Journal of Nursing Management最新文献

{"title":"The Evaluation of a Nursing Care Model for Breast Cancer: What Are Women’s Priorities?","authors":"Ana Rodriguez-Ortega,&nbsp;Tarsila Ferro,&nbsp;Cristian Ochoa-Arnedo,&nbsp;Gloria Campos,&nbsp;Yolanda Valverde,&nbsp;Joan Carles Medina,&nbsp;Josep Maria Borras","doi":"10.1155/jonm/8653274","DOIUrl":"https://doi.org/10.1155/jonm/8653274","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> To assess patient satisfaction with the breast care nurse (BCN) model and its adequacy in meeting patients’ needs for information and support.</p>\u0000 <p><b>Background:</b> The BCN is a core multidisciplinary member of the breast cancer team. The evaluation of care models is necessary to detect gaps and improve the quality of care.</p>\u0000 <p><b>Material and Methods:</b> This cross-sectional descriptive study took place in a breast pathology unit and included patients with early breast cancer seen between 1 July 2016 and 30 June 2017 after finishing their treatment. Between July and December 2018, sociodemographic and clinical variables were collected from the clinical history, and satisfaction was measured using a questionnaire sent to the patients.</p>\u0000 <p><b>Results:</b> Of the 139 patients included, 99.3% reported that the BCN provided information correctly, 96.2% reported that she provided adequate information on self-care at home (96.2%), and 97.8% reported that the words of the BCN helped them feel better. However, some patients were unsure whether the BCN would have been willing to discuss alternative therapies (41%).</p>\u0000 <p><b>Conclusions:</b> Patients were satisfied with the BCN, including her role in meeting information and support needs. However, some issues needed to be sufficiently addressed. Comprehensive, continuous assessment is required to understand patient needs. Training and specific studies on topics that are of interest to patients can help respond to these needs.</p>\u0000 <p><b>Implications for Nursing Management:</b> BCN functions are being developed in some countries. BCN results make it easier for healthcare managers to commit to this role and for nurses to develop all their competencies. BCN models must respond to international guidelines but are also determined by organizational resources. The evaluation of these models is essential and must be considered by users. Advanced practice nursing roles, including the BCN, are well established in some countries but developing in others. BCN results make it easier for healthcare managers to commit to this role and for nurses to develop all their skills. BCN models must respond to the elements determined by organizations that work to improve the quality of care for patients with breast cancer. However, they are also determined by organizational resources. The evaluation of these models is essential to correct deficiencies and improve the quality of care. An important part of the evaluation must take into account the user who receives the care, in terms of satisfaction and the form of patient-reported outcome measures (PROMs).</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8653274","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143875663","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 Chain Mediating Roles of Professional Identity and Workplace Social Capital in the Relationship Between Inclusive Leadership and Burnout of Nurses: A Longitudinal Study","authors":"Yifan Wu,&nbsp;Wenwen Chen,&nbsp;Ruihong Zhang,&nbsp;Yang Yang,&nbsp;Hui Wang,&nbsp;Yang Xu,&nbsp;Shuang Zang","doi":"10.1155/jonm/4713030","DOIUrl":"https://doi.org/10.1155/jonm/4713030","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Burnout not only affects the health and work efficiency of nurses but also poses a potential threat to patient safety. The relationship and longitudinal mechanisms between inclusive leadership and nurse burnout in nursing work environments are unclear.</p>\u0000 <p><b>Objective:</b> To analyze the pathways and mechanisms by which inclusive leadership influences nurse burnout through a longitudinal study and to explore the mediating role of professional identity and workplace social capital in this association.</p>\u0000 <p><b>Method:</b> A two-wave study was conducted among 360 Chinese nurses from Baoding No. 4 Central Hospital in March 2024 and October 2024, respectively. The self-report questionnaire consisted of inclusive leadership scale, professional identity scale, workplace social capital scale, and Maslach Burnout Inventory. Pearson’s correlation analysis was employed to explore the relationships among study variables. The structural equation modeling was applied to test the proposed model.</p>\u0000 <p><b>Results:</b> The scores for inclusive leadership, professional identity, workplace social capital, and burnout among nurses were 36.35 ± 7.04, 37.80 ± 6.96, 33.22 ± 5.31, and 30.03 ± 14.23, respectively. There is a significant correlation between the above study variables (<i>p</i> &lt; 0.001). Inclusive leadership negatively influenced burnout directly and indirectly through professional identity and workplace social capital (all <i>p</i> &lt; 0.001). The indirect effects accounted for 65.58% of the total effect, with significant mediation through both pathways.</p>\u0000 <p><b>Conclusions:</b> Inclusive leadership contributed to the elimination of burnout in nurses at work. In addition, professional identity and workplace social capital had chain mediation roles between the effects of the inclusive leadership and burnout.</p>\u0000 <p><b>Implications for Nursing Management:</b> Nursing mangers should actively adopt an inclusive leadership to improve nurses’ professional identity and workplace social capital to ameliorate burnout among clinical nurses.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/4713030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143871799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Donabedian Three-Dimensional Model in Outpatient Care Quality: A Scoping Review","authors":"Jinrong Yang,&nbsp;Fan Liu,&nbsp;Chunxia Yang,&nbsp;Jingyi Wei,&nbsp;Yonghong Ma,&nbsp;Lisheng Xu,&nbsp;Jingying Xie,&nbsp;Jingjun Wang","doi":"10.1155/jonm/6893336","DOIUrl":"https://doi.org/10.1155/jonm/6893336","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> The mobility of outpatients, frequent treatment sessions, and varying illness severity challenge nursing care and hinder quality improvement efforts. The Donabedian model effectively evaluates nursing quality and is widely used in operating rooms, intensive care units and oncology wards. However, its application in outpatient nursing remains unclear.</p>\u0000 <p><b>Aim:</b> To overview the Donabedian model’s application in outpatient care quality.</p>\u0000 <p><b>Methods:</b> A scoping review was conducted using the Arksey and O’Malley framework, adhering to PRISMA-ScR. Searches for eligible papers were performed on PubMed, OVID, Web of Science, Embase, CNKI, CBM, and Wan Fang in June 2024. Data were analyzed narratively using an inductive approach, with visual mapping done through ArcGIS and Origin.</p>\u0000 <p><b>Results:</b> A total of 18 studies were included in the review. Literature review, Delphi and semistructured interview were widely used in the mixed method studies. The primary settings involved dental clinics and health examination centers, followed by traditional Chinese medicine clinics and pediatric clinics. The studies spanned various regions: 2 in Canada, 3 in Germany, and 13 in China. Structural indicators evaluate outpatient care systems and resources, while process indicators emphasize specialty nursing practice, safety, infection control, and humanistic care. Satisfaction, adverse events, and quality care serve as key secondary indicators for outcome assessment.</p>\u0000 <p><b>Conclusions:</b> The research on outpatient care quality based on the Donabedian model is primarily mixed, with a need to expand interventional and qualitative studies. The structure-process-outcome quality indicators have varying focuses that require further verification and coordination. Structural indicators offer more policy and resource support, while process indicators differ across outpatient specialties, leading to heterogeneous specialist nursing practice metrics. Satisfaction and adverse events are crucial components in evaluating outpatient nursing quality outcomes.</p>\u0000 <p><b>Implications for Nursing Management:</b> The application of the Donabedian model offers care managers practical ideas and references for outpatient care quality improvement.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6893336","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143871800","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":"From Paper to Pixels: Evaluating the Impact of Digital Transformation on Sustainability in Nursing Education","authors":"Pauletta Irwin,&nbsp;Amy Barnett,&nbsp;Kerryn Butler-Henderson,&nbsp;Mathew Ellis,&nbsp;Jeong-Ah Kim,&nbsp;Deborah Magee,&nbsp;Simon McDonald,&nbsp;Lisa Speedie,&nbsp;Shanna Fealy","doi":"10.1155/jonm/6145329","DOIUrl":"https://doi.org/10.1155/jonm/6145329","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> As the largest workforce in health, it is critically important that the principles of planetary health are incorporated into nursing education to have a significant influence on reducing the environmental impacts of health practices and address health inequities. Despite the adoption of sustainability principles by the higher education sector, the translation into nursing curriculum has been challenging. The increased integration of digital technologies in health contributes towards both sustainability in health and the United Nations Sustainable Development Goals (SDG). Electronic health records (EHRs) are well documented in reducing the reliance on paper-based records and improve the efficiency of health delivery, including accessibility to health where information sharing barriers are reduced. The incorporation of digital health training, and specifically the use of simulated EHRs, into nursing curriculum will increase the application of the principles of planetary health into graduate practice.</p>\u0000 <p><b>Aims:</b> This study explored if the use of an EHR in a simulated learning environment (SLE) in a Bachelor of Nursing (BN) program can lead to tangible reduction in paper consumption.</p>\u0000 <p><b>Methods:</b> A nonexperimental, pre- and postdesign was used to audit the paper consumption, specifically paper-based manuals, within the SLE pre- and postimplementation of the HealthiERSim®, an in house developed simulated EHR system. The study was held across multiple campuses with different BN cohorts.</p>\u0000 <p><b>Results:</b> The study reported an overall reduction paper consumption by 12.59% post-implementation of HealthiERSim® and a reduction in pages per SLE manual, with a significant (<i>p</i> &lt; 0.001) difference in paper consumption between the subjects.</p>\u0000 <p><b>Conclusion:</b> The results of this study indicate an effective implementation of an EHR solution can decrease paperconsumption within an SLE, contributing to reducing the environmental footprint of an educational institution. Where adopted with curriculum content about sustainable practices, this will increase graduate awareness and practice of planetary health principles and the SDGs.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6145329","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143866015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Clinical Leadership Behaviors, Flourishing, and Extra-Role Behavior Among Nurses: A Cross-Sectional Study","authors":"Wedad Khader,&nbsp;Ghada Abu Shosha,&nbsp;Islam Ali Oweidat,&nbsp;Saleh Al Omar,&nbsp;Mohammad R. Alosta,&nbsp;Abdulqadir J. Nashwan","doi":"10.1155/jonm/5438358","DOIUrl":"https://doi.org/10.1155/jonm/5438358","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Clinical leadership is vital in improving nurses’ performance and healthcare services.</p>\u0000 <p><b>Aim:</b> This study examined the relationship between clinical leadership behaviors, flourishing, and extra-role behavior among nurses in Jordan.</p>\u0000 <p><b>Methods:</b> A descriptive correlational design was used, which enrolled a convenience sample of 260 registered nurses working at governmental hospitals in Jordan.</p>\u0000 <p><b>Results:</b> The mean score of clinical leadership behaviors was moderate (<i>M</i> = 138.01, SD = 7.82). Nurse flourishing had a mean total score of (<i>M</i> = 31.76, SD = 5.49), indicating positive well-being. Extra-role behavior had a mean score of (<i>M</i> = 23.96, SD = 3.93), indicating moderate participation in extra-role behaviors. There was a significant moderate positive correlation between clinical leadership behaviors and nurse flourishing (<i>r</i> = 0.489, <i>p</i> = 0.047) and extra-role behaviors (<i>r</i> = 0.359, <i>p</i> = 0.004). Factors that significantly predicted nurse flourishing and extra-role behavior were clinical leadership behaviors, age, duration of nursing experience, income, and hospital number of beds.</p>\u0000 <p><b>Conclusion:</b> Effective clinical leadership behaviors can significantly improve nurses’ flourishing and extra-role behavior.</p>\u0000 <p><b>Implication for Nursing Management:</b> The results emphasize the importance of training nurses on positive leadership behaviors to enhance flourishing and involvement in extra-role behavior.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/5438358","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852770","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 Bibliometric Review of Publications on Innovative Behaviors of Nurse Managers","authors":"Nurcan Bi̇lgi̇n,&nbsp;Damla Şahi̇n Büyük,&nbsp;Sevgi Paki̇ş Çeti̇n","doi":"10.1155/jonm/5950542","DOIUrl":"https://doi.org/10.1155/jonm/5950542","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> This study used bibliometric indicators to provide an overview of research on nurse managers’ innovative behaviors.</p>\u0000 <p><b>Background:</b> Encouraging nurses’ innovative abilities leads to improved care quality and work efficiency and reduced healthcare costs. For these reasons, the innovative behaviors of nurse managers are crucial for both their personal development and the success of their teams.</p>\u0000 <p><b>Method(s):</b> Bibliometric methods were employed to investigate the innovative behaviors of nurse managers. Data were collected from the Web of Science (WoS) database through mid-September 2024. A query string search yielded 478 articles, of which 44 met the inclusion criteria and were analyzed using bibliometric techniques. Microsoft Excel and the VOSviewer software were used to analyze the distribution of publications by year, leading countries, prominent journals, contributing authors, coauthor networks, and keyword co-occurrence.</p>\u0000 <p><b>Results:</b> There has been a recent increase in publications on the innovative behaviors of nurse managers, with the United States leading in publication output. The Journal of Nursing Management and the Journal of Nursing Administration were identified as the most prolific journals in this area. In the coauthorship analysis, nine authors emerged as the most linked, forming a cluster with a total of 36 links. Furthermore, the most used keywords were “nurses,” “psychological empowerment,” and “innovative behavior.” Additionally, 56.8% of the articles employed quantitative methods, 31.8% used qualitative methods, and 11.4% applied mixed-method research designs.</p>\u0000 <p><b>Conclusion(s):</b> The analysis of articles indexed in the WoS database suggests that research on the innovative behaviors of nurse managers is still in its developmental stages.</p>\u0000 <p><b>Implications for Nursing Managers:</b> Future research should explore the innovative behaviors of nurse managers and the factors influencing these behaviors further. Both qualitative and quantitative studies should examine how and to what extent these behaviors impact the nurses under their supervision.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/5950542","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852769","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":"Nurse Disciplinary Leadership in Higher Education: A Scoping Review","authors":"Melissa Slattery,&nbsp;Carol Grech,&nbsp;Rachael Vernon,&nbsp;Jennifer Fereday","doi":"10.1155/jonm/2161553","DOIUrl":"https://doi.org/10.1155/jonm/2161553","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Leadership of nurse education and research has become increasingly challenging over the last decade and remains a global issue affecting nurse managers working in the higher education (HE) sector. Nursing faculties have not been immune from the effects of funding constraints, policy reforms and organisational restructures.</p>\u0000 <p><b>Aim:</b> This scoping review explored what is currently known about the qualities, behaviours and characteristics (core attributes) of nurse disciplinary leads that manage nursing faculties in HE.</p>\u0000 <p><b>Method:</b> Five research questions were identified, and a scoping review method was used to map a wide-ranging set of literature and concepts. Databases were searched using a prospective protocol tool, and an extraction table was created to facilitate content analysis.</p>\u0000 <p><b>Findings:</b> Ten articles that addressed one or more of the research questions were identified. While the literature described a range of core attributes required to lead nursing faculties in HE, clarity and definition of terms used were lacking, and articles were primarily opinion-based and nonevidential.</p>\u0000 <p><b>Discussion:</b> Whilst key leadership core attributes may be transferable, nurse disciplinary leads require specific knowledge of the HE sector to operate effectively in this environment. Mentorship was reported to have a highly positive impact on academic nurse leadership skill development.</p>\u0000 <p><b>Conclusion:</b> Further research is needed to identify opportunities to support the growth and readiness of future generations of nurse disciplinary leads and challenge the current deterrents inhibiting nurse academic career pathways in the Australian and New Zealand HE sectors.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/2161553","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852847","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 Mediation of Workplace Upward Networking on Affective Leadership and Employee Safety Voice Among Primary Nurses: A Cross-Sectional Study","authors":"Danhong Qian,&nbsp;Xunyin Zhang,&nbsp;Lihui Yan,&nbsp;Yuqi Xu,&nbsp;Huijun Wang,&nbsp;Jinji Chen,&nbsp;Qi Zhou","doi":"10.1155/jonm/5127212","DOIUrl":"https://doi.org/10.1155/jonm/5127212","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Primary nurses hesitated to communicate directly with leaders about safety concerns due to apprehension about confrontation, fear of blame, and their undervalued opinions. Affective leadership’s impact on voice behaviors was characterized by top–down impression management and an absence of upward management. This study aimed to validate the mediating role of workplace upward networking between affective leadership and employee voice behaviors.</p>\u0000 <p><b>Methods:</b> This study was a cross-sectional survey, using purposive sampling to select 639 nurses from all primary hospitals in Hangzhou X district. Measurement tools included the demographic information questionnaire, affective leadership scale, employee safety voice scale, and workplace upward networking scale.</p>\u0000 <p><b>Results:</b> The relationship between affective leadership and employee safety voice mediated by workplace upward networking was confirmed. Affective leadership affected workplace upward networking (<i>B</i> = 0.70, <i>p</i> &lt; 0.0001), with an explained variation of 37%. Affective leadership and workplace upward networking affected employee safety voice (<i>B</i> = 0.45 and 0.21, <i>p</i> &lt; 0.001), with an explained variation of 71%. Workplace upward networking’s total, direct, and indirect effects were 0.65, 0.20, and 0.45, respectively.</p>\u0000 <p><b>Conclusions:</b> The study offers a theoretical basis for enhancing the safety management framework in primary care. It highlights the importance of affective leadership, improving upward management systems and establishing a supportive safety culture to bolster nurse engagement and initiative in patient safety.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/5127212","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143849279","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":"Toward a Clearer Understanding of Value-Based Healthcare: A Concept Analysis","authors":"Vahe Kehyayan,&nbsp;Yasin M. Yasin,&nbsp;Areej Al-Hamad","doi":"10.1155/jonm/8186530","DOIUrl":"https://doi.org/10.1155/jonm/8186530","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Value-based healthcare (VBHC) aims to improve the quality of healthcare delivery while reducing costs and also aims for outcomes that are of utmost importance from patients’ perspectives. Despite a growing interest in VBHC, a significant knowledge gap persists within the existing literature in the absence of a clear conceptualization of VBHC itself.</p>\u0000 <p><b>Aim:</b> The aim of the present study was to develop a comprehensive understanding of the concept of VBHC in order to arrive at a definition based on the evidence in the existing literature.</p>\u0000 <p><b>Method:</b> A concept analysis approach was used to identify the concept’s defining attributes, its antecedents, consequences, and its empirical referents.</p>\u0000 <p><b>Results:</b> The analysis of the concept yielded three defining attributes: monetary value of health service, quality of care, and patient-centered care. The analysis also identified several crucial antecedents for transitioning traditional fee-for-service models to those focused on value; it also identified key interrelated consequences: improved patient outcomes, cost reduction, and increased patient satisfaction.</p>\u0000 <p><b>Conclusion:</b> The concept analysis of VBHC provides a comprehensive framework for understanding its key components and challenges. By aligning healthcare delivery with the values and needs of patients, VBHC represents a promising avenue toward achieving high-quality, sustainable healthcare. The findings from this analysis call for a collaborative effort among healthcare leaders, researchers, and policymakers to further refine and implement VBHC models, ensuring healthcare systems are both patient-centered and cost-effective. These findings also have implications for nursing management.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8186530","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143849277","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":"Relationship Between Perceived Psychological Empowerment, Clinical Leadership, and Quality of Work Life Among Chinese Nurses: A Correlational Study","authors":"Xiyan Gong,&nbsp;Cuicui Zhang,&nbsp;Yingyi Deng,&nbsp;Ying Zhong,&nbsp;Dongxia Liao,&nbsp;Qinying Jiang,&nbsp;Yuqin Chen,&nbsp;Changju Liao","doi":"10.1155/jonm/3643678","DOIUrl":"https://doi.org/10.1155/jonm/3643678","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> To investigate the current state of work-related quality of life among Chinese nurses and to explore the mediating effect of clinical leadership between psychological empowerment and quality of work life.</p>\u0000 <p><b>Background:</b> The quality of work-life significantly affects nursing team stability and the provision of high-quality care. Psychological empowerment and clinical leadership are considered influential factors in nurses’ work-life quality. However, there is a lack of large-scale studies investigating the relationships between these variables.</p>\u0000 <p><b>Methods:</b> This nationwide cross-sectional study utilized a multistage stratified proportional sampling approach to select 2633 registered nurses with more than one year of work experience from 17 tertiary general hospitals in China. The data were analyzed using descriptive analysis, Pearson correlation analysis, and structural equation modeling.</p>\u0000 <p><b>Results:</b> The quality of work-life score for nurses was 3.38 ± 0.67. Positive correlations were observed between clinical leadership and quality of work life (<i>r</i> = 0.470, <i>p</i> &lt; 0.01). Psychological empowerment was also positively associated with quality of work life (<i>r</i> = 0.570, <i>p</i> &lt; 0.01). The structural equation model revealed that psychological empowerment had a positive direct effect on the quality of work life (<i>β</i> = 0.587, <i>p</i> &lt; 0.001), with clinical leadership playing an intermediary role, accounting for 8.42% of the total effect.</p>\u0000 <p><b>Conclusion:</b> Nurses’ psychological empowerment was positively associated with the quality of work life and was partially mediated by clinical leadership. These results suggest that psychological empowerment and clinical leadership are key facilitators improving nurses’ work-life quality.</p>\u0000 <p><b>Implications for Nursing Management:</b> Hospital managers should further raise awareness of empowerment among nurse managers, implement scientifically sound empowerment and clinical leadership programs for nurses, enhance nurses’ clinical leadership skills, and promote the quality of nurses’ work-life.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/3643678","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143827037","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}