BMC Nursing最新文献

{"title":"Toxic leadership and quality of work life: the moderating role of nurses' agility.","authors":"Ahmed Farghaly Tawfik, Ayman Mohamed El-Ashry, Amal Diab Ghanem Atalla, Shimaa Abd El-Fattah Mahgoub","doi":"10.1186/s12912-025-03776-5","DOIUrl":"10.1186/s12912-025-03776-5","url":null,"abstract":"<p><strong>Background: </strong>Toxic leadership undermines morale, job satisfaction, and retention among nurses. While previous studies have established its detrimental effects, the moderating role of nurses' agility-a capacity for adaptation and resilience-remains underexplored, especially in the Egyptian healthcare context.</p><p><strong>Objective: </strong>This study examines the direct impact of toxic leadership on nurses' quality of work life and explores whether nurses' agility can mitigate these negative effects.</p><p><strong>Design and methods: </strong>A cross-sectional, correlational design was used involving 265 full-time nurses across three hospitals in the Beni-Suef governorate, Egypt. Data collection instruments included the Toxic Leadership Scale, the Work-Related Quality of Life Scale, and the Workforce Agility Scale. Statistical analyses involved Pearson's correlation, multiple linear regression, and moderation analysis via Hayes' PROCESS macro.</p><p><strong>Results: </strong>Toxic leadership had a statistically significant negative impact on nurses' quality of work life (r = -0.503, p < 0.001). Conversely, agility was positively associated with both toxic leadership (r = 0.159) and quality of work life (r = 0.425). Moderation analysis showed that nurses' agility significantly buffered the negative effect of toxic leadership on quality of work life (β = 0.0049, p < 0.05).</p><p><strong>Conclusion: </strong>Toxic leadership erodes nurses' quality of work life, but nurses with high agility experience less deterioration in work satisfaction and well-being. This suggests that agility operates as a protective factor.</p><p><strong>Implications for nursing & policy: </strong>Healthcare institutions must address toxic leadership through leadership development programs and should proactively enhance nurses' agility through training in adaptability, stress management, and situational problem-solving. This dual strategy can improve nurse retention and ultimately, patient care outcomes.</p><p><strong>Patient or public contribution: </strong>Not applicable.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1172"},"PeriodicalIF":3.9,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12442259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082202","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":"Path to clear conscience and how to deal with troubled conscience in older people care: a phenomenological hermeneutical study.","authors":"Monir Mazaheri, Shima Nazari, Astrid Norberg","doi":"10.1186/s12912-025-03829-9","DOIUrl":"10.1186/s12912-025-03829-9","url":null,"abstract":"<p><strong>Background: </strong>The study aimed to illuminate the meaning of conscience, and troubled conscience and how to deal with troubled conscience among nurses who take care of older people in Tehran province, Iran.</p><p><strong>Methods: </strong>A phenomenological hermeneutical approach guided the study, involving three phases of data interpretation: naïve reading, structural analysis and comprehensive interpretation. In-depth individual interviews were conducted with eight nursing staff working in nursing homes or geriatric ward in hospital.</p><p><strong>Results: </strong>The meanings of conscience, troubled conscience and dealing with troubled conscience were uncovered through three themes: \"meaning of conscience\", \"path to clear conscience\" and \"meaning of and dealing with troubled conscience\". These themes encompassed a total of eight subthemes. The nursing staff described conscience as an inherent power placed by God, shaped mainly though parent's upbringing along with personal characteristics, religious beliefs, societal, and educational factors. Troubled conscience is narrated as inner power which blames people for intentional or unintentional mistake and attributed to themselves as they have not lived up to the type of people that they should be.</p><p><strong>Conclusions: </strong>The path to clear conscience was perceived as to do 'right' by helping others and to consider the others as one's own loved one. Dealing with a troubled conscience means striving to provide right compensation. The nursing staff who take care of older people need to be supported in their endeavours to keep their conscience 'clear' and prevent the experience of troubled conscience.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1171"},"PeriodicalIF":3.9,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070694","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":"Theories, models and frameworks of school nursing - a scoping review.","authors":"Jana Kaden, Birte Berger-Höger","doi":"10.1186/s12912-025-03730-5","DOIUrl":"10.1186/s12912-025-03730-5","url":null,"abstract":"<p><strong>Background: </strong>School nursing is a complex clinical specialty practice that varies across different countries. Theories, models and frameworks can inform nursing practice. This scoping review aims to explore the conceptualisation and operationalisation of school nursing in theories, models and frameworks.</p><p><strong>Methods: </strong>A scoping review was conducted according to the JBI Manual for evidence synthesis. To identify existing theories, models, frameworks and concepts of school nursing, we searched in the databases Medline/PsycInfo, CINAHL and ERIC from earliest date until 08 March 2024. There was no limitation regarding the study type, school settings and countries. For data analysis, theory and concept analysis was employed, supplemented by content analysis with additional type building. School nurses' tasks were clustered according to the WHO guideline on school health services.</p><p><strong>Results: </strong>We identified two theories, eleven different models, and seven different frameworks that were reported in 28 publications. Both identified theories aim to empower school nurses, and provide orientation. Among the identified models and frameworks, we identified three types, which were \"Role and practice models/frameworks\", \"Organisation and delivery models/frameworks\" and \"Qualification models/frameworks\". Definitions and aims of school nursing varied in the identified literature. Aims included improving or supporting student health, health care access, education and school attendance. Further frameworks aim to strengthen the role of a school nurses or to promote their professional development. Tasks of school nurses comprise health promotion, health education, clinical assessment and preventive interventions. Leadership, evaluation and coordination were identified as key elements of school nursing, associated with autonomy. Most of the theoretical foundations describe a Bachelor's degree as minimum qualification for school nurses.</p><p><strong>Conclusion: </strong>The identified theoretical foundations are intended to support school nurses in developing their role, tasks and structure in relation to the targeted aims. School nurses' complex role profiles require appropriate competencies that go beyond a qualification on a Bachelor's degree level. The results could inform practice implementation, development and further research by reflecting and evaluating the existing practice. For countries without widespread implementation of school nursing, the identified theoretical foundations could serve as a base for further implementation steps.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1164"},"PeriodicalIF":3.9,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12424212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034501","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":"Designing an AI companion to support informal caregivers in role transition: insights from a design science approach.","authors":"David Walter, Jennifer Pengel, Paul-Ferdinand Steuck, Marco Di Maria, Ralf Knackstedt, Anne Meissner","doi":"10.1186/s12912-025-03868-2","DOIUrl":"10.1186/s12912-025-03868-2","url":null,"abstract":"<p><strong>Background: </strong>As populations age, informal caregivers play an increasingly vital role in long-term care, with 80% of care provided by family members in Europe. However, many individuals do not immediately recognize themselves as caregivers, especially in the early stages. This lack of awareness can increase physical and emotional stress and delay access to support services. The phenomenon of hidden care, where substantial care is provided without formally acknowledging the role, further exacerbates these issues. To address this, we developed an AI-driven chatbot designed to support informal caregivers recognize their role, reflect on their situation, and identify relevant support options. This paper explores how an AI-based chatbot can be designed to support informal caregivers in reflecting on and re-evaluating their caregiving roles.</p><p><strong>Methods: </strong>Following a design science research approach, we evaluate the chatbot design via focused semistructured interviews and think-aloud sessions with informal caregivers to assess its utility, completeness and potential for supporting role transitions through the lens of unlearning. The data were analyzed via Braun and Clarke's thematic analysis.</p><p><strong>Results: </strong>The chatbot has the potential to support caregivers in recognizing their role and reflecting on their experiences, with participants reporting increased self-awareness triggered by reflective prompts and recommendations of useful personalized support resources. Seven initial design principles for AI-based chatbot development in transitional informal care contexts were identified. These principles emphasize personalized assessment, transparent information, role awareness support, accessibility, and continuous companionship.</p><p><strong>Conclusions: </strong>This study demonstrates the potential of AI-driven chatbots to support informal caregivers during critical role transitions. Future research should build on these insights to design context-aware solutions that responsibly embed AI into caregiving realities.</p><p><strong>Clinical trial: </strong>No clinical trial.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1165"},"PeriodicalIF":3.9,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12424210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034423","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":"Exploring how organizational virtuousness shapes nurses' occupational commitment: the mediating role of just culture.","authors":"Amal Diab Ghanem Atalla, Samia Roshdy Soliman Osman, Heba Ahmed Mohsen Hassen, Faygah Shibily, Ohood Felemban, Makiah Mohammed Shebaili, Wafaa Hassan Mostafa, Aziza Ibrahim Abd El Kader Mohamed, Hoda Sayed Mohamed Sayed, Maaly Zayed Mohammad, Samia Mohamed Sobhi Mohamed","doi":"10.1186/s12912-025-03835-x","DOIUrl":"10.1186/s12912-025-03835-x","url":null,"abstract":"<p><strong>Background: </strong>Organizational virtuousness and just culture, which both foster justice, honesty, and trust, have a major impact on positive work environments in the healthcare industry. Strengthening nurses' emotional engagement and vocational commitment requires these components. With an emphasis on the mediating function of just culture, this study attempts to investigate the relationship between organizational virtuousness and nurses' vocational commitment.</p><p><strong>Methods: </strong>This study used a descriptive correlational design that was informed by the STROBE checklist. A non-probability convenience sample from Alexandria Main University Hospital was chosen following accepted structural equation modeling (SEM) principles to guarantee sufficient statistical power and trustworthy parameter estimation. A sample of 400 nurses was considered adequate due to the model's moderate complexity, the use of 61-item measurement methods, and the inclusion of several latent variables. Three validated tools-the Just Culture Survey, the Occupational Commitment Survey, and the Organizational Virtuousness Scale-were used to gather data.</p><p><strong>Results: </strong>According to linear regression analysis, nurses' occupational commitment was significantly predicted by both organizational virtuousness and just culture, which together accounted for 15.5% of the variation. Organizational virtuousness was a significant positive predictor (B = 0.220), meaning that occupational commitment rose by 0.220 units for every unit rise in perceived virtuousness. The greatest predictor was only culture (B = 0.352, β = 0.342, t = 7.207, p < 0.001, 95% CI [0.256, 0.448]), underscoring its crucial influence on commitment. These results highlight the value of open, equitable workplace cultures and moral organizational climates in raising nurses' levels of professional engagement. These correlations were further validated by the structural equation model, which showed good model fit (GFI = 0.961, AGFI = 0.941, RMSEA = 0.069).</p><p><strong>Conclusions: </strong>Nurses' commitment to their work is strengthened by an organization's moral character and fair culture. These elements improve trust, engagement, and emotional involvement by creating a courteous, moral, and encouraging work atmosphere. In healthcare contexts, fostering such cultural values improves employee retention, productivity, and overall organizational resilience.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1167"},"PeriodicalIF":3.9,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12424223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034498","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":"Role ambiguity and nursing interns' achievement of clinical rotation goals: a correlational study.","authors":"Manal Mohammed Ahmed Abdelaziz, Manal Saleh Moustafa Saleh, Zeinab Mohammed Aysha, Rehab Abd El-Moneim Abou Shaheen","doi":"10.1186/s12912-025-03842-y","DOIUrl":"10.1186/s12912-025-03842-y","url":null,"abstract":"<p><strong>Background: </strong>Nursing interns frequently encounter role ambiguity due to a mismatch between their expectations of the professional nursing role and the actual responsibilities they face in clinical settings. While clinical rotations during the internship year are intended to enhance clinical confidence and competence, such ambiguity can undermine these goals.</p><p><strong>Objective: </strong>To examine the relationship between internship clinical rotation and role ambiguity among nursing interns.</p><p><strong>Methods: </strong>A descriptive correlational study was conducted at Tanta University Hospitals, including six intensive care units, operating rooms, and general surgery departments. The study included all nursing interns (n = 900) enrolled in the internship year. Two tools were used to collect data: Tool I: Internship Clinical Rotation Fulfillment Questionnaire. Tool II: Role Ambiguity Questionnaire.</p><p><strong>Results: </strong>Less than half of the nursing interns reported that clinical rotations fulfilled their intended goals, while approximately one-quarter indicated only moderate fulfillment. Interns expressed significant ambiguity regarding their role definition, role performance, training, and psychosocial support. A significant positive correlation (r = 0.380, p < 0.001) was found, reflecting that lower role ambiguity (reverse-scored) correlated with higher goal achievement.</p><p><strong>Conclusion: </strong>The findings suggest that internship clinical rotations did not fully achieve their goals, and nursing interns experienced high levels of role ambiguity across multiple domains.</p><p><strong>Recommendations: </strong>It is recommended that structured orientation programs be implemented for nursing interns, outlining job roles, hospital policies, and regulations. Additionally, clinical nurse educators should be trained in effective supervision practices, and consistent performance feedback should be provided to interns throughout their rotations.</p><p><strong>Clinical trial: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1168"},"PeriodicalIF":3.9,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12424222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034443","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":"Professional experiences with journal club implementation in postgraduate nursing: a qualitative study.","authors":"Rasha A Mohamed, Salwa Ali Marzouk, Mohammed Owayrif Alanazi, Nadia Falah Alenezi, Hadya Obied Alenzi, Naglaa Mustafa El-Sayed, Rasha Fawzy Abdelmotaleb Gad, Nadia Ahmed El-Adham, Hanem Awad Mekhamier, Eman Shabaan Salah Hamd, Asmaa Abouda Abdelhameed Soultan, Wael G Nouh, Asmaa Mohamed Ali AlAbd, Abeer A Almowafy","doi":"10.1186/s12912-025-03841-z","DOIUrl":"10.1186/s12912-025-03841-z","url":null,"abstract":"<p><strong>Background: </strong>Postgraduate education is embracing journal clubs (JCs), which provide a platform for members to critically evaluate research articles and extract evidence-based nursing practice. The implementation of JCs by postgraduate nurses, especially in varied educational contexts such as Egypt, remains underexplored. This study aimed to explore and gain valuable insights into the professional experiences of implementing JCs among postgraduate nursing students in Egypt.</p><p><strong>Methods: </strong>A qualitative study utilizing focus group discussions (FGDs) was conducted with 42 postgraduate nursing students between September and December 2024. The participants were selected through purposive sampling. The inductive thematic analysis revealed several key themes.</p><p><strong>Results: </strong>The study identified five main themes: familiarity with JCs, benefits of JCs, preparation and implementation, challenges, and recommendations for enhancing the effectiveness of JCs. This study highlights the significance of JCs in promoting evidence-based nursing competencies, cultivating a research-oriented culture, and enhancing clinical application. Participants expressed concerns regarding time constraints and insufficient training, highlighting areas for improvement. It suggests integrating JCs into curriculum, aligning professional and academic responsibilities, and offering foundational research methodology training.</p><p><strong>Conclusions: </strong>The findings show that JCs are viewed by participants as worthwhile learning experiences that foster research literacy, academic development, and transferable skills including critical thinking, communication, and partnership. To enhance the effectiveness and sustainability of curriculum-integrated JCs, several strategies could be implemented: providing faculty training and introductory workshops in research appraisal; intentionally incorporating JCs into the nursing curriculum; allowing participants' clinical and academic obligations; utilizing virtual platforms; and ensuring fair access to research materials. These observations, when combined, support the pedagogical worth of JCs as organized, practice-based learning resources that connect clinical education and research.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1166"},"PeriodicalIF":3.9,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12424205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034457","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":"On the way to sustainability: the role of green marketing strategies and best practices of TQM on green performance among nurse managers.","authors":"Manal Saleh Moustafa Saleh, Riham Hashem Fathi, Sahar Mohammed Mohammed Aly, Mohamed Zoromba, Sahar Abdel-Latif Abdel-Sattar, Hamad Ghaleb Dailah, Abdulqadir J Nashwan, Hanan Elsaid Elsabahy","doi":"10.1186/s12912-025-03714-5","DOIUrl":"10.1186/s12912-025-03714-5","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1169"},"PeriodicalIF":3.9,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12424211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034514","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":"Effect of foot reflexology on relieving pain and improving resilience among patients undergoing coronary artery bypass graft.","authors":"Ayman Muhammad Kamel Senosy, Rasha Hassan Abbas Shady, Zeinab Adham Ahmed, Amina Abdelrazek Aldeeb, Manal Saleh Moustafa, Tabasem Fayez Fatah-Allah Hegazy","doi":"10.1186/s12912-025-03860-w","DOIUrl":"10.1186/s12912-025-03860-w","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1170"},"PeriodicalIF":3.9,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12424206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034493","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":"Mediating effect of moral resilience between good-death perception and coping with death competence of ICU nurses: a cross-sectional study.","authors":"Xiaoyun Zhou, Yanyan Men, Yue Liu, Qianqian Li, Yixin Chen, Yang Xu, Hui Xue, Xuebing Jing","doi":"10.1186/s12912-025-03836-w","DOIUrl":"10.1186/s12912-025-03836-w","url":null,"abstract":"","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1162"},"PeriodicalIF":3.9,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993964","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}