Lu Liu, Namuna Dallakoti, Wei Cui, Xiangyu Li, Shu Ding, Shan Zhang
Background
Clinical practice guideline (CPG) is essential for improving the quality and consistency of care. However, gaps between guideline recommendations and nursing practice remain, contributing to adverse patient outcomes. A theory-based tool is needed to systematically assess factors that influence nurses’ implementation of CPG.
Objective
To develop and validate the Clinical Practice Guideline Implementation Influencing Factors for Nurses (CPGIF-N) scale for identifying factors affecting CPG implementation among nurses.
Methods
Items were generated through a scoping review and refined via two-round Delphi reviews. A pilot survey with 40 nurses and a cross-sectional survey with 1005 nurses from eight tertiary hospitals were conducted. Both classical test theory (CTT) and item response theory (IRT) analyses were performed.
Results
A total of 637 valid responses were analyzed. Content validity indices were high (I-CVI: 0.93–1.00; S-CVI/Ave: 0.99). The IRT analysis indicated that the final items demonstrated good discrimination (a = 1.278–4.579), ordered threshold parameters (b1 to b4), and acceptable to excellent average information (range: 0.700–2.161). Confirmatory factor analysis revealed acceptable-fit indices (χ2/df = 1.956, RMSEA = 0.055, CFI = 0.935, TLI = 0.929). Average variance extracted values (0.818, 0.632, and 0.815) and composite reliability values (0.973, 0.941, and 0.982) confirmed convergent validity. The scale demonstrated excellent internal consistency (Cronbach’s α = 0.972; McDonald’s Omega = 0.982).
Conclusions
The CPGIF-N scale is a reliable and valid instrument, with strong psychometric properties, offering a practical tool to evaluate factors influencing CPG implementation among nurses in China.
{"title":"Development and Validation of a Nurse-Specific Scale to Assess Influencing Factors in Clinical Practice Guideline Implementation: An i-PARIHS-Based Study","authors":"Lu Liu, Namuna Dallakoti, Wei Cui, Xiangyu Li, Shu Ding, Shan Zhang","doi":"10.1155/jonm/4584848","DOIUrl":"10.1155/jonm/4584848","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Clinical practice guideline (CPG) is essential for improving the quality and consistency of care. However, gaps between guideline recommendations and nursing practice remain, contributing to adverse patient outcomes. A theory-based tool is needed to systematically assess factors that influence nurses’ implementation of CPG.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To develop and validate the <i>Clinical Practice Guideline Implementation Influencing Factors for Nurses</i> (<i>CPGIF-N)</i> scale for identifying factors affecting CPG implementation among nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Items were generated through a scoping review and refined via two-round Delphi reviews. A pilot survey with 40 nurses and a cross-sectional survey with 1005 nurses from eight tertiary hospitals were conducted. Both classical test theory (CTT) and item response theory (IRT) analyses were performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 637 valid responses were analyzed. Content validity indices were high (I-CVI: 0.93–1.00; S-CVI/Ave: 0.99). The IRT analysis indicated that the final items demonstrated good discrimination (<i>a</i> = 1.278–4.579), ordered threshold parameters (<i>b</i><sub>1</sub> to <i>b</i><sub>4</sub>), and acceptable to excellent average information (range: 0.700–2.161). Confirmatory factor analysis revealed acceptable-fit indices (<i>χ</i><sup>2</sup> <i>/df = </i>1.956, RMSEA = 0.055, CFI = 0.935, TLI = 0.929). Average variance extracted values (0.818, 0.632, and 0.815) and composite reliability values (0.973, 0.941, and 0.982) confirmed convergent validity. The scale demonstrated excellent internal consistency (Cronbach’s <i>α</i> = 0.972; McDonald’s Omega = 0.982).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The <i>CPGIF-N</i> scale is a reliable and valid instrument, with strong psychometric properties, offering a practical tool to evaluate factors influencing CPG implementation among nurses in China.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2026 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12862181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yannai DeJonghe, Herlinde Wynendaele, Els Clays, Jeroen Trybou
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.
{"title":"Nursing Home Work Environment and Burnout Association in Registered Nurses and Nursing Assistants: A Cross-Sectional Multicenter Study","authors":"Yannai DeJonghe, Herlinde Wynendaele, Els Clays, Jeroen Trybou","doi":"10.1155/jonm/3947093","DOIUrl":"10.1155/jonm/3947093","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2026 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12862233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sevda Sadeghpour, Alireza Hajizadeh, Maria Namjoo Baqhini, Razie Alipour, Edris Kakemam
<div> <section> <h3> Background</h3> <p>Despite the important role of teamwork in ensuring high-quality nursing care, little research has been conducted on nursing teamwork and its relationship with nurses’ caring behaviors, especially in developing countries.</p> </section> <section> <h3> Aim</h3> <p>This study aimed to determine the relationship between the perceptions of teamwork and caring behaviors among nurses working in hospitals in northwest Iran.</p> </section> <section> <h3> Methods</h3> <p>This cross-sectional study was conducted among 401 nurses who were recruited through a simple random stratified sampling method in four public and private hospitals in Tabriz, northwest Iran. Data were collected using questionnaires that assessed demographic characteristics, the Teamwork Attitudes Questionnaire, and the Caring Behavior Inventory (CBI-24). Data were analyzed through descriptive statistics, Pearson correlation coefficient, and univariate and multivariate linear regression analyses using SPSS-26 software.</p> </section> <section> <h3> Results</h3> <p>The mean values obtained in the study indicate that the participants had acceptable levels of teamwork (3.64 ± 0.62) and caring behaviors (5.10 ± 0.74). A positive relationship was observed between the teamwork and the caring behaviors score of the participants (<i>r</i> = 0.555; <i>p</i> < 0.01), and after controlling for confounder variables, team structure (<i>β</i> = 0.129), mutual support (<i>β</i> = 0.250), and communication (<i>β</i> = 0.304) explained 35.6% of the variance in caring behaviors (<i>F</i> = 25.56; <i>p</i> < 0.01; adjusted <i>R</i><sup>2</sup> = 0.356).</p> </section> <section> <h3> Conclusion</h3> <p>The results demonstrate that enhancing nursing teamwork, particularly in terms of team structure, mutual support, and communication, can be an effective strategy for promoting caring behaviors in hospitals. Strengthening nursing teamwork should be emphasized as one of the main priorities by all stakeholders, including clinical nurse leaders, managers, and instructors.</p> </section> <section> <h3> Implication for Nursing Management</h3> <p>The present study has implications for nurses, nursing and hospital administrators, nursing schools, and the health system at the macro level. Through inclusion in accreditation programs, reviewing educational curricula can help strengthen teamw
背景：尽管团队合作在确保高质量护理方面发挥着重要作用，但关于护理团队合作及其与护士护理行为关系的研究很少，特别是在发展中国家。目的：本研究旨在了解伊朗西北部医院护士团队合作认知与关怀行为之间的关系。方法：采用简单随机分层抽样的方法，对伊朗西北部大不里士市4家公立和私立医院的401名护士进行横断面研究。数据收集采用人口统计学特征问卷、团队合作态度问卷和关怀行为量表（CBI-24）。采用SPSS-26软件对数据进行描述性统计、Pearson相关系数、单因素和多因素线性回归分析。结果：被试的团队合作行为（3.64±0.62）和关怀行为（5.10±0.74）均达到可接受水平。团队合作与被试关怀行为得分呈正相关（r = 0.555, p < 0.01），在控制混杂变量后，团队结构（β = 0.129）、相互支持（β = 0.250）和沟通（β = 0.304）解释了35.6%的关怀行为方差（F = 25.56, p < 0.01，调整后r2 = 0.356）。结论：加强护理团队合作，特别是在团队结构、相互支持和沟通方面，是促进医院护理行为的有效策略。加强护理团队合作应被所有利益相关者（包括临床护士领导、管理人员和指导员）强调为主要优先事项之一。对护理管理的启示：本研究在宏观层面上对护士、护理和医院管理者、护理学校和卫生系统有启示。通过纳入认证计划，审查教育课程可以帮助加强护士之间的团队合作。通过解决这些影响，各级利益相关者都可以从团队合作和医院护士富有同情心的关怀行为之间的强大联系中受益。
{"title":"Exploring the Relationship Between Nurses’ Perceptions of Teamwork and Caring Behaviors: A Multicenter Cross-Sectional Study in Iran","authors":"Sevda Sadeghpour, Alireza Hajizadeh, Maria Namjoo Baqhini, Razie Alipour, Edris Kakemam","doi":"10.1155/jonm/1170023","DOIUrl":"10.1155/jonm/1170023","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Despite the important role of teamwork in ensuring high-quality nursing care, little research has been conducted on nursing teamwork and its relationship with nurses’ caring behaviors, especially in developing countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to determine the relationship between the perceptions of teamwork and caring behaviors among nurses working in hospitals in northwest Iran.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study was conducted among 401 nurses who were recruited through a simple random stratified sampling method in four public and private hospitals in Tabriz, northwest Iran. Data were collected using questionnaires that assessed demographic characteristics, the Teamwork Attitudes Questionnaire, and the Caring Behavior Inventory (CBI-24). Data were analyzed through descriptive statistics, Pearson correlation coefficient, and univariate and multivariate linear regression analyses using SPSS-26 software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean values obtained in the study indicate that the participants had acceptable levels of teamwork (3.64 ± 0.62) and caring behaviors (5.10 ± 0.74). A positive relationship was observed between the teamwork and the caring behaviors score of the participants (<i>r</i> = 0.555; <i>p</i> < 0.01), and after controlling for confounder variables, team structure (<i>β</i> = 0.129), mutual support (<i>β</i> = 0.250), and communication (<i>β</i> = 0.304) explained 35.6% of the variance in caring behaviors (<i>F</i> = 25.56; <i>p</i> < 0.01; adjusted <i>R</i><sup>2</sup> = 0.356).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results demonstrate that enhancing nursing teamwork, particularly in terms of team structure, mutual support, and communication, can be an effective strategy for promoting caring behaviors in hospitals. Strengthening nursing teamwork should be emphasized as one of the main priorities by all stakeholders, including clinical nurse leaders, managers, and instructors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implication for Nursing Management</h3>\u0000 \u0000 <p>The present study has implications for nurses, nursing and hospital administrators, nursing schools, and the health system at the macro level. Through inclusion in accreditation programs, reviewing educational curricula can help strengthen teamw","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2026 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12859526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<div> <section> <h3> Background</h3> <p>Artificial intelligence (AI) has increasingly influenced healthcare, yet its adoption in nursing research remains underexplored. Although interest in AI applications, such as robotics, decision support, and machine learning, is growing, a comprehensive bibliometric mapping of global scholarship in nursing remains lacking.</p> </section> <section> <h3> Objective</h3> <p>To examine the global trends, intellectual structures, and thematic evolution of AI-related research in nursing from 1984 to 2025 (through May 2025) and to identify key authors, institutions, and research foci.</p> </section> <section> <h3> Methods</h3> <p>A systematic search was conducted in the Web of Science Core Collection using predefined title-based keywords (“nurse” OR “nursing”) AND (“artificial intelligence” OR “machine learning” OR “deep learning” OR “robotic∗” OR “chatbot∗” OR “neural network∗”). Studies were included if they explicitly addressed nursing practice, management, education, or research applications of AI. Two independent reviewers screened all records by title and abstract to confirm nursing relevance using predefined inclusion and exclusion criteria. This yielded 799 records; after removing duplicates and uncited papers, 530 publications were retained as nursing-related. Bibliometric analysis employed performance and science-mapping techniques via VOSviewer and Biblioshiny. Indicators included publication trends, citation distributions, keyword co-occurrence, authorship patterns, and collaborations.</p> </section> <section> <h3> Results</h3> <p>The number of publications increased substantially after 2018, with the United States, China, and the United Kingdom being the most productive countries. Dominant research themes included robotics in elder care, clinical decision support systems, and nursing education enhanced by AI tools. Coauthorship analysis revealed limited international collaboration, and keyword mapping identified “robotics,” “machine learning,” and “nursing education” as leading focal points.</p> </section> <section> <h3> Conclusions</h3> <p>Despite decades of development, AI remains an emerging and underutilized area within nursing research. The rapid growth of publications in recent years signals expanding interest, yet the field lacks consolidated efforts and cohesive global collaboration. Greater interdisciplinary and international engagement is needed to accelerate innovation.</p> </section>
背景：人工智能（AI）对医疗保健的影响越来越大，但其在护理研究中的应用仍未得到充分探索。尽管人们对机器人技术、决策支持和机器学习等人工智能应用的兴趣正在增长，但全球护理学术的综合文献计量地图仍然缺乏。目的：探讨1984年至2025年（至2025年5月）护理领域人工智能相关研究的全球趋势、知识结构和主题演变，并确定主要作者、机构和研究重点。方法：使用预定义的基于标题的关键词（“护士”或“护理”）和（“人工智能”或“机器学习”或“深度学习”或“机器人∗”或“聊天机器人∗”或“神经网络∗”）在Web of Science核心集合中进行系统搜索。如果研究明确涉及人工智能的护理实践、管理、教育或研究应用，则纳入研究。两名独立审稿人根据标题和摘要筛选所有记录，使用预先确定的纳入和排除标准确认护理相关性。这产生了799条记录；在删除重复和未引用的论文后，保留了530篇与护理相关的出版物。文献计量学分析通过VOSviewer和Biblioshiny采用了性能和科学映射技术。指标包括出版趋势、引文分布、关键词共现、作者模式和合作。结果：2018年之后，论文发表数量大幅增加，其中美国、中国和英国是产出最多的国家。主要研究主题包括老年护理中的机器人技术、临床决策支持系统和人工智能工具增强的护理教育。合著者分析显示，国际合作有限，关键词映射确定“机器人技术”、“机器学习”和“护理教育”是主要焦点。结论：尽管经过几十年的发展，人工智能在护理研究中仍然是一个新兴的、未被充分利用的领域。近年来出版物的快速增长表明人们的兴趣正在扩大，但该领域缺乏统一的努力和有凝聚力的全球合作。加快创新需要更多跨学科和国际参与。
{"title":"Bibliometric Mapping of 40 Years of AI in Nursing: Trends, Collaborations, and Research Hotspots Worldwide","authors":"Mualla Dikmen, Filiz Elmalı","doi":"10.1155/jonm/6154880","DOIUrl":"10.1155/jonm/6154880","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Artificial intelligence (AI) has increasingly influenced healthcare, yet its adoption in nursing research remains underexplored. Although interest in AI applications, such as robotics, decision support, and machine learning, is growing, a comprehensive bibliometric mapping of global scholarship in nursing remains lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To examine the global trends, intellectual structures, and thematic evolution of AI-related research in nursing from 1984 to 2025 (through May 2025) and to identify key authors, institutions, and research foci.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic search was conducted in the Web of Science Core Collection using predefined title-based keywords (“nurse” OR “nursing”) AND (“artificial intelligence” OR “machine learning” OR “deep learning” OR “robotic∗” OR “chatbot∗” OR “neural network∗”). Studies were included if they explicitly addressed nursing practice, management, education, or research applications of AI. Two independent reviewers screened all records by title and abstract to confirm nursing relevance using predefined inclusion and exclusion criteria. This yielded 799 records; after removing duplicates and uncited papers, 530 publications were retained as nursing-related. Bibliometric analysis employed performance and science-mapping techniques via VOSviewer and Biblioshiny. Indicators included publication trends, citation distributions, keyword co-occurrence, authorship patterns, and collaborations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The number of publications increased substantially after 2018, with the United States, China, and the United Kingdom being the most productive countries. Dominant research themes included robotics in elder care, clinical decision support systems, and nursing education enhanced by AI tools. Coauthorship analysis revealed limited international collaboration, and keyword mapping identified “robotics,” “machine learning,” and “nursing education” as leading focal points.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Despite decades of development, AI remains an emerging and underutilized area within nursing research. The rapid growth of publications in recent years signals expanding interest, yet the field lacks consolidated efforts and cohesive global collaboration. Greater interdisciplinary and international engagement is needed to accelerate innovation.</p>\u0000 </section>\u0000 ","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2026 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12859527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maureen Dillon, Jane Mills, Lisa Hanson, Helen Wright, George Mnatzaganian
<div> <section> <h3> Aim</h3> <p>This cross-sectional study explored factors influencing nurses’ intention to remain practicing or exit the profession across Australian metropolitan, regional, rural, and remote settings to inform workplace policies, education training, and career coaching.</p> </section> <section> <h3> Background</h3> <p>Evidence on attrition and retention across geographical regions of employment is mixed. While much existing research on the nursing workforce has focused on job satisfaction, work–life balance, and workload, less attention has been given to the influence of work setting, nursing role, resilience, and career advancement opportunities—particularly in nonmetropolitan areas.</p> </section> <section> <h3> Methods</h3> <p>Validated scales were used to assess resilience and intention to stay in the profession. Intention to stay was analyzed using ordinal logistic regression and Youden’s statistic was applied to estimate the year nurses were most likely to consider leaving.</p> </section> <section> <h3> Results</h3> <p>Of 1252 survey accesses, 526 (42.0%) resulted in completion and 410 (77.9%) included a response to the intention-to-stay question. No statistically significant differences were found in age, gender, early career status, or years of experience among nurses working in different geographic areas. Using Youden’s statistical method, 7 years of employment was identified as the threshold at which nurses were most likely to consider leaving their profession. Compared with metropolitan nurses, those in rural/remote areas were more likely to stay (adjusted odds ratio: 2.2; 95% CI: 1.14–4.10; and <i>p</i> = 0.019). Positive predictors included working in clinical roles, hospital or community settings, higher resilience, and career advancement opportunities.</p> </section> <section> <h3> Conclusions</h3> <p>Region, role, and resilience strongly influence nurses’ intention to stay, with rural and remote nurses more likely to remain than metropolitan peers.</p> </section> <section> <h3> Implications for Nursing Management</h3> <p>Targeted supports—including mentorship, reflective practice, resilience training, and career coaching—may improve retention, particularly when management practices are tailored to leverage the strengths of rural and remote settings while addressing context-specific needs to enhance workforce stability across
目的：本横断面研究探讨了影响澳大利亚大都市、地区、农村和偏远地区护士继续执业或退出职业的因素，以告知工作场所政策、教育培训和职业指导。背景：关于跨地理区域就业的减员和保留的证据是混合的。虽然现有的许多关于护理人员的研究都集中在工作满意度、工作与生活的平衡和工作量上，但很少有人关注工作环境、护理角色、弹性和职业发展机会的影响，特别是在非大都市地区。方法：采用经验证的量表对心理弹性和留任意向进行评估。使用有序逻辑回归分析留任意向，并应用约登统计估计护士最可能考虑离职的年份。结果：在1252次调查中，526次（42.0%）完成了调查，410次（77.9%）回答了是否愿意留下来的问题。在不同地理区域工作的护士在年龄、性别、早期职业状态或经验年数方面没有统计学上的显著差异。使用约登的统计方法，7年的工作被确定为门槛，护士最有可能考虑离开他们的职业。与城市护士相比，农村/偏远地区的护士更有可能留下来（调整后的优势比：2.2;95% CI: 1.14-4.10; p = 0.019）。积极的预测因素包括临床工作、医院或社区环境、更高的适应能力和职业发展机会。结论：地区、角色和应变能力强烈影响护士的留任意愿，农村和偏远地区的护士比城市同行更有可能留任。对护理管理的影响：有针对性的支持——包括指导、反思性实践、弹性培训和职业指导——可能会提高挽留率，特别是当管理实践针对农村和偏远地区的优势进行调整，同时满足具体情况的需求，以增强所有地区的劳动力稳定性时。
{"title":"Region of Employment and Intention to Remain Practicing or Exit the Profession Among Australian Nurses: A Cross-Sectional Analysis","authors":"Maureen Dillon, Jane Mills, Lisa Hanson, Helen Wright, George Mnatzaganian","doi":"10.1155/jonm/4278991","DOIUrl":"10.1155/jonm/4278991","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This cross-sectional study explored factors influencing nurses’ intention to remain practicing or exit the profession across Australian metropolitan, regional, rural, and remote settings to inform workplace policies, education training, and career coaching.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Evidence on attrition and retention across geographical regions of employment is mixed. While much existing research on the nursing workforce has focused on job satisfaction, work–life balance, and workload, less attention has been given to the influence of work setting, nursing role, resilience, and career advancement opportunities—particularly in nonmetropolitan areas.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Validated scales were used to assess resilience and intention to stay in the profession. Intention to stay was analyzed using ordinal logistic regression and Youden’s statistic was applied to estimate the year nurses were most likely to consider leaving.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 1252 survey accesses, 526 (42.0%) resulted in completion and 410 (77.9%) included a response to the intention-to-stay question. No statistically significant differences were found in age, gender, early career status, or years of experience among nurses working in different geographic areas. Using Youden’s statistical method, 7 years of employment was identified as the threshold at which nurses were most likely to consider leaving their profession. Compared with metropolitan nurses, those in rural/remote areas were more likely to stay (adjusted odds ratio: 2.2; 95% CI: 1.14–4.10; and <i>p</i> = 0.019). Positive predictors included working in clinical roles, hospital or community settings, higher resilience, and career advancement opportunities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Region, role, and resilience strongly influence nurses’ intention to stay, with rural and remote nurses more likely to remain than metropolitan peers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Management</h3>\u0000 \u0000 <p>Targeted supports—including mentorship, reflective practice, resilience training, and career coaching—may improve retention, particularly when management practices are tailored to leverage the strengths of rural and remote settings while addressing context-specific needs to enhance workforce stability across ","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2026 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12853069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yan Ye, Yinshi Kan, Tingting Dong, Jing Zhang, Xiaoming Li, Lingyu Zhang, Xuanxuan Fan, Chunyan Li, Liwei Jing
Background
Specialty nurses play a vital role in advancing clinical care, education, research, and leadership within China’s evolving healthcare system. However, their actual participation in these roles varies widely, and current assessments often overlook individual differences. Understanding distinct patterns of specialty nurses’ professional practice participation is crucial for optimizing talent development and advancing the specialty nursing workforce.
Methods
A cross-sectional study was conducted using a convenience sample of 7154 specialty nurses in Beijing between May and July 2024. Participants completed online questionnaires that gathered demographic data and assessed nursing practice across four dimensions (19 items total). Data analysis was performed using latent profile analysis, Chi-square test, Kruskal–Wallis H test, and multivariate logistic regression.
Results
Three latent profiles were identified: Developing Practice Profile (78.19%; characterized by growth potential across all dimensions), Clinician–Educator Profile (14.97%; marked by strengths in teaching and advanced clinical nursing), and the Clinician, Leadership, and Research Profile (6.84%; distinguished by high performance in advanced clinical practice, clinical management, and nursing research). Key predictors included educational background, professional title, duties, years of relevant work experience, and hospital level.
Conclusion
Most specialty nurses have significant developmental potential. Nursing managers should provide personalized development for each specialty nurse, and the proposed “Stretch–Shape–Lead” approach may serve as a reference for optimizing the specialty nurse workforce structure. Future studies could further validate the findings from this resource-rich municipality in lower-tier cities, rural areas, or the broader national context to confirm their broader applicability.
{"title":"Patterns of Professional Practice Participation: A Latent Profile Analysis of Specialty Nurses in China","authors":"Yan Ye, Yinshi Kan, Tingting Dong, Jing Zhang, Xiaoming Li, Lingyu Zhang, Xuanxuan Fan, Chunyan Li, Liwei Jing","doi":"10.1155/jonm/5574431","DOIUrl":"10.1155/jonm/5574431","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Specialty nurses play a vital role in advancing clinical care, education, research, and leadership within China’s evolving healthcare system. However, their actual participation in these roles varies widely, and current assessments often overlook individual differences. Understanding distinct patterns of specialty nurses’ professional practice participation is crucial for optimizing talent development and advancing the specialty nursing workforce.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted using a convenience sample of 7154 specialty nurses in Beijing between May and July 2024. Participants completed online questionnaires that gathered demographic data and assessed nursing practice across four dimensions (19 items total). Data analysis was performed using latent profile analysis, Chi-square test, Kruskal–Wallis H test, and multivariate logistic regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three latent profiles were identified: Developing Practice Profile (78.19%; characterized by growth potential across all dimensions), Clinician–Educator Profile (14.97%; marked by strengths in teaching and advanced clinical nursing), and the Clinician, Leadership, and Research Profile (6.84%; distinguished by high performance in advanced clinical practice, clinical management, and nursing research). Key predictors included educational background, professional title, duties, years of relevant work experience, and hospital level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Most specialty nurses have significant developmental potential. Nursing managers should provide personalized development for each specialty nurse, and the proposed “Stretch–Shape–Lead” approach may serve as a reference for optimizing the specialty nurse workforce structure. Future studies could further validate the findings from this resource-rich municipality in lower-tier cities, rural areas, or the broader national context to confirm their broader applicability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2026 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12824634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<div> <section> <h3> Background</h3> <p>In health care, leadership is often viewed through top–down lens, which leaves the active role of followers unrecognized. Nurses do not just comply with orders—they shape leadership, culture, and performance through their behavior. Courageous followership, reflected in accountability, integrity, and speaking up, is central to this influence. Yet, this perspective remains underexamined in hierarchal healthcare environments.</p> </section> <section> <h3> Aim</h3> <p>This study examines how courageous followership affects leaders’ implicit followership theories (LIFTs) and followers’ job performance. It also explores LIFTs as mediating mechanisms within healthcare teams.</p> </section> <section> <h3> Methods</h3> <p>Multisource data were collected from 472 healthcare professionals in Pakistan using cross-sectional survey design. Partial least squares structural equation modeling (PLS-SEM) was used to test direct and mediated relationships among five courageous followership dimensions, LIFTs and follower job performance.</p> </section> <section> <h3> Results</h3> <p>Four dimensions of courageous followership, that is, assume responsibility, serve, challenge, and participate in transformation—positively influence both LIFTs and job performance with LIFTs as a mediator. However, the dimension of “taking moral action” had a negative effect, suggesting that ethical dissent may be viewed unfavorably in high-power distance environments. The structural model demonstrated strong explanatory and predictive power (<i>Q</i><sup>2</sup> for LIFT = 0.587 and <i>Q</i><sup>2</sup> for performance = 0.478).</p> </section> <section> <h3> Conclusion</h3> <p>This study offers a novel theoretical integration of followership theory and implicit followership theories, emphasizing how followers’ courage, ethics, and agency shape leadership perceptions and outcomes. It shifts attention from leader-centric views to more relational, followers-focused understanding of healthcare leadership.</p> </section> <section> <h3> Implications for Nursing Management</h3> <p>Health care leaders should recognize and encourage follower behaviors that promote responsibility with accountability. Leadership development must address perceptual biases, strengthen leader openness to follower contributions to fully harness the value of nursing followership.</p>
{"title":"From Shadows to Spotlight: Courageous Followers Shape Leaders Perceptions and Influence Followers’ Job Performance","authors":"Wajeeha Brar Ghias, Hafsah Zahur","doi":"10.1155/jonm/9927655","DOIUrl":"10.1155/jonm/9927655","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In health care, leadership is often viewed through top–down lens, which leaves the active role of followers unrecognized. Nurses do not just comply with orders—they shape leadership, culture, and performance through their behavior. Courageous followership, reflected in accountability, integrity, and speaking up, is central to this influence. Yet, this perspective remains underexamined in hierarchal healthcare environments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study examines how courageous followership affects leaders’ implicit followership theories (LIFTs) and followers’ job performance. It also explores LIFTs as mediating mechanisms within healthcare teams.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Multisource data were collected from 472 healthcare professionals in Pakistan using cross-sectional survey design. Partial least squares structural equation modeling (PLS-SEM) was used to test direct and mediated relationships among five courageous followership dimensions, LIFTs and follower job performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four dimensions of courageous followership, that is, assume responsibility, serve, challenge, and participate in transformation—positively influence both LIFTs and job performance with LIFTs as a mediator. However, the dimension of “taking moral action” had a negative effect, suggesting that ethical dissent may be viewed unfavorably in high-power distance environments. The structural model demonstrated strong explanatory and predictive power (<i>Q</i><sup>2</sup> for LIFT = 0.587 and <i>Q</i><sup>2</sup> for performance = 0.478).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study offers a novel theoretical integration of followership theory and implicit followership theories, emphasizing how followers’ courage, ethics, and agency shape leadership perceptions and outcomes. It shifts attention from leader-centric views to more relational, followers-focused understanding of healthcare leadership.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Management</h3>\u0000 \u0000 <p>Health care leaders should recognize and encourage follower behaviors that promote responsibility with accountability. Leadership development must address perceptual biases, strengthen leader openness to follower contributions to fully harness the value of nursing followership.</p>\u0000 ","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2026 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12814860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<div> <section> <h3> Background</h3> <p>Quality improvement is crucial for improving healthcare systems and providing high-quality, safe care for patients. Accurate assessment of nurses’ quality improvement knowledge and skills is necessary to integrate quality improvement into nursing practice. The Quality Improvement Self-Efficacy Inventory measures nurses’ knowledge and skills in quality improvement.</p> </section> <section> <h3> Objectives</h3> <p>To translate the Quality Improvement Self-Efficacy Inventory into Mandarin and evaluate its psychometric properties among nurses.</p> </section> <section> <h3> Design</h3> <p>A Methodological Study.</p> </section> <section> <h3> Setting</h3> <p>At a tertiary hospital in Tianjin, China, between January and April 2023.</p> </section> <section> <h3> Participants</h3> <p>A total of 436 nurses participated in the psychometric evaluation, and 9 nurses participated in the cognitive interviews.</p> </section> <section> <h3> Methods</h3> <p>The Quality Improvement Self-Efficacy Inventory was translated into Mandarin using Brislin’s translation model. Item analysis was conducted using extreme group, correlation coefficient, corrected item-total correlation and Cronbach’s alpha coefficient methods. Both exploratory and confirmatory factor analyses were employed to determine the factor structure and evaluate the proposed model. A likelihood ratio test and power analysis were combined to test hypotheses regarding the model fit. Structural, convergent and discriminant validity were assessed. Reliability was evaluated using internal consistency and test–retest reliability.</p> </section> <section> <h3> Results</h3> <p>The Mandarin-Quality Improvement Self-Efficacy Inventory consists of 10 items, all exhibiting sufficient homogeneous and good discrimination abilities (coefficient of variance = 0.233–0.306; critical ratio = 17.943–25.348; corrected item-total correlation = 0.769–0.877). Exploratory factor analysis revealed a new two-factor structure, with a total variation of 74%. Confirmatory factor analysis indicated good model fit indices for the new two-factor and original four-factor models. The new two-factor structure and original four-factor structure were considered valid based on the results from the likelihood ratio tes
{"title":"Psychometric Properties of the Mandarin Version of the Quality Improvement Self-Efficacy Inventory Among the Nurses: A Methodological Study","authors":"Nuoyan Zhang, Xiaoxiao Zhang, Zhaonan Wang, Yuting Feng, Hangjie Lian, Haoquan Han, Xinyu Bai, Yaqi Huang, Yulu Wang, Yue Zhao, Qi Lu","doi":"10.1155/jonm/4425503","DOIUrl":"10.1155/jonm/4425503","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Quality improvement is crucial for improving healthcare systems and providing high-quality, safe care for patients. Accurate assessment of nurses’ quality improvement knowledge and skills is necessary to integrate quality improvement into nursing practice. The Quality Improvement Self-Efficacy Inventory measures nurses’ knowledge and skills in quality improvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To translate the Quality Improvement Self-Efficacy Inventory into Mandarin and evaluate its psychometric properties among nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A Methodological Study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>At a tertiary hospital in Tianjin, China, between January and April 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>A total of 436 nurses participated in the psychometric evaluation, and 9 nurses participated in the cognitive interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The Quality Improvement Self-Efficacy Inventory was translated into Mandarin using Brislin’s translation model. Item analysis was conducted using extreme group, correlation coefficient, corrected item-total correlation and Cronbach’s alpha coefficient methods. Both exploratory and confirmatory factor analyses were employed to determine the factor structure and evaluate the proposed model. A likelihood ratio test and power analysis were combined to test hypotheses regarding the model fit. Structural, convergent and discriminant validity were assessed. Reliability was evaluated using internal consistency and test–retest reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The Mandarin-Quality Improvement Self-Efficacy Inventory consists of 10 items, all exhibiting sufficient homogeneous and good discrimination abilities (coefficient of variance = 0.233–0.306; critical ratio = 17.943–25.348; corrected item-total correlation = 0.769–0.877). Exploratory factor analysis revealed a new two-factor structure, with a total variation of 74%. Confirmatory factor analysis indicated good model fit indices for the new two-factor and original four-factor models. The new two-factor structure and original four-factor structure were considered valid based on the results from the likelihood ratio tes","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2026 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12814861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hospital workplace violence is a significant global public health concern, impacting nurses’ mental well-being and their likelihood of leaving their jobs. Previous research explored the associations between workplace violence, mental health, and turnover intention among nurses, which yielded inconsistent results due to smaller sample sizes, thus highlighting the need for a more comprehensive investigation with a large sample of a representative population. This study, drawing on a large dataset of 116,345 nurses from 67 tertiary hospitals across 31 provinces in China, aimed to assess the relationship between workplace violence and nurses’ mental health and turnover intentions between October and December 2023. Data were analyzed using multilevel regression models. The study assessed the varying levels of workplace violence (low, moderate, and high), mental health outcomes, and turnover intention. The study found that a substantial number of nurses, 30,987 (26.6%), experienced workplace violence in the year prior to the survey, with varying levels of severity. Specifically, 27,225 (23.4%) encountered low-level violence, 3519 (3%) moderate violence, and 243 (0.2%) high-level violence. After controlling for sociodemographic and work-related variables, workplace violence was significantly associated with depressive symptoms (p < 0.001), stress (p < 0.001), anxiety symptoms (p < 0.001), burnout (p < 0.001), and turnover intention (p < 0.001). These findings underscore the critical need for policymakers, hospital administrators, and supervisors to take proactive measures. It is essential to implement strategies that both reduce the incidence of workplace violence and provide robust psychological support and interventions for nurses who have been affected. This collaborative effort will be crucial in protecting the mental health of nursing professionals and fostering a safer, more supportive work environment.
Trial Registration: Chinese Clinical Trial Registry: ChiCTR2300072142
{"title":"Workplace Violence Against Nurses and Its Association With Mental Health and Turnover Intention: A National Cross-Sectional Study","authors":"Jiaqing He, Jiaxin Yang, Jianghao Yuan, Qiang Yu, Elihuruma E. Stephano, Wenjia Zhang, Yamin Li, Yusheng Tian","doi":"10.1155/jonm/2818047","DOIUrl":"10.1155/jonm/2818047","url":null,"abstract":"<p>Hospital workplace violence is a significant global public health concern, impacting nurses’ mental well-being and their likelihood of leaving their jobs. Previous research explored the associations between workplace violence, mental health, and turnover intention among nurses, which yielded inconsistent results due to smaller sample sizes, thus highlighting the need for a more comprehensive investigation with a large sample of a representative population. This study, drawing on a large dataset of 116,345 nurses from 67 tertiary hospitals across 31 provinces in China, aimed to assess the relationship between workplace violence and nurses’ mental health and turnover intentions between October and December 2023. Data were analyzed using multilevel regression models. The study assessed the varying levels of workplace violence (low, moderate, and high), mental health outcomes, and turnover intention. The study found that a substantial number of nurses, 30,987 (26.6%), experienced workplace violence in the year prior to the survey, with varying levels of severity. Specifically, 27,225 (23.4%) encountered low-level violence, 3519 (3%) moderate violence, and 243 (0.2%) high-level violence. After controlling for sociodemographic and work-related variables, workplace violence was significantly associated with depressive symptoms (<i>p</i> < 0.001), stress (<i>p</i> < 0.001), anxiety symptoms (<i>p</i> < 0.001), burnout (<i>p</i> < 0.001), and turnover intention (<i>p</i> < 0.001). These findings underscore the critical need for policymakers, hospital administrators, and supervisors to take proactive measures. It is essential to implement strategies that both reduce the incidence of workplace violence and provide robust psychological support and interventions for nurses who have been affected. This collaborative effort will be crucial in protecting the mental health of nursing professionals and fostering a safer, more supportive work environment.</p><p><b>Trial Registration:</b> Chinese Clinical Trial Registry: ChiCTR2300072142</p>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2026 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12811911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tenber Grota, Adam Burston, Vasiliki Betihavas, Elisabeth Jacob
Aim
To explore the experiences and perceptions of nurse-surgeons practicing in the Australian public health system.
Background
Nurse-surgeons occupy a unique and innovative role within perioperative healthcare, yet their integration is often complex and underexplored in the existing literature.
Sources of Evidence
This qualitative study adhered to the consolidated criteria for reporting qualitative research checklist of the EQUATOR Network, involving five semistructured interviews analysed inductively through a reflexive thematic analysis. Ethical approval was obtained prior to the study.
Discussion
Participant interactions with supervisors were positive, while relationships with other nurses and physicians evolved from initial antagonism to mutual recognition of value. Facilitators for integration included awareness of the role, collaboration, a standardised national credentialing pathway and government involvement. The barriers consisted of geographical limitations, obstructive medical associations, financial challenges, tall poppy syndrome within nursing and a superiority complex among physicians.
Conclusion
The study offers valuable insights into the nurse-surgeons’ experiences and perceptions, highlighting essential barriers and facilitators to their integration in the healthcare system.
Implications for Nursing Practice
Findings may guide healthcare institutions in fostering collaborative interprofessional interactions and implementing standardised credentialing pathways for nurse-surgeons.
Implications for Health Policy
The insights may inform nursing associations and government bodies in addressing systemic barriers and advocating for policy changes to enhance surgical delivery in Australia and globally.
{"title":"Nurse-Surgeons’ Experiences Working in the Australian Public Health System: A Qualitative Exploration","authors":"Tenber Grota, Adam Burston, Vasiliki Betihavas, Elisabeth Jacob","doi":"10.1155/jonm/2341474","DOIUrl":"10.1155/jonm/2341474","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore the experiences and perceptions of nurse-surgeons practicing in the Australian public health system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurse-surgeons occupy a unique and innovative role within perioperative healthcare, yet their integration is often complex and underexplored in the existing literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Sources of Evidence</h3>\u0000 \u0000 <p>This qualitative study adhered to the consolidated criteria for reporting qualitative research checklist of the EQUATOR Network, involving five semistructured interviews analysed inductively through a reflexive thematic analysis. Ethical approval was obtained prior to the study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Participant interactions with supervisors were positive, while relationships with other nurses and physicians evolved from initial antagonism to mutual recognition of value. Facilitators for integration included awareness of the role, collaboration, a standardised national credentialing pathway and government involvement. The barriers consisted of geographical limitations, obstructive medical associations, financial challenges, tall poppy syndrome within nursing and a superiority complex among physicians.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study offers valuable insights into the nurse-surgeons’ experiences and perceptions, highlighting essential barriers and facilitators to their integration in the healthcare system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Practice</h3>\u0000 \u0000 <p>Findings may guide healthcare institutions in fostering collaborative interprofessional interactions and implementing standardised credentialing pathways for nurse-surgeons.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Health Policy</h3>\u0000 \u0000 <p>The insights may inform nursing associations and government bodies in addressing systemic barriers and advocating for policy changes to enhance surgical delivery in Australia and globally.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2026 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12811622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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