Journal of Nursing Management最新文献

{"title":"Developing a Competency Model for Mobile Nurses in Chinese Tertiary Hospitals: A Delphi-AHP Approach","authors":"Na Fan,&nbsp;Yan-Ling Yin,&nbsp;Sai-Na Zhang,&nbsp;Rui Yan,&nbsp;Shi-Fan Han","doi":"10.1155/jonm/5561680","DOIUrl":"https://doi.org/10.1155/jonm/5561680","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To establish an evidence-based competency framework for mobile nurses in tertiary hospitals, addressing critical gaps in workforce optimization during healthcare crises.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Mobile nurses play pivotal roles in emergency response and cross-departmental coordination, yet standardized competency models remain lacking, hindering evidence-based workforce optimization.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A mixed-methods study integrating: (1) Literature synthesis (85 articles, 2015–2025); (2) semistructured interviews with 32 clinicians from four Chinese tertiary hospitals and (3) two-round Delphi-AHP consultation (<i>n</i> = 18 experts) establishing weighted competencies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The final model comprises 3 domains—Personality Traits (44.47%), Knowledge/Skills (37.02%), and Professionalism (18.51%)—with 10 subdomains and 40 indicators. Delphi consensus strengthened significantly between rounds (mean CV reduction: 0.25 ⟶ 0.08, <i>p</i> &lt; 0.001), with high expert authority (Cr = 0.85). Critical competencies included crisis intervention (weight = 0.0199), EHR proficiency (0.0757), and emotional resilience (0.0218).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This first evidence-based competency framework addresses mobile nurses’ unique demands in dynamic care environments, providing actionable metrics for recruitment, training, and performance evaluation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Management</h3>\u0000 \u0000 <p>The framework enables precise talent allocation, tailored training, and dynamic performance evaluation, aligning with World Health Organization (WHO)’s Health Workforce 2030 targets through its dual focus on technical proficiency and adaptive resilience.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/5561680","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145272362","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":"Outcome Reporting in Clinical Trials on Kangaroo Mother Care in Newborns: A Systematic Review for the Development of Core Outcome Set","authors":"Ying Xin Li,&nbsp;Yan Ling Hu,&nbsp;Han Mei Peng,&nbsp;Yuan Li,&nbsp;Xia Li,&nbsp;Wen Qian Su,&nbsp;Xiao Wen Li,&nbsp;Qiong Chen,&nbsp;Xing Li Wan","doi":"10.1155/jonm/5662163","DOIUrl":"https://doi.org/10.1155/jonm/5662163","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Kangaroo mother care (KMC) reduces mortality and morbidity in newborns, particularly benefiting preterm infants. However, substantial heterogeneity in the selection, measurement, and reporting of outcomes across KMC trials hinders evidence synthesis and clinical application, underscoring the urgent need for standardized core outcomes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To identify outcomes used to evaluate KMC as the foundational step toward developing a core outcome set.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement for reporting. A comprehensive search of MEDLINE, Cochrane Library, Embase, CINAHL, CNKI, SinoMed, WanFang Data, and clinical trial registries was conducted for studies published or registered from January 1, 2014 to July 7, 2024. Risk of bias in the studies was not assessed, as the review did not focus on efficacy. Data on literature and outcomes were extracted for narrative synthesis. Outcomes were categorized using the COMET outcome taxonomy.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A total of 5730 studies were screened, and 292 studies were included in this review, consisting of 162 articles and 130 protocols, with a total of 112,601 participants. These studies were conducted across 40 countries, with the majority from lower-middle-income countries and upper-middle-income countries. A total of 1306 outcomes were extracted, resulting in 142 unique outcomes, which spanned 5 core areas and 29 outcome domains. The most frequently reported core area was physiological/clinical (256 studies, 87.67%), followed by the life impact (116 studies, 39.73%). In contrast, the death core area received limited attention, with only 10.96% of studies reporting mortality or survival outcomes. The most commonly reported outcome domain was general outcomes (185 studies, 63.36%), followed by pregnancy, puerperium, and perinatal outcomes (84 studies, 28.77%). The three most reported outcomes were breastfeeding outcomes (84 studies, 28.77%), weight/length/head circumference/(82 studies, 28.08%), and pain (67 studies, 22.95%).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Current research on outcome reporting for KMC is comprehensive, covering most outcome domain across the five core areas. However, significant heterogeneity in outcome definitions and reporting exists across studies. Therefore, the development","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/5662163","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145272619","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 Engagement in the Hospital Setting: An Analytical Cross-Sectional Multicentre Study With a 4-Year Time Series","authors":"Asta Heikkilä,&nbsp;Tarja Kvist,&nbsp;Kristiina Junttila,&nbsp;Pirjo Kaakinen,&nbsp;Outi Kanste,&nbsp;Marja Kaunonen,&nbsp;Tiina Kortteisto,&nbsp;Tiia Rissanen,&nbsp;Susanne Salmela,&nbsp;Tarja Tervo-Heikkinen,&nbsp;Krista Jokiniemi","doi":"10.1155/jonm/5730405","DOIUrl":"https://doi.org/10.1155/jonm/5730405","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To describe and explain the level of nurse engagement in the period 2019–2022 and identify related background variables and drivers of nurse engagement in hospital settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>An analytical cross-sectional multicentre study with a 4-year time series.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected annually from 2019 to 2022 from 24,653 nurses (staff nurses, midwives, and assistant nurse managers) in Finnish hospitals (<i>n</i> = 9) using a modified version of the Nurse Engagement Survey and analysed statistically. The STROBE checklist was used as the reporting guideline.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nurse engagement varied over the study period, with 10.0%–4.2% of nurses being engaged, 33.1%–17.0% content, 31.4%–28.8% ambivalent, and 25.5%–50.0% disengaged. The proportion of disengaged nurses increased, while the proportions of content and engaged nurses decreased over the 4 years. All background variables and drivers of nurse engagement were statistically significant in relation to the level of nurse engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study produced novel findings on nurse engagement and related factors in a hospital setting, based on unique, national-level data collected over 4 years. The results raise concerns considering the attractiveness of the nursing profession and nurse retention. The study provides insights for nurse leaders to strengthen leadership practices and create more engaging work environments. To support nurse engagement, healthcare organisations should routinely assess the engagement of their nursing workforce and prioritise leadership strategies aimed at attracting, retaining, and enhancing nurse engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Management</h3>\u0000 \u0000 <p>It is important that nurse leaders promote nurse engagement throughout nurses’ careers and recognise nurses of all generations, as nurse engagement is a key factor in staff retainment and impacts directly on the quality and outcomes of patient care. To keep nurses engaged, nurse leaders and managers should keep patient care manageable and also offer other tasks that match the nurses’ interests and career opportunities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/5730405","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145272194","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 Interns’ Experiences of Workplace Violence During Internship Programme Enrolment: A Convergent Mixed-Method Study","authors":"Khadijah Alshawush,&nbsp;Nutmeg Hallett,&nbsp;Caroline Bradbury-Jones","doi":"10.1155/jonm/7421931","DOIUrl":"https://doi.org/10.1155/jonm/7421931","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The key aim of this study is to explore interns’ experiences of workplace violence (WPV) during their enrolment in internship programmes and to determine the support provided by these programmes in relation to WPV. This study will also propose improvements that can be made to ensure that internship programmes provide sufficient support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurses, patients and organisations are adversely impacted by WPV. Nonetheless, very few studies have examined experiences of WPV among nursing interns as they transition into their working roles and enrol in their year-long internship programmes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This study employed a concurrent mixed-methods design (cross-sectional survey and semi-structured interview). Data from both strands were integrated after analysis and presented in a joint display.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Altogether, 143 nurse interns (123 for the quantitative phase and 20 for the qualitative phase) from two Saudi universities enrolled in a 1-year internship took part in this study. Participants were administered quantitative surveys relating to the WPV/abuse assessment questionnaire, and interviews were held with participants who had experienced violence in the clinical workplace. Quantitative data were analysed using Statistical Package for the Social Sciences software, while thematic analysis was performed on the qualitative data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings indicated that most nurse interns (90%) experienced violence during their internships. Moreover, it was revealed that the programme failed to adequately support them throughout their placements. A conceptual model was developed to identify the factors preventing adequate support from being provided, which made nurses more vulnerable to WPV through disempowerment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>University, hospital and programme administrators lack coordination in providing nurse interns with WPV support. Findings offer guidance for educators, policymakers and programme developers in restructuring internship support systems.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7421931","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145272110","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":"Constructing a Multidimensional Entrepreneurial Leadership Competency Model Amongst Nurse Leaders of New Hospitals in China: A Mixed-Methods Study","authors":"Jing Gong,&nbsp;Binxu Yang,&nbsp;Lingxia Sun,&nbsp;Xintong Deng,&nbsp;Yingying Zhao,&nbsp;Fang He,&nbsp;Jing Zhou","doi":"10.1155/jonm/7626357","DOIUrl":"https://doi.org/10.1155/jonm/7626357","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study aims to assess and enhance the multidimensional entrepreneurial leadership competency model amongst nurse leaders of new hospitals in China.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;As dynamically developing healthcare organisations, new hospitals face a more turbulent and uncertain environment compared with mature hospitals and often encounter uncertainties resulting from the complexity and ambiguity of their development process. The nurse leader’s management philosophy, skill level and leadership style can greatly influence the construction of nursing teams, thus playing a key role in the management of new hospitals. Constructing a multidimensional nurse leader job competency model that meets the developmental qualities of new hospitals is thus critical to creating strategic value, improving nursing effectiveness and forming a competitive advantage in nursing.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Method&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study adopted a mixed-research methodology and was conducted in two distinct phases. In the first phase, two rounds of in-depth semistructured interviews were performed with nurses, nurse managers, doctors and department heads in newly established hospitals. Participants were required to have worked in the new hospital for at least 1 year and to have been directly involved in clinical practice, nursing leadership or hospital management. A purposive sampling strategy was used to ensure diversity of roles and departments. The interviews were conducted by trained qualitative researchers; one acted as the facilitator, and the other took notes and managed audio recordings. After each round, thematic analysis was performed independently by two researchers, followed by discussion to reach consensus. The themes from both rounds were used to construct a competency model and develop a questionnaire. Grounded theory was applied to construct the dimensions and elements of the competency model. The model considered not only the elements of leadership for nurse leaders in new hospitals but also the developmental qualities of new hospitals. The second phase involved the development of a questionnaire based on the competency model identified in the first stage. Participants were recruited by convenience sampling. The respondents were nurses, nurse leaders, doctors and department heads of 2 new hospitals in Guizhou Province, with a total of 411 participants. Data collected from the questionnaires were used to test the reliability and validity of the model, the fit of the model and the consistency, accuracy and stability of its dimensions and elements.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7626357","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145271815","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":"Growth and Generation Inclusion: From Generation X Nurse Managers’ Leadership Experience for Generation Z Nurses","authors":"Kuo-Min Chu,&nbsp;Shiow-Ching Shun,&nbsp;Chin-Ying Huang,&nbsp;Li-Hwa Lin,&nbsp;Hsiu-Chu Hsu","doi":"10.1155/jonm/8430633","DOIUrl":"https://doi.org/10.1155/jonm/8430633","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Generation X nurse managers (NMs) face challenges arising from the unique work values and needs presented by Generation Z nurses, who are the newest members of the nursing workforce. However, research on how they adapt to and lead Generation Z nurses remains limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to explore and gain an in-depth understanding of the experiences and growth of Generation X NMs in Taiwan as they lead Generation Z nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study employed a qualitative approach, using purposive sampling to recruit participants and conducting in-depth semistructured interviews with 11 NMs. All interviews were audiorecorded with participant consent, transcribed verbatim, and analyzed using an inductive thematic approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The Generation X NMs described the challenges and growth they experienced while leading Generation Z nurses, which included four main themes: comparative experiences, dialectics of value, sense of mission and social responsibility, and support system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study highlights the complex and meaningful journey undertaken by Generation X NMs in Taiwan as they lead Generation Z nurses. Despite notable differences in work attitudes and values between the two generations, these NMs actively promote generational reconciliation and integration. Motivated by a strong sense of mission and social responsibility, their efforts focus on improving the retention rate of Generation Z nurses. The NMs’ initial intentions, along with the support they receive from their superiors, serve as key enablers in facilitating this process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Management</h3>\u0000 \u0000 <p>Healthcare organizations and policymakers should consider the experiences and needs of NMs while formulating nurse retention policies. By providing essential training programs and emotional support to enhance their management skills, they can effectively promote the retention and development of Generation Z nurses.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8430633","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145223806","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":"Handling Features of Patient Safety Incident Reporting Software and Shortcomings in Report Processing From Healthcare Professionals’ Perspectives: A Cross-Sectional Study With a Qualitative Design","authors":"Saija Koskiniemi,&nbsp;Tiina Syyrilä,&nbsp;Katri Hämeen-Anttila,&nbsp;Marja Härkänen","doi":"10.1155/jonm/6724890","DOIUrl":"https://doi.org/10.1155/jonm/6724890","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Patient safety incidents are underreported, and report handlers, usually unit managers, are dissatisfied with the incident reporting software’s handling features.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To (1) identify the handling features of patient safety incident reporting software that support and challenge report processing; (2) determine which features report handlers believe should be added and (3) describe processing shortcomings from reporters’ perspectives.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A cross-sectional study with a descriptive qualitative design.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A descriptive qualitative cross-sectional study was conducted in two Finnish wellbeing service counties between January and February 2024. A total of 755 participants who used patient safety incident reporting software completed the Users’ Perceptions of Patient Safety Incident Reporting Software survey. Their free-text responses (&lt;i&gt;n&lt;/i&gt; = 117) were analysed using qualitative inductive content analysis.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Most respondents (66%) had a nursing background, and over half (51%) handled reports. Respondents had varying perceptions of software handling features that supported or challenged report processing, and they identified more features as challenging than supportive. They suggested changes to the anonymity and visibility of reports and the technical handiness of software. Respondents described the following report processing shortcomings: reports were not discussed within workplaces; discussion caused blaming; no concrete changes occurred after reporting; reporters did not hear about reports after reporting; reported incidents were underestimated and processing was not objective.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The findings indicate that it is time to critically evaluate the usefulness of reporting software. Incident report handlers need optimum tools to process valuable client and patient safety information. Furthermore, incident report processing procedures require changes to assure reporters that it is meaningful and secure to report all patient safety incidents they observe or are involved in.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for Nursing Management&lt;/h3&gt;\u0000 ","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6724890","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145223844","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":"“They Care a Lot”: A Qualitative Study of Nurses’ Perspective on the Performance Appraisal Process in Israel","authors":"Edna Rabenu,&nbsp;Yonatan Shertzer","doi":"10.1155/jonm/5525447","DOIUrl":"https://doi.org/10.1155/jonm/5525447","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Intro</h3>\u0000 \u0000 <p>The performance appraisal (PA) process is carried out in organizations in general and in health organizations in particular due to its expected benefits, such as improving performance regarding patient care quality, documentation, identifying training needs, raising job satisfaction, and employee engagement. This paper explores the nurses’ perspective on the PA process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design/Methods</h3>\u0000 \u0000 <p>As part of course assignments in the Master’s degree program in health systems management, 34 nurses in hospitals in Israel (students in the course) were asked to describe the PA process they underwent in their organization (their written narratives regarding the PA process). Thematic analysis was employed to examine their responses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four themes were found: characteristics of the feedback session (the PA interview), characteristics of the appraisee, characteristics of the appraiser, and characteristics of the PA process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Beyond elucidating the nurses’ subjective experiences and priorities, the study brought to light several major issues, such as the fact that nurses highly value the PA process and do not consider it a mere formal chore. Also, the nurses emphasized the procedural justice of the process (i.e., they cared that the process has sufficient validity and reliability). Lastly, they crave recognition and acknowledgment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>This research has theoretical and practical implications based on specifying the nurses’ perspectives and priorities and taking them into consideration. The study’s findings can assist healthcare organizations to understand this crucial practice better so that it can achieve its full potential.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/5525447","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224477","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":"Roots and Wings: The Role of Job Embeddedness in Mitigating Nurses’ Emigration Intention Through a Serial Mediation Lens","authors":"Akinwuyi Stephen Akinwande,&nbsp;Cem Tanova,&nbsp;Steven Bayighomog,&nbsp;Deborah Onaopemipo Ajayi","doi":"10.1155/jonm/9917479","DOIUrl":"https://doi.org/10.1155/jonm/9917479","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study investigates the influence of job embeddedness on nurses’ emigration intentions with a focus on the mediating roles of employee voice and engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The migration of healthcare professionals from developing to developed countries exacerbates the brain drain crisis, posing challenges to healthcare systems in low-income countries. Nurses may be less likely to have emigration intentions if they have higher levels of job embeddedness in their workplaces. However, limited research has explored this relationship in low-income contexts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Drawing on Lewin’s field theory and the theory of the cumulative causation of migration, a cross-sectional study was conducted using survey data from 336 nurses in Nigeria. SmartPLS 4.0 was used to analyze the direct and indirect effects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings revealed a negative relationship between job embeddedness and emigration intentions mediated by employee voice and engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study provides important contributions to management of healthcare organizations and migration research and offers practical implications for policymakers, service sector managers, and future research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/9917479","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224206","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 Professional Competence as a Mediator Between Structural Empowerment and Person-Centered Climate in Hospital Settings: A Cross-Sectional Observational Study","authors":"Lijuan Xu,&nbsp;Kewen Zhu,&nbsp;Annika Nilsson,&nbsp;Maria Engström","doi":"10.1155/jonm/2078705","DOIUrl":"https://doi.org/10.1155/jonm/2078705","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The work-related empowerment of nurses is essential for enhancing person-centered care and climate. However, research on more complex relationships that consider mediation remains sparse.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study aimed to investigate the relationship between nurse-rated structural empowerment and a person-centered climate, as well as the mediating role of nurse professional competence.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A cross-sectional survey study.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Settings and Participants&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study was conducted among 2172 nurses, at three general hospitals in China, between April 2023 and October 2023.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The Conditions of Work Effectiveness Questionnaire, which measured structural empowerment, the Nurse Professional Competence Scale, and the Person-Centered Climate Questionnaire-Staff Version were employed to collect data. The PROCESS macro (Model 4) and bootstrapping tests were used to examine the relationships and mediation effects.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The results showed that nurse-rated structural empowerment was significantly positively related to the person-centered climate and professional competence of nurses. Nurse professional competence, in turn, was significantly positively related to person-centered climate. Furthermore, the nurse professional competence significantly mediated the relationship between structural empowerment and a person-centered climate. The model explained 49.9% of the variance in person-centered climates.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Structural empowerment and nurses professional competence are both essential for fostering a person-centered climate in hospital wards. Professional competence mediates the relationship between structural empowerment and a person-centered climate.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for Nursing Management&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nurse managers and policymakers should promote empowering work environments by ensuring access to information, support, resources, and opportunities for professional development. Enhanc","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":4.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/2078705","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224207","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}