There is limited research regarding the impact of self-care practices on psychological distress, specifically on nursing students during a pandemic, such as COVID-19 (Corona Virus Disease- 2019). A 10-min electronic survey was sent to nursing students at a large academic-medical center, and data from 285 student respondents were analyzed to assess psychological status, attitudes and behaviors in regards to the COVID-19 pandemic. Significant differences were found when comparing self-care practice scores by school grade for total scores (F = 4.48 [df = 4250], p = .002), emotional subscale (F = 4.78 [df = 4250], p = .001), and relationship subscale (F = 3.44 [df = 4250], p = .009). While there were no significant differences in psychological distress by school grade, graduate students had the lowest self-care practice score compared to all the other grades. Finally, the subscale and total self-care practice scores were significantly and negatively associated with psychological distress. These findings suggest that utilization of self-care practices is associated with lower psychological distress, and should therefore be promoted among nursing student populations and integrated into curricula. Future studies should assess specific needs geared towards populations that may have poor self-care practices, such as graduate students, and understand ways to improve sleep quality to mitigate rates of psychological distress during a pandemic.

Purpose: The purpose of Cultivating Practices for Resilience (CPR) was to develop, implement, and evaluate college-wide strategic initiatives to promote wellness and resilience and improve mental health outcomes in baccalaureate nursing students.Design and Methods: Six hundred and fifty-four students were invited to complete a 24-item survey over 3 weeks in 2021. Descriptive statistics/logistic regression were used for data analysis.Findings: One hundred and thirty-one students completed the survey; 61% were sophomores. White students (p = 0.024) and males (p = 0.023) had higher intentions to refer colleagues to mental health services. Those perceiving CPR programming more helpful had higher intentions to refer (p < 0.001) and embrace the ANA's Healthy Nurse Healthy Nation™ campaign (p < 0.001).Practice Implications: Stronger strategic efforts are needed to help shape an academic culture for cultivating practices for resilience among baccalaureate nursing students, especially females and underrepresented population groups. K E Y W O R D S academic culture, baccalaureate nursing students, resilience, wellness 1 | INTRODUCTION AND BACKGROUND Even before the alarming landmark report entitled Nurse Suicide: Breaking the Silence (Davidson et al., 2018) was commissioned by the National Academy of Medicine (NAM, 2019), the literature was replete with studies related to the mental health and wellness of nursing and health professions students. Of particular significance are six recent systematic and/or integrative reviews relevant to nursing

Purpose/Objectives The hCATS (health Colleges Advancing Team Skills) to CPR (Cultivating Practices for Resilience) Camp was an interprofessional pilot program to promote resilience, introduce strategies for coping with stress, cultivate compassion, and promote work-life balance to prevent burnout among health profession students, faculty, and healthcare professionals who team to provide patient care. Program Description The University of Kentucky (UK) College of Nursing received funding to partner with the UK Center for Interprofessional Health Education for immersive weekend activities utilizing KORU and Mindfulness Based Stress Reduction models, conducted by certified UK faculty experts in self-stewardship techniques such as mindfulness practices. Outcomes Thirty-nine participants from 7 UK colleges and UK HealthCare participated in 4 distinct CPR Camps, completed program assessments, and created team projects. Mean scores from each cohort significantly increased in a retrospective pre/post analysis of student perception of knowledge in all of the following categories: (1) habits and practices for resilient people, (2) strategies for building resilience and preventing/coping with stress/burnout in self and others, and (3) work-life balance (with the exception of cohort 4, for work-life balance). Students indicated on open-response items specific strategies they were willing to adopt going forward. These outcomes met our objectives for developing participants' understanding of resilience practices and adopting useful stress reduction practices. Planning and implementation of team projects successfully brought different professions together to advance learning in resilience. Conclusion The CPR Camp initiative is an effective model for promoting and sustaining resilience-building strategies among health profession students. Similar programming conducted and/or attended by academic and/or health system leaders, such as clinical nurse specialists, can help cultivate practices for resilience among the members of the interprofessional workforce, enabling teams to better cope with stress, prevent burnout, and ultimately improve team-based care delivery for patients and their families.

Associations between health belief model constructs and engagement in COVID-19 preventive practices were examined in a population of 234 nursing students. Most (93 percent/68 percent, respectively) reported occasionally/frequently performing 6feet physical distancing and wearing face masks/covering in public. Among health belief model constructs, perceived benefits were significantly associated with practicing physical distancing; perceived barriers were associated with lower likelihood. Perceived self-efficacy was associated with a greater likelihood of wearing face masks/covering in public. Nursing students should be provided timely and relevant information on preventive measures based on the recognition of different risk appraisals among students.KEY WORDS COVID-19 -Health Belief Model -Nursing Students -Preventive Measures R isk appraisals for contracting COVID-19 among nursing students can affect their preventive practices. The health belief model (HBM) is useful in predicting behaviors that can prevent or control an illness. The HBM has been used to predict preventive behaviors such as social distancing (Karimi et al., 2016) and may be useful to understand nursing students' risk appraisals and their preventive practices regarding COVID-19.

Purpose:The purpose of this study was to determine if a mindfulness-based smartphone application, used for 5 minutes a day for 30 days, could address burnout among acute care nursing staff. Methods: A pretest–posttest design with a midpoint evaluation was utilized. The sample included 31 nursing staff from cardiovascular acute care units. The Copenhagen Burnout Inventory, Cognitive and Affective Mindfulness Scale-Revised, Perceived Stress Scale, and Brief Resilience Scale were used to measure the impact of the intervention on participants. Findings: In a repeated measures analysis, there were no statistically significant changes in scores on the Brief Resilience Scale across the three timeframes ( F = 0.64, df = 1.42, p = .49). There were significant reductions over time for perceived stress ( F = 10.56, df = 1.74, p = .002) and personal burnout ( F = 11.8, df = 1.10, p = .007), and increased scores on mindfulness ( F = 4.76, df = 1.57, p = .039). Conclusions: The utilization of a mindfulness-based smartphone application may promote the health and well-being of cardiovascular nurses in acute care units. Mindfulness-based smartphone apps should be considered as a method of self-care, along with other holistic approaches to improve well-being.