Background Meaning in life, defined by an individual’s understanding and appreciation of life, is a vital aspect of a positive psychological state, that has a significant influence on physical and mental health. Therefore, improving the sense of meaning in life among nursing students has emerged as a crucial concern in nursing education. This study aimed to clarify the profiles and influencing factors of meaning in life among nursing students. Methods A descriptive cross-sectional online survey was conducted among nursing students in China from November 16, 2022, to January 17, 2023. The demographic information questionnaire and the meaning in life questionnaire (MLQ) were used to collect data. Latent profile analysis (LPA) was used to identify groups exhibiting distinct levels of meaning in life. Additionally, univariate analysis and multinominal logistic regression analysis were used to investigate the factors influencing each group. The reporting of this study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. Results A total of 10,583 valid responses were received, and the analysis revealed four distinct profiles. The profiles identified were the medium meaning group (C1, 41.4%), medium fluctuation meaning-no motivation group (C2, 8.7%), lower meaning group (C3, 9.7%), and higher meaning group (C4, 40.2%). The univariate analysis revealed that age, gender, ethnicity, marital status, educational level, grade, university classification, student leadership experience, and political affiliation were factors that influenced the four latent profiles (P < 0.05). The multinomial logistic regression analysis showed that age, gender, ethnicity, education level, and student leadership experience were significant predictors of the various profiles (P < 0.05). Conclusion There is heterogeneous in meaning in life among nursing students in China. Nursing educators need to provide tailored guidance based on the latent classification characteristics of meaning in life among nursing students, aiming at improving their meaning in life and promoting the development of the nursing workforce.

Background: There were few studies exploring the associations between depressive symptoms, anxiety disorders and health-related quality of life (HRQoL) in the general population, especially in resource limited area. The aims of this study were to assess the associations between depressive symptoms, anxiety disorders, their comorbidity and HRQoL in rural area.Methods: A total of 23496 eligible participants from Henan rural cohort were included. The Patient Health Questionnaire-2 (PHQ-2) and Generalized Anxiety Disorder-2 (GAD-2) were employed to assess depressive symptoms and anxiety disorders, respectively. HRQoL was measured via European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L). Tobit regression and generalized linear model were utilized to explore the associations between depressive symptoms, anxiety disorders, their comorbidity and HRQoL.Results: A total of 1320 individuals were identified as depressive symptoms with a prevalence of 5.62%, while 1198 participants were classified as anxiety disorders with a prevalence of 5.10%. After multiple adjustment, the regression coefficients and 95% confidence interval (CI) of utility index for depressive symptoms and anxiety disorders were -0.166 (-0.182, -0.149) and -0.132 (-0.149, -0.114), respectively. The regression coefficients and 95% CI of VAS score for depressive symptoms and anxiety disorders were -7.65 (-8.60, -6.70) and -5.79 (-6.78, -4.80), respectively. Additionally, the comorbidity was strongest associated with low utility index and VAS score. These findings were observed robustly in men and women.Conclusion: Depressive symptoms, anxiety disorders and their comorbidity were negatively associated with HRQoL in rural population, which needed further efforts on preventive and treatment interventions.Clinical Trial Registration: The Henan Rural Cohort Study has been registered at Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699). Date of registration: 06 July, 2015. http://www.chictr.org.cn/showproj.aspx?proj=11375

Background: Compassion is closely linked to psychological well-being, and several assessment tools have been developed and studied to assess the level of compassion in different populations and for more precise measurement. There is currently a scarcity of comprehensive knowledge about compassion-related assessment tools, and our research provides an overview of these tools. Aims: To collect exhaustively the tools used to assess compassion in order to serve as a resource for selecting tools for use in practice. Methods: Focusing on compassion assessment tools, the authors conducted a thorough search of 10 Chinese and English databases from their establishment until August 14, 2022. The extracted data comprised the author, the year, the nation, the target population, and the primary evaluation contents. Using the COSMIN checklist, the methodological quality and measurement properties of the included studies were appraised. This scoping review was registered with the Open Science Framework and followed the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) checklist. Results:There were 15965 papers searched, and 36 compassion-related measurement tools were considered in this study. None of the 36 studies provided possessed all nine psychometric properties, as outlined by the COSMIN criteria. On the basis of a systematic evaluation of quality, measurement qualities were ranked. The results for internal consistency and content validity were relatively favorable, whereas the results for structural validity were variable and the results for the remaining attributes were either uncertain or negative. A Venn diagram was used to illustrate the overlapping groups of compassion measurement tools based on the three-way flow of compassion. An overview of the reference instrument and theoretical basis for the included studies was provided, and half of them did not contain any theoretical or scale-based evidence. Conclusion: In this study, 36 compassion-related measuring instruments were identified, and the methodological quality and measurement properties of the included studies were acceptable. The included measurements in this study were found to be consistent with three-way compassion flows. Compassion measurement tools and compassion-related theories should be the focus of future research.

Background The cornerstone of the nursing profession is moral identity, and the establishment of professional identity goes hand in hand with moral growth. The existing state of affairs and the elements affecting nursing students' moral identity are not well understood from a multifaceted perspective.Objectives To define moral identity subgroups and research the variables affecting profile membership.Methods A convenient sampling. was used to conduct a cross-sectional study among nursing students from November 16th, 2022, to January 17th, 2023. The Moral Identity Measure and the General Demographic Information Questionnaire were provided to the participants. Students studying nursing were divided into several moral identity subgroups using a latent profile analysis (LPA). To determine the variables connected to the putative moral identity categories, we also conducted ordinal and multinomial logistic regression analyses.Results A total of 10583 nursing students responded to legitimate surveys. The LPA results validated the presence of three unique moral identity profiles: low (4.2%), moderate (41.9%), and high (53.9%), and demonstrated that the three-profile model was the most appropriate. The three profiles stood out from one another greatly. Profiles were predicted by gender, grade, political stance, rural background, leadership experience, and junior college degree.Conclusion In this study, three profiles were found, and the majority of nursing students had a strong moral identity. Regarding variables determining profile membership and moral identity subgroups, nursing students should get specialized support.

Background: According to previous studies on professional English course teaching, the evaluation of course teaching was positive, but the vast majorities focus on medical English literature reading, professional English vocabulary, and professional English translation. As an alternative, the course design based on academic learning needs under the outcome-oriented education/model emphasizes the improvement of students’ comprehensive ability in oral expression, literature reading, writing, and academic communication. Objectives: The objective of this study was to analyze nursing postgraduates’ opinions on learning the outcome-oriented academic English course. Methods: This is a cross-sectional descriptive study. A total of 150 first-year nursing postgraduates enrolled in the “Academic Professional English for Nursing Postgraduates” course. After completing the course learning, students scanned QR codes generated by the online questionnaire and completed it anonymously within 48 h. Results: The students who participated in this course strongly believed that it “helped them strengthen their English speakability” (4.8 points), “made them more confident to participate in international academic conferences and exchanges in the future” (4.8 points), and “helped them apply English more in the nursing professional field in the future” (4.7 points). Conclusions: The implementation of outcome-oriented course teaching helps students to understand the research of foreign scholars and effectively express their own research content with English as a tool. It motivates them to continuously use English for professional and academic communication.