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From Shadows to Spotlight: Courageous Followers Shape Leaders Perceptions and Influence Followers’ Job Performance 从阴影到聚光灯:勇敢的追随者塑造领导者的观念并影响追随者的工作表现。
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2026-01-19 DOI: 10.1155/jonm/9927655
Wajeeha Brar Ghias, Hafsah Zahur
<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>
背景:在医疗保健领域,领导往往是通过自上而下的视角来看待的,这使得追随者的积极作用没有得到认可。护士不只是服从命令——他们通过自己的行为塑造领导力、文化和表现。勇敢的追随者,体现在问责、正直和直言不讳上,是这种影响力的核心。然而,这一观点在等级制医疗保健环境中仍未得到充分研究。目的:本研究探讨了勇敢的追随对领导者内隐追随理论(升降机)和追随者工作绩效的影响。本文还探讨了lift作为医疗团队中的中介机制。方法:采用横断面调查设计,收集巴基斯坦472名卫生保健专业人员的多源数据。采用偏最小二乘结构方程模型(PLS-SEM)检验勇敢的追随者五个维度、提升和追随者工作绩效之间的直接和中介关系。结果:承担责任、服务、挑战和参与变革四个维度对员工的勇气追随和工作绩效均有正向影响,其中勇气追随是一个中介变量。然而,“采取道德行动”的维度有负面影响,这表明道德异议可能在高权力距离环境中被视为不利的。结构模型显示出较强的解释和预测能力(LIFT的q2 = 0.587,绩效的q2 = 0.478)。结论:本研究对追随理论和内隐追随理论进行了新颖的理论整合,强调了追随者的勇气、道德和代理对领导感知和结果的影响。它将注意力从以领导者为中心的观点转移到对医疗保健领导的更多关系、以追随者为中心的理解。对护理管理的启示:卫生保健领导者应该认识到并鼓励下属的行为,促进责任与问责。领导力发展必须解决感性偏见,加强领导者对追随者贡献的开放性,以充分利用护理追随者的价值。
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引用次数: 0
Psychometric Properties of the Mandarin Version of the Quality Improvement Self-Efficacy Inventory Among the Nurses: A Methodological Study 普通话版护士素质改善自我效能感量表的心理测量特征:方法学研究。
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2026-01-19 DOI: 10.1155/jonm/4425503
Nuoyan Zhang, Xiaoxiao Zhang, Zhaonan Wang, Yuting Feng, Hangjie Lian, Haoquan Han, Xinyu Bai, Yaqi Huang, Yulu Wang, Yue Zhao, Qi Lu
<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
背景:质量改进对于改善卫生保健系统和为患者提供高质量、安全的护理至关重要。准确评估护士的质量改进知识和技能是将质量改进融入护理实践的必要条件。质量改进自我效能量表衡量护士在质量改进方面的知识和技能。目的:将护士质量改善自我效能感量表翻译成中文,并评价其心理测量特性。设计:一项方法论研究。背景:2023年1月至4月,在中国天津的一家三级医院。参与者:共有436名护士参加了心理测量评估,9名护士参加了认知访谈。方法:采用布里斯林翻译模型将《质量改善自我效能量表》翻译成中文。项目分析采用极值组法、相关系数法、修正项目-总相关法和Cronbach’s alpha系数法。采用探索性和验证性因素分析来确定因素结构并评估所提出的模型。结合似然比检验和功率分析来检验关于模型拟合的假设。评估结构效度、收敛效度和判别效度。信度评估采用内部一致性和重测信度。结果:普通话-素质提升自我效能量表共有10个条目,均具有充分的同质性和较好的判别能力(方差系数= 0.233 ~ 0.306,临界比= 17.943 ~ 25.348,校正后的项目-总相关= 0.769 ~ 0.877)。探索性因子分析揭示了一种新的双因子结构,总变异量为74%。验证性因子分析表明,新的两因素模型和原来的四因素模型的模型拟合指标都很好。经似然比检验和功效分析,认为新的双因素结构和原有的四因素结构是有效的。提取的综合信度和平均方差均具有良好的收敛效度和判别效度。普通话质量改善自我效能量表的内部一致性(Cronbach’s alpha系数= 0.947)和重测信度(类内相关系数= 0.807)均为优秀。结论:《普通话-素质提升自我效能量表》包含了新的双因素结构版本(普通话-素质提升自我效能量表-2)和原来的四因素结构版本(普通话-素质提升自我效能量表-4),是一种可靠、有效、稳定且相对简洁的测量工具。普通话质量改进自我效能感量表-2可以作为评估中国护士质量改进知识和技能的实用工具。普通话-素质改善自我效能量表-4可用于未来研究的跨文化测量不变性。本文提出了两项建议,为因素结构研究在测量工具的开发、翻译和心理测量评价方面提供了方法学上的参考。
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引用次数: 0
Workplace Violence Against Nurses and Its Association With Mental Health and Turnover Intention: A National Cross-Sectional Study 针对护士的工作场所暴力及其与心理健康和离职意向的关系:一项全国性的横断面研究。
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2026-01-17 DOI: 10.1155/jonm/2818047
Jiaqing He, Jiaxin Yang, Jianghao Yuan, Qiang Yu, Elihuruma E. Stephano, Wenjia Zhang, Yamin Li, Yusheng Tian

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

医院工作场所暴力是一个重大的全球公共卫生问题,影响护士的心理健康和离职的可能性。先前的研究探讨了工作场所暴力、心理健康和护士离职意愿之间的关系,但由于样本量较小,结果不一致,因此强调需要对具有代表性的人群进行更全面的调查。该研究利用了来自中国31个省份67家三级医院的116,345名护士的大型数据集,旨在评估2023年10月至12月期间工作场所暴力与护士心理健康和离职意愿之间的关系。数据采用多水平回归模型进行分析。该研究评估了不同程度的工作场所暴力(低、中、高)、心理健康结果和离职意向。研究发现,相当数量的护士,30,987(26.6%),在调查前一年经历了不同程度的工作场所暴力。具体来说,27,225人(23.4%)遭遇轻度暴力,3519人(3%)遭遇中度暴力,243人(0.2%)遭遇重度暴力。在控制了社会人口学和工作相关变量后,工作场所暴力与抑郁症状(p < 0.001)、压力(p < 0.001)、焦虑症状(p < 0.001)、倦怠(p < 0.001)和离职意向(p < 0.001)显著相关。这些发现强调了决策者、医院管理者和监管人员采取积极措施的迫切需要。必须实施战略,既减少工作场所暴力的发生率,又为受影响的护士提供强有力的心理支持和干预措施。这种合作努力对于保护护理专业人员的心理健康和营造一个更安全、更支持性的工作环境至关重要。试验注册:中国临床试验注册中心:ChiCTR2300072142。
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引用次数: 0
Nurse-Surgeons’ Experiences Working in the Australian Public Health System: A Qualitative Exploration 护士外科医生在澳大利亚公共卫生系统工作的经验:定性探索。
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2026-01-16 DOI: 10.1155/jonm/2341474
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.

目的:探讨澳大利亚公共卫生系统中护理外科医生的经验和看法。背景:护士-外科医生在围手术期医疗保健中占据着独特和创新的角色,然而他们的整合往往是复杂的,在现有文献中没有得到充分的探讨。证据来源:这项定性研究遵循报告赤道网络定性研究核对表的综合标准,包括通过反射性专题分析归纳分析的五次半结构化访谈。在研究之前获得了伦理批准。讨论:参与者与主管的互动是积极的,而与其他护士和医生的关系从最初的对抗演变为相互认可的价值。促进整合的因素包括对作用的认识、合作、标准化的国家资格认证途径和政府参与。这些障碍包括地理限制、阻碍性的医学协会、财政挑战、护理中的高罂粟综合症和医生的优越感。结论:该研究为护士外科医生的经验和看法提供了有价值的见解,突出了他们融入医疗保健系统的基本障碍和促进因素。对护理实践的启示:研究结果可以指导医疗机构促进合作的跨专业互动和实施标准化的护士-外科医生资格认证途径。对卫生政策的启示:这些见解可以为护理协会和政府机构提供信息,以解决系统性障碍,并倡导政策变化,以提高澳大利亚和全球的外科分娩。
{"title":"Nurse-Surgeons’ Experiences Working in the Australian Public Health System: A Qualitative Exploration","authors":"Tenber Grota,&nbsp;Adam Burston,&nbsp;Vasiliki Betihavas,&nbsp;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}
引用次数: 0
Self-Regulation of Healthy Lifestyles in the Nursing Workplace: A Mixed-Method Evaluation 护理工作场所健康生活方式的自我调节:一种混合方法评价。
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2026-01-15 DOI: 10.1155/jonm/2199578
John Christopher Lambino Navarro, Siti Zubaidah Mordiffi, Sky Wei Chee Koh, Han Shi Jocelyn Chew
<div> <section> <h3> Objective</h3> <p>To understand the experiences of self-regulation and health-promoting behaviours among practising nurses in Singapore.</p> </section> <section> <h3> Qualitative</h3> <p>To explore the experiences of self-regulating health-promoting behaviours among nurses.</p> </section> <section> <h3> Quantitative</h3> <p>To measure the nurses’ current health-promoting behaviours and perceived stress levels.</p> </section> <section> <h3> Background</h3> <p>Nursing is a physically and emotionally stressful occupation. While there is existing literature on the influencing factors of self-care habits among nurses, little is known about the nurses’ self-regulation facilitators and barriers of maintaining a healthier lifestyle.</p> </section> <section> <h3> Methods</h3> <p>A concurrent mixed-method study was conducted. Twenty-four full-time nurses from 15 Singapore healthcare institutions were recruited from August to November 2023 using purposive sampling. In-depth interviews were conducted online through face-to-face virtual platforms using a semistructured interview guide. Thematic analysis was used to identify patterns and themes. Concurrently, 67 full-time nurses completed questionnaires on their lifestyles and perceived stress. Data were analysed using descriptive statistics and limited statistical analysis and integrated with the qualitative study findings.</p> </section> <section> <h3> Results</h3> <p>Five themes and 13 subthemes emerged. The five themes were (1) conflict between nursing and personal identity; (2) overwhelmed with time constraints; (3) power of intrinsic motivation over extrinsic incentives; (4) influence of close contacts at workplace on nurses’ lifestyle and (5) inadequate support for positive lifestyle change. The mean scores for the Health-Promoting Lifestyle Profile II and Perceived Stress Scale-10 were 2.39 (SD = 0.38) and 18.39 (SD = 4.58), respectively, indicating that most of the participants had poor lifestyles and were experiencing moderate stress. Additionally, there was a moderate statistically significant negative relationship between perceived stress and health-promoting lifestyle behaviours (<i>ρ</i> = −0.461).</p> </section> <section> <h3> Conclusion</h3> <p>Nurses’ healthy lifestyle challenges may ste
目的:了解新加坡执业护士自我调节和健康促进行为的经验。质性:探讨护士自我调节健康促进行为的经验。定量:测量护士当前的健康促进行为和感知压力水平。背景:护理是一项身体和情感压力大的职业。虽然已有关于护士自我护理习惯影响因素的文献,但对护士自我调节的促进因素和维持健康生活方式的障碍了解甚少。方法:采用并行混合方法进行研究。采用有目的抽样方法,于2023年8月至11月从15家新加坡医疗机构招募24名全职护士。深度访谈采用半结构化访谈指南,通过面对面的虚拟平台在线进行。主题分析用于识别模式和主题。同时,67名全职护士完成了关于生活方式和压力感知的问卷调查。数据分析采用描述性统计和有限统计分析,并与定性研究结果相结合。结果:共出现5个主题和13个副主题。五个主题是:(1)护理与个人同一性的冲突;(2)时间紧迫;(3)内在激励对外在激励的影响;(4)工作场所密切接触者对护士生活方式的影响;(5)对积极改变生活方式的支持不足。健康促进生活方式量表II和感知压力量表-10的平均得分分别为2.39 (SD = 0.38)和18.39 (SD = 4.58),表明大多数参与者的生活方式较差,压力适中。此外,感知压力与促进健康的生活方式行为之间存在中度统计学显著负相关(ρ = -0.461)。结论:护士健康生活方式的挑战可能源于组织支持不足和个人健康优先级低。可持续的干预措施应解决工作场所文化和工作与生活的融合问题,使护士能够掌握自己的福祉。
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引用次数: 0
Transition Shock Among Chinese New Nurses: A Systematic Review and Meta-Analysis 中国新护士的转型冲击:系统回顾和荟萃分析。
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2026-01-14 DOI: 10.1155/jonm/9306693
Jiexuan Xu, Jianqin Huang, Yu Zhai, Murong Lu, Xuemei Liu, Hongjing Yu

Aim

To investigate the current level and influencing factors of transition shock among new nurses in China.

Background

New nurses in China face multiple transition shock, which make them prone to burnout and more likely to leave the profession. A systematic analysis of their current status and influencing factors is needed to enhance their occupational well-being and stabilize the nursing workforce.

Methods

Computer searches were conducted to retrieve the literature on the current status and factors affecting the impact of the transition of new nurses in China from Chinese databases including China National Knowledge Infrastructure (CNKI), Wanfang Database, and China Biomedical Literature Database (CBM), as well as international databases including PubMed, Embase, Scopus, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL). Meta-analysis was performed by using Stata 17.0 and RevMan 5.3 software.

Results

A total of 30 articles involving 12,459 Chinese new nurses were included, and 20 influencing factors were extracted. Meta-analysis results showed that the transition shock score was 93.08 (95% CI: 87.28–98.89). The influencing factors of transition shock among new nurses in China include both personal factors (female, nonlocal origin, college degree or below, disliking or feeling neutral toward their department, choosing the nursing profession due to nonpersonal interests, low professional identity, poor psychological resilience, infrequent feedback-seeking behavior, and service length ≤ 6 months) and external factors (nonestablishment employment type, monthly income ≤ 5000 RMB, > 7 night shifts per month, lack of family support for nursing work, and low social support) (p < 0.05).

Conclusion

The transition shock of new nurses in China is at a moderate-to-high level and is influenced by multiple personal and work-related factors. Nursing managers should develop targeted interventions based on these influencing factors to alleviate transition shock, improve new nurses’ career satisfaction, and enhance the quality of nursing services.

目的:了解中国新护士过渡性休克的现状及影响因素。背景:中国的新护士面临多重转型冲击,容易产生职业倦怠,更容易离职。需要对其现状和影响因素进行系统分析,以提高其职业幸福感和稳定护理队伍。方法:计算机检索中国知网(CNKI)、万方数据库、中国生物医学文献数据库(CBM)以及PubMed、Embase、Scopus、中国护理与相关健康文献累积索引(CINAHL)等国际数据库,检索有关我国新护士转型现状及影响因素的文献。采用Stata 17.0、RevMan 5.3软件进行meta分析。结果:共纳入30篇文章,涉及12459名中国新护士,提取20个影响因素。meta分析结果显示,过渡休克评分为93.08 (95% CI: 87.28-98.89)。中国新护士转型冲击的影响因素包括个人因素(女性、外地出生、大专及以下学历、对所属科室不喜欢或不感兴趣、因非个人兴趣选择护理专业、职业认同感低、心理弹性差、寻求反馈行为较少、服务年限≤6个月)和外部因素(非机构就业类型、月收入≤5000元;护理工作缺乏家庭支持,社会支持低(p < 0.05)。结论:中国新护士的过渡性休克处于中高水平,受个人和工作因素的多重影响。护理管理者应针对这些影响因素制定有针对性的干预措施,缓解过渡冲击,提高新护士的职业满意度,提高护理服务质量。
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引用次数: 0
Academic Self-Efficacy as a Mediator Between Risk for Social Media Addiction, Nomophobia, and Clinical Performance Among Nursing Internship Students: A Structural Equation Model 学业自我效能感在护理实习学生社交媒体成瘾、无社交恐惧症和临床表现之间的中介作用:一个结构方程模型
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2026-01-12 DOI: 10.1155/jonm/2184983
Daniel Joseph E. Berdida, Ingrid Jacinto-Caspillo, Maurine T. Conde, Bindu Bharathi, Annabel Lee C. Daoala, Leticia Lopez, Hilda T. Lopez, Ohoud Naif Aldughmi
<div> <section> <h3> Aims and Objectives</h3> <p>To investigate the associations among risk for social media addiction (SMA), nomophobia, clinical performance, and the mediating effect of academic self-efficacy (ASE) among these relationships.</p> </section> <section> <h3> Background</h3> <p>There is a preponderance of studies about SMA and nomophobia’s negative and positive effects on nursing students’ academic performance. However, its impacts on clinical performance among nursing interns and whether ASE has a mediating effect among these relationships remain underreported.</p> </section> <section> <h3> Methods</h3> <p>A cross-sectional correlational design was used, involving nursing interns, who were consecutively recruited from April to June 2025, from four nursing colleges. To collect data, three validated self-report scales were used. Covariance-based structural equation modeling was employed for data analyses.</p> </section> <section> <h3> Results</h3> <p>Risk for SMA positively influenced nomophobia (<i>β</i> = 0.12, <i>p</i> = 0.002), while negatively affected ASE (<i>β</i> = −0.07, <i>p</i> = 0.030) and clinical performance (<i>β</i> = −0.04, <i>p</i> = 0.002). Nomophobia negatively associated with ASE (<i>β</i> = −0.56, <i>p</i> = 0.002) and clinical performance (<i>β</i> = −0.18, <i>p</i> = 0.008). ASE directly influenced clinical performance (<i>β</i> = 0.18, <i>p</i> = 0.002). The 42.64% variance of clinical performance was attributable to SMA, nomophobia, and ASE. ASE acted as a mediator between SMA and clinical performance (<i>β</i> = 0.08, <i>p</i> = 0.002) and nomophobia and clinical performance (<i>β</i> = 0.12, <i>p</i> = 0.002).</p> </section> <section> <h3> Conclusion</h3> <p>SMA and nomophobia reduced nursing interns’ clinical performance. Meanwhile, ASE improved clinical performance. ASE was a protective factor against the ill-effects caused by SMA and nomophobia on clinical performance.</p> </section> <section> <h3> Implications for Nursing Management</h3> <p>Nursing school administrators may create proactive policies in helping nursing students manage their SMA and nomophobia. Nurse managers in clinical learning environments should cultivate favorable learning experiences where students can develop ASE and master clinical skills. Nursing educators and students must elevate their knowledge regarding the negative impacts of SMA and nomo
目的和目的探讨社交媒体成瘾(SMA)风险、网络恐惧症风险、临床表现之间的关系,以及学业自我效能感(ASE)在这些关系中的中介作用。背景关于SMA和无恐惧症对护生学业成绩的正、负影响的研究较多。然而,其对护理实习生临床表现的影响以及ASE是否在这些关系中具有中介作用的报道仍然不足。方法采用横断面相关设计,于2025年4月至6月从4所护理院校连续招募护理实习生。为了收集数据,使用了三种有效的自我报告量表。采用协方差结构方程模型进行数据分析。结果SMA风险对无恐惧症有正向影响(β = 0.12, p = 0.002),对ASE (β = - 0.07, p = 0.030)和临床表现有负向影响(β = - 0.04, p = 0.002)。无恐惧症与ASE (β = - 0.56, p = 0.002)和临床表现呈负相关(β = - 0.18, p = 0.008)。ASE直接影响临床表现(β = 0.18, p = 0.002)。42.64%的临床表现差异可归因于SMA、无恐惧症和ASE。ASE在SMA与临床表现(β = 0.08, p = 0.002)、无恐惧症与临床表现(β = 0.12, p = 0.002)之间起中介作用。结论SMA和无恐惧症降低了护理实习生的临床表现。同时,ASE改善了临床表现。ASE是防止SMA和nomophobia对临床表现不良影响的保护因素。护理学校管理人员可以制定积极的政策,帮助护理学生管理他们的SMA和无恐惧症。临床学习环境中的护士管理者应该培养学生良好的学习经历,使学生能够发展ASE,掌握临床技能。护理教育工作者和学生必须提高他们对SMA和nomophobia的负面影响的认识,同时了解它们如何在危害患者安全的同时对护理学生的临床表现产生不利影响。
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引用次数: 0
Correction to “Resilience and Flexibility for Clinical Nurses: A Latent Class Analysis” 更正“临床护士的弹性和灵活性:一个潜在类别分析”。
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2026-01-10 DOI: 10.1155/jonm/9787456

S. Zhao, Z. Zhang, X. Duan, et al., “Resilience and Flexibility for Clinical Nurses: A Latent Class Analysis,” Journal of Nursing Management, 2024, 6171305, https://doi.org/10.1155/2024/6171305.

In the article, there is an error in Table 5, where “Sense of Power Deficit—Emotional Group” should be swapped with “Toughness—Rigidity Group.” The correct Table 5 is shown below:

We apologize for this error.

[这更正了文章DOI: 10.1155/2024/6171305]。
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引用次数: 0
Association Between Psychological Empowerment and Work Engagement Among Rural Nurses: A Latent Profile and Moderation Analysis 农村护士心理赋权与工作投入的关系:潜在特征与调节分析。
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2026-01-08 DOI: 10.1155/jonm/8856627
Ershan Xu, Huayong Huang, Yanhui Zhou, Wen Tang
<div> <section> <h3> Aim</h3> <p>This study explored the latent classes of psychological empowerment. In addition, we analyzed their relationship with perceptions of decent work and work engagement, thereby providing a scientific basis for enhancing work engagement among rural nurses.</p> </section> <section> <h3> Background</h3> <p>Most studies focus on nurses working in urban areas, with relatively fewer investigations examining those in rural healthcare institutions. While many studies have explored psychological empowerment, decent work perception, and work engagement, few have analyzed the relationships from the perspective of psychological empowerment.</p> </section> <section> <h3> Methods</h3> <p>The sample consisted of clinical nurses from 3 rural healthcare institutions in Hunan Province, China. The nurses’ general information, psychological empowerment, decent work perception, and work engagement scores were assessed using the General Information Scale, Decent Labor Perception Scale, Psychological Empowerment Scale, and Utrecht Work Engagement Scale, respectively. Furthermore, latent profile analysis and moderation analysis were performed.</p> </section> <section> <h3> Results</h3> <p>The total scores of rural nurses’ work engagement were 62.85 (±15.44). Rural nurses’ psychological empowerment exists in three latent categories: low psychological empowerment, competent but constrained, and high psychological empowerment. Level 1 hospitals (OR = 1.95, 95% CI: 1.24–3.09, <i>p</i> = 0.004) and internal medicine (OR = 1.18, 95% CI: 1.06–1.31, <i>p</i> = 0.004) were associated with low psychological empowerment. Holding a leadership position (OR = 0.28, 95% CI: 0.09–0.88, <i>p</i> = 0.029) and days of monthly night shifts (≤ 4) (OR = 0.63, 95% CI: 0.41–0.97, <i>p</i> = 0.036) were associated with high psychological empowerment. The category of psychological empowerment has a moderating effect on the relationship between decent work perception and work engagement (<i>p</i> < 0.05).</p> </section> <section> <h3> Conclusions</h3> <p>In summary, the levels of work engagement among rural nurses are moderate. Rural nurses’ psychological empowerment is heterogeneous, and attention should be paid to those in the low psychological empowerment group. This study demonstrated that nurses’ psychological empowerment partially moderates the relationship between perceptions of decent work and work engagement. Therefore, emphasizing psychological empowerment and fosterin
目的:本研究探讨心理赋权的潜在类别。此外,我们分析了他们与体面工作和工作投入的关系,从而为提高农村护士的工作投入提供了科学依据。背景:大多数研究集中于在城市地区工作的护士,相对较少调查在农村医疗机构的护士。虽然许多研究都探讨了心理授权、体面工作感知和工作投入,但很少有人从心理授权的角度分析它们之间的关系。方法:以湖南省3家农村卫生保健机构的临床护士为研究对象。采用一般信息量表、体面劳动感知量表、心理授权量表和乌得勒支工作投入量表分别评估护士的一般信息、心理授权、体面工作感知和工作投入得分。此外,还进行了潜在特征分析和适度分析。结果:农村护士工作敬业度总分为62.85分(±15.44分)。农村护士心理赋权存在低心理赋权、胜任但受约束、高心理赋权三种潜在类型。一级医院(OR = 1.95, 95% CI: 1.24-3.09, p = 0.004)和内科(OR = 1.18, 95% CI: 1.06-1.31, p = 0.004)与低心理授权相关。担任领导职位(OR = 0.28, 95% CI: 0.09-0.88, p = 0.029)和每月夜班天数(≤4天)(OR = 0.63, 95% CI: 0.41-0.97, p = 0.036)与高心理赋权相关。心理授权类别对体面工作感知与工作投入的关系有调节作用(p < 0.05)。结论:总体而言,农村护士的工作投入水平处于中等水平。农村护士心理赋权具有异质性,应关注心理赋权低的群体。本研究表明,护士的心理赋权在一定程度上调节了体面工作感知与工作投入之间的关系。因此,在探索提高农村护士工作参与度的措施时,应考虑强调心理赋权和培养体面的工作观念。对护理管理的启示:基于研究结果,护理管理者应采用循证方法来支持心理赋权。应特别注意早期识别心理赋权低风险较高的护士,特别是一级医院和内科的护士。还应实施有针对性的干预措施,例如建立由高度授权的护士促进的同伴指导计划,建立定期反馈机制,并让护士参与临床决策过程。此外,管理层应该促进领导的机会,并优化调度,将夜班限制在每月不超过四个。值得注意的是,这些因素与增强心理赋权有显著关联。
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引用次数: 0
Nurse Leaders’ Perceptions and Practices of E-Leadership: A Qualitative Study 护士领导对电子领导的认知与实践:一项质性研究。
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2026-01-08 DOI: 10.1155/jonm/2583936
Vanesa Numanovic, Harri Jalonen, Juha Lindell

Introduction

While research on nursing leadership has grown, empirical studies specifically addressing e-leadership in nursing remain scarce. Digitalization offers opportunities to enhance efficiency and flexibility but also necessitates careful management of interpersonal relationships and staff well-being. E-leadership in nursing requires strong interpersonal competencies, organizational support, targeted training, and clear policies, along with a balanced leadership approach. Notably, there is a lack of research on the state of e-leadership in nursing in the postpandemic context.

Aim

This study aims to explore the current state of Finnish nurse leaders’ experiences with e-leadership.

Methods

A qualitative research design was employed, utilizing individual thematic interviews and inductive content analysis. Fourteen individual interviews were conducted. The Standards for Reporting Qualitative Research (SRQR) checklist guided the reporting process.

Results

The analysis yielded three main categories: (1) E-leadership in nursing is here to stay, (2) a lack of consistent e-leadership practices in nursing, and (3) e-leadership presents challenges for both nurse leaders and staff. Although e-leadership remains under development and lacks clearly defined structures, both nurse leaders and staff demonstrate a willingness to adopt and implement this leadership model. However, organizational support has been insufficient, often leaving nurse leaders to independently develop solutions to the challenges they face.

Conclusion

This study reinforces previous findings on e-leadership in nursing while offering new insights into its current state. E-leadership is a dynamic and evolving practice that requires a delicate balance between digital efficiency and human connection. Despite its challenges, e-leadership presents significant opportunities for the nursing profession, including enhanced flexibility and improved work–life balance.

Implications for Nursing Management

The findings can inform the development of practical guidelines for implementing e-leadership in nursing and healthcare settings.

导言:虽然对护理领导的研究已经增长,但专门针对护理中的电子领导的实证研究仍然很少。数字化提供了提高效率和灵活性的机会,但也需要仔细管理人际关系和员工福利。护理中的电子领导需要强大的人际能力、组织支持、有针对性的培训和明确的政策,以及平衡的领导方法。值得注意的是,缺乏关于大流行后背景下护理中电子领导状况的研究。目的:本研究旨在探讨芬兰护士领导的电子领导经验现状。方法:采用质性研究设计,采用个人专题访谈和归纳内容分析。进行了14次个人访谈。定性研究报告标准(SRQR)核对表指导了报告过程。结果:分析得出了三个主要类别:(1)护理中的电子领导将继续存在;(2)护理中缺乏一致的电子领导实践;(3)电子领导对护士领导和工作人员都提出了挑战。虽然电子领导仍处于发展阶段,缺乏明确的结构,但护士领导和工作人员都表示愿意采用和实施这种领导模式。然而,组织支持一直不足,往往使护士领导独立制定解决方案,以应对他们所面临的挑战。结论:本研究强化了之前关于护理中电子领导的研究结果,同时对其现状提供了新的见解。电子领导是一种动态的、不断发展的实践,需要在数字效率和人际关系之间取得微妙的平衡。尽管存在挑战,但电子领导为护理专业提供了重要的机会,包括提高灵活性和改善工作与生活的平衡。对护理管理的启示:研究结果可以为在护理和医疗保健环境中实施电子领导的实用指南的制定提供信息。
{"title":"Nurse Leaders’ Perceptions and Practices of E-Leadership: A Qualitative Study","authors":"Vanesa Numanovic,&nbsp;Harri Jalonen,&nbsp;Juha Lindell","doi":"10.1155/jonm/2583936","DOIUrl":"10.1155/jonm/2583936","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>While research on nursing leadership has grown, empirical studies specifically addressing e-leadership in nursing remain scarce. Digitalization offers opportunities to enhance efficiency and flexibility but also necessitates careful management of interpersonal relationships and staff well-being. E-leadership in nursing requires strong interpersonal competencies, organizational support, targeted training, and clear policies, along with a balanced leadership approach. Notably, there is a lack of research on the state of e-leadership in nursing in the postpandemic context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aims to explore the current state of Finnish nurse leaders’ experiences with e-leadership.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative research design was employed, utilizing individual thematic interviews and inductive content analysis. Fourteen individual interviews were conducted. The Standards for Reporting Qualitative Research (SRQR) checklist guided the reporting process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis yielded three main categories: (1) E-leadership in nursing is here to stay, (2) a lack of consistent e-leadership practices in nursing, and (3) e-leadership presents challenges for both nurse leaders and staff. Although e-leadership remains under development and lacks clearly defined structures, both nurse leaders and staff demonstrate a willingness to adopt and implement this leadership model. However, organizational support has been insufficient, often leaving nurse leaders to independently develop solutions to the challenges they face.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study reinforces previous findings on e-leadership in nursing while offering new insights into its current state. E-leadership is a dynamic and evolving practice that requires a delicate balance between digital efficiency and human connection. Despite its challenges, e-leadership presents significant opportunities for the nursing profession, including enhanced flexibility and improved work–life balance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Management</h3>\u0000 \u0000 <p>The findings can inform the development of practical guidelines for implementing e-leadership in nursing and healthcare settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2026 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12780739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953691","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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Journal of Nursing Management
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