Mahitab Mohamed Abdelrahman, Abdulqadir J. Nashwan, Doaa Fawzi El-Boudy
{"title":"Nurse Managers’ Toxic Leadership: Its Relation to Nurses’ Internal and External Intentions to Whistleblowing","authors":"Mahitab Mohamed Abdelrahman, Abdulqadir J. Nashwan, 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> < 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}
Yun Xu, Qi Jin, Qinghua Zhou, Rong Zhang, Weiyan Ding
{"title":"Relationship Between Second Victim Experience and Turnover Intention in Chinese Nurses: Assessing the Mediating Role of Posttraumatic Growth Using Structural Equation Modeling","authors":"Yun Xu, Qi Jin, Qinghua Zhou, Rong Zhang, Weiyan Ding","doi":"10.1155/jonm/7327139","DOIUrl":"https://doi.org/10.1155/jonm/7327139","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> This study aimed to investigate the mediating effect of posttraumatic growth in the relationship between second victim experience and turnover intention, as well as the moderating effect of resilience among nurses who have experienced second victimization.</p>\u0000 <p><b>Background:</b> Healthcare professionals, particularly nurses, are vulnerable to becoming “second victims” following adverse events. However, the prevalence of second victim experiences among nurses has been largely overlooked, and limited attention has been given to the relationship among posttraumatic growth and turnover intention.</p>\u0000 <p><b>Methods:</b> A cross-sectional survey was conducted using convenience sampling. A total of 572 nurses participated in the study, with data collected via the Questionnaire Star Platform. The study utilized a general information questionnaire, the Resilience Scale, the Posttraumatic Growth Inventory, the Second Victim Experience and Support Tool, and the Turnover Intention Scale to assess relevant variables.</p>\u0000 <p><b>Results:</b> The average scores of second victim experience, resilience, posttraumatic growth, and turnover intention were (64.86 ± 11.32), (26.52 ± 8.13), (62.12 ± 11.32), and (16.05 ± 4.42), respectively. The second victim experience was positively correlated with turnover intention (<i>r</i> = 0.372, <i>p</i> < 0.001), and the posttraumatic growth partially mediated the relationship between second victim experience and turnover intention, with an indirect effect of −0.015 (95% CI = −0.0027∼−0.006). The relationships between second victim experience and turnover intention, as well as the mediating effect of posttraumatic growth, were moderated by resilience (<i>p</i> < 0.05).</p>\u0000 <p><b>Conclusion:</b> The second victim experience among nurses following adverse event has a significant mediating effect on turnover intention. Additionally, resilience moderates both the direct and indirect pathways in the model linking second victim experience, posttraumatic growth, and turnover intention.</p>\u0000 <p><b>Implications for Nursing Management:</b> The second victim phenomenon presents a significant challenge and warrants greater attention. Hospital managers should recognize the impact of second victim experiences, foster a supportive and safe practice environment, and provide psychological support to protect healthcare professionals’ mental health, reduce turnover intention, and enhance nursing quality and safety.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7327139","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482299","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}
Cristina Font-Cabrera, Jordi Adamuz, Maria Eulàlia Juvé-Udina, Miquel Sánchez, Almudena Mateos-Dávila, José Antonio Sarria-Guerrero, Andrea Pastor-Puigdomènech, Eva Maria Guix-Comellas
{"title":"Degree of Compliance of Hospital Emergency Departments With the Recommended Standards and Their Evolution During the SARS-CoV-2 Pandemic","authors":"Cristina Font-Cabrera, Jordi Adamuz, Maria Eulàlia Juvé-Udina, Miquel Sánchez, Almudena Mateos-Dávila, José Antonio Sarria-Guerrero, Andrea Pastor-Puigdomènech, Eva Maria Guix-Comellas","doi":"10.1155/jonm/4228788","DOIUrl":"https://doi.org/10.1155/jonm/4228788","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> To analyse the degree of compliance of the care times of hospital emergency departments (EDs) in Spain with the recommended standards and their evolution during the SARS-CoV-2 pandemic.</p>\u0000 <p><b>Design and Methods:</b> An observational, correlational, cross-sectional and retrospective study was carried out. All adult patients attended in the EDs of 8 Spanish public hospitals from 2018 to 2021 were consecutively included. The main variables were time spent in the ED, time to triage, waiting time until the start of care, triage level, classified according to the Spanish Triage System and year of care. Other sociodemographic variables were collected, in addition to discharge destination. For each triage level, a negative binomial regression model was performed, adjusted for year, hospital and waiting times. The analysis was performed with <i>R</i> 4.2.2 software.</p>\u0000 <p><b>Results:</b> A total of 2,282,555 patients were included; ED lengths of stay varied according to triage levels: Level 1, 21.6 h; Level 2, 26.3 h; Level 3, 22.2 h; Level 4, 8.1 h and Level 5, 10.3 h. Statistically significant differences were detected only in 2021, in all hospitals and from priority Level 2–5. An increase in dwell times was observed in all hospitals, with longer dwell times in high complexity hospitals. Longer waiting times at triage Levels 3, 4 and 5 presented a higher risk of mortality. The percentage of patients leaving the ED was high (3.6%).</p>\u0000 <p><b>Conclusions:</b> The degree of compliance with ED care times according to recommended standards was low. The dropout rate, waiting times for initial triage and ED attendance were higher than desired. The SARS-CoV-2 pandemic changed the pattern of ED visits, decreasing the frequentation of patients, but did not decrease the length of stay in the ED. This pattern normalised the following year.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/4228788","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482161","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}
Ahmed Abdellah Othman, Sally Mohammed Farghaly Abdelaliem, Hossam Mohamed Mahran, Hind Ismail Ali
{"title":"Leader’s Humility: Unveiling the Mediating Effect of Decent Work on the Relation Between Humble Leadership and Nurses’ Grit","authors":"Ahmed Abdellah Othman, Sally Mohammed Farghaly Abdelaliem, Hossam Mohamed Mahran, 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> < 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> < 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> < 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, Tailai Wu, Kangni Ren, 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, Ali Moh’d Saleh, 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> < 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}
Yung-Hsuan Liao, Chen-Jei Tai, Jin-Lain Ming, Li-Hwa Lin, Li-Yin Chien
{"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, Chen-Jei Tai, Jin-Lain Ming, Li-Hwa Lin, 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> < 0.001), depression (2.5 vs. 7.9, <i>p</i> < 0.001), anxiety (3.1 vs. 9.2, <i>p</i> < 0.001), and stress (5.6 vs. 12, <i>p</i> < 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}
Lu Gao, Jinni Wang, Meilian Chen, Jingxin Wei, Xiaoyan Liao
{"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, Jinni Wang, Meilian Chen, Jingxin Wei, 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 > 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><sup>2</sup>/<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}
Anu Nurmeksela, Katju Schavoronkoff, Krista Jokiniemi
{"title":"The Impact of Nurse Managers’ Transformational Leadership on Nurses’ Work Engagement: A Cross-Sectional Study","authors":"Anu Nurmeksela, Katju Schavoronkoff, 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> < 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, Heping Liao, 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> < 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}