Journal of Nursing Management最新文献_第10页

The Effect of Internship Length on Self-Efficacy and Clinical Competence: Accelerating Entry Into the Nursing Workforce in Saudi Arabia 实习时间对自我效能感和临床能力的影响：加速进入沙特阿拉伯护理队伍。

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-12-26 DOI: 10.1155/jonm/6689249

Sitah S. Alshutwi

<div> <section> <h3> Background</h3> <p>Limited studies have evaluated the impact of the length of internship training in relation to self-efficacy and clinical competence and the factors influencing these variables among nurse interns, particularly in Saudi Arabia.</p> </section> <section> <h3> Aim</h3> <p>The threefold aim of this study was to (1) determine the self-efficacy and clinical competence of Saudi nursing interns, (2) assess the differences in their perceptions, and (3) evaluate the differences within the 1-year internship program in the self-efficacy and clinical competence of Saudi nursing interns.</p> </section> <section> <h3> Design</h3> <p>The quantitative study employed a cross-sectional design and comparative and predictive research approaches.</p> </section> <section> <h3> Methods</h3> <p>A total convenience sample of 206 Saudi nursing interns participated in the study. T-test and analysis of variance (ANOVA) were used to determine the differences in nursing interns’ perceptions. A multiple regression analysis was conducted to examine the extent to which various predictor variables accounted for variance in clinical competence among interns.</p> </section> <section> <h3> Results/Findings</h3> <p>The nurse interns’ mean scores were 3.33/4 for self-efficacy and 4.42/5 for clinical competence. No significant correlation was found between demographics and either variable. However, self-efficacy correlated positively with clinical competence (<i>r</i> = 0.67,<i>p</i> < 0.001). A between-group ANOVA showed significant differences in self-efficacy (<i>F</i>(2, 203) = 19.00, <i>p</i> < 0.001) and clinical competence (<i>F</i>(2, 203) = 38.00, <i>p</i> < 0.001) across internship durations. Post hoc tests revealed significant increases in the 4- to 8-month groups, with no significant difference between 8- and 12-month groups.</p> </section> <section> <h3> Implication</h3> <p>Given that no significant improvements were observed beyond the 8-month mark, it is recommended that internship programs consider reducing the overall duration to 8 months. This would preserve educational effectiveness while optimizing the use of institutional and human resources. More importantly, such a change could help address the persistent nursing shortage by accelerating the transition of qualified nursing graduates into the workforce by enabling earlier entry into

背景：有限的研究评估了实习培训时间对实习护士自我效能感和临床能力的影响，以及影响这些变量的因素，特别是在沙特阿拉伯。目的：本研究的三个目的是：(1)确定沙特护理实习生的自我效能感和临床能力；(2)评估他们的认知差异；(3)评估沙特护理实习生在1年实习计划中的自我效能感和临床能力的差异。设计：定量研究采用了横断面设计和比较预测研究方法。方法：选取206名沙特护理实习生作为研究对象。采用t检验和方差分析（ANOVA）来确定护理实习生认知的差异。本研究以多元回归分析检视各种预测变量对实习生临床能力差异的影响程度。结果/发现：实习护士自我效能平均得分为3.33/4分，临床能力平均得分为4.42/5分。人口统计学与任何一个变量之间均未发现显著相关。而自我效能感与临床能力呈正相关（r = 0.67,p < 0.001）。组间方差分析显示，不同实习时间的自我效能感（F(2,203) = 19.00, p < 0.001）和临床能力（F(2,203) = 38.00, p < 0.001）存在显著差异。事后测试显示，4至8个月的组显著增加，8个月和12个月的组之间无显著差异。启示：鉴于在8个月之后没有观察到明显的改善，建议实习项目考虑将总时间减少到8个月。这将保持教育效力，同时最佳地利用体制和人力资源。更重要的是，这样的改变可以帮助解决持续的护理人员短缺问题，加速合格的护理毕业生进入劳动力市场，使他们能够更早地进入专业岗位，而不会损害他们的能力或信心。结论：本研究强化了自我效能感与临床能力的关系。较高的自我效能与临床能力的提高相对应。此外，研究结果显示实习时间对护理实习生临床技能的提升有重要影响；然而，在项目的第8个月和第12个月，实习生之间没有发现显著差异。

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引用次数: 0

Moral Courage as a Predictor of Moral Comfort in Critical Care Nurses 道德勇气对重症护理护士道德安慰的预测作用。

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-12-25 DOI: 10.1155/jonm/2257642

Mansoureh Zagheri-Tafreshi, Sara Etemadi, Parvin Babaei, Maasoumeh Barkhordari-Sharifabad

<div> <section> <h3> Background</h3> <p>Improving the experience of moral comfort is essential for helping intensive care unit (ICU) nurses achieve peace of mind while also ensuring the safety and comfort of their patients. Moral comfort is promoted through the presence of both personal and environmental factors, among which moral courage is a key personal element.</p> </section> <section> <h3> Aim</h3> <p>The aim of this study is to find out the role of moral courage in the moral comfort of nurses working in ICUs.</p> </section> <section> <h3> Design</h3> <p>This study used a cross-sectional design.</p> </section> <section> <h3> Methods</h3> <p>This study involved 153 nurses working in the ICUs of two hospitals affiliated with Shahid Sadoughi University of Medical Sciences, Yazd, Iran, between April 2025 and June 2025. Data were collected using a demographic form and two questionnaires on moral comfort and moral courage. Data were analyzed using descriptive and analytical statistics in SPSS22.</p> </section> <section> <h3> Results</h3> <p>The mean scores for moral courage and moral comfort were 83.66 ± 13.17 and 99.86 ± 16.27, respectively. There was a statistically significant positive correlation between moral courage and moral comfort (<i>r</i> = 0.595, <i>p</i> < 0.001). Furthermore, moral courage predicted 35% variance in moral comfort.</p> </section> <section> <h3> Conclusion</h3> <p>The findings indicate that moral courage is a significant predictor of moral comfort among ICU nurses. Nurses with higher levels of moral courage are more likely to experience moral comfort, which may enhance their psychological well-being and professional performance in ethically challenging environments such as the ICU.</p> </section> <section> <h3> Implications for Nursing Management</h3> <p>Nursing managers should recognize the crucial role of moral courage in fostering moral comfort and strive to create supportive environments that empower nurses to act in alignment with their ethical values. To enhance moral comfort, healthcare organizations should invest in cultivating moral courage through targeted training programs, supportive leadership, and a culture that encourages nurses to voice concerns and advocate for their patients.</p> </section>

背景：提高道德安慰体验是帮助重症监护病房（ICU）护士在确保患者安全舒适的同时获得心灵安宁的必要条件。道德安慰是通过个人因素和环境因素的存在来促进的，其中道德勇气是一个关键的个人因素。目的：探讨道德勇气在icu护士道德安慰中的作用。设计：本研究采用横断面设计。方法：本研究纳入2025年4月至2025年6月在伊朗亚兹德Shahid Sadoughi医科大学附属两家医院icu工作的153名护士。数据收集采用人口统计表格和道德安慰和道德勇气两份问卷。数据采用SPSS22的描述性统计和分析性统计进行分析。结果：道德勇气和道德安慰的平均得分分别为83.66±13.17分和99.86±16.27分。道德勇气与道德安慰有显著正相关（r = 0.595, p < 0.001）。此外，道德勇气预测35%的道德安慰方差。结论：道德勇气是ICU护士道德安慰的显著预测因子。道德勇气水平较高的护士更有可能体验到道德安慰，这可能会增强他们的心理健康和在ICU等道德挑战环境中的专业表现。对护理管理的启示：护理管理者应该认识到道德勇气在促进道德安慰方面的关键作用，并努力创造支持性环境，使护士能够按照自己的道德价值观行事。为了增强道德安慰，医疗机构应该通过有针对性的培训项目、支持性领导和鼓励护士表达担忧和为患者辩护的文化，投资培养道德勇气。

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引用次数: 0

Exploring Drug Use and Healthcare Utilization Among Adult Suicide Attempters: A Decision Tree Approach Using National Survey Data 探索成人自杀未遂者的药物使用和医疗保健利用：使用国家调查数据的决策树方法。

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-12-23 DOI: 10.1155/jonm/4823915

Bohyun Choi, Dajung Ryu, Mihyeon Seong, Sohyune Sok

<div> <section> <h3> Background</h3> <p>Korea has one of the highest suicide rates among OECD countries, ranking first for several consecutive years, with a rate of approximately 24 deaths per 100,000 population. Understanding the association between prescription drugs and suicide attempts is crucial for developing effective suicide prevention and management strategies. This study analyzed Health Insurance Review and Assessment Service data to identify medical events preceding suicide attempts and to construct a classification model of prescribed medications using decision tree analysis.</p> </section> <section> <h3> Methods</h3> <p>This secondary data study analyzed 1264 adult suicide attempters aged 20 to 59 years who were recruited from a pilot project for postmanagement in emergency departments conducted from March 2021 to March 2023, which may limit the generalizability of the findings. Claims data from the Health Insurance Review and Assessment Service were extracted using the specific item codes, and the drug details were obtained from the Ministry of Food and Drug Safety’s pharmaceutical classification table 100–890.</p> </section> <section> <h3> Results</h3> <p>Of the total subjects, 65% were female and 35% male, with the highest proportion aged 20–29 years. Medications prescribed prior to suicide attempts were analyzed according to age-specific prescription patterns, with a focus on the types and classes of drugs prescribed. The classification model revealed age-specific patterns, with psychotropic medications emerging as major predictors across all age groups. These models included psychotropic medications, digestive ulcer drugs, antipyretic and analgesic agents, anticonvulsants, and respiratory system drugs, with respiratory medications emerging as the most crucial variable. In the 50s, psychotropic medications—particularly hypnotics and sedatives—appeared in all four pathways. Among these, zolpidem was most commonly prescribed for insomnia, underscoring the strong link between sleep disturbance and suicide risk. Of particular concern, nearly nine out of 10 suicide attempters were prescribed at least one medication carrying suicide-related warnings or contraindications, as noted by the Ministry of Food and Drug Safety and the U.S. Food and Drug Administration.</p> </section> <section> <h3> Conclusion</h3> <p>The results highlight differences in healthcare utilization and prescribed medication patterns by age group among suicide attempters.</p> </section> <section> <h3> Implicatio

背景：韩国是经合组织国家中自杀率最高的国家之一，连续几年排名第一，每10万人中约有24人死亡。了解处方药与自杀企图之间的关系对于制定有效的自杀预防和管理策略至关重要。本研究分析健康保险检讨与评估服务的资料，找出自杀企图前的医疗事件，并运用决策树分析法建构处方药物分类模型。方法：本次要数据研究分析了1264名年龄在20至59岁之间的自杀未遂者，他们是从2021年3月至2023年3月在急诊科进行的后管理试点项目中招募的，这可能限制了研究结果的普遍性。使用特定的项目代码提取来自健康保险审查和评估服务的索赔数据，药品详细信息来自食品和药品安全部的药品分类表100-890。结果：女性占65%，男性占35%，其中20-29岁比例最高。自杀企图前的药物处方是根据年龄特定的处方模式进行分析的，重点是处方药物的类型和类别。分类模型揭示了年龄特异性模式，精神药物成为所有年龄组的主要预测因素。这些模型包括精神药物、消化性溃疡药物、解热镇痛药物、抗惊厥药物和呼吸系统药物，其中呼吸系统药物是最重要的变量。在20世纪50年代，精神药物——尤其是催眠药和镇静剂——出现在所有四种途径中。其中，唑吡坦最常用于治疗失眠症，强调了睡眠障碍与自杀风险之间的密切联系。尤其值得关注的是，据美国食品和药物安全部和美国食品和药物管理局指出，近九成的自杀未遂者至少服用过一种带有自杀警告或禁忌症的药物。结论：不同年龄的自杀未遂者在医疗保健利用和处方用药模式上存在差异。对护理管理的启示：这些结果可以作为在普通和精神病人护理评估和诊断中考虑自杀风险的基础数据，并制定专门的护理策略和管理。

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引用次数: 0

Cultural Dimensions of Workplace Violence in Healthcare: A Narrative Review 医疗保健工作场所暴力的文化维度：叙述回顾。

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-12-22 DOI: 10.1155/jonm/8336854

Sara Morales Palomares, Flavio Gheri, Nicola Ramacciati

<div> <section> <h3> Introduction</h3> <p>Workplace violence (WPV) against healthcare workers is a global concern, affecting safety, well-being, and job satisfaction. Cultural factors significantly influence aggression dynamics, making their understanding crucial for targeted prevention strategies.</p> </section> <section> <h3> Aim</h3> <p>This study aims to identify and analyze the cultural factors contributing to WPV and to explore how these elements influence both aggression dynamics and the effectiveness of strategies for its prevention and mitigation.</p> </section> <section> <h3> Methods</h3> <p>A narrative review was conducted in accordance with PRISMA guidelines. Literature searches in PubMed, CINAHL, and Scopus identified studies on cultural dimensions of WPV in healthcare. A thematic analysis synthesized findings.</p> </section> <section> <h3> Results</h3> <p>Eight studies were included in the review. The analysis identified four primary cultural dimensions contributing to WPV: (1) Ethnic and linguistic disparities: Healthcare workers from minority backgrounds face higher risks due to language barriers and cultural biases, leading to miscommunication and increased aggression. (2) Female healthcare professionals, particularly in patriarchal or hierarchical workplaces, are disproportionately affected by WPV due to structural power imbalances and gender stereotypes. (3) Sociocultural perceptions of healthcare workers: Patients’ expectations of “unconditional care” can heighten frustration and aggression when unmet, particularly in underfunded or resource-limited healthcare settings. (4) Cultural normalization and underreporting: In many cultures, WPV is perceived as an inherent part of the profession, discouraging formal reporting and institutional responses.</p> </section> <section> <h3> Conclusion</h3> <p>Cultural factors shape WPV prevalence, reporting, and management. Addressing these factors through culturally competent interventions, language accessibility, gender-sensitive policies, and institutional reforms is essential for safer workplaces. Future research should standardize WPV prevention strategies integrating cultural awareness and cross-cultural communication training.</p> </section> <section> <h3> Implications for Nursing Management</h3> <p>Nursing management plays a key role in WPV prevention through culturally competent strategies, gender

针对卫生保健工作者的工作场所暴力（WPV）是一个全球关注的问题，影响安全、福祉和工作满意度。文化因素显著影响攻击动态，使其理解对有针对性的预防策略至关重要。目的：本研究旨在识别和分析导致野生动物攻击的文化因素，并探讨这些因素如何影响攻击动态和预防和缓解策略的有效性。方法：按照PRISMA指南进行叙述性回顾。在PubMed， CINAHL和Scopus中检索文献，确定了医疗保健中WPV的文化维度的研究。专题分析综合了调查结果。结果：本综述纳入了8项研究。分析确定了四个主要的文化维度：(1)民族和语言差异：由于语言障碍和文化偏见，少数民族背景的医护人员面临更高的风险，导致沟通不端和攻击增加。(2)由于结构性权力失衡和性别陈规定型观念，女性卫生保健专业人员，特别是在父权制或等级森严的工作场所，受到WPV的影响不成比例。(3)卫生保健工作者的社会文化观念：患者对“无条件护理”的期望在得不到满足时可能会加剧挫败感和攻击性，特别是在资金不足或资源有限的卫生保健环境中。(4)文化正常化和少报：在许多文化中，WPV被视为职业的固有组成部分，阻碍了正式报告和机构反应。结论：文化因素影响WPV的流行、报告和管理。通过具有文化能力的干预措施、语言可及性、对性别问题敏感的政策和机构改革来解决这些因素，对于更安全的工作场所至关重要。未来的研究应结合文化意识和跨文化交流培训，规范WPV预防策略。对护理管理的影响：护理管理通过具有文化竞争力的战略、对性别问题敏感的政策和系统性改革，在预防脊髓灰质炎方面发挥着关键作用。实施文化能力培训、语言无障碍和零容忍政策可以提高安全性。加强报告机制和倡导适当的人员配备是减轻脊髓灰质炎和促进更安全的卫生保健环境的关键步骤。

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引用次数: 0

Exploring the Role of Nursing Ethics in Shaping Information Security Culture: A Normative and Care Ethics Perspective 探索护理伦理在塑造信息安全文化中的作用：一个规范和护理伦理的视角。

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-12-18 DOI: 10.1155/jonm/9993858

Samanta Mikuletič, Simon Vrhovec, Boštjan Žvanut

Aim

An appropriate information security culture (ISC) is essential for protecting patient privacy and safety. This study aims to explore the role of normative and care ethics in shaping ISC and to propose a novel nursing ethics ISC framework.

Design

The study employed a qualitative exploratory design based on semistructured interviews, including nurses and IT experts. Realistic scenarios involving two fictional registered nurses (RNs) were used to mitigate potential biases and encourage open and honest discussion on sensitive topics. Thematic analysis was used to derive insights from different participant perspectives.

Methods

Semistructured interviews were conducted between 23 November 2019 and 22 June 2020 with 13 nurses and four IT experts working in clinical settings in Slovenia. A thematic analysis was conducted.

Results

Our in-depth analysis shows that ISC is shaped by both normative and ethics of care perspectives, supporting the proposed nursing ethics ISC framework. Normative factors included procedural security countermeasures, direct superior’s commitment to information security, information security knowledge, and security monitoring. Additionally, we identified two factors related to ethics of care, namely, attention to patient dignity, and attentiveness to and alleviation of patient vulnerability.

Conclusion

This is one of the first studies to provide support for including both normative and ethics of care perspectives when studying ISC in the context of nursing ethics. The identified ISC factors also provide a reference for future research endeavors, such as the operationalization of instruments for measuring these concepts in nursing.

目的：适当的信息安全文化（ISC）对保护患者隐私和安全至关重要。本研究旨在探讨规范伦理与护理伦理在护理伦理塑造中的作用，并提出一个新的护理伦理框架。设计：本研究采用半结构化访谈的定性探索性设计，访谈对象包括护士和IT专家。研究采用了两个虚构的注册护士（RNs）的现实场景，以减轻潜在的偏见，并鼓励对敏感话题进行公开和诚实的讨论。专题分析用于从不同参与者的角度获得见解。方法：在2019年11月23日至2020年6月22日期间，对斯洛文尼亚临床环境中的13名护士和4名IT专家进行了半结构化访谈。进行了专题分析。结果：我们的深入分析表明，ISC是由护理观点的规范性和伦理学共同塑造的，支持了所提出的护理伦理ISC框架。规范性因素包括程序性安全对策、直接上级对信息安全的承诺、信息安全知识和安全监控。此外，我们确定了与护理伦理相关的两个因素，即对患者尊严的关注，以及对患者脆弱性的关注和减轻。结论：本研究首次支持在护理伦理背景下研究ISC时兼顾护理的规范性和伦理学视角。确定的ISC因素也为未来的研究工作提供了参考，例如在护理中测量这些概念的工具的操作化。

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引用次数: 0

Development and Validation of Artificial Intelligence Addiction Scale for Researchers: A Methodological Study 研究人员人工智能成瘾量表的开发与验证：一项方法学研究。

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-12-18 DOI: 10.1155/jonm/8458533

Ahmed Abdelwahab Ibrahim El-Sayed, Samira Ahmed Alsenany, Maha Gamal Ramadan Asal, Ibrahim Alasqah

<div> <section> <h3> Background</h3> <p>The integration of artificial intelligence (AI) tools into research has brought significant advancements, enhancing efficiency, innovation, and productivity across various academic disciplines. However, alongside these transformative benefits, the growing dependence on AI tools has raised concerns regarding overreliance and the potential for addictive behaviors among researchers. Despite the widespread adoption of AI among the researchers, there remains a notable gap in the availability of validated instruments specifically designed to assess AI addiction within this context.</p> </section> <section> <h3> Objective</h3> <p>To develop a scale to measure AI addiction among researchers and evaluate its psychometric properties.</p> </section> <section> <h3> Design</h3> <p>A methodological design was employed, consisting of two phases: scale development and psychometric evaluation.</p> </section> <section> <h3> Methods</h3> <p>Items were generated through a comprehensive literature review and semistructured interviews to capture AI addiction attributes. The scale’s psychometric properties—including content validity, face validity, construct validity, and internal consistency reliability—were assessed. Data from a convenience sample of 718 nursing researchers were randomly divided into two independent subsamples for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Reliability was evaluated using Cronbach’s alpha, McDonald’s omega, split-half reliability, and corrected item–total correlations.</p> </section> <section> <h3> Results</h3> <p>The finalized scale comprises 22 items across five dimensions: compulsive behavior, overdependency, functional impairment, withdrawal, and tolerance. EFA identified a five-factor structure explaining 73.66% of the variance. CFA validated the structure with robust fit indices for first order (<i>χ</i><sup>2</sup>/DF = 2.289, CFI = 0.962, and RMSEA = 0.06) and second order (<i>χ</i><sup>2</sup>/DF = 2.243, CFI = 0.962, and RMSEA = 0.059) models. The scale demonstrated excellent internal consistency and reliability, with Cronbach’s alpha (<i>α</i> = 0.924), McDonald’s omega (<i>ω</i> = 0.870), and a Spearman–Brown split-half coefficient of 0.814. Moderate interfactor correlations (<i>r</i> = 0.41–0.62) confirmed its multidimensionality.</p> </section> <section> <h3> Conclusion</h3>

背景：人工智能（AI）工具与研究的整合带来了重大进步，提高了各个学科的效率、创新和生产力。然而，除了这些变革性的好处之外，对人工智能工具的日益依赖也引发了对研究人员过度依赖和潜在成瘾行为的担忧。尽管人工智能在研究人员中被广泛采用，但在这种情况下，专门用于评估人工智能成瘾的有效工具的可用性仍然存在显著差距。目的：研制一种测量科研人员人工智能成瘾程度的量表，并对其心理测量特性进行评价。设计：采用方法学设计，包括两个阶段：量表开发和心理测量评估。方法：通过综合文献综述和半结构化访谈生成项目，以捕获AI成瘾属性。量表的心理测量属性——包括内容效度、面孔效度、结构效度和内部一致性信度——被评估。718名护理研究人员的便利样本数据随机分为两个独立的子样本进行探索性因素分析（EFA）和验证性因素分析（CFA）。信度采用Cronbach's alpha、McDonald's omega、劈半信度和校正后的项目-总相关性进行评估。结果：最终的量表包括22个项目，跨越5个维度：强迫行为、过度依赖、功能障碍、戒断和耐受性。EFA确定了一个五因素结构，解释了73.66%的方差。CFA对一阶（χ 2/DF = 2.289, CFI = 0.962, RMSEA = 0.06）和二阶（χ 2/DF = 2.243, CFI = 0.962, RMSEA = 0.059）模型的稳健性拟合指数进行了验证。量表具有良好的内部一致性和信度，Cronbach's alpha (α = 0.924), McDonald's omega (ω = 0.870)， Spearman-Brown split-half系数为0.814。适度的因子间相关（r = 0.41-0.62）证实了其多维性。结论：研究人员的人工智能成瘾量表是评估研究人员人工智能成瘾的有效和可靠的工具，为评估强迫行为、依赖、功能破坏、戒断症状和耐受性提供了一个强大的框架。

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引用次数: 0

Nurses’ Perceptions of Authentic Leadership and Quality of Nursing Care: The Mediating Role of Psychological Empowerment 护士真实领导感知与护理质量：心理授权的中介作用。

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-12-18 DOI: 10.1155/jonm/8865596

Chiu-Shu Fang, Cheng-Hsien Li, Su-Chiu Hsiao, Chun-Chang Lin, Fang-Ming Hwang, Fan-Hao Chou, Shu-Ching Ma

Background

Psychological empowerment plays a crucial role in influencing both the quality of nursing care and nurses’ self-perceptions. However, limited research has examined its mediating effect on the relationship between nurses’ perceptions of authentic leadership and the quality of care provided. This study aimed to test whether psychological empowerment mediates the relationship between nurses’ perceptions of their supervisors’ authentic leadership and the perceived nursing care quality. The findings are intended to provide both practical strategies and theoretical insights for improving the quality of nursing care.

Methods

This cross-sectional study followed the STROBE reporting guidelines. An online survey was conducted between July and August 2022, yielding 944 complete responses (response rate: 65.42%) from nurses at three hospitals in Taiwan. Data were collected using a structured online questionnaire measuring authentic leadership, psychological empowerment, and perceived nursing care quality. Structural equation modeling (Mplus 8.10) was used to assess the mediating effect of psychological empowerment.

Results

Significant positive relationships were found between nurses’ perceptions of authentic leadership and psychological empowerment, as well as between psychological empowerment and perceived nursing care quality. Psychological empowerment fully mediated the relationship between authentic leadership and perceived nursing care quality, indicating a significant indirect effect.

Conclusions

Nurses’ perceptions of authentic leadership positively influenced their psychological empowerment, which, in turn, enhanced their evaluation of nursing care quality. Psychological empowerment thus serves as a key mediator in shaping nurses’ perceptions of nursing care quality.

Implications for Nursing Management

Nursing managers should foster authentic leadership practices and implement empowerment-oriented interventions to strengthen nurses’ motivation, autonomy, and engagement, thereby improving the overall quality of nursing care.

背景：心理赋权对护理质量和护士自我认知均有重要影响。然而，有限的研究已经检查了其对护士的真实领导和护理质量之间的关系的感知的中介作用。本研究旨在检验心理授权是否在护士对主管真实领导的感知与护理质量感知之间起中介作用。研究结果旨在为提高护理质量提供实践策略和理论见解。方法：本横断面研究遵循STROBE报告指南。本研究于2022年7月至8月进行线上调查，共收到944份完整回复（回复率65.42%），来自台湾三家医院的护士。采用结构化的在线问卷收集数据，测量真实领导、心理授权和感知护理质量。采用结构方程模型（Mplus 8.10）评估心理赋权的中介作用。结果：护士真实领导感知与心理授权、心理授权与护理质量感知存在显著正相关。心理授权充分中介了真实领导与感知护理质量之间的关系，表明存在显著的间接效应。结论：护士对真实领导的认知正向影响护士的心理赋权，进而提高护士对护理质量的评价。因此，心理赋权在塑造护士对护理质量的看法中起着关键的中介作用。对护理管理的启示：护理管理者应培养真实的领导实践，实施以赋权为导向的干预措施，以增强护士的积极性、自主性和参与度，从而提高护理的整体质量。

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引用次数: 0

Effects of Workplace Violence on Emergency Nurses’ Health: A Mediating and Moderating Role of Occupational Stress and the Work Environment 工作场所暴力对急诊护士健康的影响：职业压力和工作环境的中介与调节作用

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-12-18 DOI: 10.1155/jonm/8813003

Xiaoli Chen, Hao Zhang, Luying Zhong, Dongmei Diao, Ling Zhu, Lei Ye

<div> <section> <h3> Background</h3> <p>Emergency nurses are at the highest risk of experiencing workplace violence, which can negatively impact their physical and psychological health. However, the mechanisms by which workplace violence affects nurses’ health remain unclear. Therefore, further exploration of potential moderating factors is required to understand the impact of workplace violence on nurses’ health.</p> </section> <section> <h3> Objectives</h3> <p>This study applied the effort–reward imbalance (ERI) model to investigate the mediating role of occupational stress in the relationship between workplace violence and health among emergency nurses, with the work environment serving as a moderating factor.</p> </section> <section> <h3> Design</h3> <p>A cross-sectional study was conducted.</p> </section> <section> <h3> Setting and participants</h3> <p>A questionnaire survey was administered to 1,540 emergency nurses from 30 tertiary hospitals in China between December 26, 2023, and January 18, 2024.</p> </section> <section> <h3> Methods</h3> <p>An online questionnaire was used to obtain demographic information, along with data concerning workplace violence, work environment, occupational stress, and somatic symptoms. Latent moderate structural equations were employed to analyze the moderated mediation model, and the bootstrap method was used to test for mediating effects.</p> </section> <section> <h3> Results</h3> <p>The path coefficient from workplace violence to occupational stress was significant (<i>β</i> = 0.526, <i>P</i> < 0.01), as was the coefficient from occupational stress to somatic symptom (<i>β</i> = 0.655, <i>P</i> < 0.01). Additionally, the direct effect of workplace violence on somatic symptoms was significant (<i>β</i> = 0.090, <i>P</i> < 0.01), with the mediating effect of occupational stress estimated at 0.433 (95% confidence interval [CI]: 0.374–0.493). The mediating effect of occupational stress on the relationship between workplace violence and somatic symptoms accounted for 79.2% of the total effect, indicating a significant mediation. Finally, the work environment moderated the impact of workplace violence on occupational stress (<i>β</i> = 0.063, <i>P</i> < 0.01).</p> </section> <section> <h3> Conclusions</h3> <p>A mod

背景：急诊护士遭受工作场所暴力的风险最高，这可能对其身心健康产生负面影响。然而，工作场所暴力影响护士健康的机制仍不清楚。因此，需要进一步探索潜在的调节因素，以了解工作场所暴力对护士健康的影响。目的：本研究运用努力-报酬不平衡（ERI）模型，探讨职业压力在急诊护士工作场所暴力与健康关系中的中介作用，其中工作环境起调节作用。设计：采用横断面研究。情境与对象：于2023年12月26日至2024年1月18日对全国30家三级医院的1540名急诊护士进行问卷调查。方法：采用在线调查问卷获取人口统计信息，以及有关工作场所暴力、工作环境、职业压力和躯体症状的数据。采用潜在适度结构方程分析有调节的中介模型，采用自举法检验中介效应。结果：工作场所暴力与职业压力的路径系数显著（β = 0.526, P β = 0.655, P β = 0.090, P β = 0.063， P）。结论：建立了一个有调节的中介模型，职业压力在工作场所暴力对急诊护士健康的影响中起中介作用。研究结果表明，需要采取其他措施来减少工作场所暴力对急诊护士健康的影响，并采取干预措施来减少职业压力。工作环境和职业压力的综合影响强调需要采取综合干预措施，为护士创造一个支持性的工作场所，从而减少急诊护士与恶劣工作环境之间的契合度。

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引用次数: 0

The Prevalence and Associated Factors of Compassion Satisfaction and Compassion Fatigue Among Clinical Nurses in China 中国临床护士同情满意度和同情疲劳的患病率及相关因素。

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-12-18 DOI: 10.1155/jonm/8097321

Tian Xiong, Jing Wang, Mei Wang

<div> <section> <h3> Background</h3> <p>Compassion satisfaction and compassion fatigue are critical to nurses’ well-being and patient care. In China, factors such as high workloads and healthcare reforms may elevate nurses’ risk for compassion fatigue.</p> </section> <section> <h3> Aims</h3> <p>To assess the prevalence and influencing factors of compassion satisfaction and compassion fatigue among Chinese clinical nurses.</p> </section> <section> <h3> Methods</h3> <p>In this cross-sectional study, 581 registered nurses completed surveys on demographics, work-related factors, Pittsburgh Sleep Quality Index, Psychology Capital Questionnaire, Perceived Social Support Scale, and Professional Quality of Life Scale. Data were analyzed using descriptive statistics, nonparametric tests, and multiple linear regression.</p> </section> <section> <h3> Results</h3> <p>The prevalence of low, average, and high levels was 5.7%, 79.2%, and 15.1% for compassion satisfaction; 31.0%, 67.6%, and 1.4% for burnout; and 34.8%, 63.5%, and 1.7% for secondary traumatic stress, respectively. Multiple linear regression analysis revealed that compassion satisfaction (<i>R</i><sup>2</sup> = 54.3%), sleep quality (<i>β</i> = −0.09, <i>p</i> = 0.005), psychological capital (<i>β</i> = 0.540, <i>p</i> < 0.001), and social support (<i>β</i> = 0.215, <i>p</i> < 0.001) were significant predictors. Similarly, burnout (<i>R</i><sup>2</sup> = 46.9%), sleep quality (<i>β</i> = 0.224, <i>p</i> < 0.001), psychological capital (<i>β</i> = −0.329, <i>p</i> < 0.001), and social support (<i>β</i> = −0.289, <i>p</i> < 0.001) were significant predictors. Secondary traumatic stress (<i>R</i><sup>2</sup> = 8.0%), sleep quality (<i>β</i> = 0.231, <i>p</i> < 0.001), and social support (<i>β</i> = −0.13, <i>p</i> = 0.009) were also significant predictors.</p> </section> <section> <h3> Conclusions</h3> <p>Chinese clinical nurses experience significant compassion fatigue. Sleep quality, psychological capital, and social support are key factors associated with their professional quality of life, highlighting targets for intervention by nursing management.</p> </section> <section> <h3> Implications for Nursing Management</h3> <p>It is important for nursing managers to recognize the susceptibility of nurses to compassion fatigue and develop specific strategies to alleviate burnout and secondary trauma

背景：同情满意度和同情疲劳对护士的幸福感和病人护理至关重要。在中国，高工作量和医疗改革等因素可能会增加护士“同情疲劳”的风险。目的：了解临床护士同情满意度和同情疲劳的患病率及其影响因素。方法：采用横断面研究方法，对581名注册护士进行人口统计学、工作因素、匹兹堡睡眠质量指数、心理资本问卷、感知社会支持量表和职业生活质量量表的调查。数据分析采用描述性统计、非参数检验和多元线性回归。结果：同情满意度低、中、高的患病率分别为5.7%、79.2%和15.1%；倦怠率分别为31.0%、67.6%和1.4%；继发性创伤应激分别为34.8%、63.5%和1.7%。多元线性回归分析显示，同情满意度（r2 = 54.3%）、睡眠质量（β = -0.09, p = 0.005）、心理资本（β = 0.540, p < 0.001）和社会支持（β = 0.215, p < 0.001）是显著的预测因子。同样，倦怠（r2 = 46.9%）、睡眠质量（β = 0.224, p < 0.001）、心理资本（β = -0.329, p < 0.001）和社会支持（β = -0.289, p < 0.001）是显著的预测因子。继发性创伤应激（r2 = 8.0%）、睡眠质量（β = 0.231, p < 0.001）和社会支持（β = -0.13, p = 0.009）也是显著的预测因素。结论：我国临床护士存在明显的同情疲劳。睡眠质量、心理资本和社会支持是影响其职业生活质量的关键因素，是护理管理干预的重点。对护理管理的启示：护理管理者必须认识到护士对同情疲劳的易感性，并制定具体的策略来减轻倦怠和继发性创伤压力，同时促进同情满意度。

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引用次数: 0

Mapping the Contributing Factors to Missed Nursing Care in Hospital Settings During a Global Health Crisis: A Systematic Scoping Review 绘制全球健康危机期间医院环境中护理缺失的影响因素：系统范围审查。

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-12-17 DOI: 10.1155/jonm/7343469

Mahsa Pourshaban, Atefeh Allahbakhshian, Majid Purabdollah

<div> <section> <h3> Background</h3> <p>Little foreknowledge and preparation exist for health-related crises, and they do not match the magnitude of the problem. During the COVID-19 pandemic, nursing care in some countries faced more challenges. One of these challenges was missed nursing care. This scoping review aims to identify and map the factors influencing missed nursing care in hospital settings during the COVID-19 pandemic in studies conducted in developed and developing countries.</p> </section> <section> <h3> Methods</h3> <p>A scoping review was conducted according to methodology recommended by the Joanna Briggs Institute (JBI). We searched five databases—PubMed, Scopus, CINAHL, ProQuest, and Web of Science—as well as the Google Scholar search engine, from December 2019 to July 2025. Keywords of the study were selected according to the Medical Subject Headings (MeSH) and previous research. We included studies in hospital wards that examined missed nursing care and related concepts, specifically those whose data collection periods occurred during the COVID-19 pandemic. Language restrictions were not applied. The factors were derived inductively, considering conceptual similarities, relevance to the core themes, and similarities in meaning, including aspects related to the missed nursing care model, the developed model derived from it related to the factors considered for missed nursing care, and emerging challenges introduced by COVID-19. Findings were reported following the PRISMA-ScR.</p> </section> <section> <h3> Findings</h3> <p>From the 1966 studies, we included 57 articles in the final review. Among them, 50 were cross-sectional, four were qualitative, two were mixed, and one was quasiexperimental. They were conducted mainly in Iran and the hospital units. Four main themes and nine subthemes emerged (1) work environment (structure, work climate), (2) nurse characteristics (individual and professional, personal), (3) workflow characteristics (intensity, predictability, risk), (4) country (developed, developing). Although the lack of human resources was reported in most studies, it was not the most significant contributing factor.</p> </section> <section> <h3> Conclusion</h3> <p>These findings can inform the development of strategies to address underlying factors affecting workflow, such as nurses’ attitudes and the work environment, thereby enhancing adaptability to future global health crises and serving as a crucial policy foundation for mitigating the missed nursing care during health emergencies.</p> </section>

背景：对健康相关危机的预见和准备很少，而且与问题的严重性不匹配。在2019冠状病毒病大流行期间，一些国家的护理面临更多挑战。其中一个挑战是错过护理。本综述旨在通过在发达国家和发展中国家开展的研究，确定和绘制COVID-19大流行期间医院环境中影响护理遗漏的因素。方法：根据乔安娜布里格斯研究所（JBI）推荐的方法进行范围审查。从2019年12月到2025年7月，我们检索了5个数据库——pubmed、Scopus、CINAHL、ProQuest和Web of science——以及谷歌Scholar搜索引擎。根据医学主题词（MeSH）和前人的研究选择研究关键词。我们纳入了医院病房的研究，这些研究检查了遗漏的护理和相关概念，特别是那些数据收集期发生在COVID-19大流行期间的研究。没有使用语言限制。考虑到概念上的相似性、与核心主题的相关性以及意义上的相似性，归纳得出这些因素，包括与错过护理模型相关的方面、由此衍生的与错过护理考虑因素相关的模型以及新冠肺炎带来的新挑战。在PRISMA-ScR之后报告了结果。结果：从1966年的研究中，我们在最终综述中纳入了57篇文章。其中，横断面实验50例，定性实验4例，混合实验2例，准实验1例。这些调查主要在伊朗和医院单位进行。出现了四个主要主题和九个副主题(1)工作环境（结构，工作气氛），(2)护士特征（个人和专业，个人），(3)工作流程特征（强度，可预测性，风险），(4)国家（发达，发展中）。虽然大多数研究都报道了人力资源的缺乏，但这并不是最重要的因素。结论：这些发现可以为制定策略提供信息，以解决影响工作流程的潜在因素，如护士的态度和工作环境，从而提高对未来全球卫生危机的适应能力，并为减少突发卫生事件期间的护理遗漏提供重要的政策基础。实际意义：这些发现不仅补充了其他探索护理中错过护理背后原因的全球研究，而且还提供了一个理解和预测报告的错过护理实例的框架，使有针对性的干预措施能够有效地解决这些问题。

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