BMC Nursing最新文献

{"title":"Effectiveness of a simulation programme with lectures about end-of-life care using a standardised patient: a quasi-experimental study.","authors":"Sunyoung Son, Deulle Min, Suhee Kim","doi":"10.1186/s12912-025-02700-1","DOIUrl":"10.1186/s12912-025-02700-1","url":null,"abstract":"<p><strong>Background: </strong>End-of-life and hospice care simulation training is an effective training method for nursing students who rarely have first-hand experience in the clinical placement environment. A systematic debriefing is crucial to maximise the effect of simulation training. This study compared the hospice-related knowledge, attitudes, and confidence of nursing students with exposure to a simulation programme with lectures on end-of-life care using a standardised patient (SIwithLE) to those with exposure to a simulation-only programme on end-of-life care using a standardised patient (SIMUL).</p><p><strong>Methods: </strong>This quasi-experimental study was conducted at a nursing school in South Korea. Forty-nine senior nursing students participated in pre- and post-tests to measure their knowledge of hospice and palliative care, attitudes towards caring for terminally ill patients, and confidence in end-of-life care.</p><p><strong>Results: </strong>Knowledge increase was observed not only within the group (experimental group) but also between groups and for interaction between group and time. Attitude significantly improved at post-test in both groups. Significant differences regarding confidence were observed neither within/between groups nor for interaction between group and time.</p><p><strong>Conclusions: </strong>SIwithLE was verified to be an efficient programme for enhancing students' knowledge of hospice and palliative care and positively changing their attitudes towards caring for terminally ill patients.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"371"},"PeriodicalIF":3.1,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781690","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":"Nurses' perception of talent management scale (NPTMS): development, validation and psychometric properties.","authors":"Duygu Gül, Betül Sönmez","doi":"10.1186/s12912-025-02882-8","DOIUrl":"10.1186/s12912-025-02882-8","url":null,"abstract":"<p><strong>Background: </strong>There is an increasing need for a new and comprehensive approach to evaluate nursing talent to increase effectiveness and productivity. Talent management, which plays an important role in identifying, developing and retaining nursing talent, is a key strategy for investing in nursing. This study aimed to develop the Nurses' Perception of Talent Management Scale (NPTMS) and assess its psychometric properties.</p><p><strong>Methods: </strong>The scale was developed using a methodological design with a convenience sampling method including 918 nurses (n_EFA=422, n_CFA=496) from 12 hospitals in Istanbul between September and April 2022. The scale was developed in three phases. Firstly, items reflecting talent management in nursing were created through a comprehensive literature review employing the deductive method. Then, the face and content validity of the scale were evaluated. Finally, construct validity (exploratory and confirmatory factor analysis, concurrent validity, convergent and divergent validity) and reliability (item-total score correlation, split-half method, Cronbach's α coefficient, equivalent forms reliability and test-retest) were evaluated for psychometric properties.</p><p><strong>Results: </strong>The newly developed scale, for which validity and reliability analyses were conducted using two separate samples through exploratory and confirmatory factor analysis, was found to consist of 26 items and a single factor. This factor explained 63.2% of the variance related to the structure and showed acceptable goodness of fit (χ2/sd = 4.325, RMSEA = 0.078, RMR = 0.046, TLI = 0.915, CFI = 0.924, NFI = 0.903, GFI = 0.882, IFI = 0.924). The content validity of the scale was found to be 0.95. Construct validity results indicated that the scale exhibited strong concurrent validity (r_EFA =0.755, r_CFA =0.772, p < 0.05) and convergent and divergent validity (AVE > 0.5; CR > 0.8; CR > AVE). The reliability analyses revealed high internal consistency (0.976_EFA;0.978_CFA), time invariance (ICC = 0.836), and equivalent forms reliability (p < 0.05).</p><p><strong>Conclusions: </strong>The scale is a valid and reliable tool for assessing nurses' perceptions of talent management. It can be used to evaluate talent management practices in nursing and developing policies and strategies that support investment in nursing talent.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"366"},"PeriodicalIF":3.1,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781629","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":"Psychiatric nurses' experiences of patient violence on acute psychiatric units in Turkey: a qualitative study.","authors":"Cemile Hurrem Ayhan, Mehmet Cihad Aktaş, Esra Karan","doi":"10.1186/s12912-025-03030-y","DOIUrl":"10.1186/s12912-025-03030-y","url":null,"abstract":"<p><strong>Background: </strong>Previous research has found that nurses working in psychiatric clinics in an environment where patient violence is common due to patient-nurse interactions. Mental health nurses are often subjected to violent and aggressive behavior from patients. The experiences of assault have inflicted physical and psychological stress on mental health nurses, adversely impacting the quality of patient treatment. This study aims to explore psychiatric nurses' experiences with patient-related violence.</p><p><strong>Methods: </strong>A phenomenological descriptive design one of the qualitative methods guided this study that included 10 semi-structured interviews with a purposeful sample of 10 registered nurses who self-reported experiencing patient violence within acute care inpatient psychiatry in Turkey. The data was analyzed using inductive qualitative content analysis to create themes and categories within the research. The confirmability, transferability, credibility and consistency of the study were checked.</p><p><strong>Results: </strong>Nurses reported experiencing physical, emotional and verbal violence. Thematic analysis of interview data found five themes as well as 14 subthemes: (i) Perceived Normalization of Violence; for many nurses violence was normal, because patients are mentally sick; (ii) Contributing factors to patient violence (iii) Impact of patient violence; (iv) Ways of coping with violence; (v) Strategies to Prevent Patient Violence.</p><p><strong>Conclusion: </strong>This study provides comprehensive multidimensional insights into the causes, consequences and prevention of patient violence experienced by psychiatric nurses. The descriptions of nurses' experiences of violence illustrate the severity of violence and its negative impact on nursing care. Patient violence can be minimized if psychiatric nurses receive psychological support to cope with the emotions caused by the violence, focus on and address the facility's deficiencies and are trained in therapeutic interventions.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"363"},"PeriodicalIF":3.1,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774525","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":"Analysis of a nursing workforce policy on the career ladder and pay structure of public sector nurses in the Maldives: a qualitative study.","authors":"Asiya Ibrahim, Orn-Anong Wichaikhum, Kulwadee Abhicharttibutra, Apiradee Nantsupawat, Pimpaporn Klunklin","doi":"10.1186/s12912-025-03035-7","DOIUrl":"10.1186/s12912-025-03035-7","url":null,"abstract":"<p><strong>Background: </strong>International organizations have encouraged countries to adopt policies that ensure adequate pay and career development opportunities for professional advancement and job satisfaction, thereby contributing to organizational effectiveness. The Job Family Standard for Nursing (2018) is a workforce policy on the career ladder and pay structure that aims to improve the career advancement and pay progression of public sector nurses in the Maldives. This study explores the context, process, actors, and content of the policy with regard to the career ladder and pay structure in the Maldives.</p><p><strong>Methods: </strong>A qualitative descriptive design was used to collect and analyze data from individuals involved in policymaking. Semi-structured interviews with 26 participants and a document review were used for data collection, and a thematic analysis was conducted. The results were reported via the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist and categorized into four major components: context, process, actors, and workforce policy content. The findings indicate that contextual factors, such as the modernization of public administration, political changes, challenges in health system development, and engagement and communication with different actors, influence the process of policy formulation and implementation. Actors such as government elites significantly influence policy content and implementation.</p><p><strong>Conclusions: </strong>The findings provide evidence of how contextual factors and the role of actors influence the policy development process so that the content of policies can be finalized and implemented. It is crucial to undertake comprehensive policy analysis to identify contextual factors, engagement and communication with different actors, and these actors' power and influence in shaping policy content and implementation. Nurse leaders and managers should proactively engage relevant actors to contribute to the development of effective policies for nurses' retention and organizational effectiveness.</p><p><strong>Trial registration: </strong>Not applicable to the study.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"362"},"PeriodicalIF":3.1,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774378","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":"\"I can't endure it\" vs. \"I can handle it\" - experiencing work fatigue risk for nurses: a qualitative study.","authors":"Rong Pi, Yunfang Liu, Rong Yan, Yan OuYang, Wenjing Li, Zixuan Hou, Zong De, Fang Liu, Zihan He, Yuxin Mei, Suyun Li","doi":"10.1186/s12912-025-03022-y","DOIUrl":"10.1186/s12912-025-03022-y","url":null,"abstract":"<p><strong>Background: </strong>Work fatigue has become a significant challenge for nursing staff, yet there is a paucity of qualitative research that explores their lived experiences in this context. This study aims to examine clinical nurses' experiences with work fatigue risk and to identify the hindering and facilitating factors contributing to this issue.</p><p><strong>Methods: </strong>In this study with descriptive phenomenological method, semi-structured interviews with 25 nurses conducted in the meeting room of a hospital from June to August 2024. Colaizzi's seven-step analysis method was used for data analysis.</p><p><strong>Results: </strong>Three main themes with twelve subthemes were identified. The primary themes included: (1) phases of work fatigue risk experience, (2) hindering factors of work fatigue risk management, and (3) facilitating factors of work fatigue risk management. Nurses faced a combination of facilitators and inhibitors in managing work fatigue. While some nurses demonstrated a positive attitude towards their work, others showed a strong intention to leave the profession.</p><p><strong>Conclusions: </strong>Our findings offer a nuanced understanding of the dynamic stages of nurses' work fatigue experience, highlighting both hindering and facilitating factors that influence the management of work fatigue risk. Nurses encounter multiple challenges in managing work fatigue effectively, underscoring the need for comprehensive strategies. These strategies should address structural barriers while fostering individual resilience, ultimately promoting a healthier and more sustainable work environment.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"361"},"PeriodicalIF":3.1,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774350","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":"Efficacy and safety of care bundles in the treatment of delirium in ICU patients: a meta-analysis and systemic review.","authors":"Dihui Fang, Lilan Zeng, Fang Kuang","doi":"10.1186/s12912-025-03013-z","DOIUrl":"10.1186/s12912-025-03013-z","url":null,"abstract":"<p><strong>Objective: </strong>The aim is to explore the impact of care bundles on the efficacy and safety of delirium management in intensive care unit (ICU) patients compared to standard care through a meta-analysis and systematic review.</p><p><strong>Method: </strong>China National Knowledge Infrastructure (CNKI), Wanfang, PubMed, Web of Science (WOS), Embase, Cochrane, Chinese Biomedical Database (CBM), and VIP databases were searched from the database inception to December 1, 2024. The inclusion criteria based on the PICOS strategy include ICU patients (P), and randomized controlled trials (RCT) (S) comparing the treatment outcomes (such as incidence of delirium, duration of delirium, duration of mechanical ventilation, mortality rate, etc.) (O) between the care bundles (I) and standard care (C). Two investigators independently screened the literature, extracted the data, and assessed the quality of the included literature using the Cochrane Quality Assessment Tool. Meta-analysis was performed using STATA15.0 software.</p><p><strong>Results: </strong>Eighteen studies were included with a total of 2,717patients involved. Most studies have a high/moderate risk of bias. The results of the meta-analysis demonstrated that care bundles was effective in decreasing the (1)incidence of delirium in ICU patients [risk ratio [RR] = 0.38, 95% confidence interval [CI] : 0.32, 0.45; P < 0.001], shortening the (2)duration of delirium(days) (weighted mean difference [WMD] = -1.60, 95% CI : -1.96, -1.23; P < 0.001), and (3)duration of mechanical ventilation in corresponding patients(days) (standardized mean difference [SMD] = -1.65, 95% CI : -2.40, -0.89; P < 0.001). However, there was no statistical difference in patient (4) mortality (RR = 0.78, 95% CI : 0.44, 1.40; P = 0.41).</p><p><strong>Conclusions: </strong>Care bundles have positive effects on delirium in ICU patients. However, results with significant heterogeneity should be interpreted with caution, and differences in bundles need to be taken into account. More multi-center, largesample randomized controlled studies are required to further explore the optimal components and combinations of care bundles.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"356"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765496","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 effect of interpersonal sensitivity on the interpersonal skills of undergraduate nursing students: The chain mediating effect of self-efficacy and subjective well-being.","authors":"Jiamei Song, Yue Su, Zhe Jiang, Yiqiu Zhang, Jie Liu, Chaoran Chen","doi":"10.1186/s12912-025-02954-9","DOIUrl":"10.1186/s12912-025-02954-9","url":null,"abstract":"<p><strong>Background: </strong>Undergraduate nursing students' interpersonal skills are closely related to their clinical nursing competence, yet research on the effects of interpersonal sensitivity on interpersonal skills and its mediating mechanisms is not found.</p><p><strong>Objective: </strong>To investigate the effects of interpersonal sensitivity on undergraduate nursing students' interpersonal skills and the mediating role of self-efficacy and subjective well-being.</p><p><strong>Methods: </strong>This study was a cross-sectional design conducted in Henan Province, China, from March to April 2024, using convenience sampling method, questionnaires using Interpersonal Competence Questionnaire, Interpersonal Sensitivity Scale, General Self-Efficacy Scale, and Index of Well-Being were administered to 745 undergraduate nursing students. The resulting data were analyzed using SPSS 25.0, and structural equation modeling was constructed using Amos 26.0 to explore the mediating role of self-efficacy and subjective well-being between interpersonal sensitivity and interpersonal skill.</p><p><strong>Results: </strong>The interpersonal skill of undergraduate nursing students was at a moderate level (M ± SD: 116.16 ± 29.383), and interpersonal sensitivity had a significant negative effect on interpersonal skill (r = -0.373, p < 0.01). Self-efficacy and subjective well-being acted as chain mediators between interpersonal sensitivity and interpersonal skill, accounting for 6.51% of the total effect.</p><p><strong>Conclusion: </strong>Nursing educators should emphasize the effect of interpersonal sensitivity on interpersonal skills and take feasible measures to improve the self-efficacy and subjective well-being of undergraduate nursing students to promote their interpersonal skills.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"353"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765515","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 job stress and the perception of patient safety culture among Palestinian hospital nurses.","authors":"Loai M Zabin, Jamal Qaddumi, Sajed Faisal Ghawadra","doi":"10.1186/s12912-025-03009-9","DOIUrl":"10.1186/s12912-025-03009-9","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Patient safety is a global concern, with high rates of medical errors reported annually. Understanding the relationship between nurses' job stress and patient safety culture (PSC) is crucial. Despite their pivotal role in healthcare, nurses face stress due to demanding job roles and the challenging healthcare system in Palestine. This study aims to explore the relationship between nurses' job stress and PSC in Palestinian hospitals, identifying predictors that impact PSC to enhance healthcare outcomes and support healthcare professionals.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This study employed a quantitative cross-sectional approach. Data collection took place from June to September 2023. The study utilized self-report surveys, including the Hospital Survey of Patient Safety Culture (HSOPSC) and the Nursing Stress Scale (NSS), administered to 355 nurses working in 16 North West Bank hospitals in Palestine. The data collected were analyzed via descriptive and inferential analysis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Overall, 47% of the nurses reported having positive PSC. The areas with the most positive perception were \"teamwork\" and \"organizational learning-continuous improvement\", with mean percentages of positive responses of 63.1% and 55.8%, respectively. Conversely, the composites with the lowest positive response scores included \"Response to Error\" and \"Staffing and Work Pace\", with mean percentages of positive responses of 30.9% and 34.8%, respectively. Furthermore, the most common sources of job stress perceived by nurses were \"workload\" and \"death and dying\", with mean scores of 1.42 and 1.20, respectively. However, the lowest-scoring sources of stress were in the subscales \"Uncertainty concerning treatment\" and \"Inadequate preparation\", with mean scores of 1.02 and 1.06, respectively. Statistical tests revealed that six factors were significantly associated with the perception of PSC. Among these factors, income, hospital type, activities to improve PSC, patient safety ratings of work areas, and weekly night shifts emerged as predictors of PSC. Additional tests revealed nine factors significantly associated with job stress. Among these factors, gender, educational level, engagement in stress relief activities, participation in PSC improvement activities, and patient safety ratings emerged as predictors of job stress. Moreover, the study revealed negative correlations between job stress and PSC.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This study identified the need for tailored policies and interventions that address nurses' specific stressors to enhance PSC within hospital settings. Moreover, the study shed light on the unique challenges faced by nurses in Palestine, such as limited resources, unemployment concerns, staffing, and transportation issues, which further exacerbated job stress levels and potentially compromised patient safety. Understanding these contextual factors is crucial for developing targeted interv","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"355"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765518","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":"Application of a training program system centered on job competency in the standardized training of new nurses.","authors":"Fenglian Luo, Jun Cai, Haixia Ma, Xia Wu, Yue Xia","doi":"10.1186/s12912-025-02970-9","DOIUrl":"10.1186/s12912-025-02970-9","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates the effectiveness of a job competency-centered training system for newly hired nurses during their induction training.</p><p><strong>Methods: </strong>The control group included 41 nurses who underwent traditional teaching models from 2020 to 2021. The observation group consisted of 39 nurses trained from 2022 to 2024, focusing on job competency. This training covered basic theoretical knowledge, operational skills, professional conduct, communication, emergency response, and comprehensive nursing care skills. Post-training evaluations included competency, theoretical and practical examination scores, Nursing-Mini-CEX excellence rates, patient satisfaction, and humanistic care abilities.</p><p><strong>Results: </strong>The observation group achieved higher scores across all assessment areas compared to the control group. Theoretical examination scores were (95.987 ± 2.129) vs. (94.756 ± 2.773), practical scores were (96.987 ± 1.254) vs. (95.902 ± 1.855), and comprehensive scores were (96.487 ± 1.234) vs. (95.329 ± 1.841). Mini-Clinical Evaluation Exercise (Mini-CEX) scores were (8.795 ± 0.409) for the observation group and (8.439 ± 0.594) for the control group. In job competency dimensions, the observation group scored: professional quality (10), general work capability (34.718 ± 0.916), communication and coordination (13.949 ± 0.605), proactive management (13.974 ± 0.778), patient safety (14.128 ± 0.767), health education (8.564 ± 0.552), and overall competency (95.333 ± 1.420). Conversely, the control group scored: professional quality (10), general work capability (34.268 ± 0.708), communication and coordination (13.634 ± 0.733), proactive management (13.634 ± 0.733), patient safety (13.780 ± 0.725), health education (8.293 ± 0.599), and overall competency (93.610 ± 1.481). For humanistic care ability, the observation group had cognitive (66.41 ± 3.362), courage (65.923 ± 3.115), and patience dimensions (60.308 ± 3.686), totaling (192.641 ± 5.451). The control group's scores were cognitive (64.488 ± 3.543), courage (64.317 ± 3.446), and patience (57.902 ± 5.004), totaling (186.707 ± 8.143). Patient satisfaction rates were 100% in the observation group and 95.12% in the control group. Nurses trained under the competency-based model showed significant enhancements in job competency, patient satisfaction, and humanistic care compared to those trained under traditional methods.</p><p><strong>Conclusion: </strong>The job competency-centered induction training model significantly enhances new nurses' job competence, theoretical and practical assessment scores, humanistic care abilities, and patient satisfaction compared to traditional models.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"358"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765494","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":"Fight or flight-intensive care nurses' decisions to resign following the COVID-19 pandemic: a phenomenological hermeneutical study.","authors":"Anna Slettmyr, Anna Schandl, Maria Arman, Karin Hugelius","doi":"10.1186/s12912-025-02956-7","DOIUrl":"10.1186/s12912-025-02956-7","url":null,"abstract":"<p><strong>Background: </strong>Many intensive care unit (ICU) nurses who were crucial to the frontline response during the COVID-19 pandemic left their employment during or after the pandemic. Studies exploring the experiences of these nurses are lacking. The aim of this study was to explore ICU nurses' course towards making the decision to resign from work in the ICU following the COVID-19 pandemic.</p><p><strong>Method: </strong>Advertisements on social media and a snowball sampling-inspired method were used to recruit 11 nurses from hospitals around Sweden who worked in an ICU during the pandemic and who then left employment. The participants were interviewed individually via telephone, online or in-person. An interview guide with a few open-ended questions was used to capture the nurses' narratives. The data were analysed using a phenomenological hermeneutical method.</p><p><strong>Results: </strong>The nurses were tangled in paradoxes, described as three themes: 'To give it all and yet feel insufficient', 'To experience togetherness and yet feel lonely' and 'To prioritise others and yet need to eventually prioritise oneself'. The decision to end their employment was ambivalent but necessary, made with relief and no regrets, but with sorrow. During this decision-making process, there may have been a window of opportunity during which nursing management or the health care service might have influenced the outcome.</p><p><strong>Conclusion: </strong>The ICU nurses' decision to resign was influenced by a tangle of challenging paradoxes that entailed ambivalence. The course to the decision to resign was marked by hesitancy. While it is important to understand and support nurses' willingness to care for patients during a crisis and to acknowledge their suffering as it relates to their professional efforts, it is also essential to address their individual struggles and needs.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"360"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765500","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}