Asian Nursing Research最新文献

{"title":"Development and Validation of a Nomogram for Predicting Model for Delirium After Stroke","authors":"Chuyun Cui,&nbsp;Guoqing Han,&nbsp;Yandi Wang,&nbsp;Baojuan Zhao,&nbsp;Qingguo Li","doi":"10.1016/j.anr.2025.01.001","DOIUrl":"10.1016/j.anr.2025.01.001","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the risk factors of delirium in patients with stroke and develop a nomogram model to predict the occurrence of delirium.</div></div><div><h3>Methods</h3><div>Convenience sampling was used to select 502 patients with stroke admitted to a tertiary hospital with a neurology specialty in Tianjin from December 2023 to June 2024, who were categorized into the delirium group (<em>n</em> = 141) and the non-delirium group (<em>n</em> = 361) using the ICU Patient Ambiguity of Consciousness Assessment Scale. We explored the independent risk factors for the occurrence of delirium through univariate and multifactorial logistic regression analyses, established a risk prediction model, developed a nomogram, and validated the model both internally and externally.</div></div><div><h3>Results</h3><div>Multifactorial logistic regression analysis revealed that age (<em>OR</em> = 1.04), abnormal vision (<em>OR</em> = 2.74), post stroke infection (<em>OR</em> = 3.49), National Institute of Health Stroke Scale score (NIHSS) (<em>OR</em> = 4.18), whether restrained (<em>OR</em> = 3.44) were independent risk factors for the development of delirium. The consistency index of the nomogram model for the occurrence of delirium in stroke patients was 0.92, with a sensitivity of 83.0% and a specificity of 90.0%.</div></div><div><h3>Conclusions</h3><div>This study has developed and validated a predictive nomogram for identifying delirium in patients with stroke. It can help healthcare professionals quickly identify high-risk patients for post-stroke delirium, providing a basis for further developing personalized prevention strategies and intervention measures for post-stroke delirium.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 2","pages":"Pages 113-119"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying and Prioritizing the Moral Virtue Indicators for Undergraduate Nursing Students: Measurement Invariance Testing Across Class Levels","authors":"Pisamai Orathai ,&nbsp;Benchaporn Chuengkriangkrai ,&nbsp;Kesinee Chaimo","doi":"10.1016/j.anr.2025.01.006","DOIUrl":"10.1016/j.anr.2025.01.006","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to identify and prioritize the importance of the moral virtue indicators for undergraduate nursing students and to test the noninvariant indicators across class levels.</div></div><div><h3>Methods</h3><div>Secondary data from a sample of 1,000 Thai undergraduate nursing students from two nursing education institutes (one university nursing school and one nursing college of the Ministry of Public Health) were split into the first-, second-, third-, and fourth-year student groups (<em>n</em> = 247, 229, 246, and 278, respectively). A confirmatory factor analysis was conducted to identify and prioritize the importance of the moral virtue indicators in four student groups separately. The noninvariant indicators testing across the four class levels was used using multiple-group analysis.</div></div><div><h3>Results</h3><div>The 10 indicators were crucial for nursing students' moral virtue across the first to fourth years. The most important indicator for the first- and second-year student nurses was cooperation, while honesty was the most crucial indicator for the third-year student nurses, and caring was the most dominant indicator for the fourth-year student nurses. The testing of noninvariant indicators confirmed that each indicator contributed differently to the moral virtue of junior and senior students.</div></div><div><h3>Conclusion</h3><div>The findings spotlight the importance of the 10 moral virtue indicators for undergraduate nursing students. Besides, the junior and senior student nurses prioritized the importance of the 10 indicators measuring moral virtue differently. Therefore, administrators and nurse educators should provide the ethical scenarios and issues for classroom discussion and implement clinically authentic case-based simulations with timely feedback in laboratories for junior students. A regulatory process on moral virtues, using critical reflection, assessment criteria, and multirater assessors, should be deliberated in clinical training for senior students so that they adhere to moral virtues. These tailored strategies may help student nurses recognize their ethical behavior and gain personal and professional development as future nurses.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 2","pages":"Pages 161-169"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Latent Profile Analysis of Stigma in Infertile Women and its Influencing Factors","authors":"Hui Wang ,&nbsp;Yanxia Chen ,&nbsp;Congjing Song ,&nbsp;Huan Jiang ,&nbsp;Hongyan Chen ,&nbsp;Lizhen Zhang ,&nbsp;Xiaolu Xia ,&nbsp;Shiyi Zhang ,&nbsp;Fengxiang Wei ,&nbsp;Weiqiang Chen","doi":"10.1016/j.anr.2025.01.010","DOIUrl":"10.1016/j.anr.2025.01.010","url":null,"abstract":"<div><h3>Purpose</h3><div>Infertility, a global health challenge, often leads to stigma for affected women. This stigma brings negative impacts to infertile women, and is influenced by several factors. Research to date treats infertile women as a homogeneous group based on their stigma. We attempted to identify subgroups based on their stigma and explored variables associated with subgroups.</div></div><div><h3>Methods</h3><div>A cross-sectional study design was utilized, involving 439 infertile women. General information questionnaire, Infertility Stigma Scale, Perceived Social Support Scale, and the Chinese version of the Infertility Self-Efficacy Scale were used. Latent profile analysis was performed to categorize potential stigma profiles in infertile women. Multinomial logistic regression analysis was employed to explore the influencing factors of stigma among infertile women in different latent profiles.</div></div><div><h3>Results</h3><div>Four hundred thirty-nine infertile women were divided into three stigma profiles: low stigma level–light public stigma group (41.5%), medium stigma level–light public stigma group (48.0%), and high stigma level–deep public stigma group (10.5%). Multinomial logistic regression showed that education level, per capita family income status, duration of infertility, duration of infertility treatments, perceived social support, and self-efficacy were the influencing factors of stigma in three latent profiles.</div></div><div><h3>Conclusion</h3><div>Stigma in infertile women can be divided into three potential profiles, which had obvious classification characteristics. In these different latent profiles, there are differences in education level, per capita family income, duration of infertility, duration of infertility treatments, perceived social support, and self-efficacy. Social withdrawal is a common and severe issue faced by infertile women. Additionally, infertile women with high stigma levels often suffer from more severe public stigma.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 2","pages":"Pages 184-192"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Effectiveness of Dietary Self-care Promotion Program Using Online Community for Hemodialysis Patients: A Pilot Randomized Controlled Trial","authors":"Hana Kim ,&nbsp;Mi-Kyoung Cho","doi":"10.1016/j.anr.2025.01.007","DOIUrl":"10.1016/j.anr.2025.01.007","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to develop and evaluate a dietary self-care promotion program for hemodialysis patients based on Hurley's self-efficacy model, utilizing an online community to enhance the dietary self-care behavior of patients undergoing hemodialysis.</div></div><div><h3>Methods</h3><div>The needs of hemodialysis patients were identified, and an online community-based dietary self-care promotion program was developed with expert evaluations. Forty-four hemodialysis patients were randomly assigned to an experimental group (<em>n</em> = 22) and a control group (<em>n</em> = 22). The program was applied to the experimental group for four weeks. Before and after the intervention, as well as four weeks after the intervention, dietary self-efficacy, dietary self-care behavior, interdialytic weight gain, serum phosphorus, and serum potassium were assessed in both groups.</div></div><div><h3>Results</h3><div>Significant differences over time and between groups were observed in dietary self-efficacy, interdialytic weight gain, serum phosphorus, and serum potassium. The interaction between time and group was also significant. While no significant differences were found over time in dietary self-care behavior, significant group differences, and interaction effects between time and group were identified.</div></div><div><h3>Conclusions</h3><div>The results indicate that the dietary self-care promotion program using an online community for hemodialysis patients is more effective in enhancing dietary self-efficacy and dietary self-care behavior compared to conventional treatment. This suggests the clinical applicability of the proposed dietary self-care promotion program.</div></div><div><h3>Trial registration</h3><div>This study was registered in the Clinical Research Information Service system (No: KCT0007920).</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 2","pages":"Pages 126-135"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Mediating Effect of Emotional Regulation Between Stress and Compassion Fatigue of Oncology Nurses","authors":"Youhui Gu ,&nbsp;Yuhan Lu ,&nbsp;Wenhua Yu ,&nbsp;Hong Yang","doi":"10.1016/j.anr.2025.01.009","DOIUrl":"10.1016/j.anr.2025.01.009","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate oncology nurses’ compassion fatigue (CF) and whether emotional regulation mediates between stress load and CF.</div></div><div><h3>Methods</h3><div>Using convenience sampling, data of this cross-sectional study was collected from 471 oncology nurses from a cancer hospital. Self-administered questionnaires included socio-demographic factors, the Stress Overload Scale, the Nurse Emotional Management Scale, and the Chinese version of the Professional Quality of Life scale. Statistical analyses were performed using IBM SPSS Statistics for Windows (version 22.0). The hypothesized model was tested by the structural equation model using IBM SPSS AMOS (version 21.0).</div></div><div><h3>Results</h3><div>Burnout and secondary traumatic stress (STS) of CF in oncology nurses were 21.10 ± 5.48 and 22.22 ± 5.24, respectively. Stress load was positively correlated with burnout (<em>r</em> = .64, <em>p</em> &lt; .01) and STS (<em>r</em> = .52, <em>p</em> &lt; .01). Emotional regulation was negatively correlated with stress load (<em>r</em> = −.47, <em>p</em> &lt; .01), burnout (<em>r</em> = −.57, <em>p</em> &lt; .01) and STS (<em>r</em> = −.45, <em>p</em> &lt; .01). The impact of stress load on CF is mediated by emotional regulation [β = .27, 95% CI of (.21∼.35)], with the mediation effect accounting for 34.6% of the total effect. This mediation model explains 80.0% of the variation in CF.</div></div><div><h3>Conclusions</h3><div>The stress load of oncology nurses directly positively impacted their CF, emotional regulation directly negatively impacted CF, while emotional regulation mediated between stress load and CF. This study suggests that nursing managers can prevent and alleviate oncology nurses' CF not only by relieving their stress load but also by promoting their ability of emotional regulation.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 2","pages":"Pages 178-183"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with Returning to Work in Liver Transplantation Survivors: A Cross-sectional Study","authors":"Yuxin Rao ,&nbsp;Saxiao Tang ,&nbsp;Feicui Lv ,&nbsp;Li Dong ,&nbsp;Li Ji ,&nbsp;Zhiru Li ,&nbsp;Ruijie Bao ,&nbsp;Jingyun Wu ,&nbsp;Fangyan Lu","doi":"10.1016/j.anr.2025.02.001","DOIUrl":"10.1016/j.anr.2025.02.001","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the current state of return to work (RTW) and the influencing factors among liver transplantation (LT) survivors in China.</div></div><div><h3>Methods</h3><div>Cross-sectional study design, a convenience sample of 210 LT survivors aged &gt;18 years who had LT for the first time and at least 6 months postliver transplant was selected between April and August 2023. Binary logistic regression was used to analyze the independent influencing factors of RTW. The study was reported following the Strengthening the Reporting of Observational Studies in Epidemiology checklist.</div></div><div><h3>Results</h3><div>A total of 201 LT survivors were included in the study; 109 (54.2 %) returned to work, and the median, interquartile range of their work ability index (WAI) score was 40.00 (6.00), which indicates good work ability (WA) to the work. Binary logistic regression analysis demonstrated that light economic burden [odds ratio (OR) = 0.13, 95% confidence interval (CI) = 0.016–0.966], time passed of 1–3 years after LT (OR = 6.37, 95% CI = 1.697–23.933), willingness to RTW (OR = 15.50, 95% CI = 2.171–110.683), good psychosocial adjustment level (OR = 17.46, 95% CI = 2.290–133.044), symptom intensity (OR = 0.75, 95% CI = 0.610–0.927), and WA (OR = 1.27, 95% CI = 1.135–1.426) were the independent influencing factors for LT survivors returning to work.</div></div><div><h3>Conclusion</h3><div>The rate of RTW among LT survivors is relatively low and their WA is moderate. Medical staff should focus on LT survivors with poor psychosocial adjustment, poor work ability, and poor symptom experience in clinical practice. Targeted intervention programs should be designed to promote the successful RTW of LT survivors to achieve a normal life and good long-term prognosis.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 2","pages":"Pages 193-199"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Nomogram-based Analysis on Medication Adherence of Hypertensive Patients in China","authors":"Yawen Pan ,&nbsp;Yuanzhen Li ,&nbsp;Ziyan Li ,&nbsp;Helian Zhou ,&nbsp;Haoran Zhou ,&nbsp;Zhidan Wei ,&nbsp;Caili Yu","doi":"10.1016/j.anr.2025.01.008","DOIUrl":"10.1016/j.anr.2025.01.008","url":null,"abstract":"<div><h3>Purpose</h3><div>In order to analyze the influencing factors of medication adherence in Chinese hypertensive patients, a nomogram of medication adherence in hypertensive patients was constructed in this paper, which may provide a foundation for the establishment of a simple method for predicting medication adherence in hypertensive patients.</div></div><div><h3>Methods</h3><div>We enrolled 297 hypertensive patients in a tertiary care hospital in Wuhu City. Medication adherence was assessed using the 4-item Medication Adherence Scale. Patients were categorized into the adherence group and poor medication adherence group based on their scores. We used logistic regression to identify factors influencing medication adherence. The predictors were analyzed by nomogram method using R software. Its effectiveness was assessed by the area under the curve (AUC) of the receiver operating characteristic curve (ROC) and the calibration curve to evaluate its discriminatory power and accuracy.</div></div><div><h3>Results</h3><div>Of the 297 patients, 111 (37.4%) had good medication adherence, and 186 (62.6%) had poor medication adherence. In the group with good medication adherence, there were 52 (46.8%) men and 48 (43.3%) persons aged ≤65 years; in the group with poor medication adherence, there were 101 (54.3%) men and 92 (49.4%) persons aged 65-80 years. Place of residence, Acceptance of the disease, Satisfaction with family functioning, Frailty, and E-health literacy were factors influencing adherence to medication in hypertensive patients (<em>p</em> &lt; .05); The predictors were incorporated into the R software to establish a nomogram of medication adherence in hypertensive patients, and its test showed an AUC of .83 (95% CI: 0.79-0.88); Hosmer-Lemeshow goodness-of-fit test showed χ² = 4.78, <em>p</em> = .78, which indicated that the model had a high degree of differentiation and precision.</div></div><div><h3>Conclusion</h3><div>Overall, Chinese hypertensive patients had poor medication adherence. Medication adherence was better among hypertensive patients who lived in a city, had higher disease acceptance, had more satisfactory family functioning, were not physically frail, and had higher e-health literacy. The established nomogram has a good predictive value for medication adherence in hypertensive patients, reduces the medical burden on society and families, and provides a reference for clinical caregivers.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 2","pages":"Pages 170-177"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Borders: Exploring the Clinical Journeys of Multicultural Nursing Students","authors":"Lee Jiyoung","doi":"10.1016/j.anr.2025.01.002","DOIUrl":"10.1016/j.anr.2025.01.002","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to elucidate the clinical experiences of multicultural nursing students in South Korea.</div></div><div><h3>Methods</h3><div>Data were extracted from October 2022 to February 2023 through extensive interviews conducted in four sessions with three undergraduates with five months of clinical experience. Participants were three multicultural nursing students at Daewon University College who had clinical practice experience, whose parents were Russian or Filipino, and who could speak Korean. Data collection was conducted with interviews and observations, and the study quality was improved by reconfirming the interview content with the participants and seeking expert advice. The analysis method was classified to reflect the process in which the participants found their identity by telling their experiences through the collected stories according to Riessman's narrative inquiry verification criteria.</div></div><div><h3>Results</h3><div>The extracted stories are presented under the main themes 'Overcoming differences and moving towards fusion' with four subthemes 'My identity felt in the clinical field in Korea' 'Nursing together and the role I found in it' 'Pride in being able to be a role model for foreign students' and 'Future nurses who overcome differences'.</div></div><div><h3>Conclusion</h3><div>In this study, positive cultural encounters alleviated the participants’ fears and changed their identity in their lives. This was an opportunity for the participants to share their stories and understand each other, even though they had difficulties they had not planned in their clinical practice. Future research is suggested to explore the experiences of diverse multicultural nursing students.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 2","pages":"Pages 120-125"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Internal Structure of the Patient Health Questionnaire-9: A Systematic Review and Meta-analysis","authors":"Duckhee Chae ,&nbsp;Jiyeon Lee ,&nbsp;Eun-Hyun Lee","doi":"10.1016/j.anr.2024.12.005","DOIUrl":"10.1016/j.anr.2024.12.005","url":null,"abstract":"<div><h3>Purpose</h3><div>This review aimed to evaluate the internal structure (structural validity, internal consistency, and measurement invariance) of the Patient Health Questionnaire-9 (PHQ-9), which is one of the most widely used self-administered instruments for assessing and screening depression.</div></div><div><h3>Methods</h3><div>The updated COnsensus-based Standards for the selection of health Measurement Instruments methodology for a systematic review of self-reported instruments was used. PubMed, Embase, CINAHL, PsycINFO, and the Cochrane Library databases were searched from their inception up to February 28, 2023.</div></div><div><h3>Results</h3><div>This study reviewed 98 psychometric studies reported on in 90 reports conducted in 40 countries. Various versions of the PHQ-9 were identified: one-factor structures (8 types), two-factor structures (10 types), bifactor structures (4 types), three-factor structure (1 type), and second-order three-factor structure (1 type). There was sufficient high-quality evidence for structural validity of the one-factor structure with nine items scored using a four-point Likert scale based on confirmatory factor analysis, for internal consistency with a quantitatively pooled Cronbach α of .85, and for measurement invariance across sex, age, education level, marital status, and income groups. There was sufficient high-quality evidence for structural validity, internal consistency (Cronbach’s α = .76– .92, <span><math><mrow><mi>ω</mi></mrow></math></span> = 0.83– .92), and measurement invariance across sex for the PHQ-8 (which excluded item 9: “suicidality or self-harm thoughts”).</div></div><div><h3>Conclusion</h3><div>The one-factor PHQ-9 and PHQ-8 (excluding item 9) scored using a four-point Likert scale have the best internal structure based on the current evidence. The one-factor PHQ-9 and PHQ-8 justify the use of aggregated total scores in both practice and research. The total score of the PHQ-9 using a four-point Likert scale can be used to compare depression levels across sex, age, education level, marital status, and income groups due to the availability of sufficient evidence for measurement invariance across these demographic groups.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 1","pages":"Pages 1-12"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Nurses’ Intention to Stay: Examining the Impact of Healthcare Policy Involvement","authors":"Asma Al Yahyaei ,&nbsp;Zainab Al Kindi ,&nbsp;Sulaiman Al Sabei ,&nbsp;Wafa Al Jabri","doi":"10.1016/j.anr.2024.12.004","DOIUrl":"10.1016/j.anr.2024.12.004","url":null,"abstract":"<div><h3>Purpose</h3><div>This study explores the relationship between nurses' active involvement in healthcare policy development and their intention to stay in their current roles. It aims to assess how this involvement in healthcare policy activities influences their intention to stay in their current.</div></div><div><h3>Methods</h3><div>Employing a cross-sectional design, the study surveyed nurses across five major publicly funded teaching hospitals in Oman using an online self-administered questionnaire titled the “Involvement in Health Policy Scale.” Analytical methods included descriptive statistics, bivariate correlation analysis, and multiple regression analysis to identify predictors of nurses' intention to stay.</div></div><div><h3>Results</h3><div>Of the 1200 distributed surveys, 1017 responses were useable (85% response rate). The sample was predominantly female (87.9%), with an average age of 35 years. Nurses reported a moderate intention to stay (mean ITS = 3.13, SD = 0.80). Regression analysis indicated that increased involvement in health policy was a significant positive predictor of intention to stay (β = 0.09, <em>p</em> &lt; .007). More experienced nurses (β = 0.078, <em>p</em> &lt; .044) and non-Omani nationality (β = 0.213, <em>p &lt; .001</em>) were also positive predictors. Conversely, being single and facing numerous barriers were negative predictors of intention to stay (β = −0.071, <em>p</em> &lt; .008; β = −0.165, <em>p</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>The study underscores the positive impact of nurses' involvement in healthcare policy on their intention to stay in their roles. It highlights the necessity for healthcare organizations to foster environments that enhance nurse engagement in policy-making, thereby potentially improving retention rates and sustaining their workforce.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 1","pages":"Pages 69-77"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}