BMC Nursing最新文献

{"title":"The moderating effect of psychological capital on the relationship between nurses' perceived workplace bullying and emotional exhaustion: a cross-sectional study.","authors":"Xiao Peng, Jing Ma, Ying Chen, Ying Han, Hong Zhou, Aiping Gong, Fang Peng, Xinzhang Sun, Xingfen Wang, Xunya Xiong, Li Li, Mengting Huang, Qingsong Zeng","doi":"10.1186/s12912-025-02763-0","DOIUrl":"10.1186/s12912-025-02763-0","url":null,"abstract":"<p><strong>Background: </strong>Workplace bullying (WPB) is common in nursing profession, leading to adverse effects on nurses' health and teamwork. Although it has been suggested that psychological capital (PsyCap) could potentially moderate the relationship between WPB and emotional exhaustion, there is currently a lack of direct empirical evidence supporting this claim. Therefore, this study aims to examine how PsyCap moderates the relationship between WPB and emotional exhaustion in nurses.</p><p><strong>Methods: </strong>A cross-sectional study was carried out involving 1068 nurses using a general information questionnaire, Negative Acts Questionnaire-Revised, Psychological Capital Questionnaire-Revision, and emotional exhaustion subscale of the Chinese version of Maslach Burnout Inventory-General Survey. The PROCESS macro was utilized to examine the moderating effect of PsyCap.</p><p><strong>Results: </strong>WPB led to emotional exhaustion among nurses (β = 1.488, P < 0.001), and PsyCap moderated this positive relationship (β = 0.300, P < 0.001). The group with high PsyCap exhibited lower levels of emotional exhaustion. However, as the perceived WPB increased, the disparity in emotional exhaustion between the high and low PsyCap groups diminished.</p><p><strong>Conclusions: </strong>WPB significantly contributes to nurses' emotional exhaustion. PsyCap mitigates this impact, but this effect is limited in organizations with high WPB. it is recommended that nursing managers mitigate the detrimental impact of WPB on nurses' emotional well-being by both strengthening nurses' individual PsyCap and implementing comprehensive strategies to reduce WPB behaviors.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"103"},"PeriodicalIF":3.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061119","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":"Assessment of nurses' knowledge and practice of pressure injuries prevention for critically ill patients in Rwanda: a cross-sectional study.","authors":"Sophie Mukantwari, Emmanuel Bikorimana, Liberatha Rumagihwa, Ime U Akaninyene, Christian Ntakirutimana, Joseph Mucumbitsi, Thierry Claudien Uhawenimana, David Ikwuka","doi":"10.1186/s12912-025-02754-1","DOIUrl":"10.1186/s12912-025-02754-1","url":null,"abstract":"<p><strong>Background: </strong>Pressure injuries are costly and can lead to mortality and psychosocial consequences if not managed effectively. Proper management of pressure injuries is crucial for quality nursing care. However, there is limited research on nurses' knowledge and practices in preventing and managing pressure injuries among critically ill patients in Rwanda. In addition, barriers affecting nurses' practices in this area also need further investigation in order to inform the interventions to improve nursing care of patients with pressure injuries in Rwandan hospitals.</p><p><strong>Methodology: </strong>A cross-sectional study involving 129 health nurses was conducted to determine their knowledge and practice levels regarding the prevention of pressure injuries in critically ill patients, and barriers impeding practice in this area. The research modified the Pieper-Zulkowski Pressure Ulcer Knowledge Test to evaluate the knowledge of nurses concerning the prevention of pressure injuries. A 33-item instrument drawn from pressure ulcer risk assessment and prevention toolkits established by the Agency for Healthcare Research and Quality was used to assess nurses' practices. Additionally, barriers influencing nurses' knowledge and practices related to the prevention of pressure injuries were evaluated through questions derived from a comparable study conducted in Ethiopia. Descriptive statistics were computed for each variable. Mean scores were computed to categorize nurses' level of knowledge and practice. Logistic regression analysis was employed to examine the influence of sociodemographic factors and training on the nurses' knowledge and practice, with a statistical significance set at a p-value less than 0.05.</p><p><strong>Results: </strong>The study found that 40.0% of nurses had inadequate knowledge towards pressure injury prevention, and 60.0% reported that they inadequately practiced pressure injury prevention among critically ill patients. Nurses who have not been trained in pressure injury prevention have a 52.4% reduction in the odd of having adequate practice compared to those who have been trained (OR 0.476; 95% CI 0.211-0.996). Heavy workload, inadequate staff, shortage of equipments, presence of other priorities than pressure injury prevention, inadequate training coverage of pressure injury prevention were the most prevalent barriers reported.</p><p><strong>Conclusion: </strong>The evaluation of nurses' knowledge and practices on pressure injury prevention in critically ill patients at the study setting found that while nurses have satisfactory knowledge, their practical application is lacking due to factors like high workloads and insufficient staffing. The study recommends caution in interpreting the results due to a limited sample size, suggesting further research to guide improvements in nursing practices.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"104"},"PeriodicalIF":3.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061104","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":"Racism in clinical nursing practice: a qualitative study.","authors":"Nichole Crenshaw, LaToya Lewis, Cynthia L Foronda","doi":"10.1186/s12912-024-02521-8","DOIUrl":"10.1186/s12912-024-02521-8","url":null,"abstract":"<p><strong>Background: </strong>Racism in healthcare has led to disparate health outcomes amongst people of color. The construct of racism may be misunderstood, and research is lacking about the actions nurses can in the clinical setting take to reduce racism. The purpose of the study was to determine behaviors demonstrative of racism in nursing care and behaviors that are demonstrative of culturally humble nursing care to develop an awareness of racial bias in nursing to inform future educational practices.</p><p><strong>Methods: </strong>A qualitative, descriptive design was used with 10 doctoral-prepared nurses of color with expertise in diversity, equity, inclusion, and social determinants of health.</p><p><strong>Findings: </strong>Three overarching themes emerged: (1) Experience of Racism as a Nurse of Color (with subthemes of False Assumptions/ Negative Stereotyping, Discrediting/Unheard, and Rejection), (2) Experience of Racism as a Patient of Color (with subthemes of False Assumptions/Negative Stereotyping, Inequitable Treatment/ Lack of Care, and Dismissing/Ignoring or Not Believing), and (3) Culturally Humble Care (with subthemes of Asking, Active Listening, Caring Body Language, Individualized Care, and Respect).</p><p><strong>Conclusions: </strong>Study findings may be used to inform and improve nursing practice to reduce racism and decrease health disparities.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"105"},"PeriodicalIF":3.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061115","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":"Assessing safety culture and second victim experience following adverse events among Romanian nurses: a cross-sectional study.","authors":"Mirabela Ioana Istrate, Alina Ioana Forray, Marius-Ionuț Ungureanu, José Joaquín Mira, Sorana Alexandra Constantinescu, Răzvan Mircea Cherecheș","doi":"10.1186/s12912-025-02745-2","DOIUrl":"10.1186/s12912-025-02745-2","url":null,"abstract":"<p><strong>Background: </strong>Healthcare adverse events (AEs) significantly impact professionals, often leading to emotional distress and lasting effects. This study investigates the impact of AEs on healthcare professionals in Romania, focusing on nurses to examine their experiences within the patient safety culture and the psychological consequences of AEs. With a limited body of research on patient safety, adverse events, and second victims (SVs) in Romania, this study addresses a crucial gap, highlighting the need for enhanced safety culture and support mechanisms for SVs.</p><p><strong>Methods: </strong>A cross-sectional study in Romania targeted healthcare professionals, focusing on nurses. Utilizing online and onsite surveys facilitated by the Order of Nurses, Midwives, and Medical Assistants in Romania, data were collected between April and June 2022, exploring AEs and related experiences. Statistical analysis included chi-square tests, Student's t-tests, one-way ANOVA, and logistic regression, using SPSS version 29.0.</p><p><strong>Results: </strong>This study surveyed 995 nurses in Romania, primarily aged 31-50 (67.8%). Over half (57.9%) reported near-miss incidents, and 30.8% were aware of serious adverse events. Nurses over 50 scored higher on safety culture (20.98 vs. 20.45, p = .024) than younger nurses. Higher safety culture scores were associated with reduced negative emotional responses (e.g., guilt, anxiety, insomnia, tiredness) following AEs. Higher safety culture scores were associated with reduced negative emotional responses. Additionally, 88.9% of nurses showed interest in training for coping with adverse events, highlighting the need for supportive interventions in healthcare settings.</p><p><strong>Discussion: </strong>This study underscores the significant emotional and professional impact of AEs on nurses in Romania, highlighting ongoing challenges in healthcare environments. The positive perception of safety culture among nurses suggests a basis for improvement, while training needs underscore areas for intervention. Tackling the second victim phenomenon is crucial for maintaining patient safety.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"102"},"PeriodicalIF":3.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061103","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":"Self-administered active versus sham acupressure for diarrhea predominant irritable bowel syndrome: a nurse-led randomized clinical trial.","authors":"Maha Gamal Ramadan Asal, Ahmed Abdelwahab Ibrahim El-Sayed, Samira Ahmed Alsenany, Zahraa Hassan Ramzy, Rasha Fathy Ahmed Dawood","doi":"10.1186/s12912-024-02594-5","DOIUrl":"10.1186/s12912-024-02594-5","url":null,"abstract":"<p><strong>Background: </strong>Diarrhea-predominant irritable bowel syndrome (IBS-D) significantly impacts patients' quality of life, with existing treatments offering limited relief. Self-administered acupressure presents a potential non-invasive, cost-effective treatment option that could alleviate symptoms and enhance health outcomes in these patients.</p><p><strong>Aim: </strong>This randomized controlled trial aimed to evaluate the effect of active acupressure compared to sham acupressure on primary and secondary outcomes among IBS-D patients.</p><p><strong>Method: </strong>The study included 63 patients with IBS-D, recruited from Alexandria Main University Hospital, Egypt. Participants were randomized into either an active acupressure group or a sham acupressure group. Both groups underwent two days of training, followed by four weeks of intervention. The active group applied pressure to specific therapeutic acupoints, while the sham group used non-therapeutic points. Outcomes were assessed at baseline, week 2, and week 4.</p><p><strong>Results: </strong>The active acupressure group showed a significant reduction in symptom severity, improved stool consistency, and frequency, and greater adequate symptom relief by week 4 compared to the sham group. Psychological outcomes, including anxiety and depression, also improved significantly in the active group. Additionally, the active group reported reduced use of rescue medications.</p><p><strong>Conclusion: </strong>Active acupressure is an effective nursing intervention for alleviating symptoms of IBS-D, particularly when applied consistently over time. It improves both physical and psychological outcomes, offering a valuable non-pharmacological treatment option.</p><p><strong>Implications: </strong>Nurses can integrate self-administered acupressure into IBS-D care plans, teaching patients this technique to manage symptoms independently, thus enhancing their quality of life (QOL) and reducing reliance on conventional medications. This intervention aligns with holistic nursing care and offers a cost-effective, patient-friendly solution for managing IBS-D.</p><p><strong>Trial registration: </strong>This study was prospectively registered as a randomized controlled trial in https://clinicaltrials.gov/ Registration Date: January 7, 2023, Registration Number: NCT05702255.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"106"},"PeriodicalIF":3.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061117","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":"Factors influencing compassion satisfaction and compassion fatigue among nurses: a study in a tertiary hospital.","authors":"Sarah Sharmala Nadarajan, Ping Lei Chui, Wan Ling Lee, Noor Hanita Zaini","doi":"10.1186/s12912-025-02736-3","DOIUrl":"10.1186/s12912-025-02736-3","url":null,"abstract":"<p><strong>Background: </strong>Nursing is a caring profession for which compassion is a core value. Increasing stress and declining job satisfaction are among the major challenges in nursing. Demographic and work-related factors may influence nurses' compassion satisfaction and compassion fatigue (i.e., burnout and secondary traumatic stress) levels. In this study, the level of compassion fatigue and compassion satisfaction and their associated factors were examined among nurses in a tertiary hospital.</p><p><strong>Methods: </strong>A cross-sectional study was conducted at a tertiary hospital in Malaysia. The data were collected over a period of 6 months via online distribution of the Personal Information Form, Copenhagen Psychosocial Questionnaire (COPSOQ) version III and Professional Quality of Life (ProQOL) version V questionnaires. The Cronbach's alpha internal consistency of the questionnaire scales was mostly acceptable and above 0.75. Descriptive statistics were used to summarize the sociodemographic and rank domains of work environment-related factors for nurses and their levels of compassion satisfaction and compassion fatigue. Relationships between sociodemographic factors and the levels of compassion fatigue, compassion satisfaction, and burnout were assessed by bivariate analyses. A p value < 0.05 was considered to indicate statistical significance.</p><p><strong>Results: </strong>A total of 323 registered nurses participated in this study. A majority of the participants were female (91%, n = 294), and the mean age of the participants was 33.01 ± 8.50 years. The majority of the participants had moderate levels of compassion satisfaction (71%, n = 229); 46% (n = 148) had moderate levels of burnout, and 45% (n = 147) had moderate levels of secondary traumatic stress. Hierarchical multiple regression analysis revealed that the health and well-being and demands at work domain were significantly associated with compassion satisfaction, burnout and secondary traumatic stress levels among nurses.</p><p><strong>Conclusions: </strong>In this study, the majority of the nurses reported decreased compassion satisfaction and increased burnout. These findings provide valuable insights, as there may be detrimental effects on the healthcare industry and retention of nurses if no action is taken to combat compassion fatigue. Recommendations to motivate nurses and reduce demands at work should be explored by healthcare organizations to increase nurses' performance and job satisfaction.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"93"},"PeriodicalIF":3.1,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048429","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":"Barriers to nurse-led delirium management in intensive care units: an integrative systematic review using COM-B model.","authors":"Mokhtar Abdu Almoliky, Sameer Alkubati, Khalil Saleh, Salman Alsaqri, Saddam A Al-Ahdal, Galal Albani, Mujeeb A Sultan","doi":"10.1186/s12912-025-02704-x","DOIUrl":"10.1186/s12912-025-02704-x","url":null,"abstract":"<p><strong>Background: </strong>Development of effective guideline for delirium management is still seeking nowadays. As nurses are in the first confrontation line for delirium, their prospective in identifying barriers are essential in developing integrated strategies and clinical guidelines.</p><p><strong>Objective: </strong>To explore the barriers focusing on intensive care unit (ICU) nurses' point of views to provide an evidence-based support for effective nurse-led delirium management in ICU settings.</p><p><strong>Methods: </strong>Whittemore and Knafl framework was recruited to build up this integrative review. PRISMA guidelines were followed to search about barriers of nurse-led delirium management. Articles published up to June 2024 in five databases; Web of Science, Scopus, PubMed, CINAHL and EMBASE using related keywords were involved. Mixed Methods Appraisal Tool (MMAT) was used to evaluate the quality of articles included in this review and then reported nurse-led delirium barriers were mapped according to COM-B model.</p><p><strong>Results: </strong>Twenty-three articles out of 1,020 research articles were included in this review after carefully checked according to the exclusion and inclusion criteria. based on MMAT, 7 articles achieved 100%, 11 articles were achieved 80%, and 5 articles achieved 60%. Nurses' knowledge deficit is the most common psychological capability barriers of nurse-led delirium management, while complexity of delirium screening tools was found to be a physical capability barriers. High workload, lack of staff, lack of time, lack of documentation and lack/ shortage of guidelines were barriers mapped to physical opportunity, while communication barriers in particular patient's intubation and sedation were mapped to social opportunity barriers. Motivation was represented by addressing delirium as a major problem, self-confidence, psychological support and considering nurse's views.</p><p><strong>Conclusions: </strong>Nurse's knowledge deficit, complexity of delirium screening tools, high workload, lack of time, lack of documentation, lack/ shortage of guideline, and impaired communication were barriers of nurse led delirium management. This study is promising in ease of application in clinical practice since delirium barriers in ICU settings were well-presented in a COM-B framework that may facilitate therapeutic strategies and related decision making.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"96"},"PeriodicalIF":3.1,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053922","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":"Intensive care nurses' experiences of teamwork during the covid-19 pandemic. a qualitative study.","authors":"Jeanette Eckerblad, Åsa Dorell, Helen Conte","doi":"10.1186/s12912-025-02696-8","DOIUrl":"10.1186/s12912-025-02696-8","url":null,"abstract":"<p><strong>Background: </strong>Teamwork is a core competence for all health care professionals and quality of care is a vital outcome. The pandemic backdrop of 2020-2022 led to initial chaos and adaptation of the nurses' roles and responsibilities in the intensive care unit. Therefore, the purpose was to describe the intensive care nurses' experiences of working in teams during the Covid-19 pandemic and discussing the results through the lens of transitiontheory.</p><p><strong>Methods: </strong>Individual and semi-structured interviews were conducted with 16 intensive care nurses. The interview transcripts were analysed using Braun & Clarke's six-step inductive thematic analysis.</p><p><strong>Results: </strong>The intensive and critical care nurses' experiences during the first 18 months of the Covid-19 pandemic captured chronological and conceptual commonalities, which were represented in three themes, \"Losing the security of the ICU team\", \"Having time to adapt and finding structure for collaborative work\", and \"Gaining professional growth through adapting collaborative work to contextual challenges\".</p><p><strong>Conclusion: </strong>Losing the security of the intensive care unit team, having to adapt to constant changes, and the need to provide care to an increased number of critically ill patients led to a sense of being left to manage on their own. The intensive care unit nurses missed the interprofessional collaboration that had previously been a core part of their professional role. The adaptability and willingness to find solutions helped nurses regain control, manage the challenges they faced and find new ways to collaborate.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"97"},"PeriodicalIF":3.1,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053625","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":"Investigating the status of the second victims of error and related factors in nurses: a description study.","authors":"Fardin Shahbazzadeh, Aghil Habibi Soola, Sajjad Narimani, Mehdi Ajri-Khameslou","doi":"10.1186/s12912-024-02669-3","DOIUrl":"10.1186/s12912-024-02669-3","url":null,"abstract":"<p><strong>Background: </strong>Errors not only affect patients as the primary victim but also have a negative impact on nurses as the secondary victim; therefore, understanding the reasons for the second victim's error, as well as the elements that contribute to this phenomenon, is critical for managing the mistake. The main purpose of this research was to determine the status of second victims of error and related factors in nurses.</p><p><strong>Methods: </strong>This is an analytical-descriptive study conducted in Iran. The study's statistical population comprised all nurses working in the five teaching hospitals of Ardabil city. A random sampling method was used. The data collection tool included a demographic characteristics questionnaire, a questionnaire on previous nursing error experience characteristics, and the Second Victim Experience and Support Tool. The collected data was analyzed in SPSS-16 software.</p><p><strong>Results: </strong>The results obtained from this research showed that the average score of second victims of error among nurses participating in the study was 85.89 (10/17). Based on the results obtained, there was a significant relationship between the number of second victims of error phenomena with age (p < 0.01 and r = -0.179) and work experience (p < 0.01 and r = -0.156), the number of cases of errors in 12 previous months, having an error that resulted in injury in the last 12 months, the history of going to court, the way nursing errors were reported, and the way managers dealt with nurses' errors (p < 0.05).</p><p><strong>Conclusions: </strong>The nurses under study had an average level of the phenomenon of second victims of error, and a set of individual and organizational factors were influential in the development of this phenomenon. The second victim of error phenomenon was more prevalent among novice nurses, who tended to make more mistakes in a reprimanding work environment. Therefore, it is recommended that hospitals use a justice-oriented policy instead of a reprimand policy against nursing errors.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"99"},"PeriodicalIF":3.1,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053552","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 professionalism and associated factors in Ethiopia: a systematic review and meta-analysis.","authors":"Moges Tadesse Abebe, Agerie Mengistie Zeleke, Yeshiwas Ayale Ferede, Yosef Aragaw Gonete, Worku Chekol Tassew","doi":"10.1186/s12912-025-02713-w","DOIUrl":"10.1186/s12912-025-02713-w","url":null,"abstract":"<p><strong>Background: </strong>A higher level of nursing professionalism improves autonomy among nurses, the quality of nursing care, and patient outcomes. However, inconsistent findings on the prevalence of nursing professionalism and associated factors have been reported among studies conducted in Ethiopia, and a meta-analysis of pooled results have not been performed. Therefore, the aim of this systematic review and meta-analysis was to determine the pooled prevalence of higher levels of nursing professionalism and factors associated with it.</p><p><strong>Methods: </strong>PubMed, Science Direct, HINARI, African Journals Online, Google Scholar, and university online institutional repositories in Ethiopia were accessed from 15/10/2024-30/10/2024. The items were assessed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The quality of the included studies was assessed via the Newcastle-Ottawa Scale. Cross-sectional studies were included without time period limits. Data extraction was conducted via Microsoft Excel and analyzed with STATA 17. The Galbraith plot, I² statistic and meta-regression were used to determine heterogeneity. We used a random effects model in the presence of heterogeneity. Publication bias was assessed via funnel plots and Egger's based regression. We also computed a sensitivity analysis and subgroup analysis by sample size and study period.</p><p><strong>Results: </strong>Twelve primary studies involving 3710 nurses were included in this systematic review and meta-analysis. The pooled prevalence of higher levels of nursing professionalism was 43%. Bachelor's degree and above educational status (POR: 1.80, CI: 1.38, 2.33), learning from government colleges (POR: 2.14, CI: 1.34, 3.42), better payment (POR: 1.85, CI: 1.16, 2.98), long years of work experience (POR: 2.15, CI: 1.73, 2.68), positive self-image (POR: 3.85, CI: 2.17, 6.84), job satisfaction (POR: 2.42, CI: 1.49, 3.95) and training opportunities (POR: 2.88, CI: 1.14, 7.32) were factors that determined higher levels of nursing professionalism in Ethiopia.</p><p><strong>Conclusion: </strong>The pooled prevalence of higher levels of nursing professionalism in Ethiopia was low. Educational status, and attending college, payment, work experience, self-image, job satisfaction, and training were factors that determined the level of professionalism. These factors can be modified to increase the level of nursing professionalism in Ethiopia.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"95"},"PeriodicalIF":3.1,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053578","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}