International Journal of Nursing Sciences最新文献

{"title":"A scoping review of autoethnography in nursing","authors":"Martin Salzmann-Erikson","doi":"10.1016/j.ijnss.2024.10.002","DOIUrl":"10.1016/j.ijnss.2024.10.002","url":null,"abstract":"<div><h3>Objective</h3><div>Autoethnography combines personal experiences with cultural analysis, emerging as a response to the limitations of traditional ethnography. This review aimed to explore, describe, and delineate the utilization of autoethnography by nurses published in peer-reviewed journals.</div></div><div><h3>Methods</h3><div>A scoping review was conducted according to the Arksey and O’Malley framework. On October 12, 2023, autoethnographic studies in nursing were identified through searches of CINAHL, PubMed, PsycINFO, and Scopus. Peer-reviewed articles published in English language were retrieved. We applied no date restriction. Data were extracted on nursing, epiphany, results, style of writing, implications for nursing, and ethical considerations.</div></div><div><h3>Results</h3><div>Twenty-six articles met the inclusion criteria. Mental health nursing, covered by nine articles, elucidated experiences of stigma, ethical dilemmas, and professional identity. Nursing education, represented by seven articles, highlighted identity struggles, systemic biases, and evolving pedagogies. Palliative care, addressed by three articles, provided insights into communication challenges and emotional complexities in end-of-life care. The remaining articles explored rehabilitation, cultural competence, and chronic pain management. A conceptual framework integrating ontological, epistemological, ethical, and practical dimensions was developed, emphasizing the interplay between personal and professional roles.</div></div><div><h3>Conclusions</h3><div>This review underscores autoethnography’s value in uncovering the cultural and ethical dimensions of nursing. This framework advocates for a reflective, culturally attuned approach to healthcare, fostering transformative changes in nursing. Further research should explore underrepresented nursing specialties to harness autoethnography’s potential fully.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 586-594"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of structured nurse-patient conversation on preventing falls among patients in an acute care hospital: A mixed study","authors":"Kathrin Weber ,&nbsp;Susanne Knueppel Lauener ,&nbsp;Mieke Deschodt ,&nbsp;Florian Grossmann ,&nbsp;René Schwendimann","doi":"10.1016/j.ijnss.2024.08.012","DOIUrl":"10.1016/j.ijnss.2024.08.012","url":null,"abstract":"<div><h3>Objectives</h3><div>Inpatient falls are a major patient safety issue in acute care hospitals. Multifactorial in-hospital fall prevention programs have shown reductions in falls and related risks. One common element of successful programs is active patient involvement. This study objective was to explore patients’ and nurses’ experiences with a structured intervention to foster patient involvement.</div></div><div><h3>Methods</h3><div>This study was conducted between September 2020 and April 2021 in a university hospital neurological ward. The studied intervention consisted of a falls information leaflet, and a structured nurse-patient conversation about fall risk-reduction activities. Nurses were trained to deliver the intervention and supported throughout the study. Nurses’ and patients’ experiences regarding personal involvement, satisfaction, and confidence were surveyed and analyzed quantitatively and qualitatively.</div></div><div><h3>Results</h3><div>Fifty-six patients recruited by ward nurses received the intervention. After receiving the intervention, patients reported high levels of satisfaction with the in-hospital fall prevention conversation. Twenty-one nurses indicated that they would use the leaflet and communication aid. Twenty-one nurses commented on intervention facilitators and barriers. More specific facilitators included their shared perception that “handing out the leaflet to patients was not problematic” and that the leaflet was seen as “applicable in many patient situations.” Their comments indicated two particularly prominent barriers to conducting the intervention in clinical practice: 1) “finding the time for the implementation in the daily clinical routine and workload” and 2) “environmental factors like a noisy and busy atmosphere on the ward.”</div></div><div><h3>Conclusions</h3><div>This study provides insights into a patient involvement intervention featuring a structured nurse-patient discussion about fall risks. The accompanying information leaflet and communication guide require adaptations to facilitate sustainable implementation into the hospital’s fall prevention program, but proved useful.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 513-520"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intensity of nursing work in a primary healthcare center: An observational study","authors":"Melita Peršolja","doi":"10.1016/j.ijnss.2024.10.007","DOIUrl":"10.1016/j.ijnss.2024.10.007","url":null,"abstract":"<div><h3>Objectives</h3><div>In the sphere of occupational intensity, nursing stands recognized for its inherently demanding nature, marked by a rapid succession of tasks. Our primary aim was to assess the level of job intensity within nursing by analyzing the frequency and duration of activities performed by nurses, instances of task overlap, and the distribution of break times within a primary healthcare center.</div></div><div><h3>Methods</h3><div>This study was conducted using a descriptive working method. Nursing activities were recorded with the observation of six nurses, each monitored for 37.5 h. We used the Maribor System for measuring Quantity in Nursing Care in Primary Health Care Settings to measure the nursing care activities about direct patient care, indirect patient care, and other unproductive aspects through direct non-participant observations.</div></div><div><h3>Results</h3><div>About 41.5% (<em>n</em> = 1,640) of all nursing activities involving direct contact with patients, about 38.2% (<em>n</em> = 1,508) was indirect patient care, where a large amount worked with paper files (<em>n</em> = 666, 16.9%). In addition, about 15.0% were other nursing activities (mostly computer work), and just 5.3% (<em>n</em> = 210) of tasks were unproductive. The observational findings indicate a pronounced level of work intensity experienced by nurses in primary health clinics. Significantly, nurses were predominantly engaged in direct patient care tasks, often managing multiple activities simultaneously. Their transitions between tasks occurred approximately every 3 min, frequently without adequate intervals for breaks.</div></div><div><h3>Conclusions</h3><div>This study highlights the need to shift nurses’ focus from a task-centric approach to one centered on patient care. The prevailing emphasis on tasks may contribute to enduring fatigue and professional dissatisfaction. Consequently, there is an urgent need to redefine the scope of a nurse’s role and implement a comprehensive computer information system as an integral part of this redefined approach.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 536-543"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-management behavior preferences and influencing factors in Chinese patients with recurrent gout: A qualitative study","authors":"Xinyi Hao ,&nbsp;Aiping Wang ,&nbsp;Hao Huang ,&nbsp;Yue Sun ,&nbsp;Yingying Duan ,&nbsp;Shanwen Sun","doi":"10.1016/j.ijnss.2024.10.001","DOIUrl":"10.1016/j.ijnss.2024.10.001","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore the preferences and influencing factors of self-management behaviors in patients with recurrent gout and provide a theoretical basis for developing targeted strategies to improve self-management preferences.</div></div><div><h3>Methods</h3><div>A total of 10 patients with recurrent gout were recruited from the gout specialist outpatient clinic at a tertiary hospital in Shenyang, Liaoning Province, China. Semi-structured interviews were conducted with these patients, and the Kawakita Jiro (KJ) method was used to analyze the interview data.</div></div><div><h3>Results</h3><div>After four rounds of screening by five researchers, 35 codes were selected from an initial 132. After three rounds of discussion and induction, the KJ method identified seven domains of self-management behavior preferences in patients with recurrent gout: 1) extensive knowledge of gout, yet difficulty in distinguishing between accurate and inaccurate information; 2) a passive attitude of “no pain, no management”; 3) the challenge of changing entrenched daily habits; 4) the optimistic but unrealistic belief of “self-delusion”; 5) a tendency to seek medical attention late due to hopelessness of cure and familiarity with recurrences; 6) preference for analgesics for gout recurrences while neglecting long-term urate-lowering therapy (ULT); and 7) gout-related stigma.</div></div><div><h3>Conclusion</h3><div>The results of this study showed that the self-management behavior of patients with recurrent gout could be improved, especially in the aspects of medical seeking behavior, medication compliance, daily management and emotional management. At the same time, we found that gout stigma, difficulty in distinguishing true and false knowledge of gout and negative attitude of “ignoring pain” were significantly associated with self-management behavior.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 544-552"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of nurses’ workplace silence behaviour motives: A cross-sectional study","authors":"Hanadi Mohammed Alhojairi ,&nbsp;Naglaa Abdelaziz Mahmoud Elseesy ,&nbsp;Sabah Mahmoud Mahran ,&nbsp;Maram Ahmed Banakhar ,&nbsp;Fatmah Alsharif","doi":"10.1016/j.ijnss.2024.10.006","DOIUrl":"10.1016/j.ijnss.2024.10.006","url":null,"abstract":"<div><h3>Objectives</h3><div>The motives that lead to nurses’ workplace silence behaviour are essential to understand, as the failure to voice their concerns and maintain silence may cause various adverse outcomes, including burnout, turnover, job dissatisfaction, low productivity, and mental and moral distress. This study aimed to identify the level and influencing motives of the workplace silence behaviour among nurses at the National Guard Hospital in Madinah.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional survey was conducted in January and February 2023. The participants completed a questionnaire with two parts: the sociodemographic data form and the Workplace Silence Behavior Nursing Motives Scale. Data analysis was performed by descriptive statistics and the chi-square test.</div></div><div><h3>Results</h3><div>The overall level for all workplace silence behavior motives is moderate (3.29 ± 0.69), with Avoidance Motives dimension receiving the highest scores (3.62 ± 0.75) and Organization-Oriented Motives dimension receiving the lowest (3.15 ± 0.86). Chi-square test showed that Saudi nationality <em>(χ</em>^<em>2</em> = 0.015, <em>P</em> = 0.019<em>)</em> and monthly income <em>(χ</em>^<em>2</em> = 0.045<em>, P</em> = 0.013) are factors in high-moderate levels of silence behaviour.</div></div><div><h3>Conclusions</h3><div>The overall level of workplace silence behaviour motives was found to be moderate, nurses have higher monthly salaries and non-Saudi nationals tend to have higher levels of workplace silence behaviour motives. The study results provide a reference for nursing managers to pay attention to nurses’ workplace silence behavior and take corresponding intervention measures.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 553-562"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of perception bias for cardiovascular disease risk on physical activity and dietary habits","authors":"Zhiting Guo ,&nbsp;Yujia Fu ,&nbsp;Xuyang Wang ,&nbsp;Aline Aparecida Monroe ,&nbsp;Yuping Zhang ,&nbsp;Jingfen Jin ,&nbsp;Meifen Chen","doi":"10.1016/j.ijnss.2024.10.011","DOIUrl":"10.1016/j.ijnss.2024.10.011","url":null,"abstract":"<div><h3>Objective</h3><div>Cardiovascular disease (CVD) remains a significant public health challenge in China. Accurate perception of individual CVD risk is crucial for timely intervention and preventive strategies. This study aimed to determine the alignment between CVD risk perception levels and objectively calculated CVD risk levels, then investigate the disparity in physical activity and healthy diet habits among distinct CVD risk perception categories.</div></div><div><h3>Methods</h3><div>From March to August 2022, a cross-sectional survey was conducted in Zhejiang Province using convenience sampling. Participants aged between 20 and 80 years, without prior diagnosis of CVD were included. CVD risk perception was evaluated with the Chinese version of the Attitude and Beliefs about Cardiovascular Disease Risk Perception Questionnaire, while objective CVD risk was assessed through the Prediction for Atherosclerotic Cardiovascular Disease Risk (China-PAR) model. Participants’ demographic information, self-reported physical activity, and healthy diet score were also collected.</div></div><div><h3>Results</h3><div>A total of 739 participants were included in the final analysis. Less than a third of participants (29.2%) accurately perceived their CVD risk, while 64.5% over-perceived it and 6.2% under-perceived it. Notably, half of the individuals (50.0%) with high CVD risk under-perceived their actual risk. Compared to the accurate perception group, individuals aged 60–80 years old (<em>OR</em> = 6.569), currently drinking (<em>OR</em> = 3.059), and with hypertension (<em>OR</em> = 2.352) were more likely to under-perceive their CVD risk. Meanwhile, participants aged 40-&lt;60 years old (<em>OR</em> = 2.462) and employed (<em>OR</em> = 2.352) were more likely to over-perceive their risk. The proportion of individuals engaging in physical activity was lowest in the under-perception group, although the difference among the three groups was not statistically significant (<em>χ</em>² = 2.556, <em>P</em> = 0.278). In addition, the proportion of individuals practicing healthy diet habits was also lowest in the under-perception group, and a significant statistical difference was observed among the three groups (<em>χ</em>² = 10.310, <em>P</em> = 0.006).</div></div><div><h3>Conclusion</h3><div>Only a small proportion of participants accurately perceived their CVD risk, especially among those with high actual CVD risk. Individuals in the under-perceived CVD risk group exhibited the lowest rates of physical activity engagement and healthy diet adherence. Healthcare professionals should prioritize implementing personalized CVD risk communication strategies tailored to specific subgroups to enhance the accuracy of risk perception.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 505-512"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A conceptual analysis of facilitation to improve clinical outcomes in critical care units","authors":"Mpho G. Chipu ,&nbsp;Charlené Downing","doi":"10.1016/j.ijnss.2024.10.008","DOIUrl":"10.1016/j.ijnss.2024.10.008","url":null,"abstract":"<div><h3>Objectives</h3><div>Effective facilitation is crucial to improve critical care outcomes in life-threatening conditions through improved teamwork, caring, decision-making, and problem-solving. The meaning of facilitation remains unprecise in a critical care context despite its frequent usage in nursing education and clinical practice. This study aimed to report a thorough concept analysis to clarify the meaning of facilitation in the critical care context by formulating attributes, antecedents, and consequences and providing model cases related to facilitation.</div></div><div><h3>Methods</h3><div>This analysis was performed by searching online sources published from 1999 to 2023. EBSCOhost, CINAHL, PubMed, and Google Scholar databases were searched using online search engines. The analysis also included the manual search of books, thesaurus and dictionaries that showed relevance to facilitation. Walker and Avant’s eight-step approach was applied to explore and analyze the meaning of facilitation in critical care units.</div></div><div><h3>Results</h3><div>A total of 68 articles were included in the analysis of this study. Eleven attributes, six antecedents, and seven consequences related to facilitation were formulated. The attributes included dynamic, interactive processes, creating a positive environment, mobilizing resources, assistance, student-centered, shared goals, collaboration, engagement, participation, and feedback. Antecedents were facilitator qualities, motivation, a positive learning environment, student-facilitator relationship, time availability, and specified learning outcomes. The consequences of facilitation were identified as follows: change, professional development, competency, quality development, increased job satisfaction, staff retention, and self-confidence.</div></div><div><h3>Conclusions</h3><div>The findings from the analysis indicated that effective facilitation results in nurses and critical care staff developing competency, caring, critical thinking, and independence. Therefore, clinical outcomes in critical care environments are improved through teamwork, decision-making, and problem-solving in life-threatening situations.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 595-603"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A review of clinical practice guidelines on the management of preeclampsia and nursing inspiration","authors":"Ruiyang Sun ,&nbsp;Xiu Zhu ,&nbsp;Junying Li ,&nbsp;Ting Zhang ,&nbsp;Hong Lu","doi":"10.1016/j.ijnss.2024.10.010","DOIUrl":"10.1016/j.ijnss.2024.10.010","url":null,"abstract":"<div><h3>Objectives</h3><div>To review, evaluate, and synthesize the recommendations of guidelines on preeclampsia (PE) from a nursing perspective.</div></div><div><h3>Methods</h3><div>This is a systematic review of international and national guidelines on PE. Electronic databases and related guideline websites were searched from 2013 to 2023. After systematic retrieval and screening, we used the AGREE II tool to appraise the methodological quality of guidelines that met the eligibility criteria. Then, we analyzed and summarized the recommendations using descriptive analysis and the framework method. Furthermore, we rated the quality of evidence and the strength of the recommendations using the GRADE approach.</div></div><div><h3>Results</h3><div>Ten guidelines were included, among which eight were deemed “clinically useful” and records were extracted. In total, 31 recommendations, including 46 items on the nursing management of PE, were summarized from three aspects: 1) antenatal care (18 recommendations), including the assessment and regular monitoring of PE, standardized blood pressure (BP) measurement, prevention education for PE, antihypertensive agent monitoring, and magnesium sulfate (MgSO₄) use; 2) intrapartum care (4 recommendations), including childbirth care; 3) postpartum care (9 recommendations), including regular nursing monitoring, breastfeeding care and longer-term health counseling. Most of the evidence was rated as “very low” (19/46) or “moderate” (15/46) quality. For the strength of the recommendations, 30 items were graded as “strong” and 16 items were rated as “weak”.</div></div><div><h3>Conclusions</h3><div>This study provides professional, evidence-based nursing care resources both for preservice education for nursing staff and health care education for women with PE to help them detect and treat PE in a timely manner.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 528-535"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of moral distress from nurses’ perspectives: An integrative review","authors":"Mohannad Aljabery ,&nbsp;Isabel Coetzee-Prinsloo ,&nbsp;Annatjie van der Wath ,&nbsp;Nathira Al-Hmaimat","doi":"10.1016/j.ijnss.2024.10.005","DOIUrl":"10.1016/j.ijnss.2024.10.005","url":null,"abstract":"<div><h3>Objective</h3><div>This integrative review aimed to identify the common characteristics of moral distress in nursing and distinguish it from other types of distress by examining nurses’ perspectives in the literature. These insights will help update existing tools and create new ones to capture moral distress better, guiding the development and implementation of strategies to support nurses in addressing this challenge.</div></div><div><h3>Methods</h3><div>Whittemore and Knafl’s integrative review method was employed to guide a systematic search for literature in three databases (EBSCO Medline, CINAHL, and PubMed). Additionally, two journals, <em>Bioethics</em> and <em>Nursing Ethics</em>, were manually searched to reduce search bias. The included studies were primary resources published in English between 2018 and 2023, utilizing quantitative, qualitative, or mixed methods to examine moral distress’s characteristics, components, and definitions. All of identified studies were screened, extracted, and analyzed independently by two researchers.</div></div><div><h3>Results</h3><div>Nineteen studies were included. The results were grouped into five themes shaping the main characteristics of moral distress: 1) experiencing a moral situation, with five ethically conflicted situations identified, including treatment plans, professional and personal moral values, team dynamics, complex contexts, clinical practices, and patient-centered care; 2) making a moral judgment, where nurses experience moral distress when they cannot act consistently with their values, ethical principles, and moral duties; 3) the presence of constraints, categorized at three levels: individual factors related to the nurse, patient, and patient’s family; team factors related to the team or unit involved; and system factors, including institutional and policy elements; 4) moral wrongdoing, which occurs when nurses are unable to perform the right moral action; and 5) moral suffering, with studies showing that moral distress impacts physical, emotional, and psychological well-being.</div></div><div><h3>Conclusion</h3><div>The findings enhance the understanding of moral distress characteristics among nursing staff, highlighting the concept of the crescendo effect, which underscores the cumulative and escalating nature of unresolved moral distress, emphasizing the need to address moral conflicts proactively to prevent the erosion of moral integrity and professional satisfaction.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 578-585"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses’ job embeddedness and turnover intention: A systematic review and meta-analysis","authors":"Xin Wang ,&nbsp;Ming Liu ,&nbsp;Angela Y.M. Leung ,&nbsp;Xiaoyan Jin ,&nbsp;Hongxia Dai ,&nbsp;Shaomei Shang","doi":"10.1016/j.ijnss.2024.10.003","DOIUrl":"10.1016/j.ijnss.2024.10.003","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to review the relationship between job embeddedness and turnover intentions among nurses and explore the effects of the Job Embeddedness Scale, number of years in the career, education, and marital status on this relationship.</div></div><div><h3>Methods</h3><div>The review was conducted by searching the China Knowledge Resource Integrated Database (CNKI), Weipu Database (CQVIP), China Biology Medicine (CBM), Wanfang Database, PubMed, Web of Science, Embase, CINAHL, and APA-PsycNet for articles on nurses’ job embeddedness and turnover from intention up to March 2024. The research quality was evaluated using the Agency for Healthcare Research and Quality (AHRQ) assessment criteria. The review protocol has been registered on PROSPERO [CRD42023483947].</div></div><div><h3>Results</h3><div>The results of this review included 47 studies consisting of 15,742 nurses from seven countries worldwide. A moderate negative correlation was found between job embeddedness and turnover intention (<em>r</em> = -0.487). Furthermore, on-the-job embeddedness (<em>r</em> = -0.527) was more negatively associated with turnover intention than off-the-job embeddedness (<em>r</em> = -0.234). The highest negative correlation was found between sacrifice and turnover intention (<em>r</em> = -0.460), while the lowest was for the link (<em>r</em> = -0.185). Furthermore, the relationship between job embeddedness and its dimensions with turnover intention was affected by different job embeddedness scales, number of years in the career, education, and marital status (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>This systematic review and meta-analysis analyzed the relationships between nurses’ job embeddedness, dimensions, and turnover intention. Meanwhile, subgroup analysis and meta-regression explored the factors influencing these relationships. It is an important reference for nurse managers to promote nurse retention.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 563-570"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}