BMC Nursing最新文献

{"title":"Analysis of risk factors for subjective stress among nurses caring for patients with delirium: a cross-sectional, multicentre survey.","authors":"Tianxiang Jiang, Yangling Ge, Wei Zhang, Xiaoqiong Wang, Weili Zhao, Xiaotong Yuan, Haochong He, Xiuzhi Zhang","doi":"10.1186/s12912-025-03568-x","DOIUrl":"10.1186/s12912-025-03568-x","url":null,"abstract":"<p><strong>Background: </strong>Nurses experience subjective stress and challenges in the context of caring for patients with delirium. These stresses can cause psychological damage to nurses and may affect the quality of delirium care. However, few multicentre studies have empirically explored the risk factors for subjective stress among nurses caring for patients with delirium. This study aimed to investigate the status of and risk factors for subjective stress among nurses caring for patients with delirium.</p><p><strong>Methods: </strong>A multicentre, cross-sectional survey was conducted between November and December 2023 among a population-based convenience sample of nurses from three tertiary hospitals in Taizhou, Zhejiang Province. Demographic data, delirium care-related information, and scores on the Strain of Care for Delirium Index (SCDI) were collected for analysis.</p><p><strong>Results: </strong>Hyperactive/hyperalert behavior had the highest overall mean score (3.18 ± 0.57), and hypoactive behavior had the lowest overall mean score (2.05 ± 0.58). The significant variables from the univariate analysis were included in multiple linear regression analysis for further analysis, with the SCDI total score as the dependent variable. Receiving training regarding delirium, having an intermediate title or above, working in a department with a standardized delirium management process, lower workload and more positive attitudes towards delirium were associated with lower levels of subjective stress among nurses caring for patients with delirium, accounting for 83.5% of the total variance.</p><p><strong>Conclusions: </strong>This study provides insights into the risk factors for subjective stress among nurses caring for patients with delirium. Our findings suggest that educational programs, supportive measures, and standardized delirium management programs are crucial ways of reducing the burden faced by nurses. Nursing managers need to focus on the stresses experienced by nurses in the context of delirium care, address relevant barriers, and allocate appropriate resources.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"936"},"PeriodicalIF":3.1,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660836","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 episiotomy self-efficacy scale: a scale development study.","authors":"Büşra Yolcu, Zeliha Demir Kaymak, Zekiye Turan, Yasemin Hamlaci Başkaya","doi":"10.1186/s12912-025-03578-9","DOIUrl":"10.1186/s12912-025-03578-9","url":null,"abstract":"<p><strong>Background: </strong>Self-efficacy mediates between knowledge and behaviour and is related to professional competence. It is very important to provide students with episiotomy skills, which are among the most important practices of midwives, and to increase their self-efficacy in this regard.</p><p><strong>Aim: </strong>The aim of this study was to develop a measurement tool that measures the self-efficacy of midwives regarding episiotomy application, one of the most critical tasks of midwives, in terms of cognitive, affective, motivational and psychomotor aspects.</p><p><strong>Methods: </strong>This methodological study was conducted with midwifery students in their 2nd, 3rd and 4th years. A sociodemographic information form and a draft episiotomy self-efficacy scale were used to collect data. Factor analysis, Cronbach's alpha and item-total score correlations were used to evaluate the data and two levels of confirmatory factor analysis (CFA) were conducted in the study.</p><p><strong>Results: </strong>The results of second-level CFA indicated the emergence of a structure consisting of seventeen items and four sub-dimensions. The factor loadings of the scale exhibited a range of 0.62-0.93. The goodness-of-fit index values were: RMSEA, 0.079; CFI, 0.961; AGFI, 0.834; and GFI, 0.875. Cronbach's alpha for the entire scale was found to be 0.955 and the corrected item-total correlations of the items were between 0.573 and 0.810.</p><p><strong>Conclusions: </strong>It was concluded that the overall scale is a valid and reliable measurement tool for midwifery students. Further studies are recommended to assess the validity and reliability of the scale using item pools in different languages.</p><p><strong>Relevance to clinical practice: </strong>Self-efficacy mediates between knowledge and behaviour and is related to professional competence. Therefore, determination of self-efficacy related to practices plays a major role in the way education is transferred. In this study, a scale was developed that measures individuals' episiotomy self-efficacy. This scale can distinguish between individuals with high or low episiotomy self-efficacy and individuals who take episiotomy course or not.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"931"},"PeriodicalIF":3.1,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12269255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660841","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 undergraduates' use, readiness, barriers, and perceived effectiveness of online distance learning during COVID-19 in Sri Lanka: a cross-sectional study.","authors":"Prasanthi Sumudrika Ilankoon Ilankoon Mudiyanselage, Kedhara Sujatha Seneviratne Seneviratne Mudiyanselage","doi":"10.1186/s12912-025-03583-y","DOIUrl":"10.1186/s12912-025-03583-y","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic disrupted traditional learning, presenting unique challenges for nursing undergraduates due to the hands-on nature of their education. Assessing students' readiness, usage of online platforms, and the barriers they face is crucial to evaluating the effectiveness and sustainability of online learning. This study aimed to investigate nursing undergraduates' use of online learning facilities, readiness for online distance learning, and associated factors; to identify the barriers and challenges they faced; and to explore their perceived effectiveness with online distance learning during the COVID-19 pandemic.</p><p><strong>Methods: </strong>This descriptive cross-sectional study was conducted among 137 nursing undergraduates in Sri Lanka. Data were collected using a pretested, validated study instrument, including students' Online Learning Readiness Score (OLRS) distributed through Google Forms. The data were then analysed using descriptive statistics and multivariate analysis of variance.</p><p><strong>Results: </strong>The study had a 91.3% response rate (n = 137), with a mean participant age of 24.18 (± 3.45) years. Nearly half (51.8%) accessed online classes via smartphones, and most (62.8%) used mobile data. Key challenges included mobility restrictions (85.4%), lack of face-to-face interaction (82.5%), heavy workloads (81%), household duties (79.6%), and poor internet connectivity (78.8%). The mean Online Learning Readiness Score (OLRS) was 13.95 (± 4.90), with higher scores in self-directed learning and motivation (3.44-3.63). MANOVA revealed a significant gender difference in OLRS (F = 3.932, p < 0.04; Wilks' Lambda = 0.955; η² = 0.028), and significant differences in computer internet self-efficacy across academic years (F = 6.015, p < 0.001; Wilks' Lambda = 0.808; η² = 0.119).</p><p><strong>Conclusion: </strong>Nursing undergraduates faced several challenges to online learning during COVID-19, including mobility restrictions, low motivation, and poor connectivity. Despite moderate self-directed learning and motivation, overall readiness was low. Readiness varied by gender and academic year, indicating the need for targeted support to improve digital preparedness and engagement.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"932"},"PeriodicalIF":3.1,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660840","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 professional identity in the relationship between gender misconceptions and occupational stigma among male nursing students.","authors":"Shaimaa Mohamed Amin, Doaa El Demerdash, Ahmed Abdellah Othman, Mohamed Ali Zoromba, Heba Emad El-Gazar, Mohamed Hussein Ramadan Atta, Ali Albzia, Mahitab Mohamed Abdelrahman, Ibrahim Alasqah, Haitham Mokhtar Mohamed Abdallah","doi":"10.1186/s12912-025-03552-5","DOIUrl":"10.1186/s12912-025-03552-5","url":null,"abstract":"<p><strong>Background: </strong>Male nursing students often face unique challenges related to their professional identity, stigma associated with the nursing profession, and gender-related misconceptions. These factors can influence their academic and career development. Understanding these elements is crucial for improving the support systems and educational environments for male nursing students.</p><p><strong>Aim: </strong>This study aimed to assess the professional identity, occupational stigma, and gender misconceptions among male nursing students at Sohag University, Egypt, and explore the relationships between these factors.</p><p><strong>Methods: </strong>A cross-sectional descriptive design was used. A total of 308 male nursing students enrolled in the 2024-2025 academic year were selected through systematic random sampling. Data were collected using three validated instruments: the Professional Identity Scale for Male Nursing Students, the Nurse Occupational Stigma Scale, and The gender misconceptions of men in nursing scale. Descriptive statistics, Pearson's correlation, and Linear regression analysis were employed to analyze the data. JASP 0.14.1.0 was used for testing the mediating role of male identity between der misconceptions and nurse occupational stigma through SEM Module through SEM Module with Delta method standard errors.</p><p><strong>Results: </strong>The participants' mean score for professional identity was 38.5 (SD = 6.4). The mean score for the Nurse Occupational Stigma Scale was 53.2 (SD = 8.1), The GEMINI scale showed a mean score of 55.3 (SD = 7.9). In addition, revealed a significant positive correlation between professional identity and stigma (r = .52, p < .001), and a negative correlation between professional identity and gender misconceptions (r = -.45, p < .001). Also, stigma and gender misconceptions significantly predicted professional identity (R² = 0.38, p < .001).</p><p><strong>Conclusion: </strong>The study highlights significant associations between male nursing students' professional identity, occupational stigma, and gender misconceptions. Addressing stigma and misconceptions can enhance the development of professional identity among male nursing students, fostering a more supportive academic environment.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"930"},"PeriodicalIF":3.1,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12269126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660842","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":"Experiences in practicing physical examination skills among undergraduate nursing students in clinical rotation based on the COM-B system: a descriptive qualitative study.","authors":"Junjie Chen, Wenhui Liu, Chaozhen Tang, Minrui Yu, Ziwen Wang, Chunhua Ma","doi":"10.1186/s12912-025-03592-x","DOIUrl":"10.1186/s12912-025-03592-x","url":null,"abstract":"<p><strong>Purposes: </strong>To explore the experiences of Chinese undergraduate nursing students in practicing physical examination (PE) skills during clinical rotation.</p><p><strong>Methods: </strong>A descriptive-qualitative approach was used. A total of 18 undergraduate nursing students from eight universities were interviewed. The interview outline was developed based on a behavioral system, capability, opportunity, and motivation.</p><p><strong>Results: </strong>Based on the capability, opportunity, and motivation, six themes were extracted from undergraduate nursing students: knowledge and skills of physical examinations, departmental support for nursing students, challenges from patients, students' sense of responsibility, perceived accomplishment of physical examinations, and peer-to-peer communication.</p><p><strong>Conclusion: </strong>This study emphasizes the importance of enhancing undergraduate nursing students' capability, providing opportunities, and fostering their motivation to practice PE skills during clinical rotations. Based on these three dimensions, universities and clinical educators should design effective learning strategies for nursing students to practice PE skills in clinical settings.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"928"},"PeriodicalIF":3.1,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12269101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650952","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 associated with beliefs and implementation of evidence-based practice among nurses: a cross-sectional study.","authors":"Manisha Mehra, C Bellson Raj, Rimple Sharma, Anuj Singh, Surya Kant Tiwari","doi":"10.1186/s12912-025-03596-7","DOIUrl":"10.1186/s12912-025-03596-7","url":null,"abstract":"<p><strong>Background: </strong>Evidence-based practice (EBP) is vital for improving patient outcomes and healthcare quality. However, its integration remains limited in many settings, particularly in developing countries. This study aimed to assess EBP beliefs and implementation among nurses in India and identify associated sociodemographic factors.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted at the All India Institute of Medical Sciences, New Delhi, a tertiary care hospital in Northern India, with 220 nurses completing validated scales measuring EBP beliefs and implementation. The inclusion criteria were nurses working in intensive care units or wards who met the shift requirements and volunteered to participate. Data were collected using self-administered, paper-based questionnaires. Descriptive statistics, cluster analysis, correlation analysis, analysis of variance, and multiple regression were used to analyze data.</p><p><strong>Results: </strong>Cluster analysis revealed that 46.8% (103/220) of nurses had poor EBP beliefs, and 37.7% (83/220) demonstrated good implementation. Factors positively correlated with implementation were resource beliefs (r = 0.155, p = 0.021), EBP value beliefs (r = 0.140, p = 0.038), and difficulty/time beliefs (r = 0.158, p = 0.019). Nurses with > 5 years' experience scored significantly higher on both beliefs (56.27 ± 16.98) and implementation (51.01 ± 12.65) than less experienced nurses (p < 0.001). Multiple regression analysis identified professional experience as a significant predictor of EBP beliefs (β = 0.174, p = 0.023) and implementation (β = 0.262, p = 0.001), after adjusting for other factors. Other sociodemographic variables, including sex, marital status, education, and designation, were not significantly associated with EBP beliefs and implementation.</p><p><strong>Conclusions: </strong>Despite good levels of EBP implementation, nearly half of the nurses exhibited poor beliefs about EBP. Professional experience was the strongest predictor of both EBP belief and implementation. These findings highlight the importance of targeted interventions, such as structured mentorship, continuing education, and hands-on training, to support less-experienced nurses in adopting EBP. Strengthening these competencies may enhance clinical decision-making and ultimately improve patient care.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"929"},"PeriodicalIF":3.1,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12269217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650953","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":"Development and validation of paternal breastfeeding attitude scale.","authors":"Aysu Buldum, Devrim Alıcı, Duygu Vefikuluçay Yılmaz","doi":"10.1186/s12912-025-03551-6","DOIUrl":"10.1186/s12912-025-03551-6","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to develop a valid and reliable instrument for the measurement of fathers' attitudes towards breastfeeding.</p><p><strong>Methods: </strong>This basic research-designed study included two independent participant groups of fathers who resided with their wives and had children aged 0-24 months who were exclusively breastfed. The final draft of the Paternal Breastfeeding Attitude Scale consisted of 32 items, which were scored on a five-point Likert scale.</p><p><strong>Results: </strong>Exploratory Factor Analysis was conducted on the scale comprising 14 items. The Kaiser-Meyer Olkin value of the 14-item Paternal Breastfeeding Attitude Scale (0.864). The Paternal Breastfeeding Attitude Scale sub-dimensions Cronbach's α were (0.85) for \"devaluation (six items)\", (0.75) for \"caring (five items)\", and (0.68) for \"necessity (three items)\". Confirmatory Factor Analysis was conducted on the 14-item scale. The t-tests of all factor loadings obtained from Confirmatory Factor Analysis yielded statistically significant results (p < .05). This model obtained in confirmatory factor analysis was derived through EFA and based on the items belonging to the factors. In this multifactor model, observable variables were grouped under multiple independent dimensions. The model showed acceptable model fit parameters (χ2 = 210.94; RMSEA = 0.08; CFI = 0.94; NNFI = 0.93; SRMR = 0.05; IFI = 0.94).</p><p><strong>Conclusions: </strong>The study demonstrated that the Paternal Breastfeeding Attitude Scale was a valid and reliable instrument for assessing fathers' attitudes toward breastfeeding. Fathers' positive attitudes towards breastfeeding can be promoted through breastfeeding training or counseling provided by women's health nurses.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"918"},"PeriodicalIF":3.1,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643867","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":"Learning dynamics during clinical handover: a qualitative study among final year students in Central Region Nursing Colleges, Malawi.","authors":"Lydia Nkhoma, Florence Lungu, Balwani Chingatichifwe Mbakaya, Thokozani Bvumbwe, Griphin Baxter Chirambo","doi":"10.1186/s12912-025-03590-z","DOIUrl":"10.1186/s12912-025-03590-z","url":null,"abstract":"<p><strong>Background: </strong>Numerous learning opportunities exist in clinical handover but accessing them requires effort and careful planning since the primary goal of clinical handover is ensuring patient safety rather than teaching and learning. Clinical handover is the communication of vital information, professional accountability and authority for treatment of the patient from one healthcare provider to another. The study aimed to explore the lived experiences of final-year students in Malawi's Central Region Nursing Colleges on learning during clinical handover.</p><p><strong>Methods: </strong>A descriptive phenomenological study was conducted among final-year students in Central Region Nursing Colleges in Malawi. Purposive sampling technique was used to recruit thirteen participants for the study. Data was collected using face-to-face (f2f) interviews. Data analysis was done manually using Colaizzi's (1978) seven-step approach.</p><p><strong>Results: </strong>Three themes were identified which included clinical handover learning moments, student teaching and learning strategies and facilitators to learning during clinical handover. Student involvement determined the learning moments during clinical handover. Among the most utilised teaching methods during clinical handover were question-and-answer, discussions and lecture method. Factors that facilitated student learning during clinical handover were comprehensive sharing of knowledge and skills and presence of different health professionals.</p><p><strong>Conclusion: </strong>Teaching and learning opportunities that clinical handover offers may be maximised by ensuring student involvement, use of appropriate teaching and learning strategies and the utilisation of comprehensive clinical information and good practices during clinical handovers.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"921"},"PeriodicalIF":3.1,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643868","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":"Linking psychological capital to job embeddedness among nurses: evidence from Egyptian public healthcare setting.","authors":"Ayman Mohamed El-Ashry, Mahmoud Abdelwahab Khedr, Mona Metwally El-Sayed, Islam Sameh Abdelhay, Mennat-Allah G Abou Zeid, Bashair Mohamed Elsayed Abdo","doi":"10.1186/s12912-025-03547-2","DOIUrl":"10.1186/s12912-025-03547-2","url":null,"abstract":"<p><strong>Background: </strong>Psychological capital, encompassing hope, self-efficacy, resilience, and optimism, is increasingly recognized as a critical resource in enhancing workplace engagement and retention. In high-stress professions such as nursing, psychological capital may serve as a buffer against job demands. However, limited research exists in Egypt exploring how psychological capital influences job embeddedness, a construct reflecting an employee's attachment to their job and organization.</p><p><strong>Objective: </strong>This study aimed to examine the relationship between psychological capital and job embeddedness among nurses working in governmental hospitals in Egypt.</p><p><strong>Design: </strong>A cross-sectional, descriptive correlational design was employed, adhering to the STROBE guidelines.</p><p><strong>Methods: </strong>Data were collected from 431 registered nurses working across two public hospitals over three months. Standardized tools were used, including the 24-item Psychological Capital Questionnaire and the Global Job Embeddedness Scale.</p><p><strong>Results: </strong>Psychological capital showed a significant positive correlation with job embeddedness (r = 0.356, p < 0.001). Regression analysis confirmed PsyCap as a significant predictor of JE (B = 0.317, p < 0.001), accounting for 19.8% of the variance (R² = 0.198). Among PsyCap dimensions, optimism had the strongest individual correlation with JE (r = 0.406, p < 0.001). Conversely, patient load per shift was negatively associated with JE (B = - 0.269, p < 0.001).</p><p><strong>Conclusion: </strong>Psychological capital is a significant linked to job embeddedness among Egyptian nurses. Nurses with higher psychological capital levels are more likely to feel anchored in their roles, whereas high patient loads erode this attachment.</p><p><strong>Nursing implications: </strong>Healthcare institutions should implement programs to develop nurses' psychological capital particularly resilience, optimism, and self-efficacy. In parallel, managing nurse workloads is essential to enhancing retention, improving work satisfaction, and ensuring sustained quality care in challenging healthcare environments.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"917"},"PeriodicalIF":3.1,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643869","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":"Unlocking innovation and resilience among emergency nurses through cultural intelligence: insights from a structural equation model.","authors":"Nadia Hassan Ali Awad, Boshra Karem Mohamed El-Sayed, Heba Mohamed Al-Anwer Ali Ashour","doi":"10.1186/s12912-025-03569-w","DOIUrl":"10.1186/s12912-025-03569-w","url":null,"abstract":"<p><strong>Background: </strong>The dynamic, multicultural healthcare environment and increasing worker diversity highlight the importance of cultural intelligence (CQ). High cultural intelligence helps employees seek colleague assistance, enhances resilience, and encourages innovative behavior. This study aims to develop a structural equation model (SEM) to test the impact of culture intelligence as a mediating factor between resilience and innovative work behavior (IWB) among emergency care nurses.</p><p><strong>Methods: </strong>A convenience sample of 276 nurses from four emergency departments in Alexandria participated in a cross-sectional, correlational study. Three validated scales were used to measure the study variables.</p><p><strong>Results: </strong>The study found that nurses had moderate mean scores for culture intelligence (58.94%), resilience (58.40%), and innovative work behavior (61.49%). The structural equation model analysis showed a good fit (CFI = 1.000, IFI = 1.000, RMSEA = 0.063), confirming that culture intelligence mediates the relationship between resilience and innovative work behavior, with a p-value less than 0.05.</p><p><strong>Conclusions: </strong>The study highlights the significant influence of cultural intelligence on resilience and innovative work behavior in emergency nurses. The findings contribute to the growing literature by establishing a model linking these variables, emphasizing the role of cultural intelligence in enhancing resilience and creativity in high-pressure settings. Human resource managers should implement cultural intelligence-focused educational programs and revise recruitment criteria to select nurses with high cultural intelligence traits.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"919"},"PeriodicalIF":3.1,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643910","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}