Nursing Open最新文献

{"title":"Procrastination Within the Nursing Context: A Concept Analysis.","authors":"Han Zhang, Xinrong Mai, Jia Zhang, Min Zhu, Yang Liu","doi":"10.1002/nop2.70308","DOIUrl":"10.1002/nop2.70308","url":null,"abstract":"<p><strong>Aim: </strong>This study employs Walker and Avant's concept analysis methodology to systematically define and operationalise procrastination within nursing practice.</p><p><strong>Background: </strong>While 'procrastination' is widely cited in behavioural science literature, its definition remains ambiguous in the nursing context. This conceptual uncertainty hampers comparative research and the development of targeted interventions, underscoring the need for conceptual clarification.</p><p><strong>Design: </strong>A literature review guided by Walker and Avant's eight-step framework.</p><p><strong>Data sources: </strong>English-language articles published between 2003 and 2025 were retrieved from 11 major databases, including CINAHL Complete, Cochrane, MEDLINE Complete, PubMed, Science Direct, Health Source: Nursing/Academic Edition, Academic Search Complete and PsycARTICLES.</p><p><strong>Methods: </strong>Concept analysis was conducted following Walker and Avant's method. Article screening and data extraction were independently performed by two reviewers, with inter-rater agreement (κ = 0.86).</p><p><strong>Results: </strong>Three defining attributes of procrastination in nursing were identified: (1) a breakdown in self-regulation, (2) awareness of negative consequences and (3) the postponement of planned tasks. In nursing practice, its antecedents include heightened work stress, diminished self-efficacy and compromised personal health and fatigue. The consequences ranged from reduced quality of care and professional burnout to decreased motivation, poor performance and potential harm to patients.</p><p><strong>Conclusion: </strong>This analysis positions procrastination as a multidimensional construct in nursing, characterised by intentional task avoidance that carries significant systemic implications. The clarified conceptual framework offers a foundation for future research and strategies in nursing education, management and policy. These efforts may help mitigate procrastination's adverse effects on care quality and provider well-being.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 10","pages":"e70308"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professional Roles, Skills and Advanced Educational Programs of Breast Cancer Nurses: A Scoping Review.","authors":"Lucia D'Alessandro, Sara Morales Palomares, Stefano Mancin, Marco Sguanci, Daniela Cattani, Simone Cosmai, Diego Lopane, Margarita Gjeloshi, Giovanni Cangelosi, Beatrice Mazzoleni","doi":"10.1002/nop2.70251","DOIUrl":"10.1002/nop2.70251","url":null,"abstract":"<p><strong>Aim: </strong>To define the role, competencies and clinical focus of specialised breast cancer nurses and to explore post-basic academic training programmes available in Western countries.</p><p><strong>Design: </strong>A scoping review was reported following the PRISMA-ScR framework and aligned with JBI methodology.</p><p><strong>Methods: </strong>The research question was formulated using the Population, Concept and Context model. Searches were performed across four databases (Medline, Embase, Cochrane Library, CINAHL and Gray Literature) between July and September 2024. Article screening and data extraction were independently performed by two authors. Descriptive analysis was employed to interpret the data.</p><p><strong>Results: </strong>From an initial 1499 records, 143 studies were selected, with 16 included in the final analysis. The studies, published between 2001 and 2024, evaluated the role of breast cancer nurses in oncology, focusing on their impact on patient care, health outcomes, quality of life, psychological support and breast cancer nurses-led interventions. Two studies assessed educational programmes, identifying a diverse range of postgraduate degrees and specialised training options tailored to meet the specific needs of this essential nursing role.</p><p><strong>Conclusions: </strong>Breast cancer nurses are crucial in delivering comprehensive care and improving QoL for breast cancer patients. They contribute to enhancing clinical outcomes through patient education and support. Ongoing professional development and expanded education are essential to meet evolving patient needs.</p><p><strong>Implications for the profession: </strong>Breast cancer nurses play a pivotal role in improving patient outcomes by delivering education, psychological support and holistic care. To keep pace with the increasing complexity of breast cancer management, it is essential to prioritise expanded academic training and continuous professional development. These efforts will ensure BCNs are well prepared to address evolving patient needs and provide high-quality, comprehensive care.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 10","pages":"e70251"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Does Job Dissatisfaction Fuel Nurse Exit, Voice, Loyalty, and Neglect (EVLN) Behaviours? Insights From Dynamic Game Theory and a Cross-Sectional Survey.","authors":"Jackie Zhanbiao Li, Ming Chen, Yingqian Lao, Wanqing Hu","doi":"10.1002/nop2.70313","DOIUrl":"10.1002/nop2.70313","url":null,"abstract":"<p><strong>Aims: </strong>This study explores how nurses' job dissatisfaction influences their behavioural responses-exit, voice, loyalty, and neglect (EVLN)-within the framework of organisational behaviour, focusing on the Chinese cultural context using dynamic game theory. The goal is to provide insights for reducing nurse shortages.</p><p><strong>Design: </strong>A cross-sectional quantitative design was employed to assess the relationships between nurses' job dissatisfaction and EVLN behaviours in public hospitals in Chongqing, China, between January and May 2024.</p><p><strong>Methods: </strong>Data were collected using a structured questionnaire administered to registered nurses across tertiary public hospitals. The study combined Farrell's EVLN framework with dynamic game theory to analyse behavioural evolution. Quantitative analysis included descriptive statistics, reliability checks, correlation tests, multiple regression analyses, robustness checks, and heterogeneity analysis.</p><p><strong>Results: </strong>This study involved 1132 registered nurses, primarily female (94.88%), aged 20-39. Findings show that job dissatisfaction is positively correlated with exit (β = 0.3924, p < 0.01) and neglect (β = 0.6603, p < 0.01) behaviours, and negatively correlated with voice (β = -0.1483, p < 0.01) and loyalty (β = -0.1714, p < 0.01). Gender and education level significantly influenced the relationship between dissatisfaction and EVLN behaviours, while age and marital status showed partial heterogeneity. Dynamic game modelling revealed that nurses initially showing loyalty may shift to voice if dissatisfaction persists, and if voice is ignored, they may either transition to exit or move gradually to neglect.</p><p><strong>Conclusion: </strong>This study contributes to nursing management by applying dynamic game theory to the EVLN framework, revealing the evolutionary mechanisms through which nurses respond to job dissatisfaction and highlighting the cultural specificity of these behaviours in China's healthcare setting.</p><p><strong>Implications for the profession: </strong>Understanding the dynamic responses to job dissatisfaction can assist hospital administrators in developing strategies that promote nurse retention, encourage voice and loyalty behaviours, and mitigate exit and neglect.</p><p><strong>Impact: </strong>This study enriches the application of EVLN theory in China and Greater China, supporting hospital management and optimizing nursing strategies for sustainable hospital development.</p><p><strong>Patient or public contribution: </strong>No direct patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 10","pages":"e70313"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12507537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emotional Intelligence and Its Relationship With Demographic Characteristics Among Nurses and Nursing Students: A Cross-Sectional Study.","authors":"Ramin Razghandi, Lauren Lines, Omar Smadi, Aarti Gulyani","doi":"10.1002/nop2.70332","DOIUrl":"10.1002/nop2.70332","url":null,"abstract":"<p><strong>Aim: </strong>To examine the Trait emotional intelligence levels among nurses and nursing students, investigate the association between its components and explore the relationship between demographic variables and Trait emotional intelligence.</p><p><strong>Design: </strong>Cross-sectional Quantitative Study.</p><p><strong>Method: </strong>In 2024, we gathered self-reported Trait emotional intelligence scores from 128 nurses and nursing students through an online survey. SPSS was employed to analyse the data, and associations between Trait emotional intelligence components and participant characteristics were measured using correlation and regression techniques.</p><p><strong>Result: </strong>The mean Trait emotional intelligence score was 4.92, with Well-being (5.17) and Emotionality (5.05) being the highest components, while Self-control (4.65) and Sociability (4.57) scored lower than the average score. Trait emotional intelligence scores increased with age. There was a strong association between the components of Trait emotional intelligence.</p><p><strong>Conclusion: </strong>The study found that nurses and nursing students in this study have relatively high trait emotional intelligence. However, self-control and sociability were the lowest-scoring components, indicating key areas for development. The results underscore the significance of integrating emotional intelligence training into nursing education and professional development.</p><p><strong>Impact: </strong>The study addressed a gap in knowledge by examining the associations between emotional intelligence and demographic variables among nurses and nursing students. The findings offer insights for policymakers and educators to enhance emotional intelligence training for nurses and nursing students. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: This paper underscores the significance of emotional intelligence in nursing care and identifies demographic factors influencing emotional intelligence training. It also encourages further global research to explore emotional intelligence's role in clinical practice.</p><p><strong>Reporting method: </strong>The study followed STROBE guidelines for cross-sectional research.</p><p><strong>Public contribution: </strong>No patient or public involvement was included in the design or conduct of this study.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 10","pages":"e70332"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12475969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Qualitative Exploration of Medical Nurses' Perceptions of Patient-Centred Care: A Study in Medical Wards of Three Hospitals.","authors":"Dominic Abugre, Busisiwe R Bhengu","doi":"10.1002/nop2.70329","DOIUrl":"10.1002/nop2.70329","url":null,"abstract":"<p><strong>Aim: </strong>To explore medical nurses' perceptions of patient-centred care (PCC) and their experiences of patient-centredness in adult medical wards of three hospitals.</p><p><strong>Design: </strong>We employed a descriptive qualitative design with focus group discussions (FGDs). This design suited the study's objectives of exploring medical nurses' perceptions of PCC in adult medical wards of three selected hospitals and is ideal for collecting data on a phenomenon or experiences of participants.</p><p><strong>Methods: </strong>The method for data collection was FGDs, which enabled an interactive and dynamic exploration of medical nurses' perceptions of PCC. These data were collected from Northern Ghana in sub-Saharan Africa and analysed using the Six-phased Thematic Analysis proposed by Braun and Clarke.</p><p><strong>Results: </strong>The study revealed that medical nurses conceptualise PCC as a holistic approach to nursing care involving respect for the patient's individuality, cultural considerations, and effective communication. Perceptions of patient-centred practices highlight the importance of caring behaviours, collaboration, information dissemination, and holistic care. While PCC was perceived as positively affecting nursing care quality and nurse job satisfaction, it could increase workload. The predominant nursing models practised in the selected wards were task-based and \"cubicle nursing\". Successful PCC requires strong organisational support, adequate staffing, improved resources, and continuous patient-centred training.</p><p><strong>Reporting method: </strong>Adherence to EQUATOR guidelines was achieved by adopting the Standards for Reporting Qualitative Research (SRQR).</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 10","pages":"e70329"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Poor Implementation of Primary Preventive Care in Primary Healthcare Facilities of a Selected Municipality, Limpopo Province: Empirical Research Qualitative.","authors":"Bongani Kwinika, Seani Adrinah Mulondo","doi":"10.1002/nop2.70326","DOIUrl":"10.1002/nop2.70326","url":null,"abstract":"<p><strong>Aim: </strong>To determine factors influencing poor implementation of primary preventive care in primary healthcare facilities of a selected municipality.</p><p><strong>Design: </strong>The study adopted a qualitative approach, an exploratory and descriptive design, to gain in-depth data about the study topic.</p><p><strong>Methods: </strong>The study was conducted in five primary healthcare facilities in a selected municipality. A non-probability purposive sampling approach was used to select fifteen (15) primary healthcare professional nurses to participate in the study. Data was collected for a period of 1 month using semi-structured in-depth face-to-face interviews. Data analysis was done following Tesch's eight steps to develop themes and subthemes. Trustworthiness was ensured through credibility, transferability, dependability and conformability. Ethical clearance certificates were obtained, and ethical standards were observed throughout the study.</p><p><strong>Results: </strong>The study findings indicated that the shortage of material and human resources, financial management-related factors, personnel impacts, attitudes and beliefs of consumers towards services, support systems, and the increased burden of disease are factors influencing poor implementation of primary preventive care in primary healthcare facilities of a selected municipality. The study recommends that an increased budget for preventive care could curb the poor implementation of primary preventive care services in primary healthcare facilities.</p><p><strong>Impact: </strong>The study addressed the poor implementation of primary preventive health services in a selected municipality. Factors such as a shortage of material and human resources, financial management-related factors, personnel impacts, attitudes and beliefs of consumers towards services, support systems, and an increased burden of disease were revealed as associated with the poor implementation of primary preventive care in primary healthcare facilities of a selected municipality. Policymakers should collaborate with community stakeholders and healthcare providers to review available health policies and programmes. The revisions of health policies could guide the health facilities to improve the implementation of PPC and realise universal health coverage through the National Health Insurance (NHI) for the provision of quality healthcare services to all citizens and, consequently, accomplishing the health-related sustainable development goal agenda by 2030; the Department of Health should introduce additional techniques for engineering PHC with an emphasis on implementing primary preventive care to improve the implementation of PPC in PHC facilities.</p><p><strong>Reporting methods: </strong>EQUATOR guidelines.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 10","pages":"e70326"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'We Were Empowered': Using the Consolidated Framework for Implementation Research to Examine a Novel Paediatric Nurse Preceptor Programme in Malawi.","authors":"Brittney J van de Water, Kelsey Renning, Olivia Yang, Ijaabo Ali, Blessings Chiluzi, Chimwemwe Mula, Julie Mann, Netsayi Kilembe Gowero, Anda Nyondo, Lignet Chepuka","doi":"10.1002/nop2.70327","DOIUrl":"10.1002/nop2.70327","url":null,"abstract":"<p><strong>Aim: </strong>To understand barriers and facilitators to the implementation of a novel paediatric critical care nurse preceptor programme in Malawi.</p><p><strong>Design: </strong>Qualitative content analysis.</p><p><strong>Methods: </strong>Using the Consolidated Framework for Implementation Research (CFIR), 20 individual interviews via Zoom were conducted. A predetermined codebook was used to code transcripts using the five CFIR domains. Barriers and facilitators were identified per domain and coded using the CFIR constructs, and themes were generated per domain.</p><p><strong>Results: </strong>Participants reported the preceptor programme was comprehensive, well designed and delivered effectively (innovation). Partnerships are essential to the programme's initiation and likely are important to the programme's sustainability (outer setting). Participants voiced challenges with the lack of physical and human resources, leading to prioritisation of patient needs over programme attendance at times (inner setting). Yet, preceptors were motivated by this programme and appreciated the advantage of this programme over previous programmes and gained confidence and competence in their ability to precept students (individuals). In terms of the process, participants felt they needed additional time to devote to this programme and fully engage (process).</p><p><strong>Conclusion: </strong>This paediatric critical care nurse preceptor programme had significant strengths across all five CFIR domains, yet participants also discussed areas to improve upon. Participants voiced enthusiasm for the programme to be sustained and to expand within and beyond Malawi.</p><p><strong>Implications for practice: </strong>Understanding the barriers and facilitators to a programme is critical before scaling up or scaling out. Improving challenges and building upon facilitators will strengthen the programme in future iterations.</p><p><strong>Impact: </strong>Providing bedside nurses with knowledge and skills to precept students may decrease the shortage of quality paediatric critical care nurses through two avenues: (1) empowering them with confidence and competence and (2) improving the pipeline of well-trained students. Ultimately, improving clinician quality can impact patient outcomes.</p><p><strong>Reporting methods: </strong>This study complied with the standards for reporting qualitative research (SRQR).</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 10","pages":"e70327"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Palliative Care as a Predictor of Professional Stress and Mental Health in Nurses: A Cross-Sectional Study.","authors":"Marija Ljubičić, Gianna Pavletić, Sonja Šare, Ivana Gusar, Boris Dželalija, Marijana Matek Sarić, Tatjana Šimurina, Samir Čanović, Dario Nakić, Suzana Konjevoda","doi":"10.1002/nop2.70219","DOIUrl":"10.1002/nop2.70219","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;This study aimed to investigate the relationships among palliative care, occupational nursing stress and psychological indices.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;This cross-sectional study included 180 nurses employed in healthcare facilities (primary health care, outpatient clinics, hospitals, geriatric institutions and home care facilities) in the Zadar County, Croatia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We included two groups of nurses: those providing palliative care (N = 94) and those not providing palliative care (N = 86). Data on sociodemographic characteristics, personality types, self-esteem, anxiety, depression, sleepiness, resilience and occupational nursing stress were also collected. Multiple linear regression models were used to determine the associations among palliative care, occupational nursing stress, resilience, sleepiness, anxiety, depression, self-esteem and personality traits.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Palliative care was associated with nursing stress (β = 0.36; p &lt; 0.001), death and dying (β = 0.28; p &lt; 0.001), inadequate preparation (β = 0.14; p = 0.022) and sleepiness (β = -0.19; p = 0.021). Nurses providing palliative care reported a lack of support (β = -0.14; p = 0.028), which was associated with workload (β = 0.44) and uncertainty about patient care (β = 0.41), p &lt; 0.001 for both. Conflict between nurses and physicians increased the conflict among nurses (β = 0.49; p &lt; 0.001) and uncertainty about treatment (β = 0.35; p &lt; 0.001). Death and dying contributed to workload (β = 0.23; p = 0.006) and uncertainty about treatment (β = 0.23; p = 0.014). Nursing stress contributed to depression (β = 0.16; p = 0.009) and anxiety (β = 0.12; p = 0.043) and vice versa. These results support the hypothesis that palliative nursing care is related to occupational stress.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Providing palliative nursing care was associated with higher levels of occupational stress. Stress may trigger adverse health consequences such as the development of anxiety, depression and other chronic non-communicable diseases. Support programs are indispensable for strengthening nurses' skills and reducing occupational stress to maintain their health and ensure high-quality patient care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for the profession and/or patient care: &lt;/strong&gt;A non-probabilistic convenience sample of nurses was the subject of a cross-sectional study to assess the level of occupational stress of nurses who provide palliative nursing care and its impact on nurses' mental health. Occupational stress in palliative care can have negative health consequences for nurses, including the development of anxiety, depression and other chronic non-communicable diseases. Consequently, the quality of nursing care may be adversely affected. Palliative patients, especially at the end of life, are at risk of lower quality of healthcare, which can deteriorate care outcomes and patient satisfaction.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;No pati","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 9","pages":"e70219"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12425802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transition Shock Among Nursing Interns: Roles of Achievement Motivation and Clinical Practice Environment-A Cross-Sectional Study.","authors":"Siman Chen, Weijuan Liu, Yuan Li, Ping Zhang, Huiling Ye, Xiaoyu Feng, Pingdong Li, Liang Ruan, Xiaobing Wu","doi":"10.1002/nop2.70297","DOIUrl":"10.1002/nop2.70297","url":null,"abstract":"<p><strong>Aims: </strong>To examine the relationships between achievement motivation, clinical practice environment and nursing interns' transition shock.</p><p><strong>Design: </strong>A descriptive cross-sectional study with an online survey.</p><p><strong>Methods: </strong>This study included 343 nursing interns from practice hospitals across six Chinese provinces. Data were collected via convenience sampling from June to September 2022. A researcher-designed sociodemographic questionnaire covering key demographic and internship-related characteristics was administered alongside three validated instruments: the Achievement Motivation Scale, the Clinical Practice Environment Scale and the Transition Shock Scale. Data were analysed through univariate analysis, correlation analysis and multiple linear regression analysis. The STROBE checklist was adhered to for reporting.</p><p><strong>Results: </strong>Conflict between theory and practice was the most prominent aspect of transition shock among nursing interns. Multiple linear regression analysis identified achievement motivation, clinical practice environment, attitudes towards the nursing profession, educational level and the average number of overtime hours per week since internship as influencing factors of nursing interns' transition shock, explaining 30% of the total variance.</p><p><strong>Conclusions: </strong>This study underscores the critical role of strong achievement motivation and a supportive clinical practice environment in mitigating transition shock among nursing interns.</p><p><strong>Implications for the profession: </strong>Nursing interns often experience transition shock due to the mismatch between theory and practice, which hinders their readiness for professional nursing roles. Our findings provide important insights for nursing educators and administrators in developing tailored interventions to reduce transition shock. Nursing educators and administrators should incorporate guidelines to boost nursing interns' achievement motivation into education programmes and develop a clinical environment improvement plan that focuses on creating a harmonious and positive learning and working environment through continuous consultation.</p><p><strong>Public contribution: </strong>Throughout the data collection procedure, nursing interns' feedback was used to help evaluate study techniques and interpret findings.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 9","pages":"e70297"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12412515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal Research: Differences in Nurse Work Environment Between the COVID-19 Outbreak and Mitigation Periods.","authors":"Ru-Wen Liao, Chu-Hsuan Cheng, I-Shiang Tzeng","doi":"10.1002/nop2.70294","DOIUrl":"10.1002/nop2.70294","url":null,"abstract":"<p><strong>Aim: </strong>The coronavirus disease 2019 (COVID-19) outbreak led to a massive influx of patients into hospitals, thus prompting the implementation of various response mechanisms to manage the surge in number of patients. During the mitigation period, hospital response mechanisms ceased and ensued a return to normal settings. However, changing hospital settings can affect nurses' work environments. Therefore, the primary objectives of this study were to investigate the impact of changes during disease outbreaks and the mitigation period on nurses' work environments, and to analyse the relationship between nurses' background variables and work environments.</p><p><strong>Study design: </strong>A longitudinal research design is employed herein.</p><p><strong>Methods: </strong>Two surveys were conducted in a hospital: the first during the COVID-19 outbreak period, when the hospital implemented response mechanisms, and the second during the COVID-19 mitigation period, when the hospital returned to normalcy. The questionnaire covered the nurses' background variables and work environment.</p><p><strong>Results: </strong>When the COVID-19 outbreak transitioned to the mitigation period, satisfaction with managerial (p < 0.05) and unit support (p < 0.05) in the workplace decreased. Regarding the relationship between nurses' backgrounds and work environment satisfaction, we found that nurses working in COVID-19 dedicated units reported higher satisfaction with manager support (p < 0.001), peer support (p < 0.001), unit support (p < 0.05) and intent to stay (p < 0.05) than those in non-COVID-19 dedicated units. Additionally, factors such as age, nursing experience, sex, education, clinical teaching/mentoring roles, perceived COVID-19 infection risk, work shifts, housing problems during the outbreak and experience of discrimination influenced work environment satisfaction.</p><p><strong>Patient or public contribution: </strong>Hospitals need to adjust the transformational steps of their COVID-19 or emerging infectious disease response mechanisms, or provide sufficient support to these nurses to mitigate the impact on their work environment.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 9","pages":"e70294"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}