Journal of Nursing Management最新文献

Background: Nurse managers are central to hospital operations, yet little is known about how organizational factors, such as Magnet Recognition by the American Nurses Credentialing Center (ANCC), shape their assessments of the work environment, care quality, and safety. This study examined whether Magnet status is associated with nurse managers' assessments of these domains.

Methods: This cross-sectional study used data from the 2024 Penn Nurses4All Survey, the 2023 American Hospital Association Annual Survey, and the ANCC's list of Magnet-recognized organizations. The sample included 1362 nurse managers from 771 hospitals across 10 U.S. states (450 in 186 Magnet hospitals and 912 in 585 non-Magnet hospitals). Outcomes included managers' assessments of the work environment, nursing care quality, patient safety, and hospital recommendation. Approximate balancing weights were applied to adjust for hospital- and manager-level covariates, and weighted linear probability models estimated average treatment effects.

Results: Magnet managers were more likely to hold graduate degrees and to work in large, teaching, and not-for-profit hospitals. Compared with non-Magnet managers, they were 9 percentage points more likely to rate the work environment as excellent or good (b = 0.09, 95% CI: 0.04-0.16) and to "definitely" recommend their hospital as a workplace (b = 0.09, 95% CI: 0.02-0.16); 7 percentage points more likely to rate nursing care quality as excellent or good (b = 0.07, 95% CI: 0.04-0.14); 12 percentage points more likely to assign an excellent or good patient safety grade (b = 0.12, 95% CI: 0.06-0.19); and 16 percentage points more likely to recommend their hospital to family and friends (b = 0.16, 95% CI: 0.08-0.24).

Conclusion: Magnet status was associated with more favorable assessments of the work environment, quality, and safety among nurse managers. These findings suggest that Magnet structures may strengthen organizational environment and culture across multiple levels of the nursing workforce.

Nurse exportation, driven by sociodemographic factors, has become a significant trend in many African countries, including Ghana. Factors such as age, gender, marital status, religion, and family responsibilities influence nurses' willingness to migrate for better economic and professional opportunities. This study explores the sociodemographic dimensions shaping nurse exportation in Ghana, employing a mixed-methods approach with a sequential explanatory research design. A cross-sectional survey of 483 nursing students and interviews with seven nurses provided insight into migration patterns. The findings indicate that younger nurses (18-25 years) exhibit a higher willingness to migrate, driven by aspirations for career advancement and financial stability. Gender disparities also play a role, with male nurses facing fewer mobility constraints compared to their female counterparts. In addition, marital status and religion were not found to significantly influence migration decisions, while having dependents emerged as a critical factor, with nurses without children being more likely to migrate. Given these findings, this study recommended that stakeholders prioritize younger nurses for international opportunities, as they exhibit greater flexibility and willingness to relocate. In addition, policies should be developed to support nurses with dependents, such as structured relocation assistance and family reunification programs, to facilitate their participation in overseas employment opportunities.

Aims: This study aimed to investigate the current status of nursing intern students' core competencies and their relationship with spiritual health.

Background: Cultivating the core competencies of nursing intern students is a significant educational objective. As nursing intern students transition into clinical practice, they encounter heightened levels of stress, which can adversely impact both physical and mental health, potentially hindering the development of their competencies. In recent years, there has been an increasing interest in spiritual health, which can help individuals cope with stress, promoting positive physical and mental health outcomes. However, the relationship between spiritual health and the core competencies of nursing intern students remains unclear.

Methods: Convenience sampling was used to recruit 312 nursing intern students from five tertiary hospitals in China. Data regarding sociodemographic characteristics, spiritual health, and core competencies were collected using online questionnaires from September 2022 to January 2023.

Results: The overall average score of core competencies of nursing intern students (149.70 ± 19.09) was at a medium level, among which the score of critical thinking and reasoning ability was the lowest (11.28 ± 2.02). Univariate analysis shows that factors such as place of birth, reasons for choosing the nursing major, and employment intentions have an impact on the core competencies of nursing intern students. Correlation analysis indicated that the core competencies of nursing intern students were positively correlated with their spiritual health (r = 0.687, p < 0.01). Hierarchical multiple regression analysis showed that spiritual health explained 42.9% of the total variance in core competencies (△R ² = 0.429, p < 0.01).

Conclusions: This study shows that the core abilities of nursing intern students need to be improved, especially in terms of critical thinking and reasoning skills. In addition, their spiritual health level will have an impact on the development of core competencies.

Implications for nursing management: The results of this study suggest that nursing managers and educators should attach importance to the spiritual health level of nursing intern students, take timely intervention measures, and enhance the core competencies of nursing intern students. This is the key to promoting the professional development of clinical nursing and facilitating the high-quality development of nursing.

Background: Growing demand for resident care has made it increasingly challenging for care workers (registered nurses and nursing assistants) to provide person-centered and high-quality care in nursing homes. Demanding working conditions, high workloads, and job-related stress increase burnout risk among care workers. Positive work environments have been associated with reduced risk of emotional exhaustion and improved quality of care.

Objectives: This study assessed the nursing home work environment, risk of burnout in care workers, and explored their association. Additionally, the study examined whether professional role moderates this association.

Methods: A cross-sectional, multicenter study included survey data from 819 care workers across 54 Belgian nursing homes. Linear mixed models examined associations between the work environment and burnout risk in care workers, with additional analyses exploring the moderating role of profession.

Results: A substantial proportion of care workers reported positive collegial relationships (86.3%) and foundations for quality care (86.8%), while 65.5% reported insufficient staffing and resources. Additionally, 23.4% were at high risk of emotional exhaustion, 19.9% of depersonalization, and 32.2% of reduced personal accomplishment. All work environment measures were negatively associated with emotional exhaustion and depersonalization and positively associated with reduced personal accomplishment. Significant findings were obtained regarding the moderating role of profession.

Conclusion: This study underscores the importance of improving the nursing home work environment. Implementing targeted interventions to enhance these elements could reduce burnout risk among care workers. While achieving adequate staffing levels is essential, the impact on care worker well-being may be limited without additional improvements in the work environment. Granting care workers decision latitude and involving them in nursing home affairs could foster a more supportive and participative nursing management.