Journal of Nursing Management最新文献

{"title":"Exploring the Determinants of Patient Experiences Using the Digital Topic Modeling Approach","authors":"Xiaofan Yu,&nbsp;Huanhuan Huang,&nbsp;Kexin Lin,&nbsp;Huan Wang,&nbsp;Shuangjiang Zheng,&nbsp;Xu Ran,&nbsp;Yang Liu,&nbsp;Hao Wu","doi":"10.1155/jonm/8183250","DOIUrl":"https://doi.org/10.1155/jonm/8183250","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> As the healthcare landscape progressively adopts a patient-centered paradigm, the imperative to enhance patient experience has become more pronounced. Efforts to improve patient experience have yielded modest results, partly due to limited understanding of the key factors influencing patient expectations.</p>\u0000 <p><b>Objective:</b> To explore the determinants of patient experiences through analyzing patient feedbacks, assisting healthcare institutions in prioritizing service improvements.</p>\u0000 <p><b>Methods:</b> A digital topic modeling approach was employed. Data were derived from a secondary analysis of the National Patient Experience Base, incorporating patient feedback from 226 hospitals. Initially, the feedback text data underwent a cleansing process, and the sentiment intensity within the text was quantified using the SnowNLP algorithm, and XGBoost classifier was utilized to categorize sentiments as positive or negative. Subsequently, the feedbacks were subjected to topic clustering using the BERT model and X-means clustering algorithm. Third, TextRank was applied to extract significant keywords from each cluster, and these keywords were analyzed to identify the determinants that impact patient experience.</p>\u0000 <p><b>Results:</b> A total of 4689 patients’ feedbacks were collected, comprising 2918 outpatients and 1771 inpatients from 165 tertiary and 61 secondary hospitals across 24 provinces. Through cluster analysis, 10 main clusters emerged (two of which were positive response and eight were negative response). By qualitatively synthesizing, patient experiences were distilled into five determinants: treatment, service, environment, economic, and process.</p>\u0000 <p><b>Conclusions:</b> The findings underscore the importance of a holistic approach to patient experience enhancement, where healthcare providers must address not only the clinical aspects of care but also the service delivery, environmental conditions, economic considerations, and procedural efficiency. By identifying and prioritizing the improvement of these determinants, healthcare organizations can tailor their services to better meet patient expectations and enhance overall satisfaction.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8183250","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144598304","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":"Work Environment and Work Context Factors Associated With Homecare Workers’ Intention to Leave: An Analysis of a National, Multicenter Cross-Sectional Study","authors":"Nathalie Möckli,&nbsp;Barbara Villiger,&nbsp;Michael Simon,&nbsp;Carla Meyer-Massetti,&nbsp;Franziska Zúñiga","doi":"10.1155/jonm/1554741","DOIUrl":"https://doi.org/10.1155/jonm/1554741","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Given the projected shortage of homecare workers, it is important to examine and optimize working conditions in order to keep them in their field of expertise. However, there is limited knowledge about the prevalence of the intention to leave their job and the modifiable factors that contribute to it.</p>\u0000 <p><b>Aims:</b> We assessed the prevalence of homecare workers’ intention to leave their current job or the homecare sector entirely and the relationship between work environment, i.e., organizational characteristics (e.g., leadership, staffing, teamwork, and predictability) and work context factors, i.e., job characteristics and role definition (e.g., autonomy, overtime, and role clarity) with leaving intentions.</p>\u0000 <p><b>Methods:</b> This analysis included data from a national, multicenter, cross-sectional study in Switzerland, conducted from January to September 2021. We included 1898 homecare workers of 85 stratified randomly selected homecare agencies, performing descriptive analyses and logistic multilevel regressions to calculate prevalence and examine associations.</p>\u0000 <p><b>Results:</b> Overall, 58.5% of respondents reported at least a slight intention to leave the current job, while 12.6% considered leaving the homecare sector. Leadership was significantly negatively associated to respondents’ intentions to leave the current job; predictability and job satisfaction were significantly negatively associated with both leaving intentions. Job satisfaction mediated work environment factors such as staffing.</p>\u0000 <p><b>Conclusions:</b> Leadership was one of the most important work environment factors related to intention to leave. Therefore, political decision makers and homecare managers need to lay the foundation to foster development, improvement, and empowerment of leadership roles. Homecare agencies should target improvement efforts based on the effect of overtime and the implementation of predictability and social support in their organization in order to reduce intention to leave and improve job satisfaction. Future studies could focus on deepening our understanding by empowering nurse leaders in creating and sustaining a positive work environment.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/1554741","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144589678","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":"Exploring the Determinants Impacting Work–Life Balance for General Nurses in Diverse Healthcare Settings: A Cross-Sectional Study","authors":"Aneta Hujová,&nbsp;Miroslava Zemanová,&nbsp;Daša Stupková,&nbsp;Michal Vostrý","doi":"10.1155/jonm/8856776","DOIUrl":"https://doi.org/10.1155/jonm/8856776","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Work–life balance (WLB) is a crucial factor influencing the well-being and job satisfaction of healthcare professionals, particularly general nurses. Increasing job demands, shift work and inadequate remuneration contribute to WLB challenges, often leading to burnout, stress and nurse turnover. Understanding the factors impacting WLB can guide improvements in workplace policies and healthcare outcomes.</p>\u0000 <p><b>Aims:</b> This study aims to evaluate the WLB of general nurses in the Czech Republic and examine the influence of demographic and professional factors, such as length of experience, workplace type, educational attainment and family structure, on WLB.</p>\u0000 <p><b>Methods:</b> A cross-sectional study was conducted from April to September 2024, involving 200 general nurses. Data were collected through a demographic questionnaire and the Work–Family Conflict Scale, which measures work-to-family and family-to-work conflict on a 4-point Likert scale. Descriptive statistics and inferential analyses, including chi-squared and Spearman correlation tests, were used to assess the relationships between WLB and selected variables.</p>\u0000 <p><b>Results:</b> The findings revealed moderate levels of work–family conflict, with higher scores for work negatively impacting family life compared to the reverse. Significant correlations were found between WLB and factors such as workplace type and educational attainment, with nurses in intensive care units and those with secondary education reporting higher conflict. Surprisingly, no significant relationship was observed between WLB and the number of children or shift work. Older nurses and those with longer professional experience reported lower levels of work–family conflict.</p>\u0000 <p><b>Conclusion:</b> The study highlights the importance of addressing workplace factors, such as workload and professional development opportunities, to improve WLB among general nurses. Promoting WLB can reduce stress and burnout while enhancing job satisfaction and care quality. Further research is needed to explore individual needs and the potential for personalised scheduling in nursing practice.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8856776","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144573948","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":"Understanding, Using, and Facilitating Evidence-Based Practice: A Scoping Review of Influencing Factors Among Nurse Managers in Acute Care","authors":"Silas Yenbon Sebire,&nbsp;Jeremy Brown,&nbsp;Emmie Malewezi,&nbsp;Lyvonne N. Tume","doi":"10.1155/jonm/2155376","DOIUrl":"https://doi.org/10.1155/jonm/2155376","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Evidence-based practice (EBP) is essential for quality healthcare. Nurse managers (NMs) play a key role in promoting EBP adoption among nurses, given their position as clinical leaders for nurses seeking to change practice. Therefore, it is crucial to understand the factors influencing their understanding and facilitation of EBP in care delivery.</p>\u0000 <p><b>Aim:</b> To synthesize literature on the enablers and barriers faced by NMs in understanding, using, and facilitating EBP within acute care settings.</p>\u0000 <p><b>Methods:</b> A scoping review which followed the Joanna Briggs Institute framework for scoping reviews and reported in accordance with PRISMA extension for scoping reviews. Multiple electronic databases, including MEDLINE, CINAHL, Cochrane Library, Scopus, JBI EBP database, Embase, Emcare, HMIC, and PsycINFO regardless of publication to be comprehensive. Two independent reviewers screened studies and extracted data. Methodological quality of included studies was appraised and considered high.</p>\u0000 <p><b>Results:</b> The search yielded 1338 results of which 24 studies met inclusion criteria and included in the review. Key findings are the central role of strong personal factors-such as positive attitudes, beliefs, and good EBP competencies-in driving understanding and use of EBP. Supportive leadership behaviors can create a positive organizational environment for EBP, while access to resources and infrastructure are essential for EBP implementation. Conversely, barriers such as poor EBP knowledge, skills and competency, heavy workloads, insufficient resources, and lack of effective leadership support impede EBP implementation within acute care settings.</p>\u0000 <p><b>Conclusions:</b> NMs play a crucial role in EBP implementation within their organizations, emphasizing the interconnectedness of personal and organizational factors.</p>\u0000 <p><b>Implications for Nursing management:</b> Developing key personal factors and specific EBP-supportive behaviors of NMs can create a powerful catalyst for overcoming barriers, leading to improved patient care outcomes.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/2155376","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558104","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":"Develop and Psychometric Testing an Instrument to Evaluate the Management of Digital Competence Sharing in Healthcare","authors":"Mira Hammarén,&nbsp;Tarja Pölkki,&nbsp;Outi Kanste","doi":"10.1155/jonm/9906301","DOIUrl":"https://doi.org/10.1155/jonm/9906301","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> To develop and psychometrically test an instrument to evaluate the management of digital competence sharing (MDCS) in healthcare.</p>\u0000 <p><b>Background:</b> The rise of digital systems requires healthcare professionals to be digitally competent. Managers are responsible for ensuring that professionals possess the requisite digital competence and support their ongoing development.</p>\u0000 <p><b>Methods:</b> This methodological study followed COSMIN guidelines for instrument development and involved three phases: (1) conceptualisation and item generation based on a qualitative framework; (2) face and content validity testing; and (3) structural validity and internal consistency evaluation. Content validity was assessed by an expert panel (<i>n</i> = 8) using the content validity index (CVI), and face validity was examined via pretesting with healthcare professionals (<i>n</i> = 8). Exploratory factor analysis (EFA) was conducted with a cross-sectional sample of healthcare professionals (<i>n</i> = 227) to determine structural validity. Cronbach’s alpha was used to evaluate internal consistency.</p>\u0000 <p><b>Results:</b> Seventy-five items were initially generated. The CVI exceeded the acceptable threshold of 0.90. Following the expert panel and pretesting, 40 items were retained for EFA. The final instrument, the MDCS, included 34 items across five factors: (1) creating a friendly and safe digital organisational atmosphere, (2) creating methods and practices of digital competence sharing, (3) identifying and utilising professionals’ digital competence, (4) providing resources and opportunities for digital competence sharing, and (5) promoting digital competence sharing through leadership. Cronbach’s alpha values for the factors ranged from 0.91 to 0.95.</p>\u0000 <p><b>Conclusion:</b> The MDCS instrument demonstrates high construct validity and internal consistency, supporting its validity and reliability for assessing the MDCS in healthcare.</p>\u0000 <p><b>Implications for Nursing Management:</b> This instrument can support nurse managers in identifying and enhancing digital competence sharing within their teams. Future studies should employ confirmatory factor analysis (CFA) to validate the MDCS structure across subgroups.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/9906301","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144551210","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":"Micro-, Meso- and Macrofactor Relationships in Nursing Turnover: Insights From Survey and Interview Data","authors":"Jennifer Sumner,&nbsp;Hui Wen Lim,&nbsp;Brigitte Woo,&nbsp;Yee Wei Lim,&nbsp;Margaret Lee,&nbsp;Hwee Chyi Yeo,&nbsp;Amartya Mukhopadhyay","doi":"10.1155/jonm/5078305","DOIUrl":"https://doi.org/10.1155/jonm/5078305","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Nurse retention is a persistent and complex problem. Using a system approach, we aimed to understand what is currently impacting nursing turnover and the interplay between the micro-, meso- and macrolevel factors.</p>\u0000 <p><b>Materials and Methods:</b> We surveyed and interviewed current and former nurses using a convenience sampling approach. The survey <i>n</i> = 479, which targeted working nurses, included questions on job satisfaction and workload. For interviews, we recruited both practising nurses and nurse leavers <i>n</i> = 35. The interviews explored individual experiences and perspectives on nursing and what influences nursing turnover. The data were analysed through a system lens, exploring the relationship between an individual’s behaviour, interactions and relationships (microlevel), the organisational environment, including policies and regulations (mesolevel) and the social, economic, political and cultural norms within which individuals and organisations reside (macrolevel).</p>\u0000 <p><b>Results:</b> Results showed a complex interplay of micro-, meso-, and macrofactors shaping the nursing experience. The survey data revealed poor satisfaction with work-life balance (51%), control over work (43%) and remuneration (43%). Over half (53%) of the participants were considering leaving their organisation, and 36% were contemplating exiting the profession due to exhaustion (74%), inadequate staffing (72%), feeling undervalued (66%), low pay (61%) and excessive pressure (58%). Qualitative interviews revealed negative personal interactions, generational conflicts, unmet or poor expectations of nursing (microlevel), limited autonomy, administrative burdens, poor work-life balance (mesolevel), integration challenges and prohibitive immigration policies for foreign nurses, negative public perceptions and the impact of education on nursing expectations (macrolevel). Furthermore, we found that these factors do not operate in isolation; rather, micro-, meso- and macrolevels interact.</p>\u0000 <p><b>Conclusions:</b> Our study underscores the importance of adopting a system approach to understand and address nursing retention issues. Examining micro-, meso- and macrofactors and the interplay between these levels is essential in developing targeted interventions to improve nurse retention.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/5078305","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144519721","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":"Fostering Healthier Interpersonal Dynamics: A Mentalization-Based Antibullying Program for ICU Nurses","authors":"Sun Joo Jang,&nbsp;Eunhye Kim,&nbsp;Haeyoung Lee","doi":"10.1155/jonm/3192349","DOIUrl":"https://doi.org/10.1155/jonm/3192349","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> This study evaluated the effectiveness of a mentalization-based antibullying program (MBAP) to enhance intensive care unit (ICU) nurses’ interpersonal competences.</p>\u0000 <p><b>Background:</b> Mentalization is the ability to focus on and understand the mental states of oneself and others. Previous research on ICU nurses has identified mentalization as a critical factor influencing both victimization and perpetration of workplace bullying.</p>\u0000 <p><b>Methods:</b> A quasiexperimental design was utilized. A four-session MBAP (with weekly 90-min sessions) aimed at improving awareness of personality traits, interpersonal cognition, and self-conscious emotions was developed. The intervention group underwent the program for a month in June 2023 in four different subgroups. Twenty-six participants were initially recruited for each of the intervention and control groups; however, five intervention group participants withdrew during the allocation phase, with no control group dropouts.</p>\u0000 <p><b>Results:</b> Intervention group participants showed a significant reduction in the narcissistic vulnerability subscale of pathological narcissism compared to the control group. They also exhibited a significant decrease in interpersonal cognitive distortions and an increase in mentalization scores. Regarding self-conscious emotions, the shame score significantly decreased, while the guilt score significantly increased.</p>\u0000 <p><b>Conclusions:</b> MBAP can be an effective intervention for addressing workplace bullying. By targeting psychological and cognitive factors, including narcissistic vulnerability, interpersonal cognitive distortions, and self-conscious emotions, MBAP holds promise for promoting healthier interpersonal dynamics and emotional regulation among ICU nurses.</p>\u0000 <p><b>Implications for Nursing Management:</b> The MBAP can be implemented broadly to prevent workplace bullying and promote a positive organizational culture in ICU settings. Future research should refine and adapt the program to accommodate the unique work characteristics and interpersonal dynamics of nurses in various settings. Workplace bullying is a deeply entrenched negative organizational issue in nursing, and this program could be a highly effective intervention across diverse healthcare environments.</p>\u0000 <p><b>Trial Registration:</b> The Clinical Research Information Service (CRIS): KCT0008704</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/3192349","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144520280","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 Current Status and Influencing Factors of Hospitalized Patients’ Propensity to Engage in Patient Safety: A Descriptive Cross-Sectional Study","authors":"Ping Yuan,&nbsp;Cong Wang,&nbsp;Yan Cai,&nbsp;Jun Zhou,&nbsp;Yuanyuan Yang,&nbsp;Fan Zhang,&nbsp;Caili Li,&nbsp;Yan Jiang","doi":"10.1155/jonm/2701869","DOIUrl":"https://doi.org/10.1155/jonm/2701869","url":null,"abstract":"<div>\u0000 <p><b>Aims:</b> To investigate the current level of inpatients’ propensity to engage in patient safety initiatives and pinpoint the influencing factors, thereby offering insights for targeted interventions and facilitating the development of an efficient management mechanism.</p>\u0000 <p><b>Design:</b> A cross-sectional descriptive study.</p>\u0000 <p><b>Methods:</b> One thousand four hundred and ninety-eight inpatients were recruited from 18 medical institutions in Leshan City, Sichuan Province, China. Participants provided their sociodemographic and professional information and completed a questionnaire scale on the willingness of Chinese inpatients to participate in patient safety. The collected data were analyzed using descriptive statistics, one-way analysis of variance, and binary logistic regression.</p>\u0000 <p><b>Results:</b> The highest score for patients’ propensity to participate in safety initiatives was 4.13 ± 1.19 points. Binary logistic regression analysis revealed that religion, place of residence, number of hospitalizations, occupation, and hospital grade were independent factors influencing patients’ willingness to engage in patient safety (OR = 0.185, <i>p</i> &lt; 0.001).</p>\u0000 <p><b>Conclusion:</b> Patients in this region are moderately willing to participate in patient safety initiatives. However, while the survey mainly assesses willingness, the behavioral tendency subdimension reveals a gap between patients’ expressed willingness and their reported engagement behaviors.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/2701869","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144515122","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 Job Embeddedness Scale: A Test of Its Reliability and Validity in Chinese Perioperative Settings","authors":"Tso-kuang Wu,&nbsp;Hung-da Dai,&nbsp;Shu Yu","doi":"10.1155/jonm/9311215","DOIUrl":"https://doi.org/10.1155/jonm/9311215","url":null,"abstract":"<div>\u0000 <p><b>Aims:</b> This study aimed to translate, validate, and implement the Job Embeddedness Scale (JES) in perioperative settings in Taiwan.</p>\u0000 <p><b>Background:</b> Job embeddedness is an important determinant of predicting job turnover; however, no tool exists to measure among perioperative nurses in Taiwan.</p>\u0000 <p><b>Methods:</b> A cross-sectional research design was employed using self-administered questionnaires in this study. The JES was forward-translated through group discussions and back-translated by two bilingual translators. Six experts evaluated content validity. A total of 344 perioperative registered nurses from three medical centers were invited to assess the construct validity of the Chinese version of the Job Embeddedness Scale (C-JES), and a confirmatory factor analysis (CFA) was conducted. Reliability analyses were also performed.</p>\u0000 <p><b>Results:</b> Based on CFA, our results supported a six-factor version of 31-item C-JES with goodness-of-fit indices that model fit was acceptable. The C-JES presented a high content validity with a CVI of 0.98. Additionally, the 31-item C-JES was highly correlated to the original 40-item JES (Pearson’s <i>r</i> = 0.98). Cronbach’s <i>α</i> for the C-JES was 0.91, and test–retest reliability over a 2-week interval showed an intraclass correlation coefficient (ICC) of 0.82.</p>\u0000 <p><b>Conclusion:</b> The C-JES is a valid and reliable instrument for assessing job embeddedness among perioperative nurses in Taiwan. This study presents a concise, theoretically grounded 31-item measure that preserves the original scale’s full content coverage, demonstrates a strong correlation with the 40-item version (<i>r</i> = 0.98), and maintains high internal consistency (<i>α</i> = 0.91). Its results can be applied to human resource management and policymaking and then to increase nurses’ retention rates. Additionally, this scale can help in understanding different cross-cultural job embeddedness as well as explaining its relationship with nurse retention globally.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/9311215","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144515121","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 Managers’ Toxic Leadership: Its Relation to Nurses’ Internal and External Intentions to Whistleblowing","authors":"Mahitab Mohamed Abdelrahman,&nbsp;Abdulqadir J. Nashwan,&nbsp;Doaa Fawzi El-Boudy","doi":"10.1155/jonm/1734502","DOIUrl":"https://doi.org/10.1155/jonm/1734502","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> This study aimed to explore the relationship between toxic leadership by nurse managers and staff nurses’ intentions to engage in whistleblowing practices, both within and outside their hospital.</p>\u0000 <p><b>Background:</b> Nurses are pivotal in providing high-quality care, but toxic nurse manager leadership in the workplace can lead to challenges in patient care and the workplace environment. In response, whistleblowing serves as a mechanism to mitigate these problems and foster accountability.</p>\u0000 <p><b>Methods:</b> This descriptive correlational study was conducted from October 2023 to March 2024 with 292 inpatient and critical care unit nurses from a university hospital who were selected through simple random sampling. They completed the 15-item Toxic Leadership Scale to assess their views of toxic leadership in five domains: self-promotion, abusive supervision, unpredictability, narcissism, and authoritarian leadership. Nurses’ intention to report misconduct was assessed using the 8-item whistleblowing intention questionnaire, including both internal and external whistleblowing. Descriptive statistics summarised the data; relationships between variables were evaluated using Spearman’s correlation. Linear regression analysis provided the predictors of whistleblowing intention, exploring how personal characteristics and toxic leadership can affect this intention.</p>\u0000 <p><b>Results:</b> The study revealed that nurses reported moderate levels of toxic leadership among their managers, with a total mean of 45.97 ± 11.545. They were more likely to intend to blow the whistle within the organisation (15.63 ± 3.085) than outside the organisation (10.77 ± 3.331), with the overall whistleblowing intention mean being 26.4 ± 5.008. Toxic leadership was significantly positively correlated with external whistleblowing (<i>r</i> = 0.282, <i>p</i> &lt; 0.001).</p>\u0000 <p><b>Conclusion:</b> A positive correlation was found between toxic leadership and external whistleblowing. Toxic leadership is a significant predictor of nurses’ intentions to blow the whistle, and the educational level of nurses also contributes to these intentions. Addressing toxic leadership is crucial for encouraging whistleblowing and fostering a healthier work environment.</p>\u0000 <p><b>Implications for Nursing Management:</b> Hospital managers and leaders need to combat toxic leadership, encourage a culture of safe whistleblowing practices, reinforce legal protections for whistleblowers and create ethical leadership training programs for nurse managers.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/1734502","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144503170","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}