Job burnout among nurses is prevalent globally, particularly in China. However, few studies have been conducted on reliable tools for building predictive models. This cross-sectional study was conducted in four cities of Liaoning Province in China during the period from January to April 2022 by utilizing a self-administered smartphone questionnaire protocol, yielding 1400 responses from female nurses. We applied the least absolute shrinkage and selection operator (LASSO) and Boruta to identify the common predictors of job burnout. We then adopted and optimized three highly applicable machine learning (ML) algorithms—K-nearest neighbor (KNN), EXtreme Gradient Boosting (XGBoost), and random forest (RF)—to predict job burnout among female nurses. The values of area under curve (AUC) of KNN, RF, and XGBoost ML models were 0.85–0.95, with XGBoost performing best (AUC = 0.939). In addition, Shapley additive explanations (SHAP) were used to show the contribution of each predictor to the predicted outcomes. The result confirmed the role of consistency, perceived stress, and physical fatigue as key protective factors, and consistency exhibited interactions with perceived stress, organizational support, psychological detachment, and sense of control to nurses’ job burnout. This helps identify nurses at risk of job burnout and provide targeted strategy to alleviate nurses’ job burnout.
This study examined how nurses’ positive psychological capital and positive work environment influence work engagement and investigated the mediating role of job crafting in these relationships.
Nurses’ work engagement is essential for achieving hospital goals, as it directly impacts patient care quality and organizational performance. While both personal resources such as positive psychological capital and job resources such as a positive work environment influence work engagement, the mechanisms underlying these relationships remain unclear. This study focuses on job crafting as a key mechanism linking these factors to work engagement.
This descriptive correlational study analyzed data from 243 registered nurses working in general hospitals in South Korea. A path analysis was used to test a hypothesized model.
Both positive psychological capital (β = 0.376, p < 0.001) and a positive work environment (β = 0.279, p < 0.001) had significant positive effects on nurses’ work engagement. Job crafting partially mediated the relationship between positive psychological capital and work engagement (β = 0.147, 95% confidence interval (CI) = [0.086, 0.221]) as well as the relationship between a positive work environment and work engagement (β = 0.029, 95% CI = [0.004, 0.070]).
Nurses with higher positive psychological capital and those working in a positive work environment are more likely to be involved in job crafting, which in turn enhances their work engagement. These findings suggest that both individual and organizational strategies are essential in promoting individual nurses’ job crafting and work engagement.
Nursing management should cultivate a positive work environment and provide opportunities for professional growth to improve nurses’ job crafting and work engagement. Strategies such as adequate staffing, managerial support, and autonomy in decision-making can help sustain engagement, ultimately improving patient care and organizational performance.
An appropriate information security culture (ISC) is essential for protecting patient privacy and safety. This study aims to explore the role of normative and care ethics in shaping ISC and to propose a novel nursing ethics ISC framework.
The study employed a qualitative exploratory design based on semistructured interviews, including nurses and IT experts. Realistic scenarios involving two fictional registered nurses (RNs) were used to mitigate potential biases and encourage open and honest discussion on sensitive topics. Thematic analysis was used to derive insights from different participant perspectives.
Semistructured interviews were conducted between 23 November 2019 and 22 June 2020 with 13 nurses and four IT experts working in clinical settings in Slovenia. A thematic analysis was conducted.
Our in-depth analysis shows that ISC is shaped by both normative and ethics of care perspectives, supporting the proposed nursing ethics ISC framework. Normative factors included procedural security countermeasures, direct superior’s commitment to information security, information security knowledge, and security monitoring. Additionally, we identified two factors related to ethics of care, namely, attention to patient dignity, and attentiveness to and alleviation of patient vulnerability.
This is one of the first studies to provide support for including both normative and ethics of care perspectives when studying ISC in the context of nursing ethics. The identified ISC factors also provide a reference for future research endeavors, such as the operationalization of instruments for measuring these concepts in nursing.
Psychological empowerment plays a crucial role in influencing both the quality of nursing care and nurses’ self-perceptions. However, limited research has examined its mediating effect on the relationship between nurses’ perceptions of authentic leadership and the quality of care provided. This study aimed to test whether psychological empowerment mediates the relationship between nurses’ perceptions of their supervisors’ authentic leadership and the perceived nursing care quality. The findings are intended to provide both practical strategies and theoretical insights for improving the quality of nursing care.
This cross-sectional study followed the STROBE reporting guidelines. An online survey was conducted between July and August 2022, yielding 944 complete responses (response rate: 65.42%) from nurses at three hospitals in Taiwan. Data were collected using a structured online questionnaire measuring authentic leadership, psychological empowerment, and perceived nursing care quality. Structural equation modeling (Mplus 8.10) was used to assess the mediating effect of psychological empowerment.
Significant positive relationships were found between nurses’ perceptions of authentic leadership and psychological empowerment, as well as between psychological empowerment and perceived nursing care quality. Psychological empowerment fully mediated the relationship between authentic leadership and perceived nursing care quality, indicating a significant indirect effect.
Nurses’ perceptions of authentic leadership positively influenced their psychological empowerment, which, in turn, enhanced their evaluation of nursing care quality. Psychological empowerment thus serves as a key mediator in shaping nurses’ perceptions of nursing care quality.
Nursing managers should foster authentic leadership practices and implement empowerment-oriented interventions to strengthen nurses’ motivation, autonomy, and engagement, thereby improving the overall quality of nursing care.
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