Oncology nurses' professional values are shaped by a complex interplay of factors. Despite this, the available findings regarding professional values' influence on oncology nurses' practice in China are few and far between. The research project focuses on Chinese oncology nurses, exploring the correlation between depression, self-efficacy, and professional values, and determining the mediating role of self-efficacy in this observed correlation.
Employing the STROBE guidelines, researchers conducted a multicenter cross-sectional study. 2530 oncology nurses from 55 hospitals, located in six provinces across China, participated in an anonymous online questionnaire administered between March and June 2021. Sociodemographic measures were employed, alongside fully validated instruments, which were self-designed. An exploration of the associations between depression, self-efficacy, and professional values was conducted using Pearson correlation analysis. An examination of the mediating effect of self-efficacy was conducted using the PROCESS macro and its bootstrapping function.
Chinese oncology nurses achieved total scores of 52751262 for depression, 2839633 for self-efficacy, and 101552043 for professional values. A considerable percentage, approximately 552%, of Chinese oncology nurses experienced depressive symptoms. The professional values of Chinese oncology nurses were usually of an intermediate level. Professional values were negatively linked to depression, and positively associated with self-efficacy, in contrast to the negative correlation between depression and self-efficacy. Additionally, self-efficacy partially mediated the link between depression and professional values, representing 248% of the overall effect.
Depression's presence negatively impacts both self-efficacy and professional values, yet self-efficacy demonstrates a positive link with professional values. Furthermore, the professional values of Chinese oncology nurses are indirectly affected by their depression, with self-efficacy acting as an intermediary. The development of strategies to mitigate depression and bolster self-efficacy is essential for nursing managers and oncology nurses to strengthen their positive professional values.
A negative relationship exists between depression and both self-efficacy and professional values, and self-efficacy is positively associated with professional values. check details Depression within the Chinese oncology nursing profession indirectly affects professional values by impacting self-efficacy. Nursing managers and oncology nurses should, in concert, develop initiatives focused on alleviating depression and enhancing self-efficacy, thereby solidifying their positive professional values.

In rheumatology research, continuous predictor variables are frequently categorized. This study sought to illustrate how this practice could modify results derived from rheumatology observational research.
Our comparison of two analyses revealed the association between percentage change in body mass index (BMI) from baseline to four years and knee and hip osteoarthritis in two outcome domains: structure and pain. The two outcome variable domains contained 26 diverse outcomes for both knee and hip conditions. The categorical analysis classified BMI percentage change into three classes: 5% reduction, a change less than 5%, and a 5% increase. In the continuous analysis, however, BMI change remained a continuous measure. To examine the association between the outcomes and the percentage change in BMI, generalized estimating equations with a logistic link function were applied in both categorical and continuous analyses.
In a notable 31% (8 out of 26) of the investigated outcomes, the findings from categorical analyses deviated from those of the continuous analyses. The eight outcomes of the analyses showed three distinct types of discrepancies. In six instances, continuous analyses revealed associations in both directions (increased and decreased BMI), while categorical analyses only showed associations in one direction. In a further instance, categorical analyses showed a correlation with BMI change not seen in continuous analyses, possibly a false positive. Lastly, for the remaining outcome, continuous analyses showed an association with BMI change absent in the categorical analyses, potentially a missed or false negative correlation.
The categorization of continuous predictor variables within analyses can modify the results and potentially result in different conclusions; consequently, researchers in the field of rheumatology should discourage its use.
Analysis results in rheumatology are susceptible to modification when continuous predictor variables are categorized, potentially leading to contradictory interpretations. Researchers should therefore abstain from such practices.

To potentially mitigate population energy intake, a public health strategy could focus on reducing portion sizes of commercially available foods; however, recent research suggests that the effect of portion size on energy intake may vary by socioeconomic standing.
Our study examined if the influence of reduced food portions on daily energy intake was contingent upon a subject's SEP.
Laboratory-based, repeated-measures designs were employed to provide participants with either smaller or larger portions of food at lunch and evening meals (N=50; Study 1) and breakfast, lunch, and evening meals (N=46; Study 2) on two separate days. Total daily energy intake, expressed in kilocalories, constituted the primary outcome. Participant enrollment was stratified by primary socioeconomic position (SEP) indicators: highest educational degree attained (Study 1) and self-assessed social standing (Study 2); the order of portion size presentation was randomized and stratified by SEP. Secondary indicators of SEP in both studies involved household income, self-reported childhood financial hardship, and the total number of years spent in education.
Both research projects revealed a correlation between smaller meal portions (compared to larger ones) and a reduction in daily energy intake (p < 0.02). Study 1 demonstrated that smaller portions decreased daily caloric intake by 235 kcal (95% CI 134, 336), while Study 2 saw a decrease of 143 kcal (95% CI 24, 263). Neither study revealed any difference in portion size effects based on socioeconomic position (SEP). Examination of the influence on portioned meals, in contrast to overall daily energy intake, produced consistent results.
Culinary portion control stands as a promising approach for lowering overall daily energy intake, and unlike some other suggested solutions, it might represent a more equitable method to enhance dietary well-being from a socioeconomic perspective.
The trials' registration process was performed through www.
Trials NCT05173376 and NCT05399836, are government-initiated studies.
Research conducted by the government, with study IDs NCT05173376 and NCT05399836, is active.

The COVID-19 pandemic was associated with a noticeable decrease in the psychosocial well-being of hospital clinical staff. Community health service workers, who participate in a range of activities, including education, advocacy, and clinical care, and who serve numerous clients, are poorly understood. check details Few research studies have diligently tracked data across extended periods of time. Assessing the psychological well-being of community health service staff in Australia during two distinct time points in 2021 was the central focus of this COVID-19 pandemic-era investigation.
A prospective cohort design employed an anonymous, cross-sectional online survey at two distinct time points: March/April 2021 (n=681) and September/October 2021 (n=479). Staff recruitment for clinical and non-clinical roles was undertaken across eight community health services in Victoria, Australia. Employing the Depression, Anxiety, and Stress Scale (DASS-21), the researchers assessed psychological well-being, and the Brief Resilience Scale (BRS) was used to determine resilience levels. General linear models, adjusting for chosen sociodemographic and health characteristics, were used to measure the association between survey time point, professional role, and geographic location and DASS-21 subscale scores.
No substantial differences were found in the sociodemographic characteristics of the respondents in either survey. Staff mental health deteriorated in tandem with the pandemic's prolonged duration. Account taken of dependent children's situation, professional position, health condition, geographic location, COVID-19 exposure record and place of birth, scores for depression, anxiety, and stress were considerably greater in the participants of the second study compared to the first survey (all p<0.001). check details No substantial impact on DASS-21 subscale scores was observed, regardless of professional role or geographical position. Lower resilience and poorer general health, combined with a younger age group, were associated with a higher occurrence of reported cases of depression, anxiety, and stress among the participants.
A marked deterioration in the psychological well-being of community health workers was observed between the first and second surveys. The pandemic's ongoing and cumulative impact on staff wellbeing is, unfortunately, supported by the research findings. Wellbeing support should be sustained for staff members' continued benefit.
The community health staff's psychological well-being demonstrably deteriorated between the initial and subsequent surveys. An ongoing and cumulative negative impact on staff well-being, stemming from the COVID-19 pandemic, is indicated by the findings. Continued provisions for staff wellbeing support are recommended.

Numerous early warning scores (EWSs), including the rapid Sequential Organ Failure Assessment (qSOFA), the revised Early Warning Score (MEWS), and the National Early Warning Score (NEWS), have been validated to predict unfavorable COVID-19 outcomes in the Emergency Department (ED). Furthermore, the Rapid Emergency Medicine Score (REMS) remains insufficiently validated for this intended use.