BMC Nursing最新文献

{"title":"Nurses who co-create care with clients experience lower levels of burnout through the perception of fewer emotional demands: an observational study.","authors":"Renée A Scheepers, Manja Vollmann","doi":"10.1186/s12912-024-02481-z","DOIUrl":"https://doi.org/10.1186/s12912-024-02481-z","url":null,"abstract":"<p><strong>Background: </strong>Clients are especially satisfied about treatment of nurses providing person-centered care. Such care benefits from the co-creation of care, in which nurses and clients together shape the care process by investing in effective communication and supportive nurse-client relationships. Co-creation of care can especially benefit longitudinal collaboration between clients and their nurses in long-term care settings. However, it is unknown how nurses in these settings perceive the co-creation of care to affect their job demands, and ultimately, their levels of job burnout. We studied whether nurses' perceptions of job demands (workload and emotional demands) mediated the association between the co-creation of care and job burnout in long-term care settings.</p><p><strong>Methods: </strong>A web-based survey was completed by 256 nurses from two long-term care facilities in the Netherlands. Nurses were sent an email that included information about the study and a link to the web-based survey, consisting of items from validated questionnaires on the co-creation of care, job demands, and job burnout. Resulting data were analyzed using mediation analyses.</p><p><strong>Results: </strong>The co-creation of care was associated with lower levels of burnout through the perception of fewer emotional demands (ß = -0.07; 95% percentile bootstrap confidence interval (PBCI) -0.12 to -0.02). Workload was also associated with lower burnout levels, but workload did not mediate the association between the co-creation of care and job burnout (ß = -0.01; 95% PBCI -0.07 to 0.05).</p><p><strong>Conclusions: </strong>The co-creation of care supports nurses' perception of their work in long-term care as less emotionally demanding, which helps them to experience less burnout. Thus, long-term care facilities could consider the promotion of the co-creation of care in efforts to reduce emotional demands and job burnout among nurses. Ultimately, investing in the co-creation of care can facilitate well-being of nurses as well as facilitate their person-centeredness in caring for their clients.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"902"},"PeriodicalIF":3.1,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social anxiety, loneliness, and mobile phone addiction among nursing students: latent profile and moderated mediation analyses.","authors":"Yingting Jiang, Zhenrong Shen, Yihao Zeng, Shuhan Li, Hongman Li, Ying Xiong, Zengjie Ye","doi":"10.1186/s12912-024-02583-8","DOIUrl":"https://doi.org/10.1186/s12912-024-02583-8","url":null,"abstract":"<p><strong>Background: </strong>The overutilization of mobile devices by nursing students has been found to adversely affect their physical and cognitive health, potentially impeding the cultivation of a proficient nursing workforce. Previous research has identified social anxiety and loneliness as influential contributors to mobile phone addiction, but the relationship between these three factors has not been extensively examined. The objective of this research was to investigate the role of loneliness in mediating the relationship between social anxiety and mobile phone addiction, as well as the moderating influence of sleep duration on the relationship between social anxiety, loneliness, and mobile phone addiction among nursing students.</p><p><strong>Methods: </strong>We enrolled 437 students from the Be Resilient to Nursing Career program (BRNC) between October and December 2023. Surveys were employed to evaluate the levels of social anxiety, loneliness, and mobile phone addiction among nursing students. Three types of analyses were performed: latent profile analysis, mediation analysis, and moderation analysis.</p><p><strong>Results: </strong>The following three profiles of social anxiety were identified: low social anxiety (23.8%), middle social anxiety (42.8%), and high social anxiety (33.4%). The significant mediating effect of loneliness in the relationship between social anxiety based on latent profile analysis and mobile phone addiction was observed (SE = 0.709, 95%CI = 1.821, 4.618; SE = 0.561, 95%CI = 1.161, 3.345, respectively). The moderating role of sleep duration between social anxiety, loneliness, and mobile phone addiction was not significant (P > 0.05).</p><p><strong>Conclusion: </strong>Heterogeneity exists in social anxiety among nursing students. Loneliness serves as a significant mediating factor between social anxiety and mobile phone addiction. The moderating influence of sleep duration should be validated in future research.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"905"},"PeriodicalIF":3.1,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators to effective pain management in elderly Arab patients: a nursing perspective through a qualitative study.","authors":"Mostafa Shaban, Marwa Mamdouh Shaban, Huda Hamdy Mohammed, Hend Reda Ali El-Kest","doi":"10.1186/s12912-024-02523-6","DOIUrl":"10.1186/s12912-024-02523-6","url":null,"abstract":"<p><strong>Background: </strong>Effective pain management in elderly patients is crucial for quality of life, yet cultural and institutional factors can significantly impact care delivery, particularly in Arab healthcare settings.</p><p><strong>Aim: </strong>To explore the barriers and facilitators to effective pain management in elderly Arab patients from the perspective of nurses.</p><p><strong>Methods: </strong>A qualitative descriptive study was conducted with 12 registered nurses from various departments at Tanta University Hospitals, Egypt. Data were collected through semi-structured interviews, observations, and document analysis. Content analysis was used to identify themes and subthemes.</p><p><strong>Results: </strong>Five main themes emerged: (1) Cultural Barriers to Pain Expression, including stoicism and religious beliefs; (2) Institutional Barriers to Pain Management, such as resource limitations and time constraints; (3) Facilitators to Effective Pain Management, including family support and nurse adaptability; (4) Interdisciplinary Collaboration, emphasizing teamwork and education; and (5) Emotional and Professional Rewards for nurses. Cultural factors often led to underreporting of pain, while institutional constraints hindered thorough assessments. Nurse adaptability and family support, when present, facilitated better pain management.</p><p><strong>Conclusion: </strong>The study reveals complex interplay between cultural, institutional, and professional factors influencing pain management in elderly Arab patients. Findings suggest the need for culturally sensitive pain assessment tools, enhanced nurse education in pain management, and policies promoting family-centered care and interdisciplinary collaboration.</p><p><strong>Implications: </strong>Results can inform the development of culturally appropriate pain management strategies and policies in Arab healthcare settings, potentially improving care quality for elderly patients.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"890"},"PeriodicalIF":3.1,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11624591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792633","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 compassion fatigue between perceived organization support and caring behavior among outpatient nurses in China: a cross-sectional study.","authors":"Xingxing Liu, Fang He, Tian Tian, Jun Zhang, Yuanjiao Ji, Yuexia Zhong","doi":"10.1186/s12912-024-02568-7","DOIUrl":"10.1186/s12912-024-02568-7","url":null,"abstract":"<p><strong>Background: </strong>The caring behaviors of outpatient nurses play a crucial role in improving the quality of care in hospitals. Work resources and personal psychological resources have a significant impact on nurses' caring behavior. Previous research has shown that perceived organizational support and compassion fatigue are linked to nurses' caring behaviors. However, the specific relationship among these variables is less clear in the context of outpatient nurses working in high-stress environments.</p><p><strong>Methods: </strong>A convenience sampling method was utilized to recruit 413 outpatient nurses from six tertiary hospitals in Xi'an, China, as research subjects between November 2023 and January 2024. The questionnaires used in the study included a sociodemographic questionnaire, the Perceived Organizational Support Scale, the Chinese version of the Compassion Fatigue Brief Scale, and the Chinese version of the Caring Behavior Scale. Data analysis involved descriptive statistics, Mann-Whitney U test, Kruskal-Wallis H rank-sum test, Spearman correlation analysis, and the PROCESS macro model 4.</p><p><strong>Results: </strong>A significant negative correlation was observed between the sense of organizational support and compassion fatigue (ρ=-0.547, P < 0.01). Conversely, a significant positive correlation was found between the sense of organizational support and caring behavior (ρ = 0.469, P < 0.01). Moreover, there was a significant negative correlation between compassion fatigue and caring behavior (ρ=-0.641, P < 0.01). Subsequent mediation analysis demonstrated that compassion fatigue partially mediated the relationship between perceived organizational support and caring behaviors. The overall impact of perceived organizational support on caring behavior (β = 0.363) encompasses both its direct influence (β = 0.131) and the indirect impact mediated by compassion fatigue (β = 0.232). The mediating effect accounts for 63.9% of the total effect.</p><p><strong>Conclusion: </strong>Compassion fatigue acts as a partial mediator in the relationship between perceived organizational support and the caring behavior of outpatient nurses. It is essential for nursing managers to effectively manage both the work resources and personal psychological resources of outpatient nurses to improve their caring behaviors in high-stress settings. By improving nurses' organizational support resources, we can reduce the depletion of their personal psychological resources and alleviate negative emotions such as compassion fatigue. This, in turn, can improve nurses' caring behavior and ultimately enhance the overall quality of nursing services in the hospital.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"889"},"PeriodicalIF":3.1,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787387","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":"Stress, coping profiles, and depression among nurses: a latent profile and mediation analysis.","authors":"Ping-Zhen Lin, Li-Hui Yang, Jing Su, Jiao-Mei Xue","doi":"10.1186/s12912-024-02565-w","DOIUrl":"10.1186/s12912-024-02565-w","url":null,"abstract":"<p><strong>Background: </strong>Stress is significantly associated with depressed mood in nurses. However, it remains unclear whether the mechanisms by which two types of stress-childhood adversity and perceived stress-affect depression are identical. This study aims to investigate the relationship between stress (including childhood adversity and perceived stress) and depression, as well as the mediating role of coping profiles.</p><p><strong>Methods: </strong>A survey was conducted among 737 nurses in a tertiary hospital in China using the Revised Adverse Childhood Experiences Questionnaire, the Perceived Stress Scale, the Trait Coping Styles Questionnaire, and the Patient Health Questionnaire-9. Latent profile analyses were performed using Mplus, and mediation analyses were conducted using R software.</p><p><strong>Results: </strong>Coping profiles were categorized into four groups: \"Low Coping\" (9.9%), \"Inadequate Coping\" (39.5%), \"Emotional Suppression\" (32.0%), and \"Active Coping\" (18.6%). Both childhood adversity and perceived stress were positively associated with depression levels in nurses. The \"Emotional Suppression\" profiles played a mediating role in the relationship between childhood adversity and depression. \"Emotional Suppression\" and \"Low Coping\" profiles played mediating roles in the relationship between perceived stress and depression.</p><p><strong>Conclusions: </strong>Stress and coping profiles are established risk factors of depression among nurses. Reducing stress levels and improving coping profiles among nurses can have a substantial impact on the prevention and alleviation of depression.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"887"},"PeriodicalIF":3.1,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787384","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":"A major-risk environment can impact nurses' expectations moderated by medical institutional trust and communication.","authors":"Pei Wang, Yawen Du, Ziyao Liu, Ailifeire Aili","doi":"10.1186/s12912-024-02505-8","DOIUrl":"10.1186/s12912-024-02505-8","url":null,"abstract":"<p><strong>Background: </strong>Nurses' positive expectations of patients in medical interactions constitute an important component of nurse-patient trust and can foster good nurse-patient relationships; therefore, it is critical to investigate factors that influence nurses' expectations. This study aims to examine the relationship between nurses' institutional trust, nurse-patient communication, and nurses' expectations of patients before and after the outbreak of the COVID-19 pandemic.</p><p><strong>Methods: </strong>Self-reported questionnaires were administered to 1752 nurses (M_age = 32.14 years, SD = 7.62) before the COVID-19 outbreak and 768 nurses (M_age = 29.48 years, SD = 5.51) after the COVID-19 outbreak to assess their medical institutional trust, communication skills, and expectations of patients. Mediational models were constructed to examine the relationship between these variables.</p><p><strong>Results: </strong>Before the outbreak of the COVID-19 pandemic, there was a significant positive correlation between nurses' medical institutional trust and their expectations of patients, with nurse-patient communication serving as a mediator. During the COVID-19 pandemic, the association between nurses' medical institutional trust and expectations of patients was nonsignificant; however, a significant mediating effect of nurse-patient communication remained between nurses' medical institutional trust and expectations of patients.</p><p><strong>Conclusions: </strong>Improving nurses' trust in medical institutions may enhance their positive expectations of patients. Healthcare managers should make efforts to foster nurses' trust in healthcare institutions. Furthermore, nurse-patient communication plays a critical mediating role between nurses' medical institutional trust and their expectations of patients, highlighting the importance of interventions and training programs that improve nurses' communication skills, especially when encountering high-risk circumstances.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"888"},"PeriodicalIF":3.1,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787383","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":"Influencing factors on nutritional knowledge, attitudes, and practices among nursing assistants in nursing homes.","authors":"Ping Lu, Shihan Yang, Yushuang Shi, Na Wang, Beijing Ding, Weijie Liu, Pei Zhang, Lan Rong, Dongsheng Bian","doi":"10.1186/s12912-024-02553-0","DOIUrl":"10.1186/s12912-024-02553-0","url":null,"abstract":"<p><strong>Background: </strong>The nutritional status of older adults requires focused attention. In Chinese nursing homes, nursing assistants are often the primary caregivers responsible for the daily care of older adults, and their knowledge and attitudes toward nutrition play a fundamental role in providing adequate nutritional care. However, research on the knowledge and attitudes of nursing assistants is limited, despite the fact that these factors play a fundamental role in providing adequate nutritional practices.</p><p><strong>Objective: </strong>The aim of this study is to investigate the knowledge, attitudes, and practices (KAP) of nursing assistants in nursing homes and to analyze the influencing factors.</p><p><strong>Method: </strong>This cross-sectional study was conducted from January to September 2023, involving 692 nursing assistants from 76 nursing homes in Shanghai. We used validated Nutrition Knowledge, Attitude, and Practice Questionnaire for nursing assistants.</p><p><strong>Results: </strong>The findings indicated that the mean scores for nutritional knowledge, attitudes, and practices were 45.07 ± 16.18, 76.22 ± 10.03, and 69.94 ± 21.46, respectively. Notably, the mean score for nutritional knowledge was the lowest, with 66.04% of nursing assistants scored below 50% accuracy. A significant negative correlation was observed between nutritional knowledge and practices (r=-0.194, p < 0.001), while a positive correlation was found between attitudes and practices (r = 0.422, p < 0.001). Key predictors of higher nutritional knowledge included education level (B = 3.907, p < 0.001), whereas skill deficiency (B=-3.714, p = 0.006), years of caring (B=-2.789, p < 0.001) and regular supervision (B=-3.422, p = 0.018) were negatively associated. Positive nutritional attitudes were associated with higher education (B = 2.453, p < 0.001), years of caring (B = 1.177, p < 0.001), and participation in nutrition training (B = 4.138, p < 0.001). Nutritional practices were positively influenced by age (B = 3.068, p = 0.002), participation in nutrition training (B = 11.474, p < 0.001) and regular supervision (B = 14.597, p < 0.001), but negatively affected by insufficient income (B=-3.189, p = 0.030).</p><p><strong>Conclusion: </strong>This study reveals a significant deficiency in nutritional knowledge among nursing assistants in Shanghai's nursing homes, which adversely impacts their nutritional practices. The findings underscore the urgent need for enhanced training programs and to improve the nutritional competencies of nursing assistants. By addressing these gaps through targeted education and consistent supervision, the quality of nutritional care provided to older adults in nursing homes can be substantially improved.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"886"},"PeriodicalIF":3.1,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781475","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' experiences in transitioning to work in the long-term care and home and community care sectors: A phenomenological exploration.","authors":"Denise M Connelly, Melissa E Hay, Tracy Smith-Carrier, Nicole A Guitar, Kristin Prentice","doi":"10.1186/s12912-024-02524-5","DOIUrl":"10.1186/s12912-024-02524-5","url":null,"abstract":"<p><strong>Background: </strong>Nurses in long-term care (LTC) and home and community care (HCC) are well acquainted with the high workloads and manifold job stressors that pervade these sectors, making it increasingly difficult to employ and retain a strong workforce. In response, nursing bridging education programs have been proposed to enhance recruitment and retention. While the efficacy of such programs is supported, the transition to practice experience of new nurse graduates is often associated with feelings of under-preparedness. Understanding the lived experience of nurses transitioning into new roles in LTC and HCC after completing a bridging program may highlight areas of emphasis for future retention efforts.</p><p><strong>Methods: </strong>Hermeneutic phenomenology was employed to explore the experiences of new graduate Registered Practical Nurses (RPNs) and Registered Nurses (RNs) from a tuition reimbursement program supporting students enrolled in nursing bridging education from Personal Support Worker (PSW) to RPN/RN and/or RPN to RN in Ontario as they transitioned to practice within LTC and HCC. A series of in-depth semi-structured virtual interviews and iterative analysis explored the meaning of everyday experiences for nurse participants.</p><p><strong>Results: </strong>From twenty individual interviews (12 initial, 8 follow-up), the experience was embedded in a sense of fulfillment, further considered through four themes - benevolence; growth, eagerness, and anticipation to learn; building from within; and work-life balance.</p><p><strong>Discussion: </strong>This is the first phenomenological study to report on the meaning of the experience of transitioning to practice for new graduate nurses from bridging education programs as they (re)enter the workforce in LTC and HCC, offering rich insight into their experiences when moving into new roles.</p><p><strong>Conclusions: </strong>By illuminating the nuances of this experience, the findings may encourage healthcare leaders to develop helpful policies, strategies, and workplace cultures in LTC and HCC that might better promote the recruitment and retention of nurses in these sectors.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"885"},"PeriodicalIF":3.1,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781485","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":"Innovative behavior and structural empowerment among the Chinese clinical nurses: the mediating role of decent work perception.","authors":"Zhangyi Wang, Li Yang, Yue Zhu, Xiaochun Tang, Tingrui Wang, Li Chen, Liping Li, Weimin Xie, Jiaofeng Peng, Jie Yang, Qianxiang Long, Feng Lu, Yan Wang, Huilong Shen, Jun Yin, Xiaoping Zhan, Huifang Zhou","doi":"10.1186/s12912-024-02554-z","DOIUrl":"10.1186/s12912-024-02554-z","url":null,"abstract":"<p><strong>Background: </strong>Clinical nurses play a vital role in healthcare. Their innovative behavior is crucial for improving patient care, advancing the profession, and ensuring the healthcare industry's continued success. Many studies have highlighted the importance of nurse innovative behavior, but the link between their innovative behavior, structural empowerment, and decent work perception remains unclear.</p><p><strong>Objectives: </strong>This study aimed to investigate the relationship between innovative behavior, structural empowerment, and decent work perception among the Chinese clinical nurses and identify the mediating role of decent work perception.</p><p><strong>Methods: </strong>A cross-sectional correlational design was employed, and from July 2023 to April 2024, 1,513 clinical nurses were recruited from 8 tertiary grade-A hospitals across three cities in China. Data from the Demographic Characteristics Questionnaire, the Nurse Innovation Behavior Scale, the Conditions of Work Effectiveness Questionnaire-II, and the Decent Work Perception Scale were collected through convenience sampling and analyzed using descriptive statistics, univariate correlation, and process plug-in mediation effect analyses.</p><p><strong>Results: </strong>The total scores of innovative behavior, structural empowerment, and decent work perception were 28.36 ± 6.25, 51.15 ± 12.63, and 42.97 ± 9.25, respectively. Innovative behavior was significantly, moderately and positively correlated with structural empowerment (r = 0.657, p < 0.01) and decent work perception (r = 0.618, p < 0.01); decent work perception played a partial mediating role between innovative behavior and structural empowerment (52.5%).</p><p><strong>Conclusion: </strong>The innovative behavior, structural empowerment, and decent work perception among the Chinese clinical nurses were relatively moderate, indicating a need for improvement. Structural empowerment perception can, directly and indirectly, impact innovative behavior through decent work perception among Chinese clinical nurses. Nursing managers should promote innovative behavior of clinical nurses by raising structural empowerment and decent work perception to improve the quality of clinical nursing. Thus, it can be improved by creating a positive empowerment climate for clinical nurses and providing them with the information, resources, support, and opportunities for their jobs and improving their level of structural empowerment and decent work perception.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"881"},"PeriodicalIF":3.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing sleep quality among nurses in tertiary hospitals in Kelantan, Malaysia: a cross-sectional study.","authors":"Nur Shuhaiza Supian, Mohd Ismail Ibrahim","doi":"10.1186/s12912-024-02557-w","DOIUrl":"10.1186/s12912-024-02557-w","url":null,"abstract":"<p><strong>Background: </strong>Poor sleep quality among nurses can negatively impact their performance, leading to increased risks of errors in nursing practice, which directly affect patient safety. However, there is limited research on the factors influencing sleep quality and its subsequent consequences on patient safety, particularly in tertiary hospitals in Kelantan, Malaysia. This study aimed to determine the factors influencing sleep quality and the prevalence of poor sleep quality among nurses at tertiary hospitals in Kelantan.</p><p><strong>Methodology: </strong>A cross-sectional study was conducted in two tertiary care hospitals in Kelantan between December 2023 and February 2024. A proportionate stratified random sampling method was employed to recruit a sample of 470 registered nurses. Data were collected using a validated self-administered questionnaire comprising 19 items across seven component scores.</p><p><strong>Results: </strong>The prevalence of poor sleep quality among nurses was found to be 69.8%. The study identified several significant factors associated with poor sleep quality, including sleep duration (aOR 0.291; 95% CI: 0.215-0.393; p < 0.001), years of work experience (aOR 0.953; 95% CI: 0.924-0.984; p = 0.003), history of involvement in medication errors (aOR 2.669; 95% CI: 1.413-5.041; p = 0.002), and experiences of commuting injury (aOR 1.869; 95% CI: 1.119-3.121; p = 0.017).</p><p><strong>Conclusion: </strong>The high prevalence of poor sleep quality among nurses highlights the need for targeted interventions to address this issue. In addition to ongoing education, implementing sleep hygiene programs, offering stress management workshops, and introducing flexible work schedules could significantly improve sleep quality. Creating a supportive work environment that prioritizes nurse well-being is crucial for enhancing patient safety and overall healthcare outcomes.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"882"},"PeriodicalIF":3.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773965","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}