BMC Nursing最新文献

{"title":"Navigating artificial intelligence in home healthcare: challenges and opportunities in nursing wound care.","authors":"Sara Karnehed, Ingrid Larsson, Lena Petersson, Lena-Karin Erlandsson, Daniel Tyskbo","doi":"10.1186/s12912-025-03348-7","DOIUrl":"https://doi.org/10.1186/s12912-025-03348-7","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) is increasingly introduced into healthcare, promising improved efficiency and clinical decision-making. While research has mainly focused on AI in hospital settings and physician perspectives, less is known about how AI may challenge the values that guide nursing practices. This study explores nurses' perceptions of wound care in municipal home healthcare and the opportunities and challenges with the integration of AI technologies into their practices.</p><p><strong>Methods: </strong>An exploratory qualitative study using semi-structured interviews was conducted with 14 registered nurses from two municipalities in Sweden. Participants were recruited through purposive sampling, and data were collected through individual interviews, either in person or via video call. Interviews were transcribed verbatim and analyzed inductively, inspired by the Gioia methodology. This approach allowed themes to emerge from the data while maintaining close alignment with participants' perspectives. In a subsequent phase, the data were interpreted through the lens of Mol's Logic of Care to deepen understanding of the relational, embodied, and adaptive nature of wound care. Ethical approval was obtained, and the study adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ).</p><p><strong>Results: </strong>Three interconnected dimensions emerged from the data: relational, embodied, and adaptive practices. Nurses emphasized the importance of relational work in wound care, highlighting the trust and continuity necessary for effective wound care, which AI-driven automation might overlook. Embodied practices, such as sensory engagement through touch, sight, and smell, were central to wound care, raising nurses' concerns about AI's ability to replicate these nuanced judgments. Adaptive practices, including improvisation and situational awareness in non-standardized home environments, were presented as challenges for AI integration, as existing digital systems were perceived as rigid and often increased administrative burdens rather than streamlining care.</p><p><strong>Conclusions: </strong>Home healthcare nurses' perspectives highlight the complex interplay between technology and caregiving. While AI could support documentation and diagnostic processes, its current limitations in relational, sensory, and adaptive aspects raised the nurses' concerns about its suitability for wound care in home settings. Successful AI integration should account for the realities of nursing practice, ensuring that technological tools enhance the embodied, relational, and adaptive dimensions of wound care. Applying Mol's Logic of Care helps illuminate how good care emerges through ongoing, situated practices that resist full automation. Future research could further explore how AI aligns with professional nursing values and decision-making in real-world care settings.</p><p><strong>Clinical trial number: </st","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"660"},"PeriodicalIF":3.1,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From viewership to appetite: a study on Mukbang watching prevalence and its influence on hedonic hunger among university nursing students.","authors":"Amel Attia Abd Elghaffar Moustafa, Mariam Roshdy Elkhayat, Abeer Abd El-Aziz Madian, Ahmed Abdellah Othman, Mahmoud Abdelwahab Khedr, Asmaa Hamed Mohamed","doi":"10.1186/s12912-025-03287-3","DOIUrl":"10.1186/s12912-025-03287-3","url":null,"abstract":"<p><strong>Background: </strong>Mukbang, a popular online activity from South Korea, involves hosts consuming large quantities of food while engaging with viewers. Concerns about its potential impact on eating behaviors have been raised, particularly among vulnerable populations such as university nursing students.</p><p><strong>Aim: </strong>This study investigates the prevalence of Mukbang watching and its influence on hedonic hunger, characterized by cravings for pleasurable foods independent of physiological hunger.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 746 undergraduate nursing students at Damanhour University, Egypt. Data were collected through an online survey that assessed socio-demographic information, Mukbang watching habits, and hedonic hunger using the Mukbang Addiction Scale and the Power of Food Scale. Data were collected from December 2024 to February 2025.</p><p><strong>Results: </strong>The mean age of participants was 21.04 ± 1.55 years, with 68.4% being female. A significant percentage (68.5%) reported watching food-related videos, spending an average of 13.61 ± 42.46 min daily on such content. The mean score for Mukbang addiction was 11.02 ± 4.91, while the mean hedonic hunger score was 39.79 ± 13.41. A positive correlation was found between Mukbang addiction and hedonic hunger (r = 0.136, P < 0.001). Multiple regression analysis revealed that daily internet usage (B = 7.85, P < 0.001) and Mukbang addiction (B = 0.35, P = 0.007) significantly predicted hedonic hunger.</p><p><strong>Conclusion: </strong>The study highlights the prevalence of Mukbang watching among nursing students and its significant association with increased hedonic hunger. These findings underscore the need for targeted interventions to promote healthy eating habits, particularly in rising food-related media consumption among young adults. Understanding the influence of such media is essential for addressing potential health risks linked to unhealthy eating behaviors.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"656"},"PeriodicalIF":3.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12172368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New technologies and related changes at work as triggers for professional development in the nursing domain: an exploratory interview study.","authors":"L Romina Bornhaupt, Regina H Mulder","doi":"10.1186/s12912-025-03291-7","DOIUrl":"10.1186/s12912-025-03291-7","url":null,"abstract":"<p><strong>Background: </strong>Technological developments are changing work in healthcare. To keep up with these changes, nurses need to continuously adapt which requires three components of professional development: Elaboration, expansion, and externalization. Few studies, with partly inconsistent results, address technology-driven changes at work in the nursing sector. However, the implications of these changes for nurses' professional development remain unclear. The aim of the present study was therefore to explore the changes at work resulting from the implementation of technology, which learning activities emanate from these changes, and what the triggers are for professional development.</p><p><strong>Method: </strong>An exploratory, qualitative research design was applied. Data collection was conducted through semi-structured interviews using the Critical Incidents Technique. Ten nurses with state-approved professional qualification in nursing, geriatric care, or equivalent nursing training took part in the study. Data analysis was conducted in a combination of deductive and inductive qualitative content analysis using a concept-driven coding frame.</p><p><strong>Results: </strong>Changes in work characteristics were reported for each category of technology. Regarding the individual categories of work characteristics (task, social, contextual), however, partly different changes were mentioned in relation to the technology categories. Learning activities from all three categories were identified. There are indications that both the usage of technology itself as well as the consequential changes at work can trigger professional development. However, differences were reported in terms of the components of professional development: Mentioned was that elaboration was triggered by the usage of technology and changes at work, and that expansion was related to problems and knowledge gaps associated with the technology and related changes. Externalization, in turn, was linked to social aspects and staff responsibility.</p><p><strong>Conclusions: </strong>The results show how nurses can learn due to technology-driven changes at work. Furthermore, initial insights were gained on how work characteristics, learning activities and triggers are related. These findings can help to consider the specifics of the situation when planning the implementation of technologies, processes that results from that, and how professional development can be fostered.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"657"},"PeriodicalIF":3.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12172304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social undermining and psychological empowerment: unveiling the association to resilience in nursing - a cross-sectional study.","authors":"Heba Abdelfatah Ahmed, Abdelaziz Hendy, Ahmed Abdellah Othman, Ahmed Gamaleldin Mohamed Attia, Nadia Mohamed Ibrahim Wahba","doi":"10.1186/s12912-025-03260-0","DOIUrl":"10.1186/s12912-025-03260-0","url":null,"abstract":"<p><strong>Objective: </strong>This study intended to explore the mediating effect of psychological resilience in the relationship between social undermining and psychological empowerment among nurses.</p><p><strong>Methods: </strong>A cross-sectional correlational descriptive design was employed to fulfill the study's aim at Damietta General Hospital through convenient sample of 385 registered nurses. Data analysis was implemented using SPSS software package version 26.0.</p><p><strong>Findings: </strong>Study findings reported that a direct effect of social undermining on psychological resilience is negative and significant (β = -0.092, SE = 0.042, Z = -2.17, p = 0.030). Similarly, psychological resilience significantly predicts psychological empowerment with a strong positive effect (β = 0.347, SE = 0.047, Z = 7.26, p = < 0.001). The direct effect of social undermining on psychological empowerment is negative and highly significant (β = -0.422, SE = 0.036, Z = -11.51, p = < 0.001).</p><p><strong>Conclusion: </strong>The study concluded that social undermining is a workplace stressor that emotionally damages employees by making them feel burnt out when performing their job. It also has a negative influence on psychological empowerment of employees, and in reducing their psychological resilience. Also, psychological resilience mediates social undermining and psychological empowerment.</p><p><strong>Nursing implications: </strong>It is crucial for organizations to seek for promoting ethical leaders through creating an ethical infrastructure, which can forestall social undermining. Emphasizing the implementation of interventions aimed at building resilience as a strategy for mitigating the harmful effects of social undermining. Overall, this research underscores the interconnectedness of social undermining and psychological empowerment, emphasizing the necessity for supportive organizational environments that promote both resilience and psychological empowerment.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"655"},"PeriodicalIF":3.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12172228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of nurses' training about mechanical ventilation weaning on neonatal outcomes.","authors":"Mohammed F Alharbi, Salwa A Marzouk, Nojoud Alrashidi, Mohammed H Abu-Alghayth, Eman A Mater, Marwa A Ibrahim, Huwida Hamdy Abdelmonem, Hanan A Mohammed, Shadia A Syan, Aml S Abdelrahem, Ahlam D Alshehri, Shimaa M Moursy, Abeer A Almowafy, Faransa A Ahmed","doi":"10.1186/s12912-025-03257-9","DOIUrl":"10.1186/s12912-025-03257-9","url":null,"abstract":"<p><strong>Introduction: </strong>Prematurity is a significant global health challenge. Premature infants frequently need invasive mechanical ventilation until their lungs are fully developed. Due to the possible complications of ventilation, nurses in the neonatal intensive care unit (NICU) must deliver specialized care to achieve the best outcomes for these infants.</p><p><strong>Objective: </strong>This study aimed to explore the effectiveness of nurses' training in mechanical ventilation weaning on neonatal outcomes.</p><p><strong>Method: </strong>A quasi-experimental non-equivalent group design was used with purposive sampling of 70 nurses and 64 newborn infants on invasive mechanical ventilation. The infants were divided into two groups: 32 weaned by trained nurses (study group) and 32 weaned by standard methods (control group). Data was collected using a structured questionnaire about the nurses and neonates. A well-designed training program, including theoretical and practical components, was conducted for the nurses to ensure proper weaning of neonates from mechanical ventilation.</p><p><strong>Results: </strong>The study group demonstrated a significant reduction in the use of surfactant replacement therapy post-extubation compared to the control group (p = 0.003). Additionally, infants in the study group experienced a statistically significant decrease in NICU hospitalization duration, total weaning time, and total ventilation period compared to the control group (p = 0.003, 0.0001, and 0.0001, respectively). Complications were markedly lower in the study group, with two-thirds of infants experiencing no complications, compared to 15.6% in the control group (p = 0.001). Moreover, re-intubation rates were significantly reduced in the study group compared to the control group (p = 0.1026).</p><p><strong>Conclusion: </strong>These results highlight the effectiveness of the intervention in improving clinical outcomes for neonates, including reduced treatment needs, shorter hospital stays, and fewer complications.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"654"},"PeriodicalIF":3.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12172335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating sustainable practice: environmental awareness and climate change as mediators of green competence of nurses.","authors":"Nora Mahdy Attia, Alaa Eldin Moustafa Hamed, Mohamed Adel Abd Elhafeez Elbakry, Abeer Moustafa Barakat, Heba Sobhy Mohamed","doi":"10.1186/s12912-025-03313-4","DOIUrl":"10.1186/s12912-025-03313-4","url":null,"abstract":"<p><strong>Background: </strong>The sustainability of biological, social, and economic systems is essential to safeguarding our collective future and maintaining a balanced relationship between humans and the natural environment. Addressing environmental concerns requires the active involvement of all societal sectors, integrating sustainability awareness into everyday practices and business processes through optimal technology use. This study aims to examine the mediating role of climate change and environmental awareness in the relationship between sustainable practices and green competence among nurses.</p><p><strong>Subject and methods: </strong>A random sample of 230 nurses was selected from Al-Ahrar Teaching Hospital in Zagazig, Egypt. A descriptive correlational design was used. Five validated instruments were used to assess sociodemographic characteristics, green competence, nurses' perceptions of climate change, environmental awareness, and sustainable development behaviors.</p><p><strong>Results: </strong>The results of the current study show that green competence was significantly and positively correlated to nurses' sustainable practice, environmental awareness and climate change.</p><p><strong>Conclusion: </strong>Environmental awareness and climate change were mediated of relationship between sustainable practice and green competence.</p><p><strong>Implications for nursing management: </strong>The findings of this study have significant implications for nursing management and the broader healthcare sector. By elucidating the relationships among green competence, nurses' sustainable practices, environmental awareness, and climate change, this research offers actionable insights for healthcare leaders. Nursing managers can enhance workplace safety and environmental responsibility by supporting green management systems and implementing ongoing green management programs to improve nurses' knowledge and attitudes toward sustainability. Furthermore, healthcare facilities should be encouraged to adopt environmental awareness and green management practices to address climate change and foster sustainable practices across the healthcare workforce.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"658"},"PeriodicalIF":3.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12172341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing green transformational leadership style, behavioral intentions, actual behavior and creativity: the impact of a green climate.","authors":"Nagah Abd El-Fattah Mohamed Aly, Safaa M El-Shanawany, Maha Abdelhamied Ghanem, Wael M Lotfy","doi":"10.1186/s12912-025-03331-2","DOIUrl":"10.1186/s12912-025-03331-2","url":null,"abstract":"<p><strong>Background: </strong>Nursing leaders and nurses play a significant role in promoting green healthcare practices in healthcare organizations. Therefore, it is essential to understand the mechanism through which leadership can affect the green behavior and creativity of nurses.</p><p><strong>Aims: </strong>To investigate the effects of transformational leadership and a green work climate on nurses' behavioral intentions, actual green behavior, and green creativity.</p><p><strong>Methods: </strong>Self-report questionnaires (nursing green transformational leadership, climate, behavior, and creativity) were used to gather data from 400 nurses.</p><p><strong>Results: </strong>Nurses' perceptions of nursing green transformational leadership, climate, behavior, and creativity were all at acceptable levels. Regression analysis indicated that nurses' green behavioral intentions, actual green behavior, and green creativity, as well as the green work climate, were positively affected by nursing green transformational leadership. The Sobel results showed that nursing green transformational leadership indirectly affected nurses' green behavioral intentions, actual green behavior and green creativity through the mediating role of the green work environment. There was a moderating influence of the green work climate on the association between nurses' green behavioral intentions and actual green behavior.</p><p><strong>Conclusion: </strong>A green work climate had a mediating effect on the relationships among nursing green transformational leadership, nurses' green behavioral intentions, actual green behavior and green creativity. Nurses' green behavioral intentions positively affect their actual green behavior through the moderating effects of a green work climate.</p><p><strong>Implication: </strong>Nurse managers should be aware of the influence of leadership style and the green work climate as significant factors influencing the ability of nurses to engage in green behavior and foster their green creativity.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"659"},"PeriodicalIF":3.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12172357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The mediating role of emotional intelligence in the relationship between sexual health literacy and sexual communication self-efficacy among married nursing students.","authors":"Shaimaa Mohamed Amin, Heba Emad El-Gazar, Mohamed Ali Zoromba, Nagwa Ibrahim ELfeshawy, Toha Ali ELsayed Abo-Hatab, Hanan Hosni El-Sherbini, Mohamed Hussein Ramadan Atta","doi":"10.1186/s12912-025-03157-y","DOIUrl":"10.1186/s12912-025-03157-y","url":null,"abstract":"<p><strong>Background: </strong>Sexual health literacy is essential for improving communication about sexual health, especially among married nursing students. Emotional intelligence may play a significant role in facilitating this communication by mediating the relationship between sexual health literacy and sexual communication self-efficacy.</p><p><strong>Objective: </strong>This study aimed to examine the relationships between sexual health literacy, emotional intelligence, and sexual communication self-efficacy among married nursing students and assess the mediating role of emotional intelligence.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 340 married female nursing students at the Faculty of Nursing, Tanta University, Egypt. Data were collected using validated scales for sexual health literacy, emotional intelligence, and sexual communication self-efficacy. Statistical analyses were performed, including t-tests, ANOVA, Pearson correlation, and mediation analysis via the PROCESS macro (Model 4). Bias-corrected bootstrapping with 5,000 resamples was applied to test for the mediating effects of emotional intelligence.</p><p><strong>Results: </strong>The results revealed no significant differences in sexual health literacy, sexual communication self-efficacy, or emotional intelligence across demographics. Pearson correlations demonstrated that sexual health literacy was positively correlated with sexual communication self-efficacy (r = .388, p < .01) and emotional intelligence (r = .560, p < .01). Mediation analysis showed that emotional intelligence significantly mediated the relationship between sexual health literacy and sexual communication self-efficacy (B = 0.04,). The effect of sexual health literacy on sexual communication self-efficacy was significant (B = 0.19, p < .001), with emotional intelligence accounting for a portion of this relationship.</p><p><strong>Conclusion: </strong>This study highlights the importance of sexual health literacy in promoting effective communication about sexual health. Emotional intelligence plays a key mediating role, suggesting that enhancing both sexual health literacy and emotional intelligence could improve sexual communication self-efficacy among married nursing students. These findings suggest potential interventions to integrate emotional intelligence training into sexual health education programs to enhance communication outcomes.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"653"},"PeriodicalIF":3.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12172336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of intention to immigration and relative factors among undergraduate nursing students at universities of medical sciences in Kerman, Iran and Erbil, Iraq in 2023.","authors":"Sara Mehrabi, Jamileh Farokhzadian, Hemen Kareem Qadir, Azam Bazrafshan, Tania Dehesh, Zohreh Khoshnood","doi":"10.1186/s12912-025-03311-6","DOIUrl":"10.1186/s12912-025-03311-6","url":null,"abstract":"<p><strong>Background & aim: </strong>Migration is a phenomenon that both developed and developing countries are struggling with. Given that the decision to migrate is formed during the student period, the present study aimed to compare the degree of intention to migrate and related factors in undergraduate nursing students at universities of medical sciences in Kerman, Iran and Erbil, Iraq in 2023.</p><p><strong>Methods: </strong>This cross-sectional descriptive study focused on a sample of nursing students from Kerman University of Medical Sciences, Polytechnic, and Hawler University of Iraq. To ensure a representative sample, a simple random sampling method was utilized. The sample size conducted on 487 nursing students. 272 students selected from Kerman University of Medical Sciences and 215 students from Erbil University in Iraq. Data collection was performed using a structured questionnaire, which included items related to the intention to migrate, factors influencing this intention, and demographic information. The collected data were analyzed using both descriptive and correletional statistical methods, And SPSS-22 software was used.</p><p><strong>Findings: </strong>The data revealed that 69.5% of Iranian nursing students and 58.1% of Iraqi nursing students intended to emigrate. The most important reasons for the intention to migrate among Iranian students were better quality of life (4.39), the balance between income and living expenses (4.35), and economic and social stability (4.34). In addition, Iraqi students reported better quality of life (3.89), professors' behavior with students (3.70), and professors' teaching methods (3.56) as the reasons behind their intention to migrate.</p><p><strong>Conclusion: </strong>Iranian and Iraqi nursing students had a significant intention to migrate. Thus, effective policies should be adopted to reduce the intention to migrate among nursing students. Moreover, interventional studies need to explore the factors that can motivate this group of students to stay in the country.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"650"},"PeriodicalIF":3.1,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between the leader empowering behaviors and work engagement: the role of psychological empowerment as a mediating variable.","authors":"Razieh Hashemi, Amir Sadeghi, Ghodratollah Roshanaei, Zahra Purfarzad","doi":"10.1186/s12912-025-03321-4","DOIUrl":"10.1186/s12912-025-03321-4","url":null,"abstract":"<p><strong>Background: </strong>The nurse managers need to understand various leadership styles in order to support their staff and cultivate a work environment that enhances the psychological empowerment and work engagement of nurses. This research aimed to investigate the correlation between leader empowering behaviors, psychological empowerment, and work engagement in Iranian nurses. Additionally, the study looked at the role of psychological empowerment as a mediator in the connection between leader empowering behaviors and work engagement.</p><p><strong>Methods: </strong>During the period from September 2021 to February 2022, a research study with descriptive, cross-sectional, and correlational design was carried out. A sample of 198 nurses was obtained using a stratified proportional random sampling approach. The data collection tools included a demographic information, Leader Empowering Behaviors Scale (LEBS), Spreitzer's Psychological Empowerment Scale, and Utrecht Work Engagement Scale-9 (UWES-9). The data was analyzed using descriptive statistics, Pearson correlation analysis, linear regression analysis, and structural equation model (SEM). Analysis of the data was performed using SPSS ver24 and AMOS ver24. The significance level considered for the study was < 0.05.</p><p><strong>Results: </strong>The average scores for leader empowering behaviors, psychological empowerment, and work engagement were 4.94, 5.64, and 3.94, respectively. According to the results, most nurses perceived high levels of leader empowering behaviors and psychological empowerment, while perceiving a moderate level of work engagement. Leader empowering behaviors had a positive and significant association with psychological empowerment (p < 0.001; β = 0.557; R² = 0.307), and work engagement (p = 0.001; β = 0.245; R² = 0.055). Also, psychological empowerment exhibited a positive and significant connection with work engagement (p < 0.001; β = 0.470; R² = 0.217). Psychological empowerment was identified as mediating the relationship between leader empowering behaviors and work engagement (p = 0.001; R² = 0.178).</p><p><strong>Conclusion: </strong>Nursing managers can provide the grounds to enhance work engagement of nurses via leader empowering behaviors and attempts for improving psychological empowerment.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"652"},"PeriodicalIF":3.1,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}