Qin Wang

BackgroundSocial responsibility can motivate disaster relief nurses to devote themselves to safeguarding rights and interests of people when facing challenges that threaten public health. However, few studies focused on the relationship of moral courage, job-esteem, and social responsibility among disaster relief nurses.ObjectiveTo explore the influence of moral courage and job-esteem on the social responsibility in disaster relief nurses and clarify the relationship model between them.MethodsA cross-sectional study was conducted among 716 disaster relief nurses from 14 hospitals in central China through an online survey, including moral courage scale, job-esteem scale, and social responsibility questionnaire. The data were analyzed by Pearson’s correlation, and the mechanism of the effect of moral courage and job-esteem on social responsibility was completed.Ethical considerationsThis study was approved by the Medical Ethics Committee of the Second Xiangya Hospital of Central South University (Approval Number: 2019016).ResultsDisaster relief nurses’ moral courage positively impacted social responsibility (r = 0.677, p < 0.01), and moral courage could affect social responsibility through the mediating role of job-esteem.ConclusionJob-esteem mediated between moral courage and social responsibility among disaster relief nurses. Nursing managers regular assessment of nurses’ moral courage and interventions such as meetings and workshops can reduce moral distress, foster morally courageous behavior, enhance job-esteem, and improve social responsibility performance among disaster relief nurses.

The experience of family harmony, as an individual's subjective evaluation of harmonious family relations, has an important influence on the development of their physical and mental health. This study aimed to develop the College Students' Experience of Family Harmony Questionnaire that is fit for college students in China. On the basis of literature analysis and survey with questionnaires, five pairs of opposite assessment indexes were constructed in this paper, namely, Atmosphere of family, Responsibility to housework, Time-sharing, Seeking help, and Supporting family members. Items of this questionnaire were collected from investigation, relevant scales, and discussion with experts. Here, 562 college students were selected for the pre-test and 696 for the formal test. The results showed that, except for the dimension of refusing housework, which has been deleted, other dimensions remain unchanged, and the final nine dimensions accounted for 66.03% of variance variation. Furthermore, the result of confirmatory factor analysis indicates that the model fit well with the data in construct validity [χ2/df = 2.71, Incremental Fit Index = 0.90, Tucker–Lewis Index = 0.89, Comparative Fit Index = 0.90, root mean square error of approximation = 0.05, standardized root mean square residual = 0.05]. The Cronbach's alpha coefficient of this questionnaire was 0.97. The split-half reliability was 0.92, and the test–retest reliability was 0.75 for the total questionnaire. The total score of the questionnaire was significantly positively correlated with the total score of family function, family cohesion, family adaptability, and well-being, and it had a significant negative correlation with loneliness. The results showed that the final structure was reasonable, and reliability and validity conformed to the requirements of psychometrics. Therefore, the questionnaire developed in this study can be used as a valid instrument for assessing the experience of family harmony among college students in China.