Nursing Reports最新文献

{"title":"Experiences of Women Who Opt for a Planned Home Birth After a Previous Hospital Birth: A Qualitative Study.","authors":"Trinidad Maria Galera-Barbero, Vanesa Gutierrez-Puertas, Helder Jaime Fernandes, Blanca Ortiz-Rodriguez, Alba Sola-Martinez, Lorena Gutierrez-Puertas","doi":"10.3390/nursrep16040147","DOIUrl":"https://doi.org/10.3390/nursrep16040147","url":null,"abstract":"<p><p><b>Background/Objective</b>: In Spain, 99% of births occur in hospital settings, and planned home birth is neither funded nor regulated by the Public Health System. Despite growing interest in this birth option, qualitative evidence exploring the experiences of women who opt for a planned home birth after a previous hospital birth remains scarce, particularly in contexts where this practice is not integrated into the healthcare system. This study aimed to explore the perceptions and experiences of Spanish women who opted for a planned home birth following a previous hospital birth, focusing on the reasons that motivated this decision and the care received during the process. <b>Methods</b>: A qualitative descriptive design was employed. Semi-structured interviews were conducted between July and December 2025 with 19 women who had experienced a planned home birth in Spain after a previous hospital birth. Data were analysed using inductive thematic analysis following Braun and Clarke's approach. The study adhered to the Standards for Reporting Qualitative Research (SRQR). <b>Results</b>: Three main themes emerged: (1) motives related to choosing a planned home birth, including negative hospital experiences characterised by loss of autonomy, medicalisation of birth without consent, and fragmented care; (2) seeking a physiological and humanised birth, reflecting women's desire for empowerment, control, and a transformative experience, alongside barriers such as lack of professional support and financial burden; and (3) the need to increase visibility and establish regulation, highlighting demands for professional training, dissemination strategies, and integration of planned home birth into the Public Health System to ensure equitable access. <b>Conclusions</b>: Women who opted for a planned home birth after a hospital experience reported highly positive and empowering outcomes. However, the absence of regulation, professional support, and public funding creates significant inequalities. Integrating planned home birth into the Public Health System, educating healthcare professionals, and developing strategies to increase the visibility of planned home births are essential to guarantee women's right to choose where they give birth.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13118726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI Tools for Teaching the Safe Administration of Medications in Nursing: A Scoping Review.","authors":"Wínola Dafny Douglas de Oliveira, Maria Eduarda Leite Pinto Ghirotti, Álvaro Francisco Lopes de Sousa, Adaiele Lúcia Nogueira Vieira da Silva, Herica Emília Félix de Carvalho, Marília Duarte Valim, Aires Garcia Dos Santos Júnior","doi":"10.3390/nursrep16040146","DOIUrl":"https://doi.org/10.3390/nursrep16040146","url":null,"abstract":"<p><p><b>Background</b>: Safe medication administration is a fundamental aspect of nursing practice and a core component of patient safety. However, systemic failures, workload pressures, and educational gaps continue to contribute to medication errors, posing persistent challenges for healthcare systems. In this context, innovative educational technologies, particularly Artificial Intelligence (AI), have emerged as promising strategies to support the development of competencies related to safe medication administration. <b>Methods</b>: This scoping review aimed to map evidence on AI-based tools used to teach safe medication administration in nursing. The review was conducted in accordance with the Joanna Briggs Institute (JBI) methodology and reported following the PRISMA-ScR guidelines. Searches were performed in PubMed, Scopus, Web of Science, LILACS, and Google Scholar, covering studies published between 2010 and October 2025 in English, Portuguese, and Spanish. Study selection was conducted in two stages, followed by standardized data extraction. <b>Results</b>: A total of 545 records were identified, of which only two studies met the eligibility criteria. The included studies, conducted in Israel and South Korea, evaluated a microlearning chatbot and Large Language Model (LLM)-based tools designed to support teaching safe medication administration. Both studies demonstrated improvements in knowledge and performance in tasks and simulations related to the medication process, as well as positive acceptability among participants. However, neither study assessed direct clinical outcomes, such as reductions in medication errors or preventable adverse events. <b>Conclusions</b>: Although AI-based educational tools show potential to enhance competencies related to medication safety in nursing, the available evidence remains limited. Further robust, multicenter, and comparative studies are needed to evaluate their impact on clinical outcomes and to support their integration into nursing education and practice.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13118771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spirituality, Religious Diversity and Holistic Nursing Care in Nursing Education: An Exploratory Study Among Nursing Students in Italy.","authors":"Elisa Porcelli, Carla Murgia, Serena Caponetti, Gennaro Rocco, Alessandro Stievano, Ippolito Notarnicola","doi":"10.3390/nursrep16040144","DOIUrl":"https://doi.org/10.3390/nursrep16040144","url":null,"abstract":"<p><p><b>Background:</b> Spirituality and religious diversity are increasingly recognized as essential components of holistic nursing care in global healthcare systems. However, their integration into undergraduate nursing education remains heterogeneous and often insufficiently structured, creating a gap between professional values and students' preparedness to address spiritual needs in culturally diverse clinical environments. This study aimed to explore nursing students' perceptions, attitudes, and perceived competencies regarding spirituality, religion, and spiritual care. <b>Methods:</b> A descriptive exploratory survey was conducted on a sample of 69 third-year nursing students (69.6% female; majority aged ≤24 years) enrolled in two universities in Rome, Italy. Data were collected between May and July 2025 using the Nursing Care and Religious Diversity Scale (NCRDS), consisting of 31 items. Statistical analyses included descriptive statistics, internal reliability analyses, group comparisons, and multivariate regression models. <b>Results:</b> Students showed moderate levels of attention to patients' spiritual needs (mean = 3.11, SD = 0.88) and integration of spirituality into care practice, while high importance was attributed to spiritual care skills. University education was perceived as only partially adequate. Multivariate analyses showed that students' personal spirituality is positively associated with the assessment of spiritual needs and the perception of competence, while exposure to contexts characterized by greater religious diversity is associated with a lower perception of preparedness. <b>Conclusions:</b> The results highlight a discrepancy between professional values and perceived operational skills, suggesting the need to systematically integrate spirituality and religious diversity into nursing curricula. These findings highlight the need for a structured integration of spirituality and religious diversity into nursing curricula through targeted educational strategies in order to strengthen students' competencies and promote truly holistic and person-centered care.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13119112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Organisational and Team-Level Strategies to Enhance Work Engagement and Mitigate Burnout Among Nurse Case Managers: A Global Scoping Review with Implications for the Gulf Region.","authors":"Ahmed Yahya Ayoub, Carin Maree, Neltjie van Wyk","doi":"10.3390/nursrep16040145","DOIUrl":"https://doi.org/10.3390/nursrep16040145","url":null,"abstract":"<p><p><b>Introduction:</b> Work engagement among nurse case managers is central to safe, efficient, person-centred care, yet organisational and team-level factors that support engagement or mitigate burnout remain poorly synthesised. <b>Aim:</b> To map organisational and team-level strategies that enhance work engagement or reduce burnout among nurse case managers and aligned roles, as well as to consider their applicability to Gulf health systems. <b>Method:</b> We conducted a scoping review in accordance with the Arksey and O'Malley framework as refined by Levac et al. and reported it in line with PRISMA-ScR and PRISMA-S guidance. Six databases and targeted sources were searched for English-language records published between 2015 and 2025. Two reviewers independently screened titles/abstracts and full texts against predefined eligibility criteria, charted data using a piloted form, and synthesised findings thematically against Job Demands-Resources (JD-R) domains. <b>Results:</b> Of 303 records identified, 248 were screened after deduplication, and 11 studies were included. Across nine health systems, findings were mapped to three JD-R domains: job resources, job demands, and personal resources. The most recurrent resource-related strategies involved structural supports, staffing stability, coordination infrastructure, and supportive leadership or team practices. Key demands included role complexity, high caseloads, coordination workload, discharge pressures, and staffing instability. Personal-resource approaches were fewer and mainly involved stress management, communication, and reflective practice interventions. Engagement was infrequently measured directly, and only one empirical intervention study originated from a Gulf health system. <b>Conclusions:</b> This JD-R-informed scoping review suggests that strengthening structural, staffing, and coordination resources, alongside supportive leadership and team climates, may be important for sustaining engagement and limiting burnout among nurse case managers. However, these findings should be interpreted as exploratory signals that map the current evidence landscape rather than definitive evidence of effectiveness. Multi-component JD-R-informed bundles in Gulf region health systems should therefore be prioritised for context-sensitive co-design, piloting, and evaluation.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13118688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Person-First or Disease-First? Language Choices in Cancer Communication.","authors":"Anna Tsiakiri, Konstantinos Tzanas, Despoina Chrisostomidou, Spyridon Plakias, Foteini Christidi, Christos Frantzidis, Nikolaos Aggelousis, Maria Lavdaniti, Evangeli Bista","doi":"10.3390/nursrep16040143","DOIUrl":"https://doi.org/10.3390/nursrep16040143","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Cancer-related terminology is not merely descriptive and plays a critical role in shaping emotional responses, personal identity, and communication across clinical, social, and public spheres. Despite growing interest in the psychosocial dimensions of illness language, few studies have centered the lived experiences of individuals navigating cancer through the lens of terminology. This study explores how people living with and beyond cancer perceive, interpret, and emotionally respond to cancer-related language, focusing on the way terminology influences identity, stigma, and communicative interaction. <b>Methods:</b> A sequential mixed-methods design was employed. The quantitative phase involved 146 participants with a cancer diagnosis completing a structured questionnaire on preferred terminology and emotional impact. The qualitative phase followed, using open-ended questionnaires with 11 participants to deepen understanding of linguistic experiences. Thematic content analysis was used to identify patterns across narratives. <b>Results:</b> These findings reveal that labels such as \"cancer patient\" evoke strong negative emotional reactions, associated with stigma, fear, and identity reduction. Person-first and context-sensitive language was perceived as more respectful and empowering. Emotional responses to language varied widely, from fear to neutrality, shaped by speaker role, context, and time since diagnosis. Media representations were often seen as dramatizing or moralizing, reinforcing the need for communicative clarity, empathy, and education in both clinical and public discourse. <b>Conclusions:</b> Cancer-related language is a powerful psychosocial force. It shapes how individuals are seen and see themselves and can either reinforce stigma or foster dignity and resilience. This study highlights the urgent need for person-centered, context-aware communication practices across healthcare, media, and society.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13119375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shared Decision-Making in the Choice of Renal Replacement Therapy: A Comparative Text Mining Analysis of Physicians and Nurses.","authors":"Misa Iida, Sumiyo Nabeshima, Sayuri Kaneko, Yuji Kamijo, Toshio Kobayashi, Yukako Ando","doi":"10.3390/nursrep16040142","DOIUrl":"https://doi.org/10.3390/nursrep16040142","url":null,"abstract":"<p><p><b>Objective:</b> This study aimed to compare factors facilitating shared decision-making (SDM) in renal replacement therapy decision support between physicians and nurses using text mining analysis. <b>Methods:</b> A web-based survey was conducted among 250 physicians and 299 nurses between December 2024 and March 2025. Free-text responses regarding factors facilitating SDM were collected and analyzed using quantitative text analysis. <b>Results:</b> Valid responses were obtained from 103 physicians and 122 nurses. Both groups identified six factors, with three shared conceptual domains across physicians and nurses, reflected in three physician factors and four nurse factors. Common domains included \"promoting patient and family understanding\", \"enhancing staff education\", and \"strengthening multidisciplinary collaboration\". Physicians emphasized structural and environmental factors, such as \"establishing clinical systems\", \"inter-institutional collaboration\", and \"securing sufficient time\". In contrast, nurses highlighted practical and interpersonal aspects, including \"understanding patients' values and lifestyles\", \"supporting patient-centered decision-making\", and \"promoting team-based information sharing\". <b>Conclusions:</b> Factors that facilitate SDM in renal replacement therapy include perspectives common to both physicians and nurses, as well as profession-specific perspectives. These findings suggest that integrating organizational support and clinical skills development is crucial for promoting SDM in clinical settings.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13119424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Changes Associated with an Educational Intervention on Basic Life Support and Airway Obstruction Among Schoolchildren Aged from 11 to 18 Years Old in the Island of La Palma (Canary Islands).","authors":"Sofía Martínez-León, Alba Francisco-Sánchez, Beatriz Rescalvo-Arjona, Pedro Ruymán Brito-Brito, Martín Rodríguez-Álvaro","doi":"10.3390/nursrep16040138","DOIUrl":"https://doi.org/10.3390/nursrep16040138","url":null,"abstract":"<p><p>Cardiopulmonary arrests are time-dependent emergencies where survival rates are quickly reduced without early intervention. BLS training programmes for teachers and schoolchildren must be mandatory, as they not only improve efficacy when performing the manoeuvres but also enhance willingness to do so. <b>Background/Objectives</b>: To analyse changes in knowledge and whether they are sustained in time after a theoretical-practical intervention led by nurses. To objectively analyse the quality of chest compressions according to the students' group and age. <b>Methods</b>: A quasi-experimental study without a Control Group and with three measuring instances: Baseline (T0), Immediate post-intervention (T1) and at three months (T2). Knowledge was assessed by means of an ad hoc questionnaire; in turn, the chest compressions were evaluated using a mannequin with feedback. The longitudinal changes were analysed based on paired discordant answers. Descriptive analyses according to age and schooling level were performed. <b>Results</b>: There were 982, 756 and 509 students at T0, T1 and T2, respectively. A total of 206 records were paired at all three measuring moments. The intervention was associated with an increase in knowledge test scores, which is preserved at three months. Most of the questionnaire items presented positive changes or remained unchanged. The significant difference was maintained in 8 of the 10 questions. As for the compressions, a significant and positive correlation was found between age and overall score, depth and rate. The comparative analysis between the Lower Secondary Education and Higher Secondary Education groups found significant differences in those same variables, as well as a difference in release. <b>Conclusions</b>: Altogether, the results of this study contribute evidence about the effectiveness of BLS training among adolescents in a real-world context, underscoring the need for ongoing and age-adapted interventions.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13118523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural Adaptation, Translation and Psychometric Validation of a Technology and eHealth Literacy Questionnaire Among Albanian Undergraduate Nursing Students.","authors":"Chrysi A Fragkioudaki, Enkeleint A Mechili, Petros Galanis, Evridiki Patelarou, Konstantinos Giakoumidakis, Athina E Patelarou","doi":"10.3390/nursrep16040139","DOIUrl":"https://doi.org/10.3390/nursrep16040139","url":null,"abstract":"<p><p><b>Background</b>: Rapid technological progress has transformed healthcare systems through integrating electronic health (eHealth) into clinical practice. Consequently, nursing students, upcoming healthcare professionals, face new challenges arising from this digital transition. Adequate technological skills and eHealth literacy are essential to meet the requirements of contemporary healthcare environments. The aim of this study was to translate, culturally adapt, and validate a questionnaire measuring technophilia, Internet use, eHealth literacy, and nursing students' attitudes toward technology and eHealth. <b>Methods</b>: A cross-sectional validation study was conducted using a convenience sample of Albanian undergraduate nursing students. After forward and backward translation, the instrument's construct validity was examined using exploratory factor analysis (EFA). Cronbach's alpha assessed internal consistency, and the relationships among the four constructs were explored using structural equation modeling (SEM). <b>Results</b>: A total of 357 undergraduate nursing students participated in the survey. EFA identified a clear four-factor structure corresponding to Technophilia, Internet Use, eHealth Literacy, and Technology and Electronic Health in Nursing Education, with all items demonstrating satisfactory factor loadings. Internal consistency of the four scales ranged from 0.692 to 0.852, indicating generally satisfactory reliability. Although the SEM model fit was below the recommended thresholds, the results provide some evidence for relationships among the constructs. <b>Conclusions</b>: The findings provide preliminary evidence for the reliability and validity of the adapted instrument and set a baseline for assessing Albanian nursing students' knowledge, skills, and attitudes regarding technology and eHealth literacy. Several strategies can be developed based on this evidence to prepare nursing students for technologically advanced healthcare systems.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13118461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leadership Styles Among Nurses: A Cross-Sectional Analysis Within the Full Range Leadership Framework.","authors":"Cátia Moreira, Pedro Moutinho, Paulo Alves, Liliana Mota","doi":"10.3390/nursrep16040141","DOIUrl":"https://doi.org/10.3390/nursrep16040141","url":null,"abstract":"<p><p><b>Background/Objective</b>: Leadership in nursing has been conceptualized as a multidimensional construct influencing organisational functioning and professional practice. Within the Full Range Leadership Model, leadership comprises transformational, transactional, and passive-avoidant dimensions that may coexist within individuals. This study aimed to examine how leadership dimensions coexist and interact among nurses and to explore their associations with professional characteristics within the FRLM framework. <b>Methods:</b> A cross-sectional quantitative study was conducted between November and December 2024 among 141 Portuguese nurses affiliated with a professional association dedicated to nursing leadership. Leadership behaviours were assessed using the Multifactor Leadership Questionnaire. A non-probability convenience sampling strategy was used. Descriptive and inferential analyses were performed using SPSS. <b>Results:</b> Transformational leadership emerged as the predominant behavioural pattern (M = 3.17, SD = 0.38), followed by transactional leadership (M = 2.51, SD = 0.46), with minimal laissez-faire behaviours (M = 0.83, SD = 0.50). Managers demonstrated significantly higher transformational scores (mean difference = 0.16, <i>p</i> = 0.018) and lower laissez-faire scores (mean difference = -0.27, <i>p</i> = 0.01) than specialists. Transformational leadership was positively correlated with transactional leadership (r = 0.309, <i>p</i> < 0.01) and negatively correlated with laissez-faire behaviours (r = -0.339, <i>p</i> < 0.01). <b>Conclusions:</b> The findings indicate a predominant transformational leadership profile among nurses, accompanied by complementary transactional behaviours and low passive-avoidant tendencies. The observed correlations support a dimensional interpretation of leadership consistent with the Full Range Leadership Model. These findings provide descriptive insight into leadership patterns within this nursing sample and may inform leadership development initiatives in comparable healthcare contexts.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13118296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quiet Quitting and Professional Burnout: Contemporary Challenges for Nursing Leadership.","authors":"João Miguel Almeida Ventura-Silva, Olga Maria Pimenta Lopes Ribeiro, Elaine Cristina Novatzki Forte, Letícia de Lima Trindade, Susana Filipa Mendes Castro, Marlene Patrícia Ribeiro, Diana Moreira Sanches, Sónia Cristina Costa Barros, Irina Alexandra Lopes Almeida, David Rigor Lage, Samuel Spiegelberg Züge","doi":"10.3390/nursrep16040140","DOIUrl":"https://doi.org/10.3390/nursrep16040140","url":null,"abstract":"<p><p><b>Objectives</b>: This study aimed to evaluate the relationship between quiet quitting and burnout among nurses, considering the influence of sociodemographic and occupational factors in healthcare settings. <b>Methods</b>: This cross-sectional, observational, and quantitative study was conducted from April to July 2025 in health services in northern Portugal, involving 1097 nurses who completed a questionnaire, the Silent Employment Abandonment Scale, and the Shirom-Melamed Burnout Scale. Descriptive and inferential analyses examined associations between sociodemographic variables, work context, and outcomes. <b>Results</b>: The 1097 participating nurses showed a positive correlation between overall quiet quitting and total burnout across all domains. Burnout remained significantly associated with overall quiet quitting after adjustment, and physical and cognitive fatigue showed the most consistent independent associations across models. The strongest coefficients were observed for the 'lack of motivation' dimension. <b>Conclusions</b>: Quiet quitting was consistently associated with burnout among nurses after adjustment for sociodemographic and occupational factors. The pattern of results was stronger for physical and cognitive fatigue and for lack of motivation, supporting the interpretation of quiet quitting as an important correlation of occupational strain in nursing and reinforcing the need for organizational and leadership strategies that reduce fatigue and sustain professional engagement.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 4","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13118747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}