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      The mediating effect of self-directed learning in the relationship between caring and resilience among Chinese nursing students: A multi-center cross-sectional study

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      Nurse Education Today
      Elsevier BV

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          Abstract

          <p class="first" id="d7653791e83">Despite the proliferation of literature focusing on resilience, a paucity of research has attempted a thorough and accurate examination of factors that contribute to resilience among nursing students. </p>

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          Most cited references45

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          Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC).

          Resilience may be viewed as a measure of stress coping ability and, as such, could be an important target of treatment in anxiety, depression, and stress reactions. We describe a new rating scale to assess resilience. The Connor-Davidson Resilience scale (CD-RISC) comprises of 25 items, each rated on a 5-point scale (0-4), with higher scores reflecting greater resilience. The scale was administered to subjects in the following groups: community sample, primary care outpatients, general psychiatric outpatients, clinical trial of generalized anxiety disorder, and two clinical trials of PTSD. The reliability, validity, and factor analytic structure of the scale were evaluated, and reference scores for study samples were calculated. Sensitivity to treatment effects was examined in subjects from the PTSD clinical trials. The scale demonstrated good psychometric properties and factor analysis yielded five factors. A repeated measures ANOVA showed that an increase in CD-RISC score was associated with greater improvement during treatment. Improvement in CD-RISC score was noted in proportion to overall clinical global improvement, with greatest increase noted in subjects with the highest global improvement and deterioration in CD-RISC score in those with minimal or no global improvement. The CD-RISC has sound psychometric properties and distinguishes between those with greater and lesser resilience. The scale demonstrates that resilience is modifiable and can improve with treatment, with greater improvement corresponding to higher levels of global improvement. Copyright 2003 Wiley-Liss, Inc.
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            Structural Equation Modelling: Guidelines for Determining Model Fit

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              FACTOR ANALYSIS AND PSYCHOMETRIC EVALUATION OF THE CONNOR-DAVIDSON RESILIENCE SCALE (CD-RISC) WITH CHINESE PEOPLE

              This study examines the psychometric properties of the Chinese version of Connor and Davidson's Resilience Scale (CD-RISC; 2003), an American instrument originating from a posttraumatic stress disorder research program. Confirmatory factor analysis of the Chinese data failed to verify the original 5-factor structure of CD-RISC obtained in the USA, while exploratory factor analysis resulted in a 3-factor structure of resilience (labeled respectively as Tenacity, Strength, and Optimism). The reliability coefficient of the Chinese version of CD-RISC was 0.91. The validity of CD-RISC was also satisfying in terms of the actual data matching the expected correlation between resilience measure and the variables of selfesteem, life satisfaction, and personality trait factors of NEO-FFI. It is concluded that the construct of resilience and its measurement from the West can be helpful and applicable in understanding Chinese adaptive behaviors, however, the understanding of the construct may also need some modification according to Chinese culture.
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                Author and article information

                Journal
                Nurse Education Today
                Nurse Education Today
                Elsevier BV
                02606917
                December 2022
                December 2022
                : 119
                : 105598
                Article
                10.1016/j.nedt.2022.105598
                36272323
                63d7652e-7eac-4933-9202-177a867e97f7
                © 2022

                https://www.elsevier.com/tdm/userlicense/1.0/

                https://doi.org/10.15223/policy-017

                https://doi.org/10.15223/policy-037

                https://doi.org/10.15223/policy-012

                https://doi.org/10.15223/policy-029

                https://doi.org/10.15223/policy-004

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