Journal of Nursing Management最新文献

{"title":"Investigating the Relationship Between Nursing Managers’ Ethical Decision-Making Confidence and the Ethical Behavior of Nurses in Hospitals in Northwestern Iran","authors":"Mahsa Jafari,&nbsp;Behrouz Dadkhah,&nbsp;Mohammad-Ali Mohammadi","doi":"10.1155/jonm/3448243","DOIUrl":"https://doi.org/10.1155/jonm/3448243","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Confidence in ethical decision-making is a critical factor for the success of nurse leaders. This confidence impacts the quality of nurse care and influences the work environment and the morality of health workers as a team.</p>\u0000 <p><b>Aims:</b> This study aimed to determine the relationship between the ethical decision-making confidence of nursing managers and the ethical behavior of nurses.</p>\u0000 <p><b>Methods:</b> This study used a cross-sectional and correlational design. In total, 532 nurses and 178 nursing managers from 12 hospitals affiliated with Ardabil University of Medical Sciences in Northwestern Iran participated in the study. The measuring tools used were Birkholz et al.’s Ethical Decision-making Scale and Orathai’s Ethical Behavior Scale.</p>\u0000 <p><b>Results:</b> The mean values of ethical decision-making confidence in nurse managers and ethical behavior in nurses were 75.51 ± 7.27 and 130.56 ± 29.16, respectively. Additionally, 62.4% of nursing managers and 74.1% of nurses reported their ability to make ethical decisions and ethical behavior at a high or average level. There was a significant positive relationship between managers’ ethical decision-making confidence and nurses’ ethical behavior (<i>r</i> = 0.9, <i>p</i> = 0.001). The regression model indicated that the managers’ ethical decision-making confidence could predict 81% of nurses’ ethical behavior variance. Furthermore, female nurses and participants in an ethics workshop demonstrated higher ethical decision-making confidence and behavior (<i>p</i> &lt; 0.001).</p>\u0000 <p><b>Conclusion:</b> The confidence of nursing managers in their ethical decision-making significantly influences the ethical behavior of nurses on these managers’ respective units. Continuous training in ethical strategies is essential for managers, as decisions in true ethical dilemmas require a team approach. Managers should serve as role models and not make independent decisions when the choices lack clear right and wrong options.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/3448243","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143827036","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 Moderating Role of Person–Job Fit and Person–Organization Fit on the Relationship Between Workplace Spirituality and the Physical and Mental Health Among Nursing Staff","authors":"Mei-Rong Weng,&nbsp;Chen-Chieh Chang,&nbsp;Rong-San Jiang,&nbsp;Mei-Yu Chang","doi":"10.1155/jonm/7796807","DOIUrl":"https://doi.org/10.1155/jonm/7796807","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> The physical and mental health of nursing staff is crucial, affecting them personally and influencing the quality of medical care they provide. In this study, we used positive psychology to examine the effect of workplace spirituality on the physical and mental health of nursing staff. We also employed person–environment fit theory to identify the moderating effects of person–job and person–organization fit on the aforementioned relationship.</p>\u0000 <p><b>Methods:</b> Full-time nursing staff employed for more than 6 months at a medical center were recruited. Stratified random sampling was conducted together with a questionnaire survey, yielding 320 nursing staff participants and 255 valid questionnaire responses.</p>\u0000 <p><b>Results:</b> Workplace spirituality was found to have a positive effect on physical and mental health. Better person–organization fit was associated with better person–job fit and a stronger effect of workplace spirituality on physical health. In addition, more favorable person–job fit was associated with a stronger effect of workplace spirituality on mental health.</p>\u0000 <p><b>Conclusions:</b> This study emphasized the effect of workplace spirituality on the physical and mental health of nursing personnel. It also considered the moderating effects of person–organization fit and person–job fit. Managers should prioritize and support the cultivation of workplace spirituality, involve employees in shaping the culture of their organization, and ensure alignment between employee’s job requirements and skills.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7796807","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143827038","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 Nexus of Emotional Intelligence, Empathy, and Moral Sensitivity: Enhancing Ethical Nursing Practices in Clinical Settings","authors":"Esaam Khalid Ibrahim,&nbsp;Radhwan Hussein Ibrahim","doi":"10.1155/jonm/9571408","DOIUrl":"https://doi.org/10.1155/jonm/9571408","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Moral sensitivity is crucial for ethical decision-making in nursing, enabling nurses to respond appropriately to ethical dilemmas in clinical settings. Emotional intelligence and empathy have been identified as key factors influencing moral sensitivity. However, limited research examines the interplay between these variables, particularly in nursing practice.</p>\u0000 <p><b>Objective:</b> This study explores the relationships between emotional intelligence, nursing empathy, and moral sensitivity among nurses in Mosul teaching hospitals and examines empathy’s mediating role in these relationships.</p>\u0000 <p><b>Methods:</b> This study employed a descriptive cross-sectional design. It involved 300 nurses from Mosul teaching hospitals in Iraq. Data collection occurred from July 1, 2024, to October 1, 2024. Validated measurement tools were used, including the Emotional Intelligence Scale (EIS), the Jefferson Scale of Empathy, and the Moral Sensitivity Questionnaire. Statistical analyses, including Pearson’s correlation, multiple regression, and mediation analysis, were conducted to examine the relationships among emotional intelligence, empathy, and moral sensitivity.</p>\u0000 <p><b>Results:</b> Emotional intelligence and nursing empathy were significantly positively correlated with moral sensitivity (<i>r</i> = 0.58 and <i>r</i> = 0.66, respectively; <i>p</i> &lt; 0.01). Multiple regression analysis revealed that both emotional intelligence (<i>β</i> = 0.30, <i>p</i> &lt; 0.01) and nursing empathy (<i>β</i> = 0.52, <i>p</i> &lt; 0.01) significantly predicted moral sensitivity, explaining 39% of the variance. Mediation analysis indicated that empathy partially mediated the relationship between emotional intelligence and moral sensitivity (<i>p</i> &lt; 0.01).</p>\u0000 <p><b>Conclusion:</b> This study highlights the significant roles of emotional intelligence and empathy in enhancing nurses’ moral sensitivity, with empathy acting as a partial mediator. Interventions that promote emotional intelligence and empathy development in nursing education and clinical practice could improve ethical decision-making and patient care quality. Further research is needed to explore these relationships longitudinally and in diverse healthcare settings.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/9571408","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143822307","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 Nursing Organizational Culture on the Relationship Between Ambidextrous Leadership and Staff Nurse Clinical Leadership","authors":"Mengmeng Zeng,&nbsp;MengChao Zhang,&nbsp;Qiqi Ni,&nbsp;Yuezhong Wang,&nbsp;Xiaoyan Gong,&nbsp;Yiyu Zhuang","doi":"10.1155/jonm/6625892","DOIUrl":"https://doi.org/10.1155/jonm/6625892","url":null,"abstract":"&lt;div&gt;\u0000 &lt;p&gt;&lt;b&gt;Aim:&lt;/b&gt; This study aims to explore the relationship of head nurses’ ambidextrous leadership with staff nurse clinical leadership and the mediating effect of nursing organizational culture.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Background:&lt;/b&gt; Clinical nurses are an important part of the nursing team, and their clinical leadership is of great significance to improving the quality of nursing and developing a nursing career. The ambidextrous leadership of head nurses, which combines transformational and transactional leadership, is a new leadership style. There are few studies on the effect of head nurses’ ambidextrous leadership on staff nurse clinical leadership.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Methods:&lt;/b&gt; This study was a cross-sectional study, and convenient sampling method was used to extract 500 nurses from first-class comprehensive hospital in Hangzhou City, Zhejiang Province, as research participants. The participants were administered an electronic questionnaire consisting of the General Information Questionnaire, Ambidextrous Leadership Style Scale, the Chinese version of Nursing Culture Assessment Tool, and the Chinese version of Clinical Leadership Survey. All the three scales used in this study had satisfactory construct validity, content validity, and reliability. Multiple stepwise linear regression analysis was used to explore the influencing factors of staff nurse clinical leadership. AMOS 24.0 software was used to construct a structural equation model to verify the mediating effect of nursing organizational culture between the ambidextrous leadership of head nurses and staff nurse clinical leadership.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Results:&lt;/b&gt; The score of staff nurse clinical leadership was 66.69 ± 7.42. Significant positive correlations were noted between staff nurse clinical leadership and head nurses’ ambidextrous leadership (&lt;i&gt;r&lt;/i&gt; = 0.461, &lt;i&gt;p&lt;/i&gt; &lt; 0.01), between nursing organizational culture and staff nurse clinical leadership (&lt;i&gt;r&lt;/i&gt; = 0.685, &lt;i&gt;p&lt;/i&gt; &lt; 0.01), and between ambidextrous leadership and organizational culture (&lt;i&gt;r&lt;/i&gt; = 0.641, &lt;i&gt;p&lt;/i&gt; &lt; 0.01). Professional title, role at work, marital status, participation in leadership training, and nursing organizational culture were the main predictors of staff nurse clinical leadership, collectively accounting for 49.8% of the total variation. Nursing organizational culture played a complete mediating role between head nurses’ ambidextrous leadership and staff nurse clinical leadership, and the mediating effect was 0.555 (95% CI [0.454, 0.692]), accounting for 98.8% of the total effect.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Conclusion:&lt;/b&gt; Staff nurse clinical leadership represents the upper-middle level of clinical leadership. Nursing organizational culture can independently predict the level of staff nurse clinical leadership and has a complete mediating effect between head nurses’ ambidextrous leadership and staff nurse clinical leadership. However, due to time, energy, and sam","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6625892","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143822308","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":"Health Professionals’ Knowledge and Attitudes About Neonatal Bathing and Factors Affecting Them: A Cross-Sectional Study","authors":"Aysegul Simsek,&nbsp;Serap Özdemir,&nbsp;Suzi Özdemir","doi":"10.1155/jonm/9970368","DOIUrl":"https://doi.org/10.1155/jonm/9970368","url":null,"abstract":"<div>\u0000 <p>In pediatrics, the knowledge and approach of health professionals in bathing, which are one of the first care of the newborn, are important in the initiation and continuation of care by transferring it to parents. The aim of the study was to determine the knowledge, attitudes, and influencing factors of health professionals about newborn bathing. This descriptive and cross-sectional study was conducted with 140 health professionals working in neonatology between March and June 2023. Data were collected and analyzed using the “Participant description form” and “Knowledge and Attitudes Form on Newborn Bathing.” Since there is no equivalent measurement tool in the literature, the Knowledge and Attitude Form on Newborn Bathing was designed and submitted for expert assessment. A final version with 21 items questioning knowledge (15 items) and attitude (6 items) was completed. The cutoff point in the form was determined as the correct response of 16 items (12 items or more for the knowledge and 4 items or more for the attitude section). Descriptive and comparative analyses were performed on the data. Significance was evaluated at 95% confidence interval. A total of 140 health professionals with a mean age of 31.4 years participated in the study. The first bath of the newborn was reported to be a wipe/sponge bath with 80% and 68.6% reported that the first bath should be with water only. About 70% reported that there were clues indicating that the newborn was ready for bathing and the first clues were absorption of vernix caseosa (22.6%) and umbilical cord shedding (11.9%). According to the answers of the Knowledge and Attitudes Form on Newborn Bathing, 74.3% of the participants had sufficient knowledge about bathing. A statistically significant difference was found between gender, occupation, education, institution, clinic, working time, and knowledge adequacy (<i>p</i> &lt; 0.05). Although bathing seems harmless, it is ill-advised when it comes to newborns. The study determined that health professionals possess sufficient knowledge about newborn bathing. We recommend studies be conducted on how health professionals transfer their knowledge to mothers with new babies and how mothers apply their instructions and advice.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/9970368","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818407","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 Artificial Intelligence in Nursing Workforce Management and Policymaking: Bridging Philosophy and Practice","authors":"Claire Su-Yeon Park","doi":"10.1155/jonm/7954013","DOIUrl":"https://doi.org/10.1155/jonm/7954013","url":null,"abstract":"&lt;div&gt;\u0000 &lt;p&gt;&lt;b&gt;Background:&lt;/b&gt; Despite artificial intelligence’s (AI) transformative potential in healthcare, nursing workforce scholarship lacks a cohesive theoretical foundation and well-established philosophical stances to guide safe yet ethical, effective yet efficient, and sustainable AI integration into nursing workforce management and policymaking. This gap poses significant challenges in leveraging AI’s benefits while mitigating potential risks and inequities.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Aim:&lt;/b&gt; This paper aims to (1) present a philosophical discourse centered on Park’s optimized nurse staffing (Sweet Spot) theory and (2) propose a novel theoretical framework with specific methodologies for ethical AI-equipped nursing workforce management and policymaking while providing its philosophical underpinnings.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Method:&lt;/b&gt; A rigorous philosophical discourse was performed through &lt;i&gt;theoretical triangulation&lt;/i&gt;, grounded in Park’s Optimized Nursing Staffing (Sweet Spot) Estimation Theory. This approach synthesizes diverse philosophical perspectives to create a robust foundation for ethical AI integration in nursing workforce management and policymaking.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Discussion:&lt;/b&gt; The novel theoretical framework introduces its well-established philosophical underpinnings, bridging &lt;i&gt;moderate realism&lt;/i&gt; with &lt;i&gt;post-positivism&lt;/i&gt; and &lt;i&gt;contextualism&lt;/i&gt;, for ethical AI-equipped nursing workforce management and policymaking. The framework also provides practical solutions for ethical AI integration while ensuring equity and fairness in nursing workforce practices. This approach consequently offers a groundbreaking pathway toward sustainable AI-equipped nursing workforce management and policymaking that balances safety, ethics, effectiveness, and efficiency.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Implication on Nursing Management:&lt;/b&gt; This paper is the first to present a theoretical framework for ethically integrating AI into nursing workforce management and policymaking, grounded in its robust philosophical underpinnings. It stands out for its creativity and originality, making a significant contribution by opening new avenues for emerging research and development at the intersection of AI and healthcare. Specifically, the framework serves as a practical and pivotal resource for researchers, policymakers, and healthcare administrators navigating the complex landscape of AI integration in nursing workforce management and policymaking. Above all, it is worthwhile in that this paper contributes to the broader intellectual discourse in a thought-provoking and timely manner by addressing AI’s inherent limitations in healthcare through a theoretical framework embedded in human philosophical and ethical deliberation. Unlike the current practice where AI safety and ethical risk assessment are conducted after AI solutions have been developed, this approach provides proactive guidance. Thereby, it lays the crucial groundwork for future","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7954013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143801442","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 Relationship Between Tranquility Level and Professional Satisfaction in Nurses","authors":"Burcu Genç Köse,&nbsp;Ayşe Gümüşler Başaran,&nbsp;Bahar Kefeli Çol","doi":"10.1155/jonm/5053232","DOIUrl":"https://doi.org/10.1155/jonm/5053232","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> The study was conducted to determine the level of tranquility and professional satisfaction in nurses working in two different cities.</p>\u0000 <p><b>Background:</b> Peace of mind, the expectation of all individuals throughout life, is essential in the nursing profession, which performs patient care and treatment. The satisfaction of the service and care provided to others is related to the mental peace and satisfaction of the nurse.</p>\u0000 <p><b>Methods:</b> The study is a descriptive type. The study was conducted in three hospitals in two provinces. No sample selection was made, and data were collected from 546 nurses who agreed to participate in the study. The nurse recognition form, tranquility scale, and professional satisfaction scale were used to collect the data.</p>\u0000 <p><b>Results:</b> Nurses’ tranquility and professional satisfaction levels were moderate. The level of tranquility of postgraduate and single nurses was significantly higher. The level of tranquility and professional satisfaction was significantly higher in nurses with adequate income, professional experience, years of working in an organization of 11 years or more, and a managerial position. The professional satisfaction score was significantly higher in nurses working at “<i>X</i>” training and research hospital. A positive correlation was found between the tranquility and professional satisfaction scales.</p>\u0000 <p><b>Conclusion:</b> Sufficiency of income level, professional experience, continuity in the institution, and working in a managerial position positively affected the level of tranquility and professional satisfaction. In this context, institution managers should implement policies to ensure organizational continuity.</p>\u0000 <p><b>Implications for Nursing Management:</b> The positive relationship between tranquility and professional satisfaction emphasizes the importance of increasing nurse tranquility in institutions. Regulation of working environments affects nurses’ levels of tranquility, and regular implementation of practices such as recognition and promotion will increase professional satisfaction and tranquility and will positively reflect on the quality of care. In metropolitan cities where professional satisfaction is higher, conducting studies that include external and internal factors are recommended to reveal the reason for the difference.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/5053232","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143809720","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 Prevalence and Associated Factors of Job Burnout Among Medical Workers at COVID-19 Vaccination Sites: A Cross-Sectional Study","authors":"Sijun Liu,&nbsp;Yinan Qian,&nbsp;Lili Gou,&nbsp;Lei Yuan,&nbsp;Lijun Lu,&nbsp;Mohammad Sulaiman Fadhi Al-shdifat","doi":"10.1155/jonm/1280959","DOIUrl":"https://doi.org/10.1155/jonm/1280959","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> During the pandemic period of the COVID-19, temporary centralized vaccination sites were set up in each administrative district in Nanjing to efficiently manage the vaccination campaign. Medical workers at COVID-19 vaccination sites are exposed to burnout syndrome due to repetitive and overload vaccination work. The purpose of our study was to investigate the prevalence of burnout among these medical workers and to explore its associated factors.</p>\u0000 <p><b>Methods:</b> A cross-sectional study was conducted at COVID-19 vaccination sites in May 2021 in Nanjing, China. The online questionnaire included demographic, job and COVID-19-related characteristics, Chinese Maslach Burnout Inventory, and Social Support Rating Scale. The hierarchical multiple regression model was used to identify the risk factors for job burnout of medical workers.</p>\u0000 <p><b>Results:</b> Of the 425 respondents, 189 had job burnout. The overall prevalence of burnout symptoms among medical workers at COVID-19 vaccination sites was 44.5% with a breakdown in severity as follows: 122 (28.7%) mild, 53 (12.5%) moderate, and 14 (3.3%) severe cases. Hierarchical multiple linear regression analysis indicated that education level, job titles, self-reported increased work intensity, self-assessment risk of contracting COVID-19 during work, and social support were significantly related to job burnout (<i>p</i> &lt; 0.05), which explained 28.2% of the variance of job burnout score (<i>F</i> = 14.879, <i>p</i> &lt; 0.01).</p>\u0000 <p><b>Conclusion:</b> The burnout symptoms were relatively common among medical workers at COVID-19 vaccination sites. More attention should be paid to medical workers with master degree or higher, junior job titles, increased work intensity, high risk of contracting COVID-19 during work, and low level of social support. Interventions that aim to reduce workload and increase social support can be effective approaches to prevent job burnout among medical workers during controlled COVID-19 period.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/1280959","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143801441","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":"Nurses’ Self-Efficacy, Job Embeddedness, and Psychological Empowerment: A Cross-Sectional Study","authors":"Xin Wang,&nbsp;Ming Liu,&nbsp;Angela Y. M. Leung,&nbsp;Jun-E Zhang,&nbsp;Renli Deng,&nbsp;Yan Li,&nbsp;Yan Wang,&nbsp;Hongxia Dai,&nbsp;Xiaoyan Jin,&nbsp;Shaomei Shang","doi":"10.1155/jonm/6259635","DOIUrl":"https://doi.org/10.1155/jonm/6259635","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> To strengthen and motivate the nursing workforce, this study explored the relationship between nurses’ self-efficacy, job embeddedness, and psychological empowerment, and how this relationship varied across three regions in the Guangdong–Hong Kong–Macao Greater Bay Area of China.</p>\u0000 <p><b>Methods:</b> A multicenter cross-sectional study surveyed 3806 nurses between March and July 2023 using the Sociodemographic Information Questionnaire, Self-Efficacy Scale, Job Embeddedness Scale, and Psychological Empowerment Scale. A directed acyclic graph was used to expose the minimum sufficient adjustment sets for the influence hypothesized model, which was used as a covariate in the model. Pearson correlation analysis, multiple linear regression, and mediation effect analysis were used to test the relationship between variables. The moderated mediation model was employed to test the moderating effect of regions.</p>\u0000 <p><b>Results:</b> The psychological empowerment score of 3806 participants was medium-high level (45.22 ± 6.89); self-efficacy (<i>B</i> = 0.642, <i>p</i> &lt; 0.001) and job embeddedness (<i>B</i> = 0.189, <i>p</i> &lt; 0.001) directly affected psychological empowerment. Job embeddedness mediated self-efficacy and psychological empowerment (<i>B</i> = 0.300, 95% CI: [0.266, 0.355]), but there was no indirect association between self-efficacy and psychological empowerment among Hong Kong participants (<i>B</i> = 0.024, 95% CI: [−0.079, 0.150]). Specifically, regions of Guangdong–Hong Kong moderated the relationship between self-efficacy and job embeddedness (<i>B</i> = −1.447, <i>p</i> &lt; 0.001), and self-efficacy was not significantly associated with job embeddedness (<i>B</i> = 0.147, <i>p</i> = 0.539) among Hong Kong nurses.</p>\u0000 <p><b>Conclusion:</b> Managers should acknowledge the influence and significance of nurses in the current healthcare environment. By truly enhancing nurses’ psychological empowerment, organizations can foster a genuine sense of empowerment, thereby promoting nurse leadership and improving nurse retention. Improving nurses’ self-efficacy can increase job embeddedness and further increase psychological empowerment. This model needs further validation in regions with different cultural and societal backgrounds. Future interventions can be made by identifying work scenarios that affect nurses’ self-efficacy, providing information on self-efficacy and increasing nurses’ job embeddedness, which may help to improve their psychological empowerment.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6259635","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143793340","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":"Hospital Nurses’ Professional Quality of Life Model: A Cross-Sectional Study Based on the Expanded Job Demands-Resources Model","authors":"Younghee Kim,&nbsp;Mi Yu","doi":"10.1155/jonm/7500360","DOIUrl":"https://doi.org/10.1155/jonm/7500360","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> This study aimed to develop a model that explained the factors influencing the professional quality of life (ProQoL) in hospital nurses based on the expanded job demands-resources model (JD-R model).</p>\u0000 <p><b>Methods:</b> This cross-sectional study included 296 nurses with &gt; 1 year of experience from three general hospitals in South Korea. Data were collected via self-reported questionnaires between February 13 and 24, 2023. Job stress (JS), supportive organizational environment (SOE), psychological ownership (PO), and career commitment (CC) were exogenous variables. Compassion fatigue (CF) and satisfaction (CS), components of ProQoL, were the endogenous variables. A hypothetical model was assessed through maximum likelihood and bootstrapping via SPSS/AMOS.</p>\u0000 <p><b>Results:</b> CF was directly influenced by JS (<i>β</i> = 0.44, <i>p</i> &lt; 0.001) and CC (<i>β</i> = −0.28, <i>p</i> &lt; 0.001). CS was influenced by JS (<i>β</i> = −0.16, <i>p</i> = 0.003), PO (<i>β</i> = 0.30, <i>p</i> = 0.012), and CC (<i>β</i> = 0.33, <i>p</i> &lt; 0.001). The model’s explanatory power for CF and CS was 37.0% and 39.0%, respectively. SOE (<i>β</i> = −0.15 <i>p</i> = 0.009) indirectly affected CF through PO and CC. Additionally, PO indirectly affected (<i>β</i> = −0.09, <i>p</i> = 0.008) CF through CC. SOE (<i>β</i> = 0.34 <i>p</i> = 0.014) indirectly affected CS through PO and CC. PO also had an indirect effect (<i>β</i> = 0.11, <i>p</i> = 0.004) on CS through CC. The final model exhibited a good fit.</p>\u0000 <p><b>Conclusions:</b> The ProQoL model, based on the expanded JD-R model, is suitable for explaining and predicting the ProQoL among hospital nurses. CC is crucial in mediating the relationships between a SOE, PO, and CF or CS. These findings have implications for developing strategies to enhance nurses’ ProQoL.</p>\u0000 <p><b>Implication for Nursing Management:</b> This implies the need to reduce JS through workplace improvements, appropriate compensation, and feedback while fostering PO and CC through supportive programs and participatory decision making.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7500360","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143793331","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}