SAGE Open Nursing最新文献

{"title":"Understanding Work Meaning: A Qualitative Comparative Study of Novice and Experienced Head Nurses in Hospital Leadership.","authors":"Marina Vexler, Ibrahim Abu Ras","doi":"10.1177/23779608261464750","DOIUrl":"10.1177/23779608261464750","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to explore and compare the perceptions of novice and experienced head nurses in a hospital setting regarding the meaning of their work.</p><p><strong>Design: </strong>A qualitative comparative study was conducted face-to-face interviews.</p><p><strong>Methods: </strong>Thirty nurse managers (15 novice, 15 experienced) from an 800-bed hospital in Israel were selected via convenience sampling and participated in semi-structured interviews during January-March 2025. Data were analyzed thematically using Braun and Clarke's six-step method, focusing on participants' experiences and perspectives.</p><p><strong>Results: </strong>Four themes were identified related to the meaning of head nurses' work: (a) leadership and influence, (b) emotional commitment and sense of mission, (c) challenges and professional success, (d) balancing a managerial role with personal needs.</p><p><strong>Conclusion: </strong>This study revealed that novice and experienced head nurses attach different meanings to their work. Novice managers emphasized immediate impact, daily achievements, and personal development, while experienced managers focused on long-term vision, mentoring others, and sustaining a supportive unit culture. These differences suggest that leadership development should be tailored: for novice head nurses, training should strengthen confidence in decision-making, stress management, and short-term leadership skills; for experienced head nurses, support should focus on mentorship opportunities, succession planning, and strategies to maintain resilience over a prolonged career. Addressing these distinct needs can enhance effectiveness, job satisfaction, and the sustainability of nursing leadership across career stages.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261464750"},"PeriodicalIF":2.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13364808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148449884","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":"The Lived Experiences of Highly Educated Internationally Educated Nurses Transitioning to Practice in Canada.","authors":"Emilene Reisdorfer, Mona Haimour, Amina Regina Silva, Mary Asirifi, Margaux Papadopoulos","doi":"10.1177/23779608261465162","DOIUrl":"10.1177/23779608261465162","url":null,"abstract":"<p><strong>Background: </strong>Highly Educated Internationally Educated Nurses (HE IENs) face unique challenges when transitioning into Canadian nursing practice. Despite their advanced qualifications, they often encounter systemic barriers, including credential recognition issues, licensing complexities, cultural adaptation, and discrimination.</p><p><strong>Objective: </strong>To explore the lived experiences of HE IENs transitioning to practice in Canada, identify key challenges and facilitators, and offer recommendations to support their integration and retention.</p><p><strong>Methods: </strong>HE IENs were recruited through purposive and snowball sampling. Data was collected via semi-structured narrative interviews and analyzed using Deductive Qualitative Analysis (DQA), which combines deductive and inductive coding.</p><p><strong>Results: </strong>14 participants shared that graduate education was both an asset and a barrier. While it enhanced confidence and academic preparedness, it was often undervalued by employers and regulatory bodies. Participants reported being labelled \"overqualified,\" facing opaque licensing processes, and experiencing racism and cultural exclusion. Many concealed their credentials to access employment or pursued Canadian degrees to gain legitimacy. Facilitators included peer networks, bridging programs, and personal resilience. Despite systemic challenges, participants remained committed to their profession and demonstrated adaptability and advocacy.</p><p><strong>Conclusions: </strong>HE IENs bring valuable expertise but face significant integration barriers in Canada. Their experiences highlight the need for inclusive, transparent systems that recognize international credentials and support equitable workforce participation. Tailored strategies-such as mentorship, centralized information platforms, credential recognition, and alternative registration pathways-are essential to improve HE IENs' integration and retention.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261465162"},"PeriodicalIF":2.9,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13309652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346746","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":"A Thematic Analysis of Ethical Issues Faced by Nursing Students in Clinical Practice.","authors":"Elena Panayiotou, Maria Dimitriadou, Andreas Charalambous, Theologia Tsitsi","doi":"10.1177/23779608261436765","DOIUrl":"10.1177/23779608261436765","url":null,"abstract":"<p><strong>Introduction: </strong>Ethical and moral complexities are common in clinical environments and shape nursing students' professional development. Ethics education supports the development of critical thinking and moral reasoning in nursing students, enabling them to recognize and effectively address ethical issues in their professional practice. Studies have highlighted ethical issues nursing students face during their clinical placements.</p><p><strong>Objectives: </strong>This study aimed to explore the ethical issues nursing students faced during their four-year clinical training.</p><p><strong>Methods: </strong>A qualitative study was conducted using deductive thematic analysis, following Braun and Clarke's framework. A purposive sample of fourth-year undergraduate nursing students at a University in Cyprus (academic year 2022-2023). Data derived from written responses to an open-ended question embedded in the Nursing Ethics and Professional Legislation module.</p><p><strong>Results: </strong>With a response rate of 96.49% (55 students), analysis identified three themes: (1) Violation of Patients' Rights (autonomy, informed consent, equality/religious freedom, access to medical records, and privacy), (2) Moral Distress (anxiety/pressure, awareness of the ideal but constrained action), and (3) Professional Liability and Nursing Codes of Ethics (communication failures, neglect, and lapses in duty of care).</p><p><strong>Conclusions: </strong>Nursing students observed violations of patient autonomy, informed consent, privacy, and equality, and experienced moral distress. Ethics education should emphasize core values, strengthen ethical decision making, and foster moral courage. In addition, academic and clinical settings need to provide emotional and professional support, to help students manage distress, and develop resilience as future professionals.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261436765"},"PeriodicalIF":2.9,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346790","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":"Resilience-Building Interventions and Advanced Life Support Competency for Emergency Nurses in Palestinian Hospitals: A Scoping Review.","authors":"Saqr Alkorom, Mei-Chan Chong, Noor Hasliza Che Seman, Ibrahim Aqtam","doi":"10.1177/23779608261464872","DOIUrl":"10.1177/23779608261464872","url":null,"abstract":"<p><strong>Background: </strong>Emergency nurses in Palestinian hospitals operate under chronic stress related to political instability, resource constraints, and high trauma exposure. These conditions may affect both psychological resilience and Advanced Life Support (ALS) competency, yet the evidence base remains unclear. This scoping review sought to map the available body of literature about psychological resilience and ALS competency among emergency nurses in Palestine, identify gaps in research, and determine the relationship between psychological resilience and ALS competency, which is the core focus of this review.</p><p><strong>Methods: </strong>Following PRISMA-ScR guidelines and JBI scoping review methodology, a comprehensive search of seven electronic databases and grey literature was conducted for studies published between January 2000 and January 2026. Two reviewers independently screened studies and extracted data using a standardized, pilot-tested charting form. Findings were synthesized descriptively using narrative synthesis organized around the review objectives.</p><p><strong>Results: </strong>From 1,292 records identified, 18 studies met inclusion criteria. Most studies were descriptive or correlational (94.4%). Burnout prevalence among emergency nurses ranged from 64% to 72.9%, and substantial gaps in ALS/BLS knowledge were reported, including low accuracy in resuscitation sequence identification (26.6%). Only one intervention study was identified, evaluating simulation-based BLS training. No studies were found that assessed resilience-based or comprehensive programs which address psychological wellbeing and clinical competency issues. There were no studies that specifically analyzed the connection between psychological resilience and competency in ALS.</p><p><strong>Conclusion: </strong>The existing literature on Palestinian emergency nurses is dominated by descriptive studies, with a marked absence of intervention research. Despite documented psychological distress and clinical competency gaps, no studies have evaluated psychological resilience-focused or integrated interventions. This review highlights critical evidence gaps and provides a foundation for future intervention-oriented research.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261464872"},"PeriodicalIF":2.9,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346760","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":"The Relationship Between Perceived Digital Skills and Team Effectiveness Among Nurses in Saudi Governmental Hospitals: A Cross-Sectional Study.","authors":"Ahmad Rayan, Afifa Musalim Alruwili, Manal Hassan Baqeas, Nidal Eshah, Fadwa Alhalaiqa, Mirna Fawaz, Sally Abu Shairah","doi":"10.1177/23779608261464742","DOIUrl":"10.1177/23779608261464742","url":null,"abstract":"<p><strong>Introduction: </strong>In Saudi Arabia, the Vision 2030 has charged e-health efforts in an attempt to enhance service quality, efficiency, and access. To date, there is little empirical evidence on the positive outcomes of digital application skills on nurses' teamwork.</p><p><strong>Purpose: </strong>This study sought to explore the association between nurses' perceived digital skills and their perception of nursing team effectiveness in Saudi hospitals.</p><p><strong>Methods: </strong>A quantitative descriptive-correlational cross-sectional design was employed. Data were collected from registered nurses at Prince Mutaib bin Abdulaziz Hospital and Dumat Al-Jandal Hospital using the Nursing Digital Application Skills Scale (NDASS; Qin et al., 2024) and the Team Effectiveness Scale for Nursing Units (TES-NU; Kim et al., 2024). Data were analyzed using IBM SPSS.</p><p><strong>Results: </strong>Of 300 nurses invited, 210 completed usable surveys (response rate = 70%). Nurses reported moderate-to-high perceived digital skills and team effectiveness perceptions. There was a moderate positive correlation between digital skills and team effectiveness among nurses (<i>r</i> = 0.50, <i>p</i> < .001). Multiple linear regression identified digital skills as significantly associated with team effectiveness perceptions (<i>B</i> = 0.402, <i>t</i> = 7.868, <i>p</i> < .001).</p><p><strong>Conclusion: </strong>Nurses' perceived digital skills are significantly associated with their perceptions of nursing team effectiveness. These findings suggest targeted digital skills enhancement may be associated with improved nursing teamwork perceptions, informing workforce development strategies aligned with Saudi Vision 2030 healthcare transformation goals.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261464742"},"PeriodicalIF":2.9,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13309673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346777","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":"Prevalence and Factors Associated With Pregnancy-Related Anxiety Among Women Attending an Antenatal Clinic in Cameroon.","authors":"Fabrice Djouma Nembot, Deborah Kakapen, Roger Ndzana, Francis Duhamel Nang Nang, Gaétan Bérenger Nfongué Nkem, Dimba Marmo, Jerome Ateudjieu","doi":"10.1177/23779608261464752","DOIUrl":"10.1177/23779608261464752","url":null,"abstract":"<p><strong>Background: </strong>Pregnancy-related anxiety is a significant public health concern, yet evidence on its prevalence and associated factors remains limited in Cameroon. This study aimed to estimate the prevalence of pregnancy-related anxiety and identify associated factors among women attending antenatal care service in Cameroon.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among pregnant women attending their first antenatal care visit for the current pregnancy. A total of 316 participants were enrolled after providing informed consent. Data were collected using Pregnancy-related Anxiety Questionnaire-Revised 2. Bivariate and multivariate logistic regression analyses were performed to identify factors associated with pregnancy-related anxiety.</p><p><strong>Results: </strong>The prevalence of PRA was 23.4% (95% CI: 19.1% - 28.4%), with common concerns including fear of giving birth (25.0%), concerns about having a child with health problems or disability (22.15%), and concern about one's appearance (21.20%). Multivariate analysis identified significant factors associated with pregnancy-related anxiety, including younger maternal age (OR = 0.94, 95% CI: 0.89 - 0.98, p= 0.015), being a victim of intimate partner violence (OR = 5.23, 95% CI: 1.15 - 23.79, p= 0.002), being primigravida (OR = 6.18, 95% CI: 1.86 - 44.55, p= 0.026), and having a history of stillbirth (OR = 12.4, 95% CI: 1.21 - 26.7, p= 0.034).</p><p><strong>Conclusion: </strong>Nearly one in four pregnant women in this study experienced pregnancy-related anxiety. Younger maternal age, intimate partner violence, primigravidity, and a history of stillbirth were significant risk factors. These findings highlight the need for targeted screening and interventions in antenatal care to address pregnancy-related anxiety and improve maternal mental health outcomes.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261464752"},"PeriodicalIF":2.9,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346784","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":"Effects of Mindfulness-Based Cognitive Therapy on Quality of Life and Mental Health Among Women With Cancer: Systematic Review and Meta-Analysis.","authors":"Huyen Thi Hoa Nguyen, Hien Thi Bui, My Huyen Hac, Tran Ngoc Tran, Anh Chau Nguyen, Thanh Chau Nguyen, Quyen Thu Do, Quyen Ngoc Bao Nguyen, Anh Quynh Dang","doi":"10.1177/23779608261457726","DOIUrl":"10.1177/23779608261457726","url":null,"abstract":"<p><strong>Background: </strong>Mindfulness-based cognitive therapy (MBCT), which integrates cognitive therapy principles with mindfulness practices, may address both psychological distress and quality of life (QoL) among women with cancer. However, its specific benefits in this population remain insufficiently synthesized.</p><p><strong>Objective: </strong>To evaluate the short-term (post-intervention) and longer-term (≥3 months follow-up) effects of MBCT on quality of life and mental health outcomes in women with cancer.</p><p><strong>Methods: </strong>A systematic search of PubMed, CINAHL, Web of Science, Scopus, and Cochrane CENTRAL was conducted from inception to March 2026. Eligible studies included adult women with cancer receiving MBCT and reporting quantitative outcomes on quality of life or mental health. Risk of bias was assessed using standard tools. Where appropriate, random-effects meta-analyses were performed.</p><p><strong>Results: </strong>Thirteen studies (n = 766) were included, of which nine contributed to meta-analysis. Participants had a mean age of 49.46 years, with breast cancer being the most common diagnosis (n = 10 studies). MBCT demonstrated improvements in QoL and selected mental health outcomes at both post-intervention and follow-up (all p < 0.05). Improvements were most consistent for fatigue, fear of cancer recurrence, and mindfulness. However, the certainty of evidence ranged from low to very low, primarily due to small sample sizes, heterogeneity, and risk of bias.</p><p><strong>Conclusions: </strong>MBCT shows preliminary promise in improving QoL and psychological outcomes among women with cancer and may be feasibly integrated into survivorship care. However, findings should be interpreted with substantial caution given the limited certainty of evidence. Larger, methodologically rigorous trials are needed to confirm these exploratory effects.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261457726"},"PeriodicalIF":2.9,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346772","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":"Factors Predicting Financial Burden Among Family Caregivers of Dependent Stroke Survivors in Selected Tertiary Care Hospitals: A Study From Thailand.","authors":"Surachet Boonchokanan, Sirirat Leelacharas, Jiraporn Lininger","doi":"10.1177/23779608261464307","DOIUrl":"10.1177/23779608261464307","url":null,"abstract":"<p><strong>Introduction: </strong>Stroke is a neurological disease that leads to severe morbidity and mortality globally. Family caregivers are directly impacted by patients who have a stroke, especially regarding financial burdens.</p><p><strong>Objectives: </strong>To describe and examine factors predicting family caregivers' financial burden, using the bidirectional relationship concept developed by Isik and colleagues (2019) as a guiding model to build a new framework for Thai family caregivers.</p><p><strong>Methods: </strong>A cross-sectional study with a predictive-correlational design was employed. Using a purposive sampling technique, 124 eligible family caregivers of dependent stroke survivors were recruited from two governmental tertiary care hospitals (Thailand). However, only 120 family caregivers were included after 4 extreme outliers were removed. The questionnaires comprised demographic information, illness perceptions, social support, financial management, non-medical costs, and family caregivers' financial burden. Descriptive and correlational and multiple regression (MR) analyses were used to analyse data.</p><p><strong>Results: </strong>The MR analysis revealed the model's overall fit: F(7,112) = 27.185, p < 0.01. Age, educational level, family caregivers' income, social support, and family caregivers' financial management could help predict the financial burden for family caregivers of dependent stroke survivors, explaining 60.6% of the variance. Financial management was the most robust predictor of financial burden for family caregivers (β = 0.449; p < .01).</p><p><strong>Conclusion: </strong>Family caregivers' financial burden in dependent stroke survivors is an important focus. The findings suggested that hospital administrators and healthcare providers should prepare and tailor financial programs and support systems. Policymakers should also consider these factors when developing social welfare policies to mitigate the long-term financial burden on family caregivers. Nurses in Thailand still remain a valuable source of social support for family caregivers, helping them manage health concerns and reduce financial burdens.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261464307"},"PeriodicalIF":2.9,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346748","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":"Regulatory Focus Mediates the Relationship Between Psychological Capital and Team Job Crafting: A Cross-Sectional Study.","authors":"Shuo Wang, Jie Yuan, Xiaojie Fang, Yulian Wei, Junjie Ma, Xuebing Jing","doi":"10.1177/23779608261463011","DOIUrl":"10.1177/23779608261463011","url":null,"abstract":"<p><strong>Background: </strong>Modern healthcare's increasing complexity requires team-based nursing care, yet the psychological mechanisms of nurses' team job crafting remain under explored. This study aims to explore the association between psychological capital and team job crafting in clinical nurses and to test the mediating effect of regulatory focus.</p><p><strong>Methods: </strong>A cross-sectional design was employed, with 465 clinical nurses recruited from five hospitals in China. Data collection included a demographic questionnaire and three validated scales: the Psychological Capital Scale for Nurses, the Regulatory Focus Scale, and the Chinese version of the Team Job Crafting Scale. Data were analyzed using SPSS 25.0 for descriptive statistics and Amos 23.0 for structural equation modeling to examine the hypothesized path relationships.</p><p><strong>Results: </strong>Nurses' team job crafting averaged 3.95±0.64, with significant positive correlations to psychological capital and regulatory focus (p<0.05). The regression model (Adjusted R²=0.731) identified age, gender, length of service, higher sense of responsibility and confidence, and both promoting/defensive focus as significant predictors. Regulatory focus partially mediated the psychological capital-team job crafting (β=0.214, 95%CI [0.114,0.221]), accounting for 32.4% of the total effect.</p><p><strong>Conclusion: </strong>Clinical nurses demonstrated moderate team job crafting levels, suggesting room for improvement. Significant predictors included older older, female, and with long work experience. Regulatory focus emerged as both a direct predictor and partial mediator (32.4%) between psychological capital and team job crafting.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261463011"},"PeriodicalIF":2.9,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346718","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":"Professional Experience, Perceived Overcrowding, and Workplace Violence Exposure Among Emergency Healthcare Professionals: A Cross-Sectional Study.","authors":"Ibraheem Abu Ras, Imad Fashafsheh, Nizar B Said","doi":"10.1177/23779608261463023","DOIUrl":"10.1177/23779608261463023","url":null,"abstract":"<p><strong>Introduction: </strong>Workplace violence (WPV) is a major occupational safety concern in emergency departments, where healthcare professionals frequently interact with distressed patients and families under conditions of high workload and crowding. Shorter professional experience and perceived overcrowding may be associated with greater exposure to WPV, while formal reporting of incidents often remains limited.</p><p><strong>Aim: </strong>This study aimed to examine the prevalence of WPV exposure and formal reporting behavior among emergency healthcare professionals and to assess the association of professional experience and perceived overcrowding with WPV exposure.</p><p><strong>Methods: </strong>An analytical cross-sectional study was conducted among 300 nurses and physicians working in emergency departments of three tertiary hospitals within a large public healthcare system. A non-probability convenience sampling method was used. Data collection took place between January 2025 and April 2025 using a structured paper-based self-administered questionnaire. Descriptive statistics were used to summarize WPV exposure, perceived risk factors, preventive strategies, and reporting behavior. Multivariable logistic regression was used to examine factors associated with WPV exposure.</p><p><strong>Results: </strong>Overall, 71.3% of participants reported exposure to WPV, and only 34.6% of exposed participants formally reported the most recent incident. Shorter emergency department experience was associated with higher odds of WPV exposure (OR = 2.10, 95% CI: 1.39-3.17, p < .001). High perceived overcrowding was also associated with increased odds of WPV exposure (OR = 1.99, 95% CI: 1.25-3.16, p = .004). Profession and gender were not significantly associated with WPV exposure in the multivariable model.</p><p><strong>Conclusion: </strong>WPV exposure was common among emergency healthcare professionals, whereas formal reporting was low. Shorter professional experience and perceived overcrowding were associated with greater odds of WPV exposure. These findings support the need for organizational strategies that strengthen violence prevention, support less experienced staff, and improve formal reporting systems.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"12 ","pages":"23779608261463023"},"PeriodicalIF":2.9,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346787","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}