Aim: The purpose of this study was to explore the relationship among kinesiophobia, self‐efficacy and self‐management behaviour related to physical activity (SMBPA) in Chinese patients with coronary heart disease(CHD) and the mediating role of self‐efficacy between kinesiophobia and SMBPA in Chinese patients with CHD.Design: A cross‐sectional study.Methods: From March to July 2021, 540 Chinese patients with CHD were investigated with three scales using convenient sampling method. The data were analysed with Pearson correlation, univariate analysis, multivariate linear regression and the PROCESS macro.Results: 509 valid questionnaires were collected (effective response rate: 94.2%). Low kinesiophobia and high self‐efficacy were related to high‐levels of SMBPA (all p < .01). Besides, the effect of kinesiophobia on SMBPA was partially mediated by self‐efficacy, and the mediation effect accounted for 35.59% of the total effect.

Purpose To assess the prevalence of preoperative frailty in patients with oesophageal cancer and its impact on postoperative outcomes and overall survival. Methods A comprehensive computer-based search of the CNKI, Wanfang, VIP, CBM, PubMed, Embase, Cochrane Library, Web of Science and CINAHL databases was conducted for articles related to preoperative frailty in patients with oesophageal cancer. The search was carried out from the time of the construction of the database to 20 April 2024. Data related to the prevalence of preoperative frailty in patients with oesophageal cancer and their postoperative outcomes and overall survival were extracted. Results A total of 13 studies were included, including 12 cohort studies and 1 cross-sectional study involving 53 485 patients. Meta-analysis showed that the prevalence of preoperative frailty in patients with oesophageal cancer was 29.6% (95% CI 24.5% to 34.8%). Preoperative frailty increased the risk of postoperative mortality (HR 1.80, 95% CI 1.51 to 2.14, p<0.001), complications (HR 1.32, 95% CI 1.16 to 1.49, p<0.001) and 30-day readmission (HR 1.24, 95% CI 1.18 to 1.31, p<0.001), in patients with oesophageal cancer, but had no significant effect on overall survival (HR 1.28, 95% CI 0.97 to 1.68, p=0.08). Conclusions The prevalence of preoperative frailty is high in patients with oesophageal cancer, and preoperative frailty is strongly associated with increased adverse outcomes after surgery. Healthcare providers should identify preoperative frailty in patients with oesophageal cancer at an early stage and develop targeted intervention strategies to reduce the incidence of postoperative adverse outcomes. PROSPERO registration number CRD42024541051.

Nurses’ professional attitudes, as a key component of nursing professionalism, profoundly influences its development. However, empirical studies examining the influence of nursing managers on nurses’ professional attitudes are lacking, and studies exploring how different leadership management styles—through the lens of Balance theory—affect these attitudes remain scarce. To investigate the relationship between nurses’ professional attitudes and nursing managers’ authentic, destructive, and transformational leadership styles, based on the Balance theory. A questionnaire survey was conducted using convenience sampling among 1,154 clinical nurses from 11 hospitals in Tianjin, China. Data from the returned questionnaires were analysed using one-way analysis, correlation analysis, and multiple linear regression to identify factors influencing nurses’ professional attitudes. Nurses’ professional attitudes were positively correlated with authentic and transformational leadership (p < 0.01) and negatively correlated with destructive leadership (p < 0.01). Multiple linear regression analysis identified nine influencing factors: gender, monthly income, hospital level, hospital type, whether or not the nurses were specialists, working in obstetrics and gynaecology, authentic leadership, transformational leadership, and destructive leadership (R2 = 69.7%). Nurses’ professional attitudes are influenced by the degree to which nursing managers exhibit transformational, authentic, or destructive leadership styles. Not applicable.

The advent of online education has become indispensable for nursing students seeking to acquire knowledge. However, the efficacy of online education often falls short of initial expectations. Deep learning (DL) can assist learners tackle complex problems and make innovative decisions. Despite its potential, there has been limited exploration into the underlying mechanisms of DL among nursing students, both domestically and globally. This study examined the potential moderating effect of psychological capital (PC) on the association between academic self-concept (AS-c) and DL among nursing students from China enrolled in online courses. Conducted from October 2022 to January 2023, the survey involved 635 nursing students from four public universities in eastern China, utilizing convenience sampling. Data was collected using the AS-c scale, psychological capital scale, and DL scale in online courses. Correlation analyses, univariate analyses, multiple linear regression analyses, and the PROCESS macro were employed for a comprehensive examination. The results revealed a strong positive relationship between nursing students' DL and both their AS-c (r = 0.766, P < 0.01) and PC (r = 0.714, P < 0.01), respectively. Additionally, the effect of AS-c on DL was stronger among individuals with high PC (β = 0.34, SE = 0.03, P < 0.001) compared to those with low (β = 0.29, SE = 0.02, P < 0.001) or medium (β = 0.24, SE = 0.02, P < 0.001) levels of PC, indicating that PC exerts moderating effects and promotes DL among nursing students enrolled in online courses. Based on these findings, several implications are suggested for the theory and practice of facilitating DL.