Journal of Nursing Management最新文献

{"title":"Leader’s Humility: Unveiling the Mediating Effect of Decent Work on the Relation Between Humble Leadership and Nurses’ Grit","authors":"Ahmed Abdellah Othman,&nbsp;Sally Mohammed Farghaly Abdelaliem,&nbsp;Hossam Mohamed Mahran,&nbsp;Hind Ismail Ali","doi":"10.1155/jonm/4640687","DOIUrl":"https://doi.org/10.1155/jonm/4640687","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Humble leadership emerges in various contexts and circumstances throughout time; it is dynamic and essential in motivating staff nurses to achieve their objectives by influencing and mentoring them with humility, thereby creating an environment that encourages their proactive and creative work practices.</p>\u0000 <p><b>Aim:</b> This study aim to assess the relation between humble leadership and nurses’ grit and also examine the mediating effect of decent work on the relation between humble leadership and nurses’ grit.</p>\u0000 <p><b>Methods:</b> This was a cross-sectional study of nurses in Sohag University Hospital, Egypt. A total of 454 nurses who had worked at their employing facility for at least 6 months participated in this study. Study variables included humble leadership, nurses’ grit, and decent work.</p>\u0000 <p><b>Results:</b> Decent work mediated the relationship between humble leadership (<i>B</i> = 0.267, <i>t</i> = 4.968, and <i>p</i> &lt; 0.001) and nurses’ grit. Also, there was a statistically significant positive correlation between the participant nurses’ perception of humble leadership and decent work (0.386, <i>p</i> &lt; 0.001), nurses’ perception regarding grit with decent work (<i>r</i> = 0.421 and <i>p</i> = 0.000), and humble leadership (<i>r</i> = 0.363 and <i>p</i> &lt; 0.001).</p>\u0000 <p><b>Conclusions:</b> The importance of addressing decent work to enhance nurses’ grit and promote perception of humble leadership. This study suggests that not only humility by leadership is sufficient to enhancing the nurses’ grit as consistent interest and persistent effort but also the decent work have vital role in pushing the nurses for more commitment and interest in the work of goal achievement.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/4640687","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144323643","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 of Nurses’ Using Mobile Applications to Provide Home Nursing Care: A Social Cognitive Theory Perspective","authors":"Jing Cheng,&nbsp;Tailai Wu,&nbsp;Kangni Ren,&nbsp;Zhaohua Deng","doi":"10.1155/jonm/4002293","DOIUrl":"https://doi.org/10.1155/jonm/4002293","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> The aging of global population, coupled with the increase in chronic noncommunicable diseases, has made home nursing care services an increasingly vital component of elderly care. Thus, the demand for such services has increased, prompting the development of mobile home nursing care applications (MHNCAs) to assist nurses in delivering home-based care. However, nurses’ willingness to use MHNCAs remains relatively low.</p>\u0000 <p><b>Aim:</b> This study aims to investigate what and how the factors affect nurses’ use of MHNCAs.</p>\u0000 <p><b>Methods:</b> Based on social cognitive theory, we have formulated a research model to identify and explain the relationships between factors and nurses’ use of MHNCAs. We use a multiple analytical approach including structural equation modeling (SEM) and artificial neural network (ANN) to examine the research model.</p>\u0000 <p><b>Results:</b> The SEM analysis results show that environmental factors could affect nurses’ use of MHNCAs through personal factors, while the ANN analysis results highlight outcome expectations as the strongest predictor of nurses’ MHNCA usage.</p>\u0000 <p><b>Conclusions:</b> The factors and their working mechanisms of nurses’ using MHNCAs are uncovered and validated. Our study explores novel factors of using of mobile health applications from the perspective of nurses and novel mobile applications. Besides, we contextualize and extend social cognitive theory within our study. Moreover, we unveil the underlying mechanisms by confirming the mediating roles of self-efficacy and outcome expectations.</p>\u0000 <p><b>Implications for Nursing Management:</b> Our findings can benefit nursing managers, nursing educators, and the broader nursing community by informing the design of MHNCAs tailored for nurses, supporting the uptake of MHNCAs, and enhancing the training and education related to nurses’ technology use. Therefore, our study underscores the cutting-edge advancements in mobile health applications within the digital realm and the nursing context, highlighting the importance of these technologies in contemporary nursing practices.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/4002293","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315231","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 Role of Servant Leadership in Fostering Psychological Safety Among Nurses in Jordanian Hospitals","authors":"Luma Asfour,&nbsp;Ali Moh’d Saleh,&nbsp;Yousef Abu-Wardeh","doi":"10.1155/jonm/1028249","DOIUrl":"https://doi.org/10.1155/jonm/1028249","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Servant leadership (SL), characterized by moral behavior and a focus on serving and empowering team members, is particularly relevant in a critical care setting, where a highly pressured environment requires a consistent and empowered team. Psychological safety (PS), a high perception level, and speaking without fear of penalty are highly recommended in critical care areas, including ICUs, CCUs, ERs, burn units, and any other departments that require intensive care for patients to maximize professionalism and improve patient outcomes.</p>\u0000 <p><b>Aim:</b> This study aimed to investigate the relationship between SL and PS as perceived by nurses in critical care areas of Jordanian hospitals.</p>\u0000 <p><b>Method:</b> A descriptive, cross-sectional, and correlational design was used. A convenience sample of 207 registered nurses working in inpatient departments and the Hemodialysis Unit across five Jordanian hospitals participated in the study. Data were collected using the SL survey and the PS survey to measure the nurses’ perceptions of SL and PS.</p>\u0000 <p><b>Result:</b> Critical care nurses reported a moderate perception of SL (<i>M</i> = 66.7 out of 108) and PS (<i>M</i> = 90.4 out of 133). A strong, significant, and positive correlation was found between leadership and PS (<i>r</i> = 0.74). Regression results indicated that SL was a significant predictor of PS (<i>β</i> = 0.82, <i>p</i> &lt; 0.001).</p>\u0000 <p><b>Conclusion:</b> SL is a key factor in healthcare institutions that facilitate PS among critical care nurses.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/1028249","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144308804","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 Effectiveness of Low-Level LED Light Therapy for Sleep Problems, Psychological Symptoms, and Heart Rate Variability in Shift-Work Nurses: A Randomized Controlled Trial","authors":"Yung-Hsuan Liao,&nbsp;Chen-Jei Tai,&nbsp;Jin-Lain Ming,&nbsp;Li-Hwa Lin,&nbsp;Li-Yin Chien","doi":"10.1155/jonm/6478834","DOIUrl":"https://doi.org/10.1155/jonm/6478834","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Shift-work schedules can cause sleep and psychological problems among nurses, negatively affecting their health and quality of life. This trial examined the effects of low-energy light therapy on sleep, psychological symptoms, and heart rate variability among shift-work nurses.</p>\u0000 <p><b>Methods:</b> This randomized controlled trial was conducted from July 2021 to June 2022. The inclusion criteria were nurses with self-reported insomnia who worked in shifts in the last 6 months in a medical center in northern Taiwan. Block randomization was used to assign the study participants to two groups: experimental (<i>n</i> = 32) and control (<i>n</i> = 32). A portable Meridian Aura Cap equipped with a low-level light-emitting diode was used to provide red and near-infrared light (660 and 850 nm) for 30 min, three times a week for 4 weeks; the control group did not receive any intervention. The Depression Anxiety Stress Scale-21 and Insomnia Severity Index were used to measure psychological symptoms and sleep problems, respectively. Heart rate variability was measured by the ANSWatch.</p>\u0000 <p><b>Results:</b> No significant differences were reported in preintervention scores. After the 4-week intervention, the intervention group scored significantly lower in insomnia (4.3 vs. 12.6, respectively; <i>p</i> &lt; 0.001), depression (2.5 vs. 7.9, <i>p</i> &lt; 0.001), anxiety (3.1 vs. 9.2, <i>p</i> &lt; 0.001), and stress (5.6 vs. 12, <i>p</i> &lt; 0.001) than those in the controls. No significant differences were observed in heart rate variability between the two groups.</p>\u0000 <p><b>Conclusion:</b> Low-level light-emitting diode light therapy improved sleep quality in shift-work nurses with insomnia and alleviated depression, anxiety, and stress symptoms; however, it did not improve heart rate variability, possibly because of the short intervention duration and the ongoing shift-work schedule.</p>\u0000 <p><b>Implications for Nursing Management:</b> Employers could consider providing phototherapy for shift nurses to improve their health.</p>\u0000 <p><b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT05146596</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6478834","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144300254","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":"Measuring Managerial, Collegial, and Organizational Aspects Associated With Digital Health Competence in Healthcare Professionals: Validation of the Chinese Version of the DigiComInf Instrument","authors":"Lu Gao,&nbsp;Jinni Wang,&nbsp;Meilian Chen,&nbsp;Jingxin Wei,&nbsp;Xiaoyan Liao","doi":"10.1155/jonm/8854459","DOIUrl":"https://doi.org/10.1155/jonm/8854459","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Managerial, collegial, and organizational influences have been recognized as critical factors for developing digital health competence among healthcare professionals, but there is currently a lack of validated Chinese instruments to evaluate these factors.</p>\u0000 <p><b>Aims:</b> To culturally adapt and validate the Chinese version of the DigiComInf (aspects associated with digital health competence) instrument among Chinese healthcare professionals.</p>\u0000 <p><b>Method:</b> The DigiComInf instrument was translated into Chinese following the established guidelines. The cultural adaptation involved expert review and cognitive interviews. A total of 311 healthcare professionals were sampled to test reliability and validity of the instrument, with 30 participants undergoing a retest after a 2-week interval. Item analysis, internal consistency, test-retest reliability, content validity, convergent validity, discriminant validity, and construct validity were examined.</p>\u0000 <p><b>Results:</b> Item analysis indicated satisfactory item discrimination (critical values range: 17.63–26.70), item correlation (corrected item-total correlation coefficient &gt; 0.4), and item homogeneity. Internal consistency (Cronbach’s α = 0.96) and test-retest reliability (Intraclass correlation coefficient = 0.96, 95% CI 0.91–0.98) were excellent. The scale content validity index was excellent (0.97). Principal component analysis extracted three common factors, explaining 80.54% of the cumulative variance. Confirmatory factor analysis confirmed a well-fit 3-factor model (<i>χ</i>²/<i>df</i> = 3.19, CFI = 0.94, NFI = 0.92, TLI = 0.93, IFI = 0.94, RMSEA = 0.10, and SRMSR = 0.04), with acceptable convergent and discriminant validity.</p>\u0000 <p><b>Conclusion:</b> The Chinese version of the DigiComInf is a reliable and valid instrument for assessing managerial, collegial, and organizational influences on the development of digital health competence among Chinese healthcare professionals.</p>\u0000 <p><b>Implications for Nursing Management:</b> This study presents a validated instrument to evaluate managerial, collegial, and organizational influences on healthcare professionals’ digital health competence. Healthcare managers, healthcare providers, researchers, and policymakers can use it to accurately identify modifiable socio-organizational factors associated with digital health competence among various healthcare professionals in various settings, thereby informing targeted interventions to enhance their digital health competence.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8854459","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144292456","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 Impact of Nurse Managers’ Transformational Leadership on Nurses’ Work Engagement: A Cross-Sectional Study","authors":"Anu Nurmeksela,&nbsp;Katju Schavoronkoff,&nbsp;Krista Jokiniemi","doi":"10.1155/jonm/9980485","DOIUrl":"https://doi.org/10.1155/jonm/9980485","url":null,"abstract":"<div>\u0000 <p>This study aimed to describe nurses’ evaluations of their work engagement, their perceptions of their managers’ transformational leadership, and the relationships between these factors. A cross-sectional study design was employed. The Transformational Leadership Scale was used to measure the transformational leadership qualities of nurse managers. The Utrecht Work Engagement Scale (UWES-9) was used to measure nurses’ work engagement. The data were analyzed using statistical tests, the Pearson correlation coefficient, and linear regression analysis. Among the work engagement subscales, nurses scored highest on dedication to work (mean 4.14, SD 1.22) and lowest on vigor (mean 3.68, SD 1.9). For transformational leadership subscales, giving feedback and rewards received the lowest scores (mean of 2.64, SD 1.02), while management of the nursing process scored the highest (mean 3.25, SD 0.92). The correlation between transformational leadership and work engagement was statistically significant (<i>r</i> = 0.367, <i>p</i> &lt; 0.001). In conclusion, transformational leadership by nurse managers may increase nurses’ work engagement. Nurse managers can develop and incorporate transformational leadership traits through training programs. Further research is needed to understand the mechanisms linking transformational leadership to nurses’ work engagement.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/9980485","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144292457","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":"Organizational Silence and Work Engagement Among Chinese Clinical Nurses: The Mediating Role of Career Calling","authors":"Wenfen Zhu,&nbsp;Heping Liao,&nbsp;Qian Wu","doi":"10.1155/jonm/7522633","DOIUrl":"https://doi.org/10.1155/jonm/7522633","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> This study aimed to explore how organizational silence affected work engagement in Chinese nurses and examining the impact of career calling on mediating the relation.</p>\u0000 <p><b>Background:</b> Work engagement of nurses is vital for the quality of healthcare service. Organizational silence has been suggested to be negative for work engagement, but it remains elusive if organizational silence may reduce career calling and work engagement among nurses.</p>\u0000 <p><b>Method:</b> This study used the self-report questionnaire for data collection in Chongqing City, China. Structured questionnaires were adopted to measure clinical nurses’ organizational silence, work engagement, and career calling. Our research hypotheses were verified through using the structural equation model.</p>\u0000 <p><b>Result:</b> A total of 1858 valid questionnaires were collected. Organizational silence showed significant and negative relation with work engagement and career calling of clinical nurses (<i>p</i> &lt; 0.01). Career calling played a role in mediating the relation of organizational silence with work engagement.</p>\u0000 <p><b>Conclusion:</b> Reducing organizational silence is important for promoting the work engagement of clinical nurses, and career calling exerts a key effect on interpreting the mechanism of organizational silence in reducing nurses’ work engagement.</p>\u0000 <p><b>Implications for Nursing Management:</b> Hospital managers must focus on reducing nurses’ organizational silence to increase clinical nurses’ work engagement and career calling.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7522633","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281557","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":"Characterizing the Decision-Making Competency of Nurse Managers: A Scoping Review","authors":"Alberto Gonzalez-Garcia,&nbsp;Pilar Marques-Sanchez,&nbsp;Arrate Pinto-Carral,&nbsp;Raquel Leiros-Rodriguez,&nbsp;Javier Perez-Rivera,&nbsp;Silvia Perez-González","doi":"10.1155/jonm/2771210","DOIUrl":"https://doi.org/10.1155/jonm/2771210","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> The purpose of this scoping review is to describe the characteristics of the decision-making competency of nurse managers. In addition, this review analyzes how technological, organizational, and contextual factors influence the development and practical application of this competency and identifies the key barriers and facilitators that specifically impact its growth and use in managerial practice.</p>\u0000 <p><b>Background:</b> Nurse managers’ decision-making abilities are essential for organizational performance in rapidly evolving healthcare systems. Despite its relevance, the specific characteristics that define this competency have not been thoroughly examined. Following our research methodology, we searched the Web of Science, Scopus, CINAHL, and PubMed electronic databases, focusing on the decision-making characteristics of nurse managers between January 2009 and February 2025.</p>\u0000 <p><b>Results:</b> Twenty-five studies were included, identifying 15 core characteristics that define nurse managers’ decision-making competency. The most frequently reported characteristics were professional values and ethics, information processing, systems and data management, and risk management. Technology was consistently identified as a critical facilitator of decision-making, enabling efficient information access and analysis. Conversely, high levels of stress and the complexity of healthcare environments were identified as the primary barriers to effective decision-making.</p>\u0000 <p><b>Conclusions:</b> Strengthening decision-making competency in nurse managers requires the development of ethical reasoning, data literacy, systems thinking, and risk evaluation. Technological proficiency is essential to enhance decision quality, while organizational stressors must be managed to reduce cognitive load and improve performance.</p>\u0000 <p><b>Implications for Nursing Management:</b> These findings support the design of targeted training programs, particularly those using simulation and virtual reality, focused on strengthening decision-making competency, a critical skill for effective nursing management. Developing this competency enhances nurse managers’ ability to navigate complex clinical and organizational challenges, make ethically sound decisions, and lead their teams with greater confidence and strategic insight.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/2771210","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256138","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":"Effort–Reward Imbalance Among Emergency Department Nurses in China: Construction and Evaluation of a Nomogram Predictive Model","authors":"Luying Zhong,&nbsp;Ling Wang,&nbsp;Hao Zhang,&nbsp;Dongmei Diao,&nbsp;Xiaoli Chen,&nbsp;Liqun Zou","doi":"10.1155/jonm/1412700","DOIUrl":"https://doi.org/10.1155/jonm/1412700","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Emergency department nurses face severe occupational stress. Effort–reward imbalance (ERI) has been shown to be a significant psychosocial stressor closely linked to adverse health consequences.</p>\u0000 <p><b>Objectives:</b> The primary objective of this study was to construct and rigorously evaluate a predictive model for ERI in emergency department nurses. The model is intended to precisely identify high-risk populations and provide a crucial reference in the formulation of targeted intervention strategies.</p>\u0000 <p><b>Design:</b> A descriptive cross-sectional survey design was employed.</p>\u0000 <p><b>Methods:</b> The study sample comprised 1540 registered nurses from 30 tertiary hospitals in China. The demographic characteristics of the respondents, their responses to the Chinese version of the ERI questionnaire, and their responses to the Chinese Nursing Work Environment (C-NWE) scale were collected via an anonymous online questionnaire. We used multiple logistic regression to develop our predictive model. Subsequently, a nomogram was plotted to simplify the model, and its performance was comprehensively evaluated using the area under the curve (AUC) and bootstrap resampling.</p>\u0000 <p><b>Results:</b> The prevalence of ERI among emergency department nurses was determined to be 26.2%. Overcommitment and weekly work hours (≥ 59 h) were identified as independent predictors of ERI. The AUC of the model reached 0.891, demonstrating robust discriminatory power.</p>\u0000 <p><b>Conclusions:</b> We constructed a precise predictive model that accurately quantifies the contributions of overcommitment and weekly work hours (≥ 59 h) to the risk of ERI among emergency department nurses. These findings have significant implications for the early identification and effective prevention of ERI in high-stress nursing environments.</p>\u0000 <p><b>Implications for Nursing Management:</b> Healthcare administrators can use our model to identify nurses at high risk of ERI. By taking steps to address overcommitment and manage work hours, they can mitigate the negative impact of ERI, thereby improving the health of emergency department nurses and enhancing the quality of care.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/1412700","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144214062","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 Impact of Robot-Assisted Digital Education on Prenatal Women’s Health Literacy: A Randomized Controlled Trial","authors":"Chin-Lan Yang,&nbsp;Zi-Yin Xu,&nbsp;Ching-Yi Chang","doi":"10.1155/jonm/8865606","DOIUrl":"https://doi.org/10.1155/jonm/8865606","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> This study aimed to evaluate the effectiveness of a robot-assisted digital education method in reducing anxiety and promoting healthy behaviors among pregnant women with gestational diabetes mellitus (GDM).</p>\u0000 <p><b>Design:</b> A randomized controlled trial was conducted to compare the impact of robot-assisted health education with conventional video-based education.</p>\u0000 <p><b>Participants:</b> A total of 66 pregnant women from a single hospital were randomly assigned to either the experimental group (<i>n</i> = 32) or the control group (<i>n</i> = 34).</p>\u0000 <p><b>Outcomes:</b> The primary outcome was the reduction of anxiety levels. Secondary outcomes included health education satisfaction, health literacy, and acceptance of technology.</p>\u0000 <p><b>Results:</b> The results indicated that the robot-assisted digital education method significantly reduced anxiety levels among pregnant women. Additionally, participants in the experimental group reported higher satisfaction with health education, improved health literacy, and greater acceptance of technology compared to the control group.</p>\u0000 <p><b>Conclusion:</b> This study highlights the potential benefits of integrating robotic technology into health education for pregnant women. In the global information age, the findings provide valuable insights for educators and researchers in medical institutions aiming to enhance long-term health education through innovative digital tools.</p>\u0000 <p><b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT06999421</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8865606","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144219994","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}