Peijia Zha

Objective: This review will summarize the evidence on the effectiveness of evidence-based interventions in promoting resilience among nursing students. Introduction: Nursing involves high-stress environments, substantial workloads, and emotional strain. Amid these challenges, nursing resilience is vital for ensuring the quality of patient care and protecting nurses’ well-being. Nursing students are introduced to these challenging practice environments through both their coursework and their clinical placements, preparing them for the realities they will encounter after graduation. Understanding interventions that promote nursing students’ resilience during their nursing education will help support their preparedness for today’s challenging health care systems. Eligibility criteria: This review will include research syntheses about evidence-based interventions to promote resilience among prelicensure professional nursing students. This can include those in diploma, associate, baccalaureate, or prelicensure master of science nursing programs. Comparisons will be made across evidence-based interventions. This review will consider systematic reviews that include the primary outcome of resilience and possible secondary outcomes of emotional well-being, academic satisfaction, and retention. Methods: A comprehensive search will be carried out across CINAHL (EBSCOhost), MEDLINE (Ovid), Cochrane Library (Ovid), JBI Best Practice, Embase (Ovid), and Epistemonikos. The search will have no limitations on language, geographical location, or publication date. Two independent reviewers will screen titles and abstracts against the eligibility criteria. The selected reviews will be appraised using the JBI critical appraisal instrument for systematic reviews and research syntheses. Data from each review will be extracted using the JBI data extraction tool. The review characteristics and findings will be presented in a narrative summary and tables. Review registration: PROSPERO CRD420251111264

Aims: To translate the Clients' Perceptions of Providers' Cultural Competency into Chinese, validate it with Chinese immigrant clients in the United States and explore their healthcare experiences. Background: Culturally competent care is crucial to promote access, utilization and health outcomes among racial and ethnic minorities. Chinese immigrants represent the largest Asian‐American population in the US healthcare providers can enhance patient‐centred care with instruments that assess and improve their cultural competency. The Clients' Perceptions of Providers' Cultural Competency instrument can assess healthcare providers' cultural competency, offer feedback and improve patient‐centred care. Design: An online, cross‐sectional design was utilized for this psychometric study. Method: Data from 121 Chinese immigrants in the United States were analysed using Cronbach's alpha and exploratory factor analysis to assess reliability and construct validity. Criterion validity was examined by testing the association between self‐reported health and cultural competency using a generalized linear model. Results: Cronbach's alpha of the instrument was 0.91. The construct validity of the instrument revealed the four‐dimensional structure. Self‐reported health was significantly associated with cultural competency ( p = 0.003). Conclusion: Findings support the Chinese Clients' Perceptions of Providers' Cultural Competency instrument as a reliable and valid instrument to measure Chinese immigrants' perceptions of healthcare providers' cultural competency.

Background: The Affiliate Stigma Scale measures the internalized stigma experienced by caregivers. Among Asian Indians, having a family member with dementia is sometimes perceived as punishment for past‐life sins, underscoring the need for culturally relevant tools for measuring stigma. This study evaluated a shortened, culturally adapted version of the Affiliate Stigma Scale for Asian Indian dementia family caregivers in the United States. Methods: Surveys were completed by 222 caregivers, recruited through community and social networks. Analyses included descriptive statistics, reliability testing, exploratory and confirmatory factor analysis, and construct validity. Results: The original 22‐item scale showed poor model fit. Analyses supported a unidimensional 11‐item version with good fit indices and excellent reliability. Known‐groups validity was supported, with higher stigma scores among female versus male caregivers and among caregivers of South versus North Indian origin. Conclusion: This culturally adapted 11‐item version is a valid and reliable instrument to assess affiliate stigma in Asian Indian American dementia family caregivers.

Introduction: The COVID‐19 pandemic highlighted the important role of trust in information sources in shaping vaccine uptake behavior. This study aimed to examine the relationship between trust in various information sources and COVID‐19 vaccine uptake. Methods: Data were analyzed from the April 2021 wave of the Health Reform Monitoring Survey (HRMS). A total of 9067 US adults were included. Multivariate logistic regression models were used to assess associations between seven different information sources, trust, and vaccine uptake, adjusting for sociodemographic factors. Results: Trust in personal doctors/healthcare providers was the strongest predictor of COVID‐19 vaccine uptake (adjusted odds ratio [AOR] = 1.53, p < 0.001), followed by trust in other doctors/community healthcare providers (AOR = 1.40, p < 0.001) and pharmacists (AOR = 1.32, p < 0.001). Non‐healthcare information sources, such as social service, neighborhood, or civic organizations (ARO = 1.27, p < 0.001), and local elected officials (AOR = 1.08, p < 0.001), showed weaker associations. Trust in religious leaders and family/friends was associated with a lower likelihood of vaccine uptake (AOR = 0.81, p < 0.001, and AOR = 0.85, p < 0.001, respectively). Older age, higher education, and Hispanic ethnicity were positively linked to COVID‐19 vaccine uptake. Conclusion: Trust in healthcare professionals significantly influences COVID‐19 vaccine uptake, whereas trust in non‐healthcare sources plays a more limited role. Religious leaders’ and family/friends’ influence was minimal. Building and maintaining trust in healthcare providers is crucial for promoting vaccine acceptance, particularly amid widespread misinformation and political polarization. Public health efforts should prioritize improving healthcare provider–patient communication, utilizing trusted healthcare figures as role models, and implementing culturally tailored interventions to address hesitancy among marginalized groups.

Elder mistreatment (EM) is an important public health issue. Guided by the Andersen’s Behavioral Model of Health Services Use, this study aimed to examine factors that impede or facilitate help-seeking behaviors among U.S. Chinese older adults who reported EM. Data were from the Population Study of Chinese Elderly in Chicago (PINE). Different types of mistreatments and help-seeking behaviors were assessed. Descriptive statistics and multinominal logistic regression were used to examine the factors associated with help-seeking. Among 450 participants who reported EM, 46.55% experienced psychological mistreatment, 29.91% had financial exploitation, 14.92% had caregiver neglect, 4.68% had physical mistreatment, and 1.11% had sexual mistreatment. Compared to those who did not seek help, EM victims who were female, married, perceived more social support, experienced financial exploitation, and experienced caregiver neglect were more likely to seek help from informal resources. EM victims who had higher income and perceived more social support were more likely to seek formal resources. EM victims who were female, experienced financial exploitation, and experienced caregiver neglect were more likely to seek help from both resources. Our findings reported the predisposing factors, enabling resources, and need factors that impacted seeking help from informal or/and formal resources among mistreated older Chinese Americans. Immigrants may be exceptionally socially isolated, and culturally specific barriers may substantially impact their motivations to seek help. Our findings suggested that greater attention to the provision of informal and formal social support can increase the effectiveness of prevention and intervention strategies in this vulnerable population.