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The stakeholders' role in informal mentoring: a qualitative descriptive study of nurses and midwives working in acute care settings. 利益相关者在非正式指导中的作用:对在急症护理机构工作的护士和助产士的定性描述性研究。
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-04-01 DOI: 10.1186/s12912-025-03020-0
Tracy Alexis Kakyo, Lily Dongxia Xiao, Diane Chamberlain
{"title":"The stakeholders' role in informal mentoring: a qualitative descriptive study of nurses and midwives working in acute care settings.","authors":"Tracy Alexis Kakyo, Lily Dongxia Xiao, Diane Chamberlain","doi":"10.1186/s12912-025-03020-0","DOIUrl":"10.1186/s12912-025-03020-0","url":null,"abstract":"<p><strong>Aim: </strong>To understand the role of stakeholders (mentee, mentor, and the organisation) in informal mentoring of nurses and midwives working in acute care settings.</p><p><strong>Design: </strong>A qualitative descriptive study guided by reflexive thematic analysis. This manuscript was written in adherence to the Standards for Reporting Qualitative Research.</p><p><strong>Methods: </strong>Semi-structured interviews with a convenience sample of 35 nurses and/or midwives working in three regional hospitals in Uganda were conducted between June and September 2022.</p><p><strong>Results: </strong>Five overarching themes were identified reflecting nurses' and midwives' perceptions on building blocks of successful mentoring; approaches to mentor/mentee selection; varied strategies for mentoring in hospital environments; responsibilities of the stakeholders; and mentoring being a win-win for all stakeholders. Collectively, these themes highlight the input, processes, and short-term outcomes of engaging nurses and midwives in mentoring within acute care settings.</p><p><strong>Conclusion: </strong>Our findings reveal that informal mentoring offers advantages comparable to those of formal mentoring programs. These findings also challenge the prevailing notion of unidirectional mentoring. Mentees, just like mentors, play a proactive role in the informal mentoring process. Furthermore, the organisation is not simply a contextual variable; it actively contributes to the dynamics of informal mentoring relationships. The study also highlights the potential for inter-unit and inter-facility mentoring.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"357"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765529","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}
引用次数: 0
Evaluation of nurses' perspectives on the design and use of assistant nurse robots in obstetrics and neonatal care: a mixed-method study.
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-04-01 DOI: 10.1186/s12912-025-03025-9
Özen İnam, Samet Okay
{"title":"Evaluation of nurses' perspectives on the design and use of assistant nurse robots in obstetrics and neonatal care: a mixed-method study.","authors":"Özen İnam, Samet Okay","doi":"10.1186/s12912-025-03025-9","DOIUrl":"10.1186/s12912-025-03025-9","url":null,"abstract":"<p><strong>Background: </strong>This study aims to evaluate nurses' perspectives on the design of nurse assistant robots that can be utilized in obstetrics and neonatal units. The research examines the potential of these robots in enhancing the quality of patient care, reducing workload, and standardizing care processes from the nurses' perspective.</p><p><strong>Methods: </strong>The study was conducted with 52 nurses working in obstetrics and neonatal units of hospitals. Conjoint analysis was used to evaluate preferences for the features of nurse assistant robots while qualitative data were obtained through semi-structured questions. The Artificial Intelligence Anxiety Scale was used to measure nurses' concerns.</p><p><strong>Results: </strong>Quantitative analysis results indicate that nurses prioritize features such as sterilization, data transfer, alarm systems, precision, and autonomous navigation in nurse assistant robots. Qualitative analysis findings reveal positive perceptions regarding the robots' potential to reduce error rates, enhance patient safety, and alleviate workload. However, concerns about technological dependency, sterilization issues, and potential job displacement were also expressed. Furthermore, technological/systematic issues and lack of communication/empathy were identified as disadvantages of nurse assistant robots. Considering the sensitive nature of obstetrics and neonatal units, it was suggested that these robots should primarily focus on vital sign monitoring and material preparation tasks. The findings from the Artificial Intelligence Anxiety Scale indicate that participants exhibit moderate-to-high levels of general anxiety (87.6). Specifically, the Socio-Technical Blindness and Job Transition subscales scored higher compared to other dimensions (r = -0.35, p < 0.01).</p><p><strong>Conclusions: </strong>The findings emphasize that features such as sterilization, data transfer, safety sensors, and user-friendly guidance systems should be prioritized in the design of nurse assistant robots. Moreover, experience and training were found to positively influence technological adaptation. The results provide valuable insights into the design and integration of nurse assistant robots into healthcare services. This study offers both theoretical and practical guidance for the development of nurse assistant robots.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"359"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765498","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}
引用次数: 0
Relationship between head nurse leadership and nurses' burnout: parallel mediation of job demands and job resources among clinical nurses. 护士长领导力与护士职业倦怠之间的关系:临床护士工作要求与工作资源的平行中介作用。
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-04-01 DOI: 10.1186/s12912-025-03006-y
He Jiaqing, Tian Yusheng, Zhai Mimi, Yang Jiaxin, Elihuruma Eliufoo, Yang Min, Li Yamin
{"title":"Relationship between head nurse leadership and nurses' burnout: parallel mediation of job demands and job resources among clinical nurses.","authors":"He Jiaqing, Tian Yusheng, Zhai Mimi, Yang Jiaxin, Elihuruma Eliufoo, Yang Min, Li Yamin","doi":"10.1186/s12912-025-03006-y","DOIUrl":"10.1186/s12912-025-03006-y","url":null,"abstract":"<p><strong>Background: </strong>Many elements in the workplace contribute to nurses' burnout experiences, affecting patient safety and the healthcare organizations' efficiency. Leaders' presence and conduct are the most potent \"master\" factors in every work setting. Although previous studies have shown that head nurse leadership, job demands, job resources, and job burnout are significantly related, the interaction mechanism remains unclear. This study investigates the parallel mediating roles of job demands and job resources between head nurse leadership and job burnout in nursing staff.</p><p><strong>Methods: </strong>A cross-sectional, anonymous, and confidential online survey was conducted from March to June 2024 to collect data from 579 registered nurses in four hospitals in Hunan provinces. The independent variable was head nurse leadership, the mediating variables were job demands and resources, and the dependent variable was job burnout. Parallel mediation analysis was performed using the PROCESS macro in SPSS.</p><p><strong>Results: </strong>This study found that head nurse leadership negatively relates to nurses' burnout. The parallel mediation analysis suggests that job resources and job demands play parallel roles in the relationship between head nurse leadership and job burnout. As predicted, head nurse leadership weakened job burnout through job resources and contributed to job burnout through job demands.</p><p><strong>Conclusion: </strong>This study finding highlights the importance of head nurse leadership in decreasing nurses' job burnout and reveals two potential mechanisms through which head nurse leadership is related to nurses' burnout. By understanding the role of head nurse leadership, job demands, and job resources, interventions can be targeted to improve nurses' mental health.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"354"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765512","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}
引用次数: 0
Carbon footprint awareness of nursing students: a qualitative study.
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-03-31 DOI: 10.1186/s12912-025-03021-z
Mağfiret Kaşıkçı, Yeşim Bağcı, Zeynep Yıldırım, Ulviye Aydan Nacak
{"title":"Carbon footprint awareness of nursing students: a qualitative study.","authors":"Mağfiret Kaşıkçı, Yeşim Bağcı, Zeynep Yıldırım, Ulviye Aydan Nacak","doi":"10.1186/s12912-025-03021-z","DOIUrl":"10.1186/s12912-025-03021-z","url":null,"abstract":"<p><strong>Backround: </strong>The increasing impact of climate change on public and environmental health underscores the importance of understanding carbon footprints and adopting sustainable practices. Nursing students play a critical role in promoting environmental awareness and integrating eco-friendly practices into healthcare delivery. This study aims to assess nursing students' awareness of the 'Carbon Footprint' and their suggestions for reducing their carbon footprint.</p><p><strong>Design: </strong>Qualitative study.</p><p><strong>Methods: </strong>Twelve fourth-year nursing students enrolled in the \"Public Health Nursing\" course within the nursing department from a university located in eastern Turkey participated in this study. Twelve face-to-face interviews were conducted. Transcripts were subjected to structured qualitative content analysis.</p><p><strong>Results: </strong>As a result of the analysis of the data obtained from the participants, two main themes as 'Perceived Impacts of Carbon Footprint' and 'Carbon Footprint Reduction Strategies', four sub-themes as 'Perceived Impact on Human Health', 'Perceived Impact on Environmental Health', 'Recommended Individual Strategies' and 'Recommended Institutional-Level Strategies' and eighteen codes in total were created.</p><p><strong>Conclusion: </strong>This study revealed that nursing students possess a fundamental awareness of the carbon footprint and its implications for human and environmental health. Integrating comprehensive environmental education into nursing curricula can empower future healthcare professionals to adopt and advocate for sustainable practices in both personal and professional domains.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"346"},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755278","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}
引用次数: 0
Investigating the impact of mind mapping and speech on creativity in nursing students.
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-03-31 DOI: 10.1186/s12912-025-03005-z
Rafat Rezapour-Nasrabad
{"title":"Investigating the impact of mind mapping and speech on creativity in nursing students.","authors":"Rafat Rezapour-Nasrabad","doi":"10.1186/s12912-025-03005-z","DOIUrl":"10.1186/s12912-025-03005-z","url":null,"abstract":"<p><strong>Background: </strong>Nurses require techniques to boost creativity for complex health and care challenges, one of which is mind mapping. The purpose of the current study was to evaluate, using mind mapping, how problem-solving training affected the development of creativity in first-year nursing students.</p><p><strong>Methods: </strong>In the interventional present study, the samples were randomly selected among first-year nursing students from nursing schools. Standard questionnaires were used for data collection after validity and reliability assessment. Data were analyzed using SPSS 20.</p><p><strong>Results: </strong>According to the findings, mind mapping, and problem-solving training have a stronger impact on boosting nursing students' creativity than conventional and text-based training (P < 0.05).</p><p><strong>Conclusions: </strong>Problem-solving abilities in the nursing profession, including the fields of education, research, and clinical care, as well as their undeniable contribution to nurses' success in management, research, education, and care, it stands to reason that developing these abilities through mind maps will help nurses perform their serious tasks.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"341"},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754846","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}
引用次数: 0
Perceived self-efficacy in physical examination skills, clinical practice experiences, and utilization of findings in care plans among senior nursing students: a cross-sectional study.
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-03-31 DOI: 10.1186/s12912-025-03032-w
Arife Şanlialp Zeyrek, Özlem Fidan
{"title":"Perceived self-efficacy in physical examination skills, clinical practice experiences, and utilization of findings in care plans among senior nursing students: a cross-sectional study.","authors":"Arife Şanlialp Zeyrek, Özlem Fidan","doi":"10.1186/s12912-025-03032-w","DOIUrl":"10.1186/s12912-025-03032-w","url":null,"abstract":"<p><strong>Background: </strong>In nursing education, physical examination skills are a fundamental requirement for clinical practice. Nevertheless, there is a lack of evidence concerning the perceived self-efficacy of senior nursing students in these skills, their use in the clinical environment, and their integration into care plans. The study aimed to determine the perceived self-efficacy of senior nursing students regarding physical examination, their application of physical examination skills in the clinic, and their use of physical examination findings in care plans.</p><p><strong>Methods: </strong>This descriptive cross-sectional study was conducted during the 2023-2024 academic year at a university in Western Turkey. A convenience sampling method was employed, and 107 students (71%) who met the inclusion criteria, completed all forms, and voluntarily agreed to participate were included in the study. Data were collected using the Student Identification Form, Physical Examination Perceived Self-Efficacy Instrument for Undergraduate Nursing Students, and student care plans.</p><p><strong>Results: </strong>In this study, the total score of nursing students' perceived self-efficacy in physical examination was 2.18 ± 0.41 ('not very sure'). The Cardio sub-dimension of physical examination skills (2.50 ± 0.54) had the highest mean sub-dimension score, while the eye sub-dimension (1.75 ± 0.54) had the lowest mean sub-dimension score. More than half of the students were found to have no confidence in their ability to perform 14 physical examination skills and never practiced the skills in the clinic. It was determined that the students used only 20 physical examination skills in the data collection phase of the care plans, and only 6 of these skills were practiced by more than half of the students.</p><p><strong>Conclusions: </strong>This study reveals a significant gap in the self-efficacy and practical skills of nursing students related to physical examination. Based on these findings, the nursing curriculum should include more hands-on training and clinical practice should provide students with more opportunities to apply physical examination skills.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"339"},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11956180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754934","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}
引用次数: 0
Comparing nurses' and patients' perceptions of dignity in burn care: a cross-sectional study.
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-03-31 DOI: 10.1186/s12912-025-02930-3
Davood Zarei, Zahra Khademian, Azita Jaberi, Abdolkhalegh Keshavarzi
{"title":"Comparing nurses' and patients' perceptions of dignity in burn care: a cross-sectional study.","authors":"Davood Zarei, Zahra Khademian, Azita Jaberi, Abdolkhalegh Keshavarzi","doi":"10.1186/s12912-025-02930-3","DOIUrl":"10.1186/s12912-025-02930-3","url":null,"abstract":"<p><strong>Background: </strong>Maintaining patients' dignity is a moral responsibility of nurses. Patients with burn injury experience changes in their body appearance, self-concept and social roles, which may lead to their fear of losing dignity. The aim of this study was to compare nurses' and patients' perceptions of preserving dignity of patients with burn injury.</p><p><strong>Methods: </strong>This cross-sectional study was conducted on 110 nurse-patient dyads at Amir-Al-Moemenin Burn Hospital, Shiraz, Iran between August 2023 to February 2024. Data were collected using patient dignity questionnaire and analyzed using SPSS software version 23.0, utilizing descriptive tests, Mann-Whitney, Kruskal-Wallis, Wilcoxon, and Spearman's correlation coefficient.</p><p><strong>Results: </strong>A significant difference was found between the overall scores of nurses' (143.21 ± 13.29) and patients' (136.70 ± 13.8) perceptions of preserving patients' dignity (p = 0.002). Furthermore, a significant difference was observed between their perceptions of two dignity dimensions including communication and privacy (p < 0.001). However, no significant difference was found between their perceptions of the two dimensions of autonomy and respect (p > 0.05).</p><p><strong>Conclusions: </strong>This study highlights disparities in nurses' and patients' perceptions of preserving burn patients' dignity so that patients' perception of the nurses maintained their dignity was lower than what the nurses themselves believed. Therefore, nurses must pay more attention to maintaining the dignity of patients with burn injuries.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"350"},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755296","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}
引用次数: 0
The silent strain: a systematic review and meta-analysis on the prevalence of occupational stress among Pakistani nurses.
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-03-31 DOI: 10.1186/s12912-025-02985-2
Reza Ghanei Gheshlagh, Madiha Mukhtar, Kainat Asmat, Simin Sharafi
{"title":"The silent strain: a systematic review and meta-analysis on the prevalence of occupational stress among Pakistani nurses.","authors":"Reza Ghanei Gheshlagh, Madiha Mukhtar, Kainat Asmat, Simin Sharafi","doi":"10.1186/s12912-025-02985-2","DOIUrl":"10.1186/s12912-025-02985-2","url":null,"abstract":"<p><strong>Background: </strong>Occupational stress in the nursing profession is higher than in many other occupations, significantly impacting nurses' physical and mental health, job satisfaction, and the quality of patient care. It often leads to burnout and the decision to leave the profession. Various studies conducted in Pakistan have reported different findings. Therefore, this systematic review and meta-analysis aimed to estimate the pooled prevalence of occupational stress among nurses in Pakistan.</p><p><strong>Methods: </strong>Databases such as Scopus, Medline, Web of Science, EMBASE, and CINAHL were searched, including studies published from 2000 to September 2024. The screening process, article selection, data extraction, and quality assessment were all conducted independently by two authors. Any disagreements were resolved through consultation. Heterogeneity among studies was assessed using the I² statistic and Cochran's Q test. Subgroup analysis based on the study location (city) was performed. The relationship between occupational stress prevalence and publication year and sample size was evaluated using meta-regression. Publication bias was assessed using funnel plots and the Egger test. All analyses were conducted using a random-effects model with Stata software version 17.</p><p><strong>Results: </strong>Eleven studies with a sample size of 1636 participants were included. The prevalence of mild, moderate, and severe occupational stress was 16% (95% CI: 10-21), 48% (95% CI: 36-61), and 30% (95% CI: 20-41) respectively. The prevalence of mild occupational stress was highest in other cities, moderate stress was most common in Lahore, and severe stress was more prevalent in Karachi. No significant relationship was found between occupational stress prevalence and publication year or sample size. Publication bias for mild and severe occupational stress was significant, but the trim-and-fill analysis showed no impact on the results. Sensitivity analysis confirmed the stability of the findings.</p><p><strong>Conclusion: </strong>This meta-analysis estimates the high prevalence of occupational stress among nurses in Pakistan, with moderate stress being most common. Differences in stress levels between cities may be influenced by local factors. Despite publication bias, the results remain stable and reliable, emphasizing the need for addressing occupational stress to enhance nurse well-being and patient care quality.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"347"},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755260","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}
引用次数: 0
Co-occurring self-efficacy, anxiety, and depression in caregivers of patients with heart failure: A Group-Based Dual-Trajectory Modeling Approach.
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-03-31 DOI: 10.1186/s12912-025-02995-0
Qingyun Lv, Hairong Chang, Yaqi Wang, Xueying Xu, Jingwen Liu, Yuan He, Li Fu, Mei Lin, Xinxing Gao, Xiaoying Zang, Xiaonan Zhang
{"title":"Co-occurring self-efficacy, anxiety, and depression in caregivers of patients with heart failure: A Group-Based Dual-Trajectory Modeling Approach.","authors":"Qingyun Lv, Hairong Chang, Yaqi Wang, Xueying Xu, Jingwen Liu, Yuan He, Li Fu, Mei Lin, Xinxing Gao, Xiaoying Zang, Xiaonan Zhang","doi":"10.1186/s12912-025-02995-0","DOIUrl":"10.1186/s12912-025-02995-0","url":null,"abstract":"<p><strong>Background: </strong>Self-efficacy and mental health present mutually influencing relationships in caregivers of patients with heart failure (HF). There is currently a lack of understanding the synergistic developmental mechanisms of self-efficacy, anxiety, and depression in caregivers. The purpose of the study was to examine the individual and dual trajectories of caregiver self-efficacy, anxiety, and depression during the first three months after the discharge of patients with HF.</p><p><strong>Methods: </strong>A prospective cohort study was conducted from June 2022 to May 2024, in four tertiary hospitals in Tianjin, China. A total of 299 family caregivers of patients with HF were enrolled in the cohort, and 267 completed follow-ups. Group-based dual trajectory modeling was employed to examine the development of self-efficacy, anxiety, and depression.</p><p><strong>Results: </strong>The mean (SD) age of caregivers was 58.3 (13.1) years, and 164 (61.4%) were women. Three trajectories of caregiver self-efficacy were identified: low-curve (25.1%), middle-curve (67.8%), and high-stable (7.1%). Regular exercise, work status, and chronic disease were associated with the different caregiver self-efficacy trajectories. A 3-class trajectory solution was chosen for depression and anxiety when analyzed separately. The proportions of ideal combinations of high-stable self-efficacy and initial-to-mild anxiety or depression were extremely small, at 12.60% and 8.00%, respectively. Caregivers had limited and inconsistent abilities to regulate the effects of anxiety and depression on their self-efficacy.</p><p><strong>Conclusion: </strong>The present study identified three distinct trajectories of self-efficacy, anxiety, and depression among family caregivers of patients with HF. The dual-trajectory models revealed the probability of interrelationships between caregiver self-efficacy trajectories and those of anxiety and depression, suggesting substantial opportunities to enhance caregivers' self-efficacy and mental well-being of patients with HF.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"351"},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755298","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}
引用次数: 0
Career adaptability and patient safety culture perceptions among newly graduated oncology nurses: a latent profile analysis.
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-03-31 DOI: 10.1186/s12912-025-03018-8
Fengyan Ma, Man Liu, Lu Liu, Yajing Zhu, Weining Wang, Helin Chen, Yan Liu, Fan Zhang
{"title":"Career adaptability and patient safety culture perceptions among newly graduated oncology nurses: a latent profile analysis.","authors":"Fengyan Ma, Man Liu, Lu Liu, Yajing Zhu, Weining Wang, Helin Chen, Yan Liu, Fan Zhang","doi":"10.1186/s12912-025-03018-8","DOIUrl":"10.1186/s12912-025-03018-8","url":null,"abstract":"<p><strong>Background: </strong>Newly graduated nurses in cancer hospitals face significant challenges in high-pressure environments, struggling with career adaptability due to limited clinical experience. This adaptability is crucial for managing occupational stress and influences perceptions of patient safety culture. However, existing studies have not explored this group's latent profiles of career adaptability, underscoring the need for further research.</p><p><strong>Objectives: </strong>This study aims to identify latent profiles of career adaptability among newly graduated nurses in cancer hospitals and examine their impact on perceptions of patient safety culture.</p><p><strong>Design: </strong>This study employed a quantitative, cross-sectional design.</p><p><strong>Methods: </strong>Between October and November 2023, newly graduated nurses from a tertiary cancer hospital in Beijing, China, were recruited through convenience sampling. Data were gathered using a General Information Questionnaire, the Career Adaptability Scale, and the Hospital Survey on Patient Safety Culture Scale. Latent profile analysis was performed using the R3STEP and BCH methods.</p><p><strong>Results: </strong>A total of 365 newly graduated nurses participated. Career adaptability was categorized into three profiles: \"low\" (14.0%), \"moderate\" (41.4%), and \"high\" (44.7%). Significant predictors included age, education level, clinical practice duration, unclear career planning, and lack of tertiary hospital internship experience. Perceptions of patient safety culture varied significantly across the profiles.</p><p><strong>Conclusion: </strong>Career adaptability among newly graduated nurses in cancer hospitals exhibits heterogeneous characteristics that significantly impact their perceptions of patient safety culture. Nursing managers and educators should recognize this diversity and implement individualized strategies to enhance these perceptions.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"340"},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11956414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755280","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}
引用次数: 0
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