Journal of Nursing Management最新文献_第9页

Exploring the Role of Meaning in Life in Relation to Burn-Out Symptoms Among Early and Mid-Career Nurses: A Cross-Sectional Study 探索生活意义在职业生涯早期和中期护士职业倦怠症状中的作用：一项横断面研究

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-11-25 DOI: 10.1155/jonm/1205579

Hendrik Van Simaeys, Els Clays, Lilian Lechner, Emelien Lauwerier

Background

Burnout negatively affects nurses’ well-being and patient care. This study examines whether meaning in life, conceptualized as presence (sense that life is meaningful) and search (active pursuit of meaning), is associated with burnout symptoms among early- and mid-career nurses. Additionally, we explore whether job resources (influence at work, supervisor and colleague support, and professional development) moderate these associations.

Methods

A cross-sectional analysis was conducted using baseline data from a longitudinal panel study among 375 nurses (≤ 10 years of experience) across six hospitals in Flanders, Belgium. Data were collected via an online survey in March-April 2024. Burnout symptoms were assessed using the Burnout Assessment Tool, and meaning in life using the Meaning in Life Questionnaire. Job resources, including supervisor and colleague support, influence at work, and professional development, were measured using the Copenhagen Psychosocial Questionnaire (COPSOQ) and tested as moderators. Demographic and occupational variables were included as covariates. Pearson correlations and multiple linear regressions were performed.

Findings

Presence of meaning was negatively associated with burnout symptoms (B = −0.037, p < 0.001), whereas search for meaning was positively associated with burnout (B = 0.011, p < 0.05). Job resources moderated these associations. The negative association between presence of meaning and symptoms such as exhaustion and emotional dysregulation was stronger in high-resource contexts. In contrast, the positive association between search for meaning and symptoms like exhaustion and mental distancing was only observed in low-resource contexts.

Discussion

Presence and search for meaning relate differently to burnout symptoms. Presence was linked to fewer symptoms, while search showed a positive association, especially in low-resource settings. Strengthening job resources and supporting a stable sense of meaning, rather than prolonged search, may contribute to nurses’ well-being. Targeted initiatives such as mentorship and career development could help foster resilience and meaningful work engagement.

研究背景职业倦怠对护士幸福感和病人护理有负向影响。本研究考察了生活意义，即存在感（感觉生活是有意义的）和寻找感（积极追求意义）是否与职业生涯早期和中期护士的倦怠症状有关。此外，我们还探讨了工作资源（工作影响力、主管和同事支持以及专业发展）是否会调节这些关联。方法采用纵向面板研究的基线数据，对比利时法兰德斯6家医院的375名护士（经验≤10年）进行横断面分析。数据是通过2024年3月至4月的在线调查收集的。使用倦怠评估工具评估倦怠症状，使用生活意义问卷评估生活意义。工作资源，包括上级和同事的支持，在工作中的影响力和专业发展，测量使用哥本哈根社会心理问卷（COPSOQ）和测试作为调节。人口统计学和职业变量被纳入协变量。进行Pearson相关和多元线性回归分析。意义的存在与倦怠症状呈负相关（B = - 0.037, p < 0.001），而寻找意义与倦怠症状呈正相关（B = 0.011, p < 0.05）。工作资源调节了这些关联。在资源丰富的环境中，意义的存在与疲惫和情绪失调等症状之间的负相关更强。相比之下，寻找意义与疲惫和心理疏离等症状之间的正相关仅在资源匮乏的环境中观察到。在场和寻找意义与倦怠症状的关系不同。存在与较少的症状有关，而搜索显示出正相关，特别是在资源匮乏的环境中。加强工作资源和支持稳定的意义感，而不是长时间的寻找，可能有助于护士的福祉。指导和职业发展等有针对性的举措可以帮助培养适应力和有意义的工作投入。

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引用次数: 0

The Knowledge, Attitude, and Practice of Nurses Regarding Trauma-Informed Care for Traumatic Injured Patients: A Multicenter Cross-Sectional Study 护士对创伤性损伤患者创伤知情护理的知识、态度和实践：一项多中心横断面研究

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-11-25 DOI: 10.1155/jonm/2449177

Lingxiao He, Yunting Luo, Jun Chen, Renrong Gong, Dengbin Liao

<div> <section> <h3> Background</h3> <p>Traumatic injured patients frequently present with both acute physical injuries and the exacerbation of preexisting trauma events, substantially compromising their mental health and quality of life. Trauma-informed care is a supportive intervention approach that requires understanding of trauma experiences encountered by patients. Nurses must follow the principles of trauma-informed care during interactions with patients to improve clinical outcomes. However, the current status of knowledge, attitude, and practice regarding trauma-informed care among nurses in trauma centers has not been fully investigated.</p> </section> <section> <h3> Objective</h3> <p>To investigate the current status of knowledge, attitude, and practice regarding trauma-informed care among nurses caring for traumatic injured patients in trauma center–certified hospitals and to identify potential influencing factors.</p> </section> <section> <h3> Design</h3> <p>Cross-sectional survey.</p> </section> <section> <h3> Settings and Participants</h3> <p>Nurses from 11 trauma center–certified hospitals in Sichuan Province, China.</p> </section> <section> <h3> Method</h3> <p>The assessment was conducted using standardized instruments, including a demographic survey, a trauma-informed care knowledge, attitude, and practice (TIC-KAP) questionnaire, Interpersonal Reactivity Index-Chinese version (IRI-C), and Organizational Climate Scale for Nursing (OCSN). Univariate analysis and subsequent multiple linear regression analysis were used to explore associations between TIC-KAP and other factors.</p> </section> <section> <h3> Results</h3> <p>A total of 304 individuals participated in the survey, with 267 valid responses. Multiple linear regression analysis identified several significant predictors of TIC-KAP scores: work in emergency department, prior knowledge of trauma-informed care, psychological trauma nursing training experience, dedicated psychological nursing positions, IRI-C scores, and OCSN scores.</p> </section> <section> <h3> Conclusion</h3> <p>Although the participating nurses demonstrated favorable scores in trauma-informed care attitude and practice, significant gaps persist in knowledge domains, with emergency nurses exhibiting particularly notable de

背景外伤性损伤患者经常出现急性身体损伤和先前存在的创伤事件的恶化，严重影响其心理健康和生活质量。创伤知情护理是一种支持性干预方法，需要了解患者遇到的创伤经历。护士在与患者互动时必须遵循创伤知情护理原则，以改善临床结果。然而，目前创伤中心护士对创伤知情护理的知识、态度和实践状况尚未得到充分调查。目的了解创伤中心定点医院护士创伤知情护理的知识、态度和实践现状，并探讨可能的影响因素。设计横断面调查。环境和参与者来自中国四川省11家创伤中心认证医院的护士。方法采用人口统计调查、创伤知情护理知识、态度和实践问卷（TIC-KAP）、人际反应指数中文版（IRI-C）和护理组织氛围量表（OCSN）等标准化工具进行评估。采用单因素分析和多元线性回归分析探讨TIC-KAP与其他因素的关系。结果共304人参与调查，有效问卷267份。多元线性回归分析确定了TIC-KAP评分的几个显著预测因子：急诊科工作、创伤知情护理的先验知识、心理创伤护理培训经验、专门的心理护理职位、IRI-C评分和OCSN评分。结论虽然参与调查的护士在创伤知情护理态度和实践方面得分较高，但在知识领域仍存在显著差距，其中急诊护士表现出尤为显著的不足。创伤知情护理的实施可以通过以下几个策略干预措施来促进：参与创伤知情护理或心理护理培训计划，建立专门的心理护理职位，提高护士的共情水平和组织氛围。

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引用次数: 0

Effects of Psychological Empowerment–Based Motivational Interviewing Program on Self-Management Behavior in Patients With Early Chronic Kidney Disease: A Mixed Methods Study 基于心理赋权的动机访谈计划对早期慢性肾病患者自我管理行为的影响：一项混合方法研究

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-11-21 DOI: 10.1155/jonm/6822744

Yi Cui, Jiayao Li, Na Liu, Rong Li, Xiaoyan Li, Fuqiong Li, Shuang Zhai, Yinling Zhang, Hongbao Liu, Honghong Lv

<div> <section> <h3> Background</h3> <p>Chronic kidney disease (CKD) is a global health threat to patients’ physical and mental health. Effective self-management can slow disease progression in early stages. However, prolonged treatment often leads to ego depletion and subsequently impacts self-management. Interventions to address this issue remain underdeveloped.</p> </section> <section> <h3> Aim</h3> <p>To evaluate the effects of psychological empowerment–based motivational interviewing program on early-stage CKD patients’ self-management, perceived empowerment, and ego depletion and to explore their engagement experiences and the underlying reasons for the intervention’s effectiveness.</p> </section> <section> <h3> Methods</h3> <p>The study employed the explanatory sequential mixed methods design comprised of a randomized controlled trial and a qualitative study, which were conducted in a tertiary hospital from July 2022 to November 2023. About 70 patients with early CKD were randomly assigned to a control group (<i>n</i> = 35) receiving standard clinical nursing, or an intervention group receiving a 12-week nurse-led psychological empowerment–based motivational interviewing program consisting of four interview sessions and four consolidation sessions. CKD Self-Management Behavior Scale, Patient Perception of Empowerment Scale, Self-Regulation Fatigue Scale, and biochemical indicators were collected at baseline (T1), after 4 weeks of intervention (T2), immediately postintervention completion (T3), and 4 weeks after intervention completion (T4). Data were analyzed by generalized estimating equation model. Semistructured interviews were conducted with the participants in the intervention group.</p> </section> <section> <h3> Results</h3> <p>The participants’ mean age was 42.76 years (SD = 10.59). Compared with the control group, the intervention group had a statistically significant improvement in self-management behavior (T2: <i>β</i> = 18.26, T3: <i>β</i> = 23.73, T4: <i>β</i> = 23.78; <i>p</i> < 0.001), ego depletion (T2: <i>β</i> = −8.46, T3: <i>β</i> = −11.35, T4: <i>β</i> = −13.35; <i>p</i> < 0.001), and perceived empowerment (T2: <i>β</i> = 5.77, <i>p</i> = 0.002; T3: <i>β</i> = 9.41, T4: <i>β</i> = 8.99; <i>p</i> < 0.001). Qualitative interviews of 14 participants indicated that the intervention could affect self-perception, improve emotion, and establish healthy behaviors, which may explain such encouraging effects.</p> </section> <section> <h3> Conclusions</h3>

慢性肾脏疾病（CKD）是威胁患者身心健康的全球性疾病。有效的自我管理可以在早期阶段减缓疾病的进展。然而，长期的治疗往往会导致自我消耗，进而影响自我管理。解决这一问题的干预措施仍然不发达。目的评价基于心理赋权的动机访谈项目对早期CKD患者自我管理、感知赋权和自我耗竭的影响，探讨其参与体验及其干预效果的潜在原因。方法采用随机对照试验和定性研究相结合的解释序贯混合方法设计，于2022年7月至2023年11月在某三级医院进行研究。大约70名早期CKD患者被随机分配到对照组（n = 35），接受标准的临床护理，或干预组接受为期12周的护士主导的基于心理赋权的动机访谈计划，包括4次访谈和4次巩固。在基线（T1）、干预后4周（T2）、干预结束后立即（T3）和干预结束后4周（T4）收集CKD自我管理行为量表、患者授权感知量表、自我调节疲劳量表和生化指标。采用广义估计方程模型对数据进行分析。对干预组的参与者进行半结构化访谈。结果参与者平均年龄42.76岁（SD = 10.59）。与对照组相比，干预组在自我管理行为（T2: β = 18.26, T3: β = 23.73, T4: β = 23.78, p < 0.001）、自我耗损（T2: β = - 8.46, T3: β = - 11.35, T4: β = - 13.35, p < 0.001）、感知授权（T2: β = 5.77, p = 0.002, T3: β = 9.41, T4: β = 8.99, p < 0.001）方面均有统计学意义的改善。对14名参与者的定性访谈表明，干预可以影响自我认知，改善情绪，建立健康的行为，这可能解释了这种鼓励作用。结论：基于心理赋权的动机访谈项目对早期CKD患者的自我管理、感知授权和自我耗尽产生了即时和延迟的益处。这些发现为慢性病管理和心理护理提供了新的策略。试验注册：中国临床试验注册中心：ChiCTR2200064257。

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引用次数: 0

Relationship Between the Nurse–Patient Ratio and Adverse Events in Conventional Hospitalization Units in a Third-Level Hospital 某三级医院常规住院单元护患比与不良事件的关系

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-11-19 DOI: 10.1155/jonm/8885593

Juan David Fernández-Sánchez, Fernando Andrés-Pretel, Verónica Ortiz-Diaz, Milagros Molina-Alarcón, Cristina M. Lozano-Hernández

Nurse staffing in hospital inpatient units varies by country and region, highlighting the need for more equitable, evidence-based planning to measure workload based on complexity, thus enabling appropriate staffing in these units. The objective of this study is to determine the relationship between the nurse-to-patient ratio and the incidence of adverse events in adult conventional inpatient units. A descriptive, cross-sectional observational study with an analytical approach was conducted to calculate the relationship between the nurse-to-patient ratio and adverse events in conventional inpatient units at a tertiary care hospital, the Albacete University Hospital Complex (CHUA), from 2018 to 2023, analyzing a total of 113,117 patients. The 24-h median nurse-to-patient ratio was slightly higher in surgical units (11.35) than in medical units (10.79). Spearman’s correlation analysis identified significant relationships (rho > 0.4) between the 24-h nurse-to-patient ratio and events such as hospital-acquired pressure injuries (HAPIs), community-acquired pressure injuries, and mortality. However, the multiple linear regression analysis focused on HAPI as the dependent variable, excluding mortality due to its multifactorial nature and community-acquired injuries as they predated admission. The linear regression results showed that for every one-point increase in the 24-h nurse-to-patient ratio, the probability of HAPI increased by 1.94%. Additionally, the probability of HAPI decreased by 2.63% in surgical units compared with medical units. When analyzing the units separately, the relationship was more pronounced in medical units: a one-point increase in the 24-h ratio was associated with a 2.81% increase in the likelihood of HAPI. In surgical units, the 24-h ratio did not show a significant relationship with HAPI, with the patient turnover index being the relevant predictor. The findings confirm that the operational nurse–patient ratios in Spain position the system in a state of room for improvement regarding safety and economic efficiency. The differences observed between medical and surgical units underscore the necessity for staffing policies not to be uniform but rather to become dynamic and contextualized to optimize clinical outcomes and resource management.

医院住院病房的护士配置因国家和区域而异，这突出表明需要更公平、基于证据的规划，根据复杂性衡量工作量，从而使这些病房能够适当配置护士。本研究的目的是确定在成人常规住院单位的护士与病人的比例和不良事件的发生率之间的关系。本研究采用描述性、横断面观察性分析方法，计算了2018年至2023年三级医院阿尔巴塞特大学综合医院（CHUA）常规住院病房护士与患者比例与不良事件之间的关系，共分析了113,117名患者。外科单位的24小时护士与病人比率中位数（11.35）略高于内科单位（10.79）。Spearman的相关分析发现，24小时护患比与医院获得性压力伤害（HAPIs）、社区获得性压力伤害和死亡率等事件之间存在显著关系（rho > 0.4）。然而，多元线性回归分析的重点是HAPI作为因变量，排除了因其多因素性质和入院前社区获得性损伤而导致的死亡率。线性回归结果显示，24 h护患比每增加1个点，HAPI发生的概率增加1.94%。此外，外科单位发生HAPI的概率比医疗单位低2.63%。当单独分析单位时，这种关系在医疗单位中更为明显：24小时比率每增加一个点，HAPI的可能性就增加2.81%。在外科病房，24小时比值与HAPI没有显著的关系，患者更替指数是相关的预测因子。调查结果证实，在西班牙的操作护士-病人比率定位系统在一个关于安全和经济效率的改进空间的状态。医疗单位和外科单位之间的差异突出表明，人员配置政策不应千篇统一，而应具有动态和因地制宜的特点，以优化临床结果和资源管理。

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引用次数: 0

Organizational Silence and Related Factors Among Shift Work Nurses in Korea: A Cross-Sectional Study 韩国轮班护士组织沉默及其相关因素：一项横断面研究

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-11-19 DOI: 10.1155/jonm/1256556

Sung Eon Sim, Hye-Young Jang

Aim

This study aimed to explore factors contributing to organizational silence, drawing upon the framework of the choice to remain silent by Milliken, Morrison, and Hewlin.

Background

The promotion of open communication and the enabling of open discourse amongst nursing professionals are essential for the enhancement of health service quality and the assurance of patient safety.

Methods

A cross-sectional descriptive survey was conducted from August 14, 2023, to September 15, 2023. Data were collected from 170 rotating shift nurses at a tertiary hospital in South Korea. The hypotheses were tested using multiple regression and the PROCESS macro, Version 4.2, Model 4.

Results

Leader–member exchange not only had a direct effect on organizational silence but also had a significant indirect effect mediated by workplace bullying (β = −0.03, 95% CI: [−0.074, −0.001]). The total effect was confirmed to be β = −0.23 (95% CI: [−0.345, −0.129]).

Conclusion

Organizational silence is shaped by both individual characteristics and organizational conditions. Workplace bullying not only has a direct effect on organizational silence but also mediates the relationship between leader–member exchange and organizational silence.

Implications for Nursing Management

Nurse managers should be sensitive to negative cultures such as bullying and actively promote leader–member and team-member exchange. When nurse managers actively maintain and support relationships with members, members are more likely to disclose issues and express their opinions.

本研究旨在探讨影响组织沉默的因素，借鉴Milliken、Morrison和Hewlin的沉默选择框架。背景：促进护理专业人员之间的公开沟通和公开讨论对于提高医疗服务质量和确保患者安全至关重要。方法于2023年8月14日至2023年9月15日进行横断面描述性调查。数据收集自韩国一家三级医院的170名轮班护士。假设使用多元回归和PROCESS宏，4.2版本，模型4进行检验。结果领导-成员交换不仅对组织沉默有直接影响，而且对职场欺凌有显著的间接影响（β = - 0.03, 95% CI:[- 0.074, - 0.001]）。总效应证实为β = - 0.23 （95% CI:[- 0.345, - 0.129]）。结论组织沉默是由个体特征和组织条件共同塑造的。职场欺凌不仅对组织沉默有直接影响，而且在领导-成员交换与组织沉默的关系中起中介作用。对护理管理的启示护理管理者应该对诸如欺凌等负面文化敏感，并积极促进领导成员和团队成员的交流。当护士管理者积极维护和支持与会员的关系时，会员更有可能披露问题并表达他们的意见。

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引用次数: 0

Correction to “Global Prevalence of Nurse Turnover Rates: A Meta-Analysis of 21 Studies from 14 Countries” 更正“护士流失率的全球流行：来自14个国家的21项研究的荟萃分析”

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-11-17 DOI: 10.1155/jonm/9754202

H. Ren, P. Li, Y. Xue, W. Xin, X. Yin, and H. Li, “Global Prevalence of Nurse Turnover Rates: A Meta-Analysis of 21 Studies from 14 Countries,” Journal of Nursing Management, 2024, https://doi.org/10.1155/2024/5063998.

In the article, there is an error in the abstract:

“This meta-analysis analysed the literature published from January 2020 to February 2023 and demonstrated that the global nurse turnover rate was 16%.”

Should read

“This meta-analysis analysed the literature published from January 2000 to February 2023 and demonstrated that the global nurse turnover rate was 16%.”

We apologize for this error.

任辉，李平，薛毅，辛文文，尹晓霞，李辉，“护士流失率的全球流行：来自14个国家21项研究的荟萃分析”，Journal of Nursing Management, 2024, https://doi.org/10.1155/2024/5063998.In文章摘要中有一个错误：“本荟萃分析分析了2020年1月至2023年2月发表的文献，结果表明全球护士流失率为16%。”该荟萃分析分析了2000年1月至2023年2月发表的文献，并证明全球护士流失率为16%。我们为这个错误道歉。

引用次数: 0

Effects of an Advanced Clinical Practice Nurse-Led Discharge Management and Education Program on Patient Outcomes in an Acute Medical Care Unit (ADIEU) 高级临床实践护士主导的出院管理和教育项目对急症病房（ADIEU）患者预后的影响

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-11-16 DOI: 10.1155/jonm/5425868

Seungjin Lee, Ji Eun Song, Seunghyun Won, Nak-Hyun Kim, Jung Hun Ohn, Yejee Lim, Jongchan Lee, Hye Won Kim, Sun-wook Kim, Jiwon Ryu, Hee-Sun Park, Jihye Kim, Yunsang Choi, Eun Sun Kim

Background

Patients in acute medical care units (AMUs) often encounter complex discharge processes due to rapid turnover and acute care demands. The advanced clinical practice nurse-led discharge management and education (ADIEU) program was developed to address these challenges and improve postdischarge outcomes.

Aims

To evaluate the effectiveness of the ADIEU program on clinical outcomes and satisfaction among patients and healthcare providers in AMUs.

Methods

This retrospective study enrolled 360 patients discharged from the AMU of a tertiary hospital in Republic of Korea and compared them before and after ADIEU program implementation. Propensity score matching (PSM) was applied using age, sex, Charlson Comorbidity Index (CCI), and reason for admission as matching variables. After PSM, 139 patients were included in each group. Thirty-day readmissions and unexpected emergency department (ED) visits within 72 h were evaluated after PSM. Patient and healthcare personnel satisfaction were separately assessed.

Results

The ADIEU program significantly reduced the risk of 30-day readmission (odds ratio = 0.333). However, no significant reduction in unexpected ED visits within 72 h was observed. Discharge management satisfaction improved among nurses (mean score: 3.09–3.43) and physicians (mean score: 3.67–4.67).

Conclusions

The ADIEU program effectively reduced 30-day readmissions and increased satisfaction among healthcare providers and patients.

Implications for Nursing Management

The ADIEU program represents a promising model for enhancing discharge management in AMUs despite its minimal impact on short-term ED visits.

背景：急性医疗护理单位（AMUs）的患者经常遇到复杂的出院过程，由于快速周转和急性护理需求。高级临床实践护士领导的出院管理和教育（ADIEU）计划是为了解决这些挑战和改善出院后的结果而开发的。目的评价ADIEU项目对AMUs患者和医疗服务提供者的临床结果和满意度的有效性。方法回顾性研究韩国某三级医院AMU出院的360例患者，对其实施ADIEU计划前后进行比较。采用倾向评分匹配（PSM），以年龄、性别、Charlson共病指数（CCI）和入院原因作为匹配变量。经PSM治疗后，每组139例。评估PSM后30天的再入院率和72小时内的意外急诊科（ED）就诊情况。分别评估患者和医护人员的满意度。结果ADIEU方案显著降低了30天再入院风险（优势比= 0.333）。然而，在72小时内没有观察到意外急诊科就诊的显著减少。出院管理满意度在护士（平均得分：3.09-3.43）和医生（平均得分：3.67-4.67）中均有提高。结论：ADIEU项目有效减少了30天的再入院率，提高了医疗服务提供者和患者的满意度。尽管ADIEU计划对短期急诊科就诊的影响很小，但它代表了一个有希望的模式，可以加强AMUs的出院管理。

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引用次数: 0

The Times–Divide Expression: An Intuitive Approach for Describing Right-Skewed Data in Nursing Practice 分时表达：描述护理实践中右偏数据的一种直观方法

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-11-14 DOI: 10.1155/jonm/3434734

Haruna Fukushige, Yoshiaki Inoue, Keisuke Nakashima, Atsue Ishii, Yoko Taniura, Tomoyuki Iwasaki

In clinical nursing practice, it is crucial to share data overviews simply and intuitively with all team members. Descriptive statistics, typically expressed as the arithmetic mean plus–minus the standard deviation (Mean ± SD), are commonly used for this purpose. However, this approach is inadequate for describing asymmetric, right-skewed distributions, commonly encountered in nursing. This study introduces an alternative—the times–divide expression (GMean ^×/GSD)—based on the geometric mean and geometric standard deviation. We present a data-driven study that examines the applicability of this expression using nursing demand data collected over four and a half years from a nurse call system. The results indicate that the times–divide expression outperforms conventional methods in representing distributional properties and providing suitable representative values and usable percentile range indicators. Applying the times–divide expression to the actual distribution of data is expected to improve nurses’ clinical decision-making skills through data-driven insights, ultimately enhancing the quality of care.

在临床护理实践中，与所有团队成员简单直观地共享数据概述至关重要。描述性统计通常表示为算术平均值加减去标准偏差（mean±SD），通常用于此目的。然而，这种方法不足以描述护理中常见的不对称、右偏分布。本文介绍了一种基于几何平均和几何标准差的替代方法——GMean ×/GSD。我们提出了一项数据驱动的研究，利用从护士呼叫系统收集的四年半的护理需求数据来检验这一表达的适用性。结果表明，分时表达式在表示分布特性和提供合适的代表性值和可用的百分位数范围指标方面优于传统方法。将时间划分表达式应用于数据的实际分布，有望通过数据驱动的洞察提高护士的临床决策技能，最终提高护理质量。

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引用次数: 0

Reporting a Patient Safety Culture in Global Health: Evidence From Sierra Leone 报告全球卫生中的患者安全文化：来自塞拉利昂的证据

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-11-13 DOI: 10.1155/jonm/7613998

Yanran Li, Ning Yang, Lu Niu, Joseph Benjamin Bangura, Mustapha Kabba, Dan Luo, Li Li, Xiang Chen

Aims

To explore the level of patient safety culture in Sierra Leone and identify the factors associated with the patient safety grade and patient safety events reported.

Design

A cross-sectional study.

Methods

From February to March 2024, we selected staff members from three representative public hospitals of different types in Sierra Leone. Patient safety culture was assessed with the Hospital patient safety culture survey 2.0. Binary logistic regression was employed to determine the influence of sociodemographic characteristics on the patient safety grade and patient safety events reported. The textual responses to the open-ended question were imported into Nvivo 12.0 for thematic analysis.

Results

A total of 247 questionnaires was sent out, of which 202 were effectively received. Among 10 safety culture dimensions, three were strength areas with over 75% positive response rate. The other six dimensions ranged from 54.91% to 70.54%. In this study, the highest positive response rate dimension was “Teamwork” (80.83%), and the lowest was “Reporting patient safety event” (49.1%). Item “Staff in this unit work longer hours than is best for patient care”, with a positive response rate of 18.09%, ranks last among all items. “Tenure in Unit/Work Area” could effectively predict patient safety events reported. The initial coding of the open-ended responses yielded a framework of four first-level codes and 11 secondary codes.

Conclusions

It is acknowledged that this is the first research to be conducted in Sierra Leone about the local patient safety culture. Hospital safety culture in Sierra Leone remains suboptimal overall, with adverse event report representing the most significant issue. Our study also uncovers unique patient safety challenges in resource-limited settings (reliable water and electricity supply, proper sanitation, and adequate staffing), addressing a critical gap in the global patient safety evidence base.

目的探讨塞拉利昂患者安全文化的水平，并确定与患者安全等级和报告的患者安全事件相关的因素。设计横断面研究。方法于2024年2月至3月，选取塞拉利昂3家具有代表性的不同类型公立医院的工作人员。采用医院患者安全文化调查2.0对患者安全文化进行评估。采用二元逻辑回归来确定社会人口学特征对患者安全等级和患者安全事件报告的影响。将对开放式问题的文本回复导入Nvivo 12.0进行专题分析。结果共发放问卷247份，回收有效问卷202份。在10个安全文化维度中，有3个是优势领域，正面响应率超过75%。其他六个维度为54.91% ~ 70.54%。在本研究中，积极反应率最高的维度是“团队合作”（80.83%），最低的维度是“报告患者安全事件”（49.1%）。“本单位员工工作时间超过最佳护理时间”，正面回复率为18.09%，在所有项目中排名最后。“单位/工作区域任期”可以有效预测报告的患者安全事件。对开放式答复的初始编码产生了一个由4个一级代码和11个二级代码组成的框架。这是公认的第一个在塞拉利昂进行的关于当地患者安全文化的研究。塞拉利昂的医院安全文化总体上仍不理想，不良事件报告是最重要的问题。我们的研究还揭示了资源有限环境下的独特患者安全挑战（可靠的水和电供应、适当的卫生设施和充足的人员配备），解决了全球患者安全证据基础的一个关键缺口。

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引用次数: 0

The Relationship Between Job Satisfaction, Life Satisfaction, and Optimism Among Nursing Staff: A Cross-Sectional Study 护理人员工作满意度、生活满意度与乐观情绪关系的横断面研究

IF 4 2区医学 Q2 MANAGEMENT

Journal of Nursing Management

Pub Date : 2025-11-11 DOI: 10.1155/jonm/7054010

Stanisław Manulik, Maria Jędrzejczyk, Michał Czapla, Ercole Vellone, Izabella Uchmanowicz

Background

Job and life satisfaction, alongside optimism, are critical determinants of psychological resilience in frontline healthcare staff. This study aims to examine the key predictors of job satisfaction, life satisfaction, and optimism among nursing and midwifery professionals in Poland.

Methods

A cross-sectional study was conducted among 475 nurses and midwives employed in various healthcare settings in Poland. Data were collected through an anonymous online questionnaire including demographic and occupational items and three validated scales: Satisfaction With Job Scale (SJS), Satisfaction With Life Scale (SWLS), and Life Orientation Test–Revised (LOT-R).

Results

The findings revealed significant variations in job satisfaction, life satisfaction, and optimism among nurses and midwives. The mean job satisfaction score (SJS) was 20.71 (SD = 6.9), indicating a moderate level of satisfaction. Life satisfaction (SWLS) had a mean score of 21.33 (SD = 6.61), while optimism (LOT-R) was 14.85 (SD = 3.97), suggesting variability in positive expectations for the future among the participants. Job satisfaction was negatively associated with shift-based work (β = −1.71, p = 0.013), salary dissatisfaction (β = −3.828, p < 0.001), and higher stress levels (β = −0.127, p < 0.001). Life satisfaction was positively associated with being in a relationship (β = 3.58, p < 0.001) and a higher patient load (β = 1.969, p = 0.049). Optimism was positively predicted by higher education (β = 3.797, p = 0.015) and working in long-term care (β = 2.167, p = 0.004) but decreased with increasing stress (β = −0.063, p = 0.001).

Conclusion

Job satisfaction, life satisfaction, and optimism among nursing staff are significantly influenced by salary, stress levels, work environment, and education. Interventions aimed at improving working conditions, reducing stress, and promoting psychological resilience may enhance staff well-being and, consequently, patient care quality.

工作和生活满意度，以及乐观主义，是一线医护人员心理弹性的关键决定因素。本研究旨在研究波兰护理和助产专业人员的工作满意度、生活满意度和乐观情绪的关键预测因素。方法横断面研究在波兰不同医疗机构的475名护士和助产士中进行。数据通过匿名在线问卷收集，包括人口统计和职业项目，以及三个有效的量表：工作满意度量表（SJS）、生活满意度量表（SWLS）和生活取向修正测试（LOT-R）。结果护士和助产士在工作满意度、生活满意度和乐观情绪方面存在显著差异。工作满意度平均分（SJS）为20.71分（SD = 6.9），满意度处于中等水平。生活满意度（SWLS）的平均得分为21.33 (SD = 6.61)，而乐观度（LOT-R）的平均得分为14.85 (SD = 3.97)，表明参与者对未来的积极期望存在差异。工作满意度与轮班制工作（β = - 1.71, p = 0.013）、工资不满意度（β = - 3.828, p < 0.001）和较高的压力水平（β = - 0.127, p < 0.001）呈负相关。生活满意度与恋爱关系（β = 3.58, p < 0.001）和较高的病人负荷（β = 1.969, p = 0.049）呈正相关。乐观情绪被高等教育（β = 3.797, p = 0.015）和长期护理工作（β = 2.167, p = 0.004）正向预测，但随着压力的增加而降低（β = - 0.063, p = 0.001）。结论护理人员的工作满意度、生活满意度和乐观情绪受薪酬、压力水平、工作环境和文化程度的显著影响。旨在改善工作条件、减轻压力和促进心理弹性的干预措施可能会提高工作人员的福祉，从而提高患者护理质量。

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引用次数: 0