strategies are critical constructs to help control African asylum seekers' anxiety disorders and desire for alcohol consumption. [ABSTRACT FROM AUTHOR]

Background: Excessive alcohol consumption is the underlying cause of mortality and morbidity. In Tamil Nadu, South India, alcohol is available through government-regulated outlets, and during the lockdown, there was a ban on the sale of alcohol. This study was designed to explore the change in drinking pattern among known alcohol dependants as well as family and communities' response to the change. Methods: A mixed-methods study was conducted with quantitative data collection followed by in-depth interviews with alcohol dependants and their spouses and focus group discussions with family members and community leaders. Results: We found a significant change in abstinence from drinking among 68% surveyed. Coping mechanism most often used was distraction and involving self in household chores. Most spouses reported that the decreased access to alcohol improved family life during the lockdown. Leaders expressed poor societal ownership of alcoholism as a problem. And once the restrictions were lifted, a rebound phenomenon was observed. Conclusion: This study provides evidence of positive change in improved family life and decreased violence owing to the decrease in alcohol consumption. The community's inability to support reforming alcoholics is an important finding of the study. We recommend interventions to support them and also policies to restrict alcohol access. [ABSTRACT FROM AUTHOR]

Objective: A study was conducted to determine the effectiveness of an experimental procedure for inducing adaptive motivation, including its differential efficacy for light/moderate and heavy drinkers. Method: Participants were university-student drinkers (N = 79, males = 26.1%, mean age = 19.86 years) who were randomly assigned to a control or an experimental group. The experimental group underwent an experimental induction involving Concept Identification Cards for enhancing adaptive motivation, whereas the control group received an inert induction. At baseline, all participants completed a demographics questionnaire and the Alcohol Use Questionnaire. To evaluate the effectiveness of the induction, at both baseline and post-induction, participants completed the General Self-Efficacy Scale and the Task-Specific Personal Concern Inventory (TSPCI). Results: At baseline, there were no differences between the two groups on Self-Efficacy or Task-Specific Adaptive Motivation. At the posttest, participants in the experimental group correctly answered more of the Concept Identification Cards than the control group (p <.001). At the posttest, only the experimental group showed improvements in self-efficacy (p <.025) and task-specific adaptive motivation (p <.025). Conclusions: This study demonstrates that adaptive motivational structure can be experimentally induced, and the induction is as effective with Heavy Drinkers as with Light/Moderate Drinkers. Suggestions for future research using the induction of adaptive motivation with heavy drinkers is discussed. [ABSTRACT FROM AUTHOR]

Introduction: The purpose of this study was to examine the feasibility of adapting and translating an evidence‐based occupational therapist‐delivered program shown to be effective in the community to residential aged care (RAC). The program aims to improve quality of care and quality of life for people living with dementia and the wellbeing of the family care partner. Methods: This study took place in a not‐for‐profit RAC home in Adelaide, South Australia. Mixed methods, specifically questionnaires, activity logs, focus group, and one‐on‐one interviews were used to evaluate the feasibility of the program implementation. Staff working in the participating home, occupational therapists trained to deliver the program, and residents and their family carer partners were included. Quantitative data were analysed using proportions, means, and standard deviations. Qualitative data were analysed using a thematic approach. Consumer and Community Involvement: This study was conducted together with a consumer (person living with dementia) and a carer representative (family member of someone residing in RAC). These representatives provided input towards the study design, interpretation of study data, discussion of results, and recommendations for future consideration. Results: Small changes to the program improved feasibility and acceptability for delivery in RAC. While the care home staff required added support during implementation, the intervention therapists felt that the program could be delivered in this setting. Family care partners of residents with dementia felt that the program may be better suited if provided upon entry to RAC or in early stages of dementia. Conclusion: Adapting a community‐based dementia care program to RAC can be safe and feasible. Program adaptations are necessary for feasibility. Further adaptations and evaluations of associated outcomes (related to residents with dementia and their family care partners) are needed to assess the program effectiveness in larger scale. Plain language summary: Spending quality time with family members in residential aged care is important. However, many struggle to know what to say or do when visiting a family member who lives with dementia. Programs that teach families about how to communicate with people living with dementia, how to support them to take part in important everyday living activities, or how to understand why changes in behaviours may occur have not been available in residential aged care. This paper describes how we adapted one such evidence‐based program from community to residential aged care settings. We consulted with people living with dementia, carers, and families and found that the program could also be valuable in this care setting. Residential aged care staff described how the program is very different to what is usually available in residential aged care, but they were optimistic that with the right support, it could be a valuable way to support residents with dementia and their families. Family members of residents with dementia and therapists delivering the program felt that residents in early stages of living in residential aged care and/or early stages of dementia could benefit the most from these programs. We found that including family members in the intervention process can be useful and empowering for families and residents. Future work should also focus on involving other staff members caring for residents in the process. Communication between staff and families is the key for program delivery and success and treating each person as an individual. [ABSTRACT FROM AUTHOR]

Introduction: A peer‐mediated, play‐based intervention has been developed to address social participation challenges experienced by children with ADHD. To facilitate implementation into clinical practice, interventions should be evaluated for appropriateness to the end‐user, as well as effectiveness. Previous research demonstrated the approach is effective for improving children's social play skills. This study aimed to evaluate the appropriateness of the intervention for children with ADHD and their families. Methods: Parents of children with ADHD who participated in the play‐based intervention were interviewed 1 month after completion. Parents were asked about their perspective of parent and children's experiences of the intervention, the perceived benefits for children and parents, the logistics of participating, and recommended adaptations to the intervention. Interviews were analysed thematically, and themes were mapped to the elements of the adopted definition of appropriateness to understand whether parents supported the appropriateness of the intervention for their families. Consumer and Community Involvement: Consumers were not directly involved in the decisions made about this study. Findings: One core theme, 'collaborative efforts', emerged from the data. Major themes comprising the core theme were 'on the same page', 'therapeutic relationship', and 'getting the job done'. Three sub‐themes of 'engagement and motivation', 'the effort was worth it for the reward', and 'Rome wasn't built in a day' were nested within the major themes. Conclusion: Parents largely supported the appropriateness of the intervention, indicating it addressed an important goal for their child, participation was a positive experience, and they perceived the intervention to be beneficial. Future adaptions of the intervention are needed to increase its ecological validity and to generalise the strategies to other social environments and playmates, such as peers at school. PLAIN LANGUAGE SUMMARY This study looked at an intervention that uses play with peers to help children with ADHD develop their play skills. The researchers wanted to know if parents thought the intervention was a good fit for their families and if it helped their children. Parents gave an interview a month after the intervention ended. They were asked about their thoughts on the intervention, how it helped their children and themselves, how easy it was to take part, and what changes could be made to make the intervention better. After analysing parents' answers, the researchers found parents mostly agreed that the intervention was a good fit. They said it helped their children to play with their peers, and they had a good time doing it. Parents thought the intervention was helpful, they liked that it was a joint effort between them and the occupational therapist, and they felt it was worth the effort. However, they also suggested some changes. They wanted the intervention to fit into other real‐life social situations, such as school, so their children could use the skills they learned in other places. Overall, parents thought the intervention was helpful and suitable for their children and themselves, but some changes might make it more helpful. [ABSTRACT FROM AUTHOR]

This paper uses a neo-institutional perspective to examine possibilities and obstacles for participation in coordinated individual planning (CIP) for people with intellectual disabilities. CIP is a tool for interprofessional and interorganizational coordination with the objective of creating a joint plan for a person needing cohesive care. Participation by the service-user is considered important for effective coordination but involving someone with an intellectual disability may require special adaptations. A thematic analysis of interviews with 17 professionals from different organizations in Sweden reveals that service user participation is considered an important goal by professionals, but also that it is difficult to put into practice. The results indicate that CIP is characterized by tensions and policy-practice decoupling that limit the service-users' possibilities for participation. Points of interest: Different organisations and professionals sometimes give support to one individual. They need to coordinate this support. It is necessary for service-users to be involved in coordinated planning of the support and care they need. The study analyses how professionals experience participation in coordinated planning when the service-user has an intellectual disability. The study found that coordinated planning can be difficult to adapt for service-user participation. The study found a gap between ideals and practice caused by the organizations' rules, norms, and structures. The findings reveal a risk of focusing on changing the service-user's behaviour or situation rather than addressing problems within the organizations. [ABSTRACT FROM AUTHOR]

Objectives: To explore the experiences and perceptions of oncology nurses providing hospice care in Chinese mainland. Methods: A descriptive phenomenological research method was utilized to describe experience of hospice care among oncology nurses. Eighteen oncology nurses were selected for interviews using purposive sampling from four grade A tertiary hospitals in Wuhan, Hubei province, China. The face-to-face semi-structured interviews were used to collect data. Data were recorded using NVivo 12.0 and analyzed using the Colaizzi's 7-step phenomenological data analysis method. Results: The interview data generated five major themes: (1) end-of-life care for oncology patients, (2) support and care for family members, (3) self-limitation and psychological distress, (4) culture and external environment constraints, and (5) self-coping and gains. Conclusions: In Chinese mainland, oncology nurses encountered barriers and negative emotions in conducting hospice care, but have also made strides in the promotion of hospice care. In the future, the use of different traditional Chinese medicine technology to facilitate symptom management in end-of-life patients should be explored, and more tools to assist in providing psychological care and communication should be developed. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Design Data Sources Methods Results Conclusion Implications for Nursing Management Patient or Public Contribution To identify and synthesise the qualitative evidence that is available regarding reducing the turnover of hospital nurses from their own perspectives.A qualitative systematic review using the meta‐aggregation design.Qualitative studies either in English or in Chinese, dating from 2018 to 2023, were obtained from eight databases, including CINAHL, PubMed, Web of Science, Embase, Ovid, and Chinese National Knowledge Infrastructure (CNKI), Wanfang Database and the China Biomedical Database.Studies were screened using pre‐determined inclusion and exclusion criteria. Quality assessment was done using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research. The study was reported according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines.Sixteen papers were included that explored nurses' perspectives on enhancing their retention or reducing staff turnover. We developed three synthesised findings and 12 categories from 64 identified findings, including (1) individual adjustment strategy: professional pride, self‐growth and psychological adjustment; (2) social support strategy: constructive workplace relationships, balancing work life and recognition of nursing and (3) organisational change strategy: embracing management and leadership, promote nursing professionalisation, workload management and support, flexible work patterns and opportunities, supporting personal career development and competitive salary.This review provides an in‐depth and meaningful understanding of nurses' own perceptions and suggestions for enhancing nursing turnover, which will call for a wide range of measures targeting the individual, social and organisational levels.This study contributes important knowledge to help improve hospital nurse's turnover, which can provide evidence to support nurse managers, other stakeholders and policymakers in correspondingly developing effective measures to address nurse turnover.There was no direct contribution from patient or caregiver to this study because the data of this study originated from published papers. [ABSTRACT FROM AUTHOR]

Background: Bipolar disorder (BD) is a chronic mental health condition that significantly affects an individual's quality of life (QoL). While previous research has primarily concentrated on the clinical aspects of BD, there is increasing interest in understanding the factors associated with QoL in this population. This cross-sectional study aimed to assess the effects of different coping strategies on the overall QoL of individuals with BD, encompassing the physical, psychological, and social dimensions, while comparing adaptive and maladaptive coping strategies. The study sample included 96 outpatients diagnosed with BD recruited from psychiatric outpatient clinics in Riyadh and Dammam, Saudi Arabia, as well as a broader BD community. Participants completed the World Health Organization Quality of Life Brief questionnaire (WHOQOL-BREF) and Coping Orientation to Problems Experienced (Brief-COPE) questionnaires. Results: The findings indicated that problem-focused coping strategies, such as seeking support and taking direct action to manage stress, were associated with better QoL among individuals with bipolar disorder. In contrast, emotion-focused strategies such as self-blame are linked to lower QoL. Conclusion: These results contribute to the limited research on QoL in BD, particularly in Arab and Saudi societies, and underscore the need for targeted interventions aimed at developing effective coping mechanisms to enhance the wellbeing of individuals with BD. [ABSTRACT FROM AUTHOR]

Background: The timing of a breast cancer (BC) diagnosis has a significant psychological impact on patients. However, it reported that those eligible for treatment regimens based on neoadjuvant chemotherapy may experience high levels of depression, anxiety and distress. To cope with this situation, patients deploy psychological coping strategies. The aim of this study is to explore effective and ineffective psychological adjustment mobilized by Moroccan patients newly diagnosed with BC and before receiving neoadjuvant chemotherapy, as well as to identify their associations to socio-demographic and clinical determinants. Materials and methods: A total of 209 patients were recruited in outpatient in oncology department in the public oncology hospital of Fez city, between 2021 and 2023. Ethics approval was obtained for this study and patients has signed an informed consent form. The questionnaire interview included socio-economic and clinical variables and the Arabic version of Mini-Mental Adjustment to Cancer (Mini-MAC) scale, which measures the strategies of mental adjustment to disease, as fighting spirit (FS), hopelessness/helplessness (HH), anxious preoccupations (AP), cognitive avoidance (CA), fatalism (FA), "maladaptive coping" and "adaptive coping". Bivariate analysis of psychological adjustment strategies and sociodemographic and clinical variables was carried out using statistical tests according to the nature of the variables, to their normality and the homogeneity of their variances. Univariate and multivariate linear regression modelling was carried out using a forward "enter" regression procedure. Results: A mean age of 47.43 ± 9.45 was found among participants. Assessment of mental adjustment to cancer using Mini-MAC scores revealed that psychological adjustment strategies with a higher mean score were FA, FS and "adaptive coping" strategies. Based mainly on multiple linear Regression, monthly family income was negatively associated with HH, and FS and positively linked to FA and "adaptive coping" strategies. Moreover, the left side as BC laterality was negatively associated with AP and "maladaptive coping" strategies. Furthermore, positive ER status was negatively associated with HH and "maladaptive coping" strategies and high Ki-67 levels were positively linked to AP. Conclusion: Programs to strengthen psychological adjustment in patients with BC candidates for NACT, taking into consideration the determinants found associated in this study, are of great importance since the first oncology consultation. [ABSTRACT FROM AUTHOR]