Willingness to be vaccinated against COVID-19: the role of risk perception, trust in institutions, and affects.

Introduction: Vaccination is one of the most effective ways to stop the COVID-19 pandemic and prevent severe disease. This study aims to ascertain the determinants of COVID-19 vaccination acceptance in the French population before the vaccine was introduced (France's second lockdown) and during the roll-out of the vaccination campaign (France's third lockdown). We focus on the following as determinants of willingness to be vaccinated: risk perception, affects related to the risk, and trust in political and health institutions. Method: The study was conducted among two convenient samples including 591 and 474 participants. The results show that the timing of the crisis was important. While the intention to be vaccinated was relatively low before the vaccines were introduced, it became significantly higher when the vaccination campaign was deployed. Results: The results show that risk perception and trust in health institutions are the most relevant predictors of intention to be vaccinated. Discussion: Results are discussed in terms of the effectiveness of communication campaigns.

How regulation strategies protected or worsened emotional experience during France's three lockdowns: Prepandemic versus pandemic comparisons and longitudinal approach.

The COVID-19 pandemic remains hugely challenging, but its impact on emotional experience, especially over time, has often been neglected. The French Government imposed three COVID lockdowns with varying degrees of strictness that induced different types of emotional discomfort and emotion regulation. The present longitudinal study explored affect and emotion regulation strategies in each of these lockdowns, comparing samples assessed before and during the pandemic. The objective was to understand how government measures influenced subjective experience and how people adjusted their emotion regulation accordingly. The longitudinal lockdown sample comprised 164 participants (Mage = 37.60 years, SD = 12.50). Affect and emotion regulation were assessed in the first week of each of the three lockdowns (20-27 March 2020, 23-30 November 2020, and 19-26 April 2021). The 120 participants in the prepandemic (control) sample were drawn from previous studies focusing on affect and regulation strategies in natural everyday situations. Results indicated that affect deteriorated considerably, compared with prepandemic levels. Whereas activated negative affect (nervous and worried) tended to decrease, deactivated negative affect (sad and bored) increased. Regarding emotion regulation strategies, negative emotion expression was associated with more negative affect and less positive affect, while positive emotion expression and proactive behaviour were associated with a better emotional experience. A multivariate growth curve showed that in the absence of psychological support, stressful situations and repeated lockdowns do not induce people to make better emotion regulation strategy choices. As government restrictions had a negative impact on individuals' emotional experience, support programs should be implemented in future pandemics to promote emotion regulation.

Nature and well-being in seven European cities: The moderating effect of connectedness to nature.

Well-being is transversal to different urban-related challenges such as increasing urbanization or adaptation to the effects of climate change. One possible response to these challenges is the use of nature in cities. The aim of this study is to investigate how the objective quantity of natural space near the home, the perception of these natural elements, and their perceived availability, moderated by the effect of connectedness to nature, could explain levels of well-being. A survey was conducted among a sample of 1343 participants living in seven European cities. Data were collected online via a questionnaire. Indicators of the objective quantity of urban natural space based on remotely sensed satellite imagery were also used. Regression models highlight the association between well-being and perceived amount of nature, accessibility to a community garden, and level of connectedness to nature. A moderating and negative effect of connectedness to nature on the association between the perceived quantity of nature and well-being was also identified. Perception of nature seems to be a better indicator of well-being than the objective one. Results highlight the importance of the social dimension of collective gardens in enhancing well-being. Connectedness to nature could facilitate appropriation of natural elements and its effects on well-being.

Impact of empowering leadership on emotional exhaustion: A controlled interventional study in a large French university hospital complex.

AIM: The aim of this study is to assess the effect of a systemic intervention on the evolution of empowering leadership and emotional exhaustion in a university hospital sub-centre compared to a control sub-centre, both being part of a large French university hospital complex. BACKGROUND: Empowering leadership is a promising strategy for developing hospital team engagement and performance. However, the bureaucratic functioning of large hospitals, characterized by a managerial culture of control and a stratified organization, can be a barrier to empowering leadership. METHODS: The intervention included empowering leadership training, direct field experimentation of empowering leadership and coaching, involving all the sub-centre hierarchical levels for 12 months. Data were collected before and after the intervention. A total of 441 and 310 participants were, respectively, included in the intervention and control sub-centres. RESULTS: Empowering leadership was decreased, and emotional exhaustion was increased in the control sub-centre, while the scores remained stable in the intervention sub-centre. The increased emotional exhaustion in the control sub-centre could partially be explained by the change in empowering leadership. CONCLUSION: In a context of decreased empowering leadership and increased emotional exhaustion, the intervention had a protective effect. Implications for the design of future interventions were discussed. IMPLICATIONS FOR NURSING MANAGEMENT: This study unequivocally showed the benefit of transforming hospital management towards empowering leadership, to prevent increased emotional exhaustion. REGISTRATION NUMBER: This study is registered on ClinicalTrials.gov on 4 July 2019 (NCT04010773).

Conceptual Integration and Empirical Validation of a Unified Taxonomy: Quantitative Data Analysis for Virtual Learning Environments.

Specific classes of cyberspaces emphasize different types of digital transactions given the user's context, thus making it essential to take into account what these environments can afford. In this way, we can portray the niches of technological use as ecologies of particular possibilities and compare how they differ between distinct spheres of human life. The present research is focused on describing the conceptual integration of a taxonomic crossover between Virtual Learning Environments and Educational Affordances of Technology, while also performing empirical testing and determining the psychometric properties in a scale regarding the aforementioned taxonomy. The study sample consisted of 320 students in the departments of foreign languages from three different universities in Sonora (northwestern region of Mexico). Students were given a questionnaire of 21 items organized into four subscales with a Likert-type response option to measure the notions concerning their usage of Virtual Learning Environments. Internal consistency procedures and confirmatory factor analysis by means of Cronbach's alpha and Structural modeling support the derived factorial structure, which contains Cyber-Communications, Virtual Behavior Settings, Virtual Communities, and Availability and Access to Connectivity. This structure traces the environmental properties perceived by learners in a virtual environment. Results sustain the initial conceptual construction regarding the proposed taxonomy, conclude that the 'Virtual Learning Environments Questionnaire' demonstrates adequate psychometric properties, and validate it as a fitting measure to assess the perceived psychological experience of students in a digital educational setting.

Validation of a brief version of the Difficulties in Emotion Regulation Scale with a Spanish speaking population (DERS-S SF) / Validación de una versión breve de la Escala de Dificultades en la Regulación Emocional con población hispanohablante (DERS-S SF)

Abstract Emotion regulation refers to all the processes involved in adapting to relatively strong emotional episodes, and specifically to identifying, differentiating and monitoring intense emotional states in order to cope with stressful situations. Difficulties in regulating emotions are associated with problems such as depression, anxiety and maladaptive behaviors. The DERS (Difficulties in Emotion Regulation Scale) is the most complete tool for measuring difficulties with emotion regulation. Several brief versions of this scale in English are described in the literature, but no a brief Spanish version has been found. The purpose of this study is to validate a brief version of the DERS in Spanish. The DERS tool was used with a Spanish speaking population (n=351, inhabitants of Cartagena, Colombia, 56% were woman, Mage 39 years, SD = 14.98) who responded the 5-point Likert scale. The brief version (18 items) was validated using confirmatory factor analysis (X2 / df = 1.19, CFI= .99, TLI = .99, RMSEA=.02). However, neither the reliability nor the stability of the awareness dimension was confirmed. This point and other results are examined on the light of extant literature.

Resumen La regulación de las emociones se refiere a todos los procesos involucrados en la adaptación a episodios emocionales relativamente fuertes y, específicamente, en la identificación, diferenciación y seguimiento de estados emocionales intensos para hacer frente a situaciones estresantes. Las dificultades para regular las emociones están asociadas con problemas como la depresión, la ansiedad y los comportamientos desadaptativos. La Escala de Dificultades en la Regulación de las Emociones (DERS) es la herramienta más completa para medir las dificultades con la regulación de las emociones. En la literatura se describen varias versiones breves de esta escala en inglés, pero no se ha encontrado una versión breve en español. El propósito de este estudio es validar una versión breve del DERS en español. Se utilizó la herramienta DERS con una población hispanohablante (n = 351, habitantes de Cartagena, Colombia, 56% eran mujeres, Medad 39 años, DE = 14,98) que respondió la escala Likert de 5 puntos. La versión breve (18 ítems) se validó mediante análisis factorial confirmatorio (X2 / df = 1.19, CFI= .99, TLI = .99, RMSEA=.02). Sin embargo, no se confirmó ni la fiabilidad ni la estabilidad de la dimensión de conciencia. Este punto y otros resultados se examinan a la luz de la literatura existente.

Psychosocial and Organizational Processes and Determinants of Health Care Workers' (HCW) Health at Work in French Public EHPAD (Assisted Living Residences): A Qualitative Approach Using Grounded Theory.

In a context marked by negative health indicators that make structural aspects more salient, this paper aimed at understanding and explaining the processes and determinants at work that positively and negatively interfere with the professionals' health in the French public nursing home environment. To this purpose, the qualitative approach by grounded theory was chosen. In total, 90 semi-structured interviews were recorded and 43 were transcribed; in addition, 10 observations of 46 participations in meetings and working groups were carried out in four public service and hospital establishments. Our results indicate that the role of health workers, its definition, and its execution are fundamental to the understanding of their health at work. Two protective and constructive processes are involved in the maintenance and development of the professionals' health in this work, with considerable confrontations with death and suffering: individual and collective control of emotional and cognitive commitment, and the development of resources for formation, information, and cooperation. Nonetheless, they are jeopardized when a lasting imbalance is generated between the work's demands and the available resources. This leads to a loss spiral in organizational, inter-individual, and individual resources that makes it difficult to sustain work.

Impact at two years of an intervention on empowerment among medical care teams: study protocol of a randomised controlled trial in a large French university hospital.

BACKGROUND: Empowerment of hospital workers is known as a key factor of organizational performance and occupational health. Nevertheless, empowering workers remains a real challenge. As in many traditional organizations, hospitals follow a bureaucratic model defined by a managerial culture of control and a stratified organization, which at once weaken professionals' mastery of their work and hinder their commitment and performance. Based on the existing literature this protocol describes a new managerial and organizational transformation program as well as the study design of its effect on worker empowerment in a large French public hospital. The project is funded by the French Ministry of Health for a total of 498,180 €. METHODS: This study is a randomized controlled trial conducted in a French university hospital complex (CHU). The CHU comprises 12 sub-centers (SC) with about 20 care units and 1000 employees each. Randomization is performed at SC level. The intervention lasts 12 months and combines accompaniment of healthcare teams, frontline managers and SC directors to empower first-line professionals in the experimental SC. Quantitative outcome measurements are collected over 2 years during mandatory check-ups in the occupational medicine department. The primary outcomes are structural and psychological empowerment, motivational processes, managerial practices, working conditions, health and performance. Mixed linear modeling is the primary data analysis strategy. DISCUSSION: The protocol was approved by the CHU health ethics committee. The results of the analysis of the intervention effects will be reported in a series of scientific articles. The results will contribute to reflection on prevention and management policies, and to the development of Workplace Quality-of-Life. If the intervention is a success, the system will warrant replication in other SCs and in other health facilities. TRIAL REGISTRATION: The study was retrospectively registered at ClinicalTrials.gov on July 4, 2019 (NCT04010773).

Exploring Perceptions of the Work Environment among Psychiatric Nursing Staff in France: A Qualitative Study Using Hierarchical Clustering Methods.

Most studies on workers' health are based on non-specific models of occupational stress, thereby limiting the understanding and research on efficient interventions. This qualitative approach aimed to explore the structure of resources and constraints in the working environment of nurses in a deliberately open approach. Semi-structured interviews were conducted with 37 nurses working in closed and open inpatient psychiatric wards in a French university hospital. The data were statistically analyzed using a hierarchical clustering method. Our model highlighted a systemic structure, describing the interactions, including patients, nurses, doctors, and managers in a specific material, communicational, and organizational environment. The results show a discursive structure organized around dimensions pertaining to "environment", "patients", "medical-care group", and "the individual". Our model showed interest in an interdisciplinary approach that encompasses occupational medicine and social psychology.

Impact of Place Identity, Self-Efficacy and Anxiety State on the Relationship Between Coastal Flooding Risk Perception and the Willingness to Cope.

Inhabitants of coastal areas are constantly confronted with minor or major events such as storms, erosion or flooding. This article investigates the predictors of coping willingness among citizens exposed to coastal flooding. Coping can be defined as a set of cognitive and behavioral efforts to master, reduce or tolerate a given risk and these strategies are generally regrouped into two different categories: active coping strategies oriented toward the risk to reduce or master it, and passive coping strategies focused on the reduction of internal tensions such as anxiety or fear. In this paper, we focus especially on how place identity, perceived self-efficacy, anxiety-state and coastal flooding risk perception shape both active and passive coping willingness. Data were obtained from different areas at risk of coastal flooding located in France. The sample is composed of 315 adult participants (mean age = 47; SD = 15). Two competing models were tested using path modeling. We expected a direct relation between risk perception and the willingness to cope actively and that a higher perceived self-efficacy would increase active coping willingness. Concerning passive coping strategies, we expected that a higher anxiety-state increases passive coping willingness, and that place identity would act as a mediator and increases the relation between anxiety-state and passive coping willingness. Results suggest that place identity increased when the living place is threatened and that the use of passive coping strategies also increased. Also, we demonstrated a direct relation between risk perception and active coping willingness but it appeared that self-efficacy has no effect on this relation. Model fit indices suggest the good fit of our model and Bayesian model comparison reveals a very strong evidence of the best fit of this model compared to its saturated and independent equivalents.

"Connectedness to Nature Scale": Validity and Reliability in the French Context.

Connectedness to nature represents the relationship of the self with the natural environment and has been operationalized using different scales. One of the most systematically studied in the Anglo-Saxon context is the Connectedness to Nature Scale (CNS). In an attempt to study the psychometric properties of this instrument in a French-speaking context, three studies (Study 1 n = 204, Study 2 n = 153, and Study 3 n = 322) were carried out in France to provide evidence of the internal consistency of the CNS, as well as its convergent, discriminant, and predictive validity. Moreover, as anticipated, positive correlations between the CNS and the environmental identity and environmental concerns scales were observed. Based on factorial analyses of maximum likelihood and reliability, an improvement in the psychometric properties was identified by eliminating three items. Through confirmatory factor analysis, the factorial structure and the psychometric properties of the CNS French version were confirmed, as well as their significate regression prediction on eudaimonic wellbeing.

Environmental risk: perception and target with local versus global evaluation.

This research addressed environmental risk perception depending on the target evaluated and on the category of hazard (technological and chemical hazards, climate change, loss of biodiversity). Correlations between environmental risk assessment and pro-environmental behavioural intentions were also tested. In a sample of 113 French adults, 15 different environmental risks were evaluated for four different risk targets (oneself, the inhabitants of the town, the inhabitants of the country, and humanity). As expected, environmental hazards were perceived as a greater risk for larger areas. Moreover, risks difficult to conceptualise, which contain both high uncertainty and long-term consequences (climate change, loss of biodiversity) are perceived as less risk to oneself and to the inhabitants of the town and the country of residence than more concrete and immediate risks (technological and chemical). Only the technological and chemical hazards significantly predict pro-environmental behavioural intentions.