Journal of Nursing Management最新文献

{"title":"The Implementation of Infection Prevention and Control Procedures in Primary Care During the COVID-19 Pandemic: A Qualitative Study of Nursing Roles","authors":"Samina Idrees, Maria Mathews, Lindsay Hedden, Julia Lukewich, Emily Gard Marshall, Kelly Kean, Rhiannon Lyons, Jamie Wickett, Leslie Meredith, Dana Ryan, Sarah Spencer, Émilie Dufour, Paul Gill","doi":"10.1155/jonm/6634676","DOIUrl":"https://doi.org/10.1155/jonm/6634676","url":null,"abstract":"<div>\u0000 <p><b>Introduction:</b> During the COVID-19 pandemic, primary care practices felt poorly supported by existing infection prevention and control (IPAC) guidelines, which focused primarily on acute care facilities. This issue was further complicated by insufficient provision of personal protective equipment in primary care settings, which limited clinic capacity and the ability of primary care to provide in-person services. Nurses play an integral role in the implementation of IPAC procedures and the provision of ongoing primary care during a health crisis; however there is limited literature related to nurses’ roles in the enactment of IPAC procedures in primary care settings. This paper aims to describe primary care nurses’ experiences and roles in implementing IPAC during the COVID-19 pandemic.</p>\u0000 <p><b>Design:</b> Qualitative analysis of interviews as part of a larger mixed methods case study.</p>\u0000 <p><b>Methods:</b> We conducted semistructured qualitative interviews with primary care nurses across four Canadian regions in the provinces of British Columbia, Ontario, Nova Scotia, and Newfoundland and Labrador. During the interviews, we asked participants to describe the roles they enacted during the various stages of the pandemic, any facilitators and challenges they encountered, and the potential roles that nurses could have played. We employed a thematic analysis approach, and, for the purposes of this paper, we analyzed themes relevant to the implementation of IPAC.</p>\u0000 <p><b>Results:</b> We interviewed 76 nurses across the four regions and identified two overarching themes: (1) nurse-led transformation of clinic operations and (2) impact on workload. Primary care nurses developed and implemented IPAC policies, educated staff, and made critical decisions about patient care, often out of necessity and ahead of regional guidelines. In addition, nurses adapted workflows, managed supplies, and balanced in-person and virtual care to protect both patients and staff from COVID-19 exposure.</p>\u0000 <p><b>Conclusion:</b> Despite the additional responsibilities and challenges that nurses faced in response to evolving guidelines, their IPAC efforts were pivotal in maintaining primary care clinic operations during the pandemic. The findings from this study underscore primary care nurses’ capacity to adapt and apply evidence-based practices and demonstrate the need for better pandemic planning to support primary care. IPAC guidance documents, suitable for primary care settings and informed by experiences from the COVID-19 pandemic, should be included in future pandemic plans.</p>\u0000 <p><b>Implications for Nursing Management:</b> Our findings highlight the need for stronger institutional support and preparedness for primary care nurses during a pandemic. Nursing management should ensure that IPAC responsibilities are explicitly recognized within primary care nursing roles and supported ","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6634676","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085309","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":"Strategies Used by Emergency Department Clinical Champions to Sustain Improvements in Intimate Partner Violence Screening: A Longitudinal Qualitative Study","authors":"Elham Saberi,&nbsp;John Hurley,&nbsp;Marie Hutchinson","doi":"10.1155/jonm/6615231","DOIUrl":"https://doi.org/10.1155/jonm/6615231","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> To identify the strategies that clinical champions implemented within emergency departments to initiate and sustain routine intimate partner violence (IPV) screening.</p>\u0000 <p><b>Background:</b> For effective IPV identification and responses to occur within healthcare settings, new attitudinal and practice changes are required. This paper adds to the body of knowledge about champions and their role within healthcare settings to achieve this end.</p>\u0000 <p><b>Design:</b> This qualitative study involved semistructured interviews with 23 individuals over a 2-year period who identified as champions and worked to introduce routine IPV screening in two hospital emergency departments. Data from transcribed interviews were analysed thematically using an interpretive framework and a process of constant comparison.</p>\u0000 <p><b>Results:</b> Champions detailed a range of strategies they employed to foster practice change. The primary strategies were as follows: normalising enquiring about IPV through narrative practice, building understanding and ownership, providing accompaniment, serving as an educator and resource person, and managing resistance.</p>\u0000 <p><b>Conclusions and Implications:</b> This paper highlights the specific complexities champions face when bringing about practice change in the area of IPV. The findings suggest nurse champions, particularly those working in the IPV space, adopt unique strategies compared to those described in the mainstream literature on champions. This evidence has implications for best practice and can ensure that the champion role is more effectively utilised by health services to better meet the needs of individuals experiencing IPV. It is recommended that champions be established as part of any IPV practice change process. Introduction of IPV education into nursing undergraduate and postgraduate education and workplace ongoing education and training is also recommended to strengthen the capacity of nursing staff to serve as IPV practice change champions.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6615231","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085310","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":"Reducing Nurses’ Emotional Exhaustion and Turnover Intentions: The Role of Prosocial Orientation and Perceived Patient Gratitude in a Moderated Mediation Model","authors":"Ferdinando Toscano,&nbsp;Teresa Galanti,&nbsp;Michela Cortini","doi":"10.1155/jonm/4445460","DOIUrl":"https://doi.org/10.1155/jonm/4445460","url":null,"abstract":"<div>\u0000 <p><b>Aims:</b> This study investigates the relationship between prosocial orientation and turnover intention among Italian nurses, examining the mediating role of emotional exhaustion and the moderating effect of perceived patient gratitude.</p>\u0000 <p><b>Design:</b> Cross-sectional quantitative study.</p>\u0000 <p><b>Methods:</b> A sample of 162 nurses employed in Italian hospitals completed an online survey on the Qualtrics platform assessing prosocial orientation, patient gratitude, emotional exhaustion, and turnover intention. Data were analyzed through a moderated mediation model via the PROCESS macro in JASP.</p>\u0000 <p><b>Results:</b> Prosocial orientation was negatively associated with turnover intention, with emotional exhaustion acting as a mediator in this relationship. Perceived patient gratitude moderated the impact of prosocial orientation on emotional exhaustion. The conditional indirect effect of prosocial orientation on turnover intention through emotional exhaustion was significant at average and high levels of patient gratitude, but not at low levels.</p>\u0000 <p><b>Conclusion:</b> The findings suggest that fostering prosocial orientation perceptions and enhancing patient gratitude and its perceptions can mitigate emotional exhaustion and reduce turnover intentions among nurses.</p>\u0000 <p><b>Implications for Nursing Management:</b> Healthcare organizations can promote prosocial orientation and patient gratitude through training, feedback, and recognition events to reduce nurses’ emotional exhaustion and turnover.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/4445460","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143949832","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":"Ethical Issues Encountered by Nurse Managers Working With Older Adults in Long-Term Care Settings: A Qualitative Interview Study","authors":"Anna-Liisa Arjama,&nbsp;Riitta Suhonen,&nbsp;Mari Kangasniemi","doi":"10.1155/jonm/3978256","DOIUrl":"https://doi.org/10.1155/jonm/3978256","url":null,"abstract":"&lt;div&gt;\u0000 &lt;p&gt;&lt;b&gt;Introduction:&lt;/b&gt; Nurse managers (NM) face ongoing ethical issues when they work with older adults in long-term care settings (LTCS), including around end-of-life care. Legislation and healthcare ethics guide the provision of ethical care to older adults in a changing societal and global context.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Research Aim:&lt;/b&gt; Our aim was to describe the ethical issues encountered by NMs.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Methods:&lt;/b&gt; This qualitative study involved 23 NMs from seven randomly selected organisations who participated in semistructured focus group interviews in 2021. We analysed the data using inductive content analysis.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Ethical Considerations:&lt;/b&gt; The subject of this study was sensitive and reflected the participants’ individual views. They provided informed consent and their anonymity was guaranteed.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Results:&lt;/b&gt; Ethical issues faced by NMs are related to residents’ rights to self-determination, ethical decision-making about staff and procedures, providing ethical leadership despite having conflicting roles, and defending ethics in LTCS on a societal level. NMs struggled to spend sufficient time supporting their staff during everyday care.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Conclusions:&lt;/b&gt; The ethical issues encountered by NMs are multidimensional and have both external and internal causes. NMs often deal with ethical issues on their own. Structuring their roles so that they can focus more on daily care could help NMs to provide more effective leadership and get more involved in their organisation’s decision-making. Further research into the impact of NMs’ backgrounds on their performance and responsibilities could provide new insight which would be useful in educating NMs and designing relevant organisational structures.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Implications for Nursing Management:&lt;/b&gt; Our research can be applied to practice, policy, education and research.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Practice:&lt;/b&gt; NMs’ daily work should be organised in a way that enables them to work closely with residents and staff. Reducing their secondary tasks could increase the time available to manage staff and provide individual coaching for those with different independent abilities. Being present during daily care would make it easier to deal with ethical issues in a timely manner, which could reduce staff’s moral distress and increase their well-being at work.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Policy:&lt;/b&gt; Understanding the importance of the role of NMs could help policy makers in planning LTCS care. Involving NMs in decision-making in organisations and society could increase awareness about the relevant ethical issues and improve the care that residents receive and the well-being of staff and new members. For example, how many employees a single NM can manage could be defined in the same way as the number of staff per resident has been determined. Implementing ethics committees in LTCS could provide a mechanism for consi","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/3978256","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143944647","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":"Reducing Adverse Drug Reactions for Older People in the Community: Evaluating the Validity and Reliability of the ADRe Profile","authors":"Vera Logan,&nbsp;Neil Carter,&nbsp;David Hughes,&nbsp;Adam Turner,&nbsp;Sue Jordan","doi":"10.1155/jonm/9921349","DOIUrl":"https://doi.org/10.1155/jonm/9921349","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Adverse drug reactions (ADRs), particularly in the context of polypharmacy, remain a persistent, unresolved problem for patients and healthcare professionals. The ADRe Profile identifies medicine-related harms, and supports their resolution, thereby improving care quality and preventing future problems.</p>\u0000 <p><b>Objective:</b> The objective of this study was to assess the validity and reliability of the ADRe Profile (https://www.swansea.ac.uk/adre/) in U.K. primary care general practices, building on assessments in other settings.</p>\u0000 <p><b>Methods:</b> The ADRe Profile’s validity and reliability were investigated using complementary mixed methods: content validity index, contrast group construct validity, cognitive interviewing, and inter-rater reliability.</p>\u0000 <p><b>Results:</b> Cognitive interviews (<i>n</i> = 5) confirmed that the ADRe Profile needed only minor adjustments. The scale-level content validity index was 0.67 (<i>n</i> = 14), items ranging from 0.08 to 1. Significant differences in signs and symptoms associated with ADRs between service users taking different numbers of regular prescribed medicines confirmed construct validity (<i>n</i> = 68, <i>U</i> = 870.50, <i>p</i> &lt; 0.001). Inter-rater reliability testing showed substantial agreement between service users and research nurse: 10 items had 100% agreement. Overall <i>kappa</i> mean was 0.71 (range: 0.31–1), (<i>n</i> = 42).</p>\u0000 <p><b>Conclusions and Relevance:</b> The ADRe Profile is suitable for use with older service users in primary care who live at home. Users understood the questions and provided meaningful answers. ADRe Profile responses were sufficiently reliable to be used as a basis for further investigations, prescriber referral and clinical actions. However, clinician judgement of content validity may depend on knowledge and experience, highlighting the importance of training. Clinicians acknowledged that the ADRe Profile was comprehensive but identified practical difficulties. Instruments to reduce ADRs should be validated before testing in feasibility studies and randomised controlled trials.</p>\u0000 <p><b>Implications for Nursing Management:</b> Managers need to optimise patient safety by introducing patient-centred symptom monitoring, with decision support. Before instruments are adopted, managers should check the reliability and validity data.</p>\u0000 <p><b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT04663360</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/9921349","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143950082","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 Video-Assisted Debriefing on Fostering Self-Critical Thinking in Mental Health Nursing Students","authors":"Álvaro León-Campos,&nbsp;Casta Quemada-González,&nbsp;Laura Gutiérrez-Rodríguez,&nbsp;Bibiana Pérez-Ardanaz,&nbsp;Silvia García-Mayor,&nbsp;Shakira Kaknani-Uttumchandani,&nbsp;Celia Martí-García","doi":"10.1155/jonm/5598639","DOIUrl":"https://doi.org/10.1155/jonm/5598639","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> To investigate the effect of using recordings derived from interventions in simulated mental health scenarios on the self-critical capacity of nursing undergraduate students.</p>\u0000 <p><b>Background:</b> Video-assisted debriefing (VAD) allows students to visualize their intervention, clarifying certain aspects that might be clouded in their memory. It facilitates the application of theoretical knowledge to real practice and the self-critical capacity to detect strengths and weaknesses in the interventions developed. Despite the benefits of this educational resource, no previous studies have been found that analyze the impact of using recordings on the development of self-critical capacity in the field of mental health by nursing students.</p>\u0000 <p><b>Methods:</b> An exploratory quasi-experimental study was conducted based on quantitative and qualitative data collected from students after double debriefing sessions (verbal and video-assisted). Quantitative data identified self-critical capacity trends, while qualitative analysis explored in-depth reflections on strengths, weaknesses, and emotional responses. Both datasets were integrated for comprehensive insights.</p>\u0000 <p><b>Results:</b> Quantitative data revealed no significant differences between the two self-evaluation moments. However, the qualitative analysis brought a wide range of in-depth reflections and identified strengths, especially during the VAD. In addition, students felt more reflective and critical about their performance when watching the video, highlighting feelings of self-awareness and opportunities to identify more specific areas for improvement.</p>\u0000 <p><b>Conclusions:</b> This study underscores the importance of VAD in enhancing nursing students’ self-perception of competencies and emotional responses during mental health simulation scenarios. Certain aspects of mental health care remain paramount for students regardless of video review, emphasizing the need for targeted training in these areas. Employing multiple approaches in data collection is essential to obtain a thorough understanding of students’ experiences.</p>\u0000 <p><b>Implications for Nursing Management:</b> Nursing managers should integrate clinical simulations and VADs into training programs to enhance competency development, reduce stress, and foster a supportive learning environment.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/5598639","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143930448","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":"Fear of Death, Emotional Intelligence and Resilience Among Healthcare Staff During COVID-19: A Correlative Study","authors":"Sara Martínez-Jabares,&nbsp;Ana I. López-Alonso,&nbsp;Natalia Calvo-Ayuso,&nbsp;Guillermo Charneco-Salguero,&nbsp;Marta Quiñones-Pérez,&nbsp;María Cristina Martínez-Fernández","doi":"10.1155/jonm/7872841","DOIUrl":"https://doi.org/10.1155/jonm/7872841","url":null,"abstract":"<div>\u0000 <p>The suffering, pain and fear of death experienced by patients during the pandemic have evoked a wide range of feelings and emotions in healthcare professionals. Managing these emotions is influenced by factors such as emotional intelligence and resilience. Recognising and addressing these emotions can enhance the quality of care and help prevent mental health issues. This study analyses the relationship among fear of death, emotional intelligence and resilience, as along with the sociodemographic variables of healthcare professionals during the COVID-19 pandemic. A descriptive, comparative and correlational study was conducted. Participants included professionals from the Neurosurgery, Pneumology, Emergency Service and Floating Staff units in a tertiary-level hospital in Spain. Data were collected through an anonymous and voluntary online survey, which included sociodemographic data, Collett–Lester fear of death, emotional intelligence and resilience scale. Participation was anonymous and voluntary. A total of 121 professionals participated, predominantly women (85.12%), with a mean age of 41.89 years (SD ± 9.6). Nurses compromised 64% of the sample. Fear of others’ death (37.2%) and the dying process of others (33.1%) increased. Emotional intelligence levels were generally adequate across all work areas, with women scoring higher in attention and clarity. However, significant differences in emotional regulation were observed between groups. Resilience scores were high across all participants (&gt; 78.77). Positive correlations were found among age, fear of the dying process of others (<i>p</i> = 0.003) and resilience (<i>p</i> = 0.002). An inverse correlation was observed between fear of others’ death and resilience (<i>p</i> = 0.018) and emotional regulation (<i>p</i> = 0.020). Linear regression analysis identified attention to emotions, acceptance and bioethics training as predictors of fear of death.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7872841","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914082","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":"Turnover Intention Among Male Nurses in Jiangsu, China: A Structural Equation Modeling Study Based on Social Cognitive Theory","authors":"Jianzheng Cai,&nbsp;Yajie Ying,&nbsp;Haifang Wang,&nbsp;Weixia Yu,&nbsp;Yingying Zhang,&nbsp;Sisi Wu","doi":"10.1155/jonm/8865799","DOIUrl":"https://doi.org/10.1155/jonm/8865799","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> This study aimed to explore the turnover intention among male nurses and analyze the underlying mechanisms through the lens of the social cognitive theory to provide valuable insights for developing targeted intervention strategies to mitigate the turnover of male nurses.</p>\u0000 <p><b>Methods:</b> A cross-sectional survey was conducted. Questionnaires were distributed to male nurses in Jiangsu Province, China, from September to December 2023, with the assistance of the nursing departments. The first part of the questionnaire collected the sociodemographic information. The second part included three instruments, i.e., the Turnover Intention Scale, the Chinese version of the Decent Work Perception Scale, and the Colleague Solidarity Scale for Nurses.</p>\u0000 <p><b>Results:</b> Of the 6630 male nurses who were solicited by email, 4227 provided a valid response, and the response rate was 63.76%. Their turnover intention score was 14.27 ± 4.34. According to path analysis, both head nurse support, colleague support, and decent work perception directly reduced turnover intention (<i>β</i> = 0.19, 0.47, and −0.65, respectively, <i>p</i> &lt; 0.001). However, head nurse support and colleague support indirectly increased turnover intention via decent work perception (<i>β</i> = −0.27 and −0.09, respectively, <i>p</i> &lt; 0.001).</p>\u0000 <p><b>Conclusion:</b> The male nurses in Jiangsu, China, had a high level of turnover intention, and decent work perception and colleague solidarity were key influencing factors. To effectively reduce the turnover intention of male nurses, nursing managers should focus on fostering career development opportunities and cultivating a supportive organizational environment.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8865799","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143905058","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":"Mediating Effect of Perceived Professional Benefit on the Relationship Between Spiritual Health and Spiritual Care Competence Among New Nurses: A Cross-Sectional Study","authors":"Cancan Chen,&nbsp;Xiaofei Sun,&nbsp;Yanting Zhang,&nbsp;Zhenya Liu,&nbsp;Miaorui Jiao,&nbsp;Yanli Hu","doi":"10.1155/jonm/8832454","DOIUrl":"https://doi.org/10.1155/jonm/8832454","url":null,"abstract":"<div>\u0000 <p><b>Objectives:</b> This study aimed to examine the relationship between spiritual health and spiritual care competence among new nurses and explore the mediating role of perceived professional benefit in this relationship.</p>\u0000 <p><b>Background:</b> Spiritual care is an integral part of holistic nursing. The ability to deliver spiritual care to patients, known as spiritual care competence, is increasingly being recognized as a crucial occupational skill for nurses, particularly new nurses. Thus, understanding the level of spiritual care competence among new nurses and identifying the factors associated with it have become matters of priority.</p>\u0000 <p><b>Methods:</b> In the cross-sectional online study, 299 new nurses were selected using convenience sampling from 10 tertiary hospitals in prefecture-level cities, in Henan Province, China, from March to April 2021. Participants’ sociodemographic characteristics, spiritual health, perceived professional benefit, and spiritual care competence were assessed. The mediation model was examined using Model 4 of the PROCESS macro for SPSS.</p>\u0000 <p><b>Results:</b> The results showed a positive correlation between spiritual health, perceived professional benefit, and spiritual care competence (both <i>p</i> &lt; 0.01). Furthermore, spiritual health had a direct effect on spiritual care competence (effect = 0.187). The association between spiritual health and spiritual care competence was mediated by perceived professional benefit (effect = 0.382).</p>\u0000 <p><b>Conclusion:</b> Perceived professional benefit was a mediator in the link between spiritual health and spiritual care competence among new nurses.</p>\u0000 <p><b>Implications for Nursing Management:</b> This study’s findings underscore the need to promote the spiritual care competence of new nurses in China. Healthcare managers can not only directly promote the spiritual care competence of new nurses by cultivating their spiritual health but also indirectly by enhancing their professional benefits.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8832454","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900904","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":"Experience of Loneliness Among Middle-Aged Hemodialysis Patients: Qualitative Study","authors":"Daun Jeong,&nbsp;Youn Joo Choi,&nbsp;Sohyune Sok","doi":"10.1155/jonm/1013725","DOIUrl":"https://doi.org/10.1155/jonm/1013725","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> To phenomenologically explore the subjective experience of loneliness among middle-aged hemodialysis patients.</p>\u0000 <p><b>Background:</b> In South Korea, the number of middle-aged hemodialysis patients is steadily increasing, and qualitative research on the loneliness they experience is needed to understand them and develop nursing management strategies.</p>\u0000 <p><b>Methods:</b> A qualitative study using the phenomenological research method of Giorgi was employed. Participants were 11 patients aged 40–64, receiving regular hemodialysis for over 3 months at a hemodialysis treatment facility in Seoul, South Korea. Data were collected from June 2021 to February, 2022, and they were in-depth interviewed until data saturation.</p>\u0000 <p><b>Results:</b> The seven components derived from the study results were “The loneliness felt in a life tied to dialysis like shackles,” “The sorrow and loneliness of my irretrievable life,” “Helplessness in death and isolation at the edge of life,” “Living everyday wrapped in solitude,” “Complex emotions and alienation within the family,” “Lonely life in the shadow of illness and societal prejudice,” and “Struggling to break free from the abyss of loneliness.” Also, 20 subcomponents were derived.</p>\u0000 <p><b>Implications for Nursing Management:</b> Despite facing the negative aspects of loneliness associated with illness and treatment, middle-aged hemodialysis patients accept loneliness as a meaningful adaptive experience. This repetitive phenomenon throughout the life cycle of lifelong dialysis patients suggests a continuous process. In nursing management, nurses or nursing managers need to pay attention to the results of this study for deep understanding of middle-aged hemodialysis patients and qualitative nursing management. Based on the results of this study, nursing management strategies for them can be developed.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/1013725","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143896787","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}