Background: Western studies have found that nurses are likely to experience both positive and negative emotions in their job, as a helping profession [professional quality of life (ProQoL)] during the coronavirus disease 2019 (COVID-19) pandemic, and that psychosocial and work-related variables (e.g. pandemic-related stressors, interpersonal and organizational support, coping strategies) are associated with such outcomes. However, relevant studies on nurses in the Asian context are limited. Objective: This study examined the psychosocial correlates of three indicators of ProQoL, i.e. compassion satisfaction, secondary traumatic stress (STS), and burnout, among nurses during the fifth wave of the COVID-19 pandemic in Hong Kong. Method: Nurses in Hong Kong ( N = 220) working in hospitals and community settings during the COVID-19 pandemic were recruited between 24 May and 27 June 2022 through nursing associations to complete an online survey measuring the aforementioned psychosocial variables. Results: Hierarchical regression results found that stressors from clinical work environments, insufficient emotional support, and less positive reframing were associated with poorer ProQoL (i.e. lower compassion satisfaction; higher STS and burnout) ( β from 0.16, p > .05, to 0.44, p > .001). In addition, COVID-19-related worries/uncertainties and emotional processing were associated with higher STS ( β from 0.21 to 0.23, p < .01), whereas insufficient organizational support for communication with the healthcare system was associated with higher burnout ( β = 0.12, p < .05). Conclusions: Our findings identified the important psychosocial determinants in ProQoL among nurses in Hong Kong and provide recommendations for services supporting the mental health of these nurses. Providing workshops for nurses to train their skills in coping with COVID-19-related uncertainties, worries, and stressors from the clinical work environment, in using adaptive coping strategies (e.g. positive reframing), and in soliciting emotional support from important others could facilitate their ProQoL. Moreover, the provision of organizational support through timely and transparent communication with the healthcare system could reduce STS in nurses.

Objective: Healthcare professionals are highly susceptible to adverse psychological outcomes amid the COVID-19 pandemic due to their job duties. As the largest part of the healthcare workforce, growing attention has been paid to nurses' adjustments to the pandemic. Despite the distress, recent studies found that nurses could still experience positive changes (i.e., adversarial growth, AG) during the pandemic. Research on the general populations has indicated that individuals' stress responses, coping resources, and coping strategies are associated with their AG during the pandemic. This study examined how sociodemographic characteristics, secondary traumatic and posttraumatic stress, coping resources, and coping strategies were associated with AG among nurses in Hong Kong amid the fifth wave (i.e., the most disastrous wave) of the COVID-19 pandemic. Method: Recruited through local nursing associations between May 24 and June 13, 2022, 209 nurses in Hong Kong completed an online questionnaire measuring the abovementioned variables. Results: Hierarchical regression results found that those affiliating with a religion, having participated in mental health-related workshops, higher levels of secondary traumatic stress (STS), social support, job satisfaction, plus more frequent emotional processing were associated with higher AG (βs ranging from 0.15 to 0.31, ps , .01). Conclusions: Nurses did report AG during the fifth wave of the COVID-19 pandemic in Hong Kong. To promote AG among those nurses, future interventions should enhance nurses' understanding about the potential impact of STS on their well-being, solicit their interpersonal and workrelated coping resources, plus facilitate their use of effective coping strategies. Clinical Impact StatementDespite the distress brought from intensive nursing duties for the containment of the COVID-19 pandemic, nurses did report positive changes during this difficult time. The study found that higher levels of secondary traumatic stress (STS), social support, job satisfaction, and emotional processing were associated with higher AG among nurses during the most disastrous wave of the pandemic in Hong Kong. Interventions aiming to enhance nurses' understanding about the potential impact of STS on well-being, solicit their interpersonal and work-related coping resources, plus facilitate effective coping strategies might facilitate those nurses' AG.

Objective: The current study investigated the role of positive outcome expectations and reward responsiveness in intention to disclose HIV status to children among women living with HIV in China. The moderating role of reward responsiveness was also explored.Method: A 1-year longitudinal survey was conducted. 269 women living with HIV who had at least one child aged &gt;5 years and had not yet disclosed their HIV status to their oldest child were selected from a larger sample of women living with HIV at baseline, with a total of 261 respondents completing the follow-up survey.Results: After adjusting for significant socio-demographic and medical variables, positive outcome expectations positively predicted mothers’ intention to disclose HIV, while reward responsiveness had a negative effect. A moderation effect of reward responsiveness was found, with further analysis showing that reward responsiveness has strengthened the relationship between positive outcome expectations and intention to disclose HIV.Conclusion: Findings support the relevance of positive outcome expectations and reward responsiveness to intention of disclosure among women living with HIV in China.

BACKGROUND Many supportive cancer care (SCC) services were tele-delivered during COVID-19, but what facilitates patients’ intentions to use tele-delivered SCC is unknown. OBJECTIVE The study aimed to use the Unified Theory of Acceptance and Use of Technology to investigate the factors that associated with Hong Kong breast cancer survivors’ (BCS) intentions to use various types of tele-delivered SCC. METHODS A sample of 209 (209/287, 72.8% completion rate) females diagnosed with breast cancer since the start of the COVID-19 outbreak in Hong Kong (i.e., January 2020) were recruited from the Hong Kong Breast Cancer Registry to complete a cross-sectional survey between June - December 2022. RESULTS Hierarchical regression results showed that higher confidence in telehealth use, performance expectancy (PE; believing telehealth helps with daily tasks), social influence (SI; important others encouraging telehealth use), and facilitating conditions (FC; having resources for telehealth use) were associated with higher intentions to use tele-delivered SCC (βs ranged from 0.20, p=.01 to 0.34, p<.001). Moreover, two-way interactions emerged between education level and two of the telehealth perception variables. Education level moderated 1) between PE and intention to use tele-delivered complementary care (β=0.34, p=.04) and 2) between FC and intention to use tele-delivered peer support groups (β=0.36, p=.03). The positive associations between those telehealth perceptions and intentions were only significant among those with higher education level. CONCLUSIONS This study implied that enhancing BCS’ skills in using telehealth, BCS’ and their important others’ perceived benefits of telehealth, and providing assistance for telehealth use could increase BCS’ intentions to use tele-delivered SCC. For intentions to use specific types of SCC, addressing relevant factors (PE/FC) might be particularly beneficial to those with higher education level.