Aim The aim was to examine the subgroups of work engagement in frontline nurses during the COVID‐19 pandemic. Background The pandemic may affect the work engagement of nurses who have direct contact with infected patients and lead to a poor quality of care. Identifying classification features of work engagement and tailoring interventions to support frontline nurses is imperative. Design This study utilized a cross‐sectional study design. Methods Three hundred fifty‐five nurses were enrolled in this cross‐sectional study from 14 February to 15 April 2020. A latent profile analysis was performed to identify classification features of work engagement. Multiple logistic regression analyses were used to examine predictors of profile membership. Results A four‐profile model provided the best fit. The four profiles were titled ‘low work engagement’ ( n = 99), ‘high vigour‐low dedication and absorption’ ( n = 58), ‘moderate work engagement’ ( n = 63) and ‘high work engagement’ ( n = 135). A regression analysis suggested that young nurses and nurses who were the only children of their family were more likely to be in the ‘low work engagement’ and ‘high vigour‐low dedication and absorption’ groups. Conclusion This study highlights the importance of tailoring interventions for frontline supporting nurses by considering their distinct work engagement patterns, especially during the COVID‐19 pandemic, to improve the promotion of work satisfaction and quality of care. Impact This was the first study to explore the latent profiles of work engagement in frontline nurses during the COVID‐19 pandemic. Over 40% of nurses were in the ‘low work engagement’ and ‘high vigour‐low dedication and absorption’ groups and reported low levels of work engagement. Understanding different patterns of work engagement in frontline nurses can help nursing managers provide emotional, material and organizational support based on the features of each latent profile, which may improve the quality of care and patient safety.

In this study, the corrosion resistance of titanium nitride (TiN), nitrogen titanium carbide (TiCN) and titanium-diamond-like carbon (Ti-DLC) films deposited on 316L stainless steel (SS) were compared via differences in the surface and section-cross morphologies, open circuit potential tests, electrochemical impedance spectroscopy and potentiometric tests. The corrosion resistance of the TiCN and Ti-DLC films significantly improved because of the titanium carbide (TiC) crystals that obstruct the corrosive species penetrating the as-deposited film in the electrolyte atmosphere. TiN exhibited the lowest corrosion resistance because of its low thickness and high volume of defects. The Ti-DLC film showed the lowest corrosion current density (approximately 4.577 μA/cm2) and thickness reduction (approximately 0.12 μm) in different electrolytes, particularly those with high Cl− and H+ concentrations, proving to be the most suitable corrosion protection material for 316L SS substrates.

BackgroundThe prognosis of patients undergoing lung cancer treatment might be influenced by mental health status. Resilience is one of the important predictors to reflect the mental health status. It has been shown that patients with higher levels of social support, self-care self-efficacy, and positive coping have greater resilience. This study aimed to determine the mediating role of self-efficacy and positive coping in the relationship between social support and psychological resilience in patients with lung cancer.MethodThis is a cross-sectional study that was conducted in in the oncology departments and thoracic surgical wards of four tertiary hospitals in Hunan Province, China, between November 2016 and November 2017. Three hundred and three patients who were undergoing treatment for lung cancer volunteered their participation in the study. Participants completed questionnaires, including the Chinese version of the Perceived Social Support Seale Scale, the Chinese version of Strategies Used by People to Promote Health Scale, and the Chinese version of the Connor-Davidson Resilience Scale.ResultsMediation analysis indicated that self-care self-efficacy and social support partially mediate the effect of social support on resilience. Direct paths from social support to self-efficacy, self-efficacy to positive coping, positive coping to psychological resilience, self-efficacy to psychological resilience, and social support to psychological resilience were significant (p < 0.001). The indirect paths from social support to self-efficacy and self-efficacy to psychological resilience were also significant. The chain mediation from social support to self-efficacy, self-efficacy to positive coping, and positive coping to resilience were significant.ConclusionSelf-efficacy and positive coping play an important role in the relationship between social support and resilience in patients receiving cancer treatment. Social support not only directly influenced psychological resilience but also indirectly influenced psychological resilience through self-efficacy and positive coping.

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