Aim To investigate potential factors that might influence the achievement of the minimum clinically important difference (MCID) in walking fitness following cardiac rehabilitation (CR) in patients with and without new‐onset depression. Methods The clinical data from the National Audit of CR (NACR) indicated that between January 1, 2016, and January 31, 2020, 2027 acute coronary syndrome (ACS) patients with new‐onset depression (15.5%) and 11,059 without new‐onset depression (84.5%) underwent pre‐ and postincremental shuttle walk test (ISWT) measurements. Patients with new‐onset depression had a mean age of 61.7 ± 10.5 years (27.5% female), compared to 64.8 ± 10.3 years (20.6% female) among those without. Comparative analyses were conducted to examine differences in walking fitness between these groups. Subsequently, a binary logistic regression analysis was executed to investigate the factors associated with achieving the MCID in walking fitness, defined as > 70 m improvement in ISWT, following CR. Results The multivariate analysis results revealed that having new‐onset depression (OR: 0.89, 95% CI: 0.80 and 0.99), older age (OR: 0.96, 95% CI: 0.95 and 0.96), female gender (OR: 0.61, 95% CI: 0.56 and 0.68), physical inactivity (OR: 0.84, 95% CI: 0.78 and 0.91), and obesity (OR: 0.65, 95% CI: 0.60 and 0.71) were all associated with being less likely to achieve MCID in walking fitness adjusting for baseline fitness levels. Patients with new‐onset depression had reduced walking fitness at baseline compared to those without, and they were less likely to meet the MCID for ISWT following CR. The study also generated a novel set of walking fitness reference values for patients with new‐onset depression.

International students received limited attention in COVID‐19 mental health research. This research aimed to quantify the prevalence of stress, anxiety, and depression symptoms and to identify key risk factors among international students residing in Japan during the pandemic. Data were collected through an online survey from August 15 to September 2, 2021, utilizing the Depression, Anxiety, and Stress Scale (DASS‐21) alongside sociodemographic measures. Multiple logistic regression analyses were employed to identify factors associated with stress, anxiety, and depression level. Among the 258 international students, the prevalence of severe to extremely severe symptoms was 58.1% for stress; 74.4% for anxiety; and 47.3% for depression. Regression analyses identified younger age and male gender as significant risk factors for stress and anxiety, whereas regular moderate‐intensity exercise emerged as a protective factor against psychological distress. These findings identified the substantial mental health burden borne by international students during the pandemic and confirmed specific factors that should inform the development of targeted psychological support programs for this vulnerable population.

BackgroundResearchers have extensively investigated the factors contributing to nurses’ innovative work behavior (IWB). However, no study to date has examined how knowledge sharing (KnS) mediates the association between emotional intelligence (EI) and IWB among Iranian nurses. This study aims to establish the impact of EI on IWB and KnS, assess the impact of KnS on IWB, and explore the mediating role of KnS in the relationship between EI and IWB.MethodsThe study utilized a cross‐sectional, descriptive, and correlational method and involved 265 nurses selected through stratified proportional random sampling from five hospitals. The data were collected using a demographic data form, Wong and Law Emotional Intelligence Scale, KnS questionnaire drawn from Huy et al. (2010), and IWB scale. The data were analyzed using SPSSver24 for descriptive and inferential statistics, including Pearson’s correlation, and independent t‐tests. AMOSver24 was used to examine the mediating role of knowledge‐sharing in the relationship between EI and IWB.ResultsThe average scores for EI of nurses was 83.24 (15.09), KnS was 44.69 (6.48), and IWB was 32.26 (5.88), all of which were above average. The Pearson correlation coefficient between EI and KnS was 0.384 (p < 0.001) and between EI and IWB was 0.323 (p < 0.001). The correlation coefficient between KnS and IWB was 0.519 (p < 0.001). Results of structural equation model (SEM) showed that EI has the ability to predict 21% of the variance of KnS. Also, the indirect path of EI to IWB with the mediation of KnS was positive and significant (β = 0.262; p = 0.002; and R2 = 0.39).ConclusionsIt is imperative to prioritize the inclusion of EI and KnS in the training program for nurses. These crucial factors significantly impact the innovative behaviors of nurses in hospitals and can greatly enhance overall patient care and outcomes.

Objectives: This study explores the impact of physical activity on young adults’ quality of life, with a novel focus on the mediating roles of mental fatigue and mindfulness. Methods: A cross‐sectional study was conducted with undergraduate students studying at a university in Western Turkey (May–June 2024). Data were collected online using validated scales, including the Physical Activity Scale‐2 (PAS‐2), Short Form Health Survey (SF‐12), State Mindfulness Scale (SMS), and Mental Fatigue Scale (MFS). Structural equation modeling (SEM) was employed to assess mediation effects. Results: The structural model also exhibits a good fit, with χ 2 (339) = 627.937, χ 2 /df = 1.852, p < 0.001, RMSEA = 0.045, SRMR = 0.052, CFI = 0.911, GFI = 0.901, TLI = 0.900, and IFI = 0.912. Mental fatigue significantly mediated the relationship between physical activity and quality of life ( β = 0.108; p = 0.030), while mindfulness did not show a significant mediating role. Physical activity had significant positive direct ( β = 0.151; p = 0.010), indirect ( β = 0.108; p = 0.030), and total ( β = 0.259; p = 0.008) effects on quality of life. Conclusion: The results of the study highlight the importance of physical activity in enhancing young adults’ quality of life, particularly by helping to reduce mental fatigue. These results emphasize the need for strategies that promote physical activity as a way to combat mental fatigue and enhance overall well‐being.

This study aimed to examine the relationship between difficulties in emotion regulation, self‐compassion, and somatization in nursing students. It was conducted with 351 nursing students in Turkey in the spring semester of 2024‐2025. Data were collected using the Information Form, Difficulties in Emotion Regulation Scale–Brief Form, Self‐Compassion Scale, and Somatization Scale. In the study, a negative relationship was found between self‐compassion and difficulties in emotion regulation and somatization, and a positive relationship was found between difficulties in emotion regulation and somatization. The finding of a positive relationship between difficulties in emotion regulation and somatization in this study indicates that the emotional challenges faced by nursing students can also manifest as physical symptoms. The negative relationship between self‐compassion and both difficulties in emotion regulation and somatization suggests that students with higher levels of self‐compassion manage emotional difficulties better and, as a result, experience fewer stress‐related physical symptoms. Thus, fostering self‐compassion is a key to improving emotion regulation, reducing somatization, and supporting students’ overall well‐being and success in nursing education.

BackgroundFood addiction, characterized by the compulsive consumption of highly palatable foods, poses significant health risks, particularly among university students. This study investigates the prevalence of food addiction among Bangladeshi university students and its associations with mental health (depression, anxiety, stress, and insomnia) and behavioral factors (smoking, drug, alcohol use, and pornography consumption). Machine learning (ML) models were applied to enhance predictive accuracy.MethodsA cross‐sectional survey was conducted among 1697 participants across two Bangladeshi universities. Food addiction was assessed using the Modified Yale Food Addiction Scale 2.0 (mYFAS 2.0). Associations were examined using logistic regression and subgroup analyses by gender. Six ML models—K‐nearest neighbors (KNN), support vector machine (SVM), random forest (RF), gradient boosting machine (GBM), XGBoost, and CatBoost—were employed to improve classification performance.ResultsOverall, 13% of students met the criteria for food addiction, with higher prevalence among males (14.8%) than females (10.4%). In adjusted models, anxiety (AOR = 2.44, 95% CI: 1.43–4.16), stress (AOR = 1.74, 95% CI: 1.18–2.58), and pornography use (AOR = 1.74, 95% CI: 1.12–2.69) were significant predictors. Subgroup analyses showed that anxiety, stress, and pornography use were significant predictors only among males. Among ML models, KNN achieved the highest accuracy (85.3%), while RF demonstrated the best AUC‐ROC (0.697), confirming their utility in identifying at‐risk individuals.ConclusionsFood addiction affects a notable proportion of Bangladeshi university students and is strongly linked with anxiety, stress, and pornography use, particularly among males. Interventions should include cognitive‐behavioral therapy and stress management programs, digital hygiene education, and nutritional counseling tailored to student populations. ML‐based predictive models, such as RF and CatBoost, may be integrated into campus health systems to support early identification and personalized interventions.

Background: Numerous studies have explored how psychiatric nursing practice enhances students’ experiences, but none have simultaneously examined their pre‐ and postpsychiatric practice. Experiential clinical practice allows undergraduates to reflect on theoretical knowledge, bridging theory and practice.Aim: The purpose of this study is to explore the pre‐ and postpsychiatric experience of selected nursing undergraduate students in Saudi Arabia.Design: A qualitative diary‐interview method was conducted on nursing students.Methods: The data were collected through the diary‐interview method with nursing students undertaking psychiatric courses and were analyzed using the thematic analysis method.Results: Four main themes emerged from the study’s diary reflections: nursing students’ feelings toward psychiatric nursing (emotions), nursing students’ perceptions about caring for people with mental, illnesses (opinions), remarkable experience during clinical experiences, and pre‐ and postclinical experience (comparison). In addition, three main themes emerged from the study’s interviews: psychiatric nursing clinical placement experience (situation and experience) and easing the stigma toward mental illnesses and people with mental health problems (opinions and stigma).Conclusion: One of the most demanding clinical settings that nursing students encounter is psychiatric nursing. Preparing students for preclinical exposure is one of the most crucial strategies to reduce their stress. This can be accomplished by creating various scenarios that mimic real‐world events and connecting theoretical lecture themes with lab simulations. Staff educators can also direct students toward competent skills and help them become self‐aware.

Aim. Midwives are prone to suboptimal health status (SHS), while there is a lack of unified measurement standard of SHS for them to early detect and prevent SHS. This study aimed to evaluate validity and reliability of Subhealth Measurement Scale V1.0 (SHMS V1.0) in midwives. Design and Methods. The cross-sectional study had 842 midwives from 46 midwifery institutions in southeastern China completing the SHMS V1.0 with 39 items. Internal consistency, test-retest reliability, and concurrent validity of SHMS V1.0 were assessed. Project analysis and confirmatory factor analysis (CFA) were performed to assess construct validity. Results. SHMS V1.0 had acceptable reliability with Cronbach’s alpha and a test-retest reliability coefficient of 0.908 and 0.804, respectively. The correlation coefficients between each item and corresponding dimension and those between dimension and corresponding subscale were all greater than 0.4. The CFA supported the structure of SHMS V1.0 with strong factor loadings and excellent fit indexes in the first-order and modified second-order factor model, illustrating that SHMS V1.0 had good construct validity among midwives. The concurrent validity for SHMS V1.0 showed large correlation with FS-14, but the social subscale showed medium correlations with fatigue, inferring that SHMS V1.0 can more comprehensively reflect SHS of midwives than FS-14, especially for social health symptoms. Practice Implications. SHMS V1.0 with excellent psychometric properties can accurately and reliably evaluate the SHS of midwives. These findings of our study provide an important measurement tool and inspiration for midwives to early detect and prevent SHS.

Purpose. To understand nursing practice in seclusion and mechanical restraint events in psychiatric inpatient care. Design and Methods. Non-participant video observation was used to collect data from seclusion and mechanical restraint events. Nursing interventions were analysed using deductive content analysis. Findings. Video recordings (n = 36) showed that nurses were present for 4.1% of the duration of seclusion and mechanical restraint events. The nursing interventions focused on meeting patients’ basic needs, maintaining safety, and interaction. Practice Implications. Nursing must be founded on a thorough assessment of patients’ physical and psychosocial needs and meeting those needs with appropriate nursing interventions.

Purpose. This study aimed to (1) assess the levels and associations of workplace spirituality (WPS), compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS) among Iranian nurses; and (2) identify the impact of WPS components on CS, BO, and STS while controlling for demographic variables. Design and Methods. In this descriptive, cross‐sectional, and correlational study, 295 nurses were selected via proportionate stratified sampling from five hospitals affiliated with the Arak University of Medical Sciences in Iran from June 2022 to December 2022. The scale of workplace spirituality and Professional Quality of Life version 5 (ProQOL‐5) were used for data collection. Data were analyzed using SPSS24 and descriptive and inferential statistics (Pearson correlation coefficient and multiple regression). Findings. The mean scores of WPS, CS, BO, and STS were 63.27, 36.55, 27.31, and 29.58, respectively. The highest percentages of nurses reported moderate CS, BO, and STS levels, reaching rates of 76.3%, 80%, and 86.1%, respectively. The Pearson correlation coefficient showed that CS had a negative relationship with BO and STS. There was a direct correlation between BO and STS. Participants who reported higher levels of WPS had higher CS and lower BO scores. Results of multiple regression analyses indicate that the model of WPS components and control variables explains 42.7, 34, and 8.6 percent of the variance of CS, BO, and STS, respectively. Higher “meaningful work” is associated with higher CS and lower BO and STS among nurses. Participants higher in “sense of community” had higher CS scores. Higher “alignment with organizational values” is associated with higher STS. Practice Implications. According to the study results, it is possible to provide a suitable platform for improving nurses’ professional quality of life by strengthening workplace spirituality.