Journal of Nursing Management最新文献

{"title":"Strength Use and Thriving at Work Among Chinese Nurses: The Mediating Roles of Control Beliefs About Stress and Cognitive Reappraisal","authors":"Baoyu Bai,&nbsp;Chengzhi Bai","doi":"10.1155/2024/5509059","DOIUrl":"https://doi.org/10.1155/2024/5509059","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> This study aims to evaluate how strength use affects thriving at work among Chinese nurses, with a focus on the mediating effects of control beliefs about stress and cognitive reappraisal.</p>\u0000 <p><b>Background:</b> Nurses’ thriving at work is essential for their well-being, highlighting the importance of understanding factors that contribute to their thriving.</p>\u0000 <p><b>Methods:</b> A comprehensive questionnaire was administered to measure nurses’ strength use, control beliefs about stress, cognitive reappraisal, and thriving at work. Data were analyzed using SPSS 25.0, with mediation analyses conducted via the PROCESS macro. The study followed the STROBE checklist to ensure quality and transparency.</p>\u0000 <p><b>Results:</b> Based on data from 434 nurses, strength use was positively related to thriving at work (<i>β</i> = 0.455, <i>p</i> &lt; 0.001), control beliefs about stress (<i>β</i> = 0.375, <i>p</i> &lt; 0.001), and cognitive reappraisal (<i>β</i> = 0.467, <i>p</i> &lt; 0.001). Mediation analyses showed that both control beliefs about stress and cognitive reappraisal independently mediated the relationship between strength use and thriving at work, with indirect effects of 0.068 (95% CI [0.011, 0.141]) and 0.092 (95% CI [0.037, 0.154]), respectively. The serial mediation model was also significant (indirect effect = 0.067, 95% CI [0.025, 0.108]).</p>\u0000 <p><b>Conclusions:</b> The study highlights the critical role of strength use in enhancing workplace thriving among Chinese nurses, with control beliefs about stress and cognitive reappraisal serving as key mediators.</p>\u0000 <p><b>Implications for Nursing Management:</b> Encouraging strength use in healthcare and implementing programs to develop control beliefs about stress and cognitive reappraisal can enhance thriving at work, contributing to a more effective healthcare system.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5509059","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142451231","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":"Examination of Transition Shock and Colleague Violence Among Newly Graduated Nurses: A Cross-Sectional Study","authors":"Soner Berşe,&nbsp;Ali Ağar,&nbsp;Ezgi Di̇rgar,&nbsp;Betül Tosun","doi":"10.1155/2024/5486048","DOIUrl":"https://doi.org/10.1155/2024/5486048","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> The adaptation process for new nursing graduates is challenging, with transition shock and colleague violence impacting both individuals and institutions.</p>\u0000 <p><b>Objective:</b> This study investigates transition shock and colleague violence among newly graduated nurses in Turkey during their adaptation process.</p>\u0000 <p><b>Methods:</b> The study involved 235 newly graduated nurses from a state university in Turkey with at least six months of clinical experience. Data were collected using the Nursing Transition Shock Scale and the Exposure to Colleague Violence Scale.</p>\u0000 <p><b>Results:</b> Among the participants, 27.23% experienced colleague violence and 56.17% witnessed it. The mean score on the Nursing Transition Shock Scale was 53.62 ± 15.39. Female nurses and younger age groups faced more challenges.</p>\u0000 <p><b>Conclusion:</b> Supportive work environments, mentorship programs, and collaborative teamwork are crucial for newly graduated nurses. Updating nursing education programs to prepare students for these challenges is essential. This study underscores the need for targeted interventions.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5486048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142447832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Work-Related Stress and Behavioural Correlates of Lower Urinary Tract Symptom Profiles in Female Nurses: A Latent Class Analysis Based on the Nurse Urinary Related Health Study","authors":"Jie Gao,&nbsp;Dongjuan Xu,&nbsp;Chen Wu,&nbsp;Ming Li,&nbsp;Jieqiong Ren,&nbsp;Yongjuan Rao,&nbsp;Kefang Wang","doi":"10.1155/2024/7318901","DOIUrl":"https://doi.org/10.1155/2024/7318901","url":null,"abstract":"<div>\u0000 <p><b>Aims:</b> This study aimed to identify symptom clusters in a population-based sample of female nurses who reported experiencing lower urinary tract symptoms (LUTS) and examine distinct risk factor profiles within each symptom cluster, with an emphasis on modifiable lifestyle and work-related factors.</p>\u0000 <p><b>Materials and Methods:</b> This study included 6735 female nurses who reported experiencing at least one LUTS. Latent class analysis was conducted to identify symptom clusters by jointly modelling 11 symptoms. Analysis of variance, chi-square tests and multinomial logistic regression analyses were conducted to examine distinct risk factor profiles within each symptom cluster.</p>\u0000 <p><b>Results:</b> On average, female nurses experienced 2.2 symptoms. Four clusters were identified: the multiple severe symptoms (<i>n</i> = 546, 8%), incontinence symptoms (<i>n</i> = 2089, 31%), urgency–hesitancy symptoms (<i>n</i> = 3357, 50%) and nocturia symptoms (<i>n</i> = 743, 11%). Unique profiles of female nurses were associated with each symptom cluster and demonstrated the influential role of work-related factors in the development of LUTS. These factors included a demanding workload, heightened levels of perceived stress, extended work hours, engagement in night shifts, infrequent and delayed voiding behaviours and restriction of fluid intake.</p>\u0000 <p><b>Conclusions:</b> Our findings substantiate the vulnerability of female nurses to LUTS, which is attributable to their demanding work environments. LUTS among female nurses should be recognised as an occupational hazard and remains an understood topic in the workplace, warranting attention and tailoring of intervention strategies.</p>\u0000 <p><b>Implications for Nursing Management:</b> Nurse managers should be aware that LUTS represent an occupational hazard for nurses and that high-stress work environments and inappropriate urination behaviours adversely affect nurses’ bladder health. Addressing LUTS-related issues requires increased staffing levels along with a fundamental shift in workplace culture. Fostering a culture of self-care with an emphasis on bladder health promotion is imperative for nursing professionals and employed women.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/7318901","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142447830","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 Level and Outcomes of Emotional Labor in Nurses: A Scoping Review","authors":"Hanbo Feng,&nbsp;Meng Zhang,&nbsp;Xueting Li,&nbsp;Yang Shen,&nbsp;Xiaohan Li","doi":"10.1155/2024/5317359","DOIUrl":"https://doi.org/10.1155/2024/5317359","url":null,"abstract":"<div>\u0000 <p><b>Aims:</b> This scoping review aims to examine the level and outcomes of emotional labor in nurses.</p>\u0000 <p><b>Background:</b> Nursing is a highly emotional profession that requires nurses to experience a wide range of emotions and control their emotional expressions in nursing practice. Chronic emotional labor and emotional burden not only impact nurses’ individual well-being and professional performance but also their job satisfaction and turnover intention.</p>\u0000 <p><b>Evaluation:</b> This scoping review was guided by a five-stage scoping review framework and the PRISMA-ScR checklist. Eight databases were searched and 41 studies were reviewed.</p>\u0000 <p><b>Key Issues:</b> The Emotional Labor Scale and the Emotional Labor Scale for Nurses were the most commonly used instruments. Significant associations were found between emotional labor and 52 outcomes, which were categorized into two main themes: nurses’ personal well-being and organizational well-being. There were 19 mediators and 12 moderators between nurses’ emotional labor and 26 different outcomes.</p>\u0000 <p><b>Conclusions:</b> While the level of emotional labor among nurses remains uncertain, its consequences are plentiful and intricate. Studies have shown an important relationship between nurses’ emotional labor and individual and organizational well-being, which is crucial for nurse managers. There is a need to explore the positive effects of nurses’ emotional labor and its impact on patients. Additionally, validation studies of the instruments used to measure nurses’ emotional labor are necessary.</p>\u0000 <p><b>Implications for Nursing Management:</b> The insights gained from this scoping review provided a more comprehensive understanding of emotional labor for nurse managers. This knowledge can be utilized to design training programs on emotional management and to explore different interventions aimed at alleviating the adverse impacts of nurses’ emotional labor.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5317359","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142438974","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 Effect of Ethical Leadership on Nurse Bullying, Burnout, and Turnover Intentions","authors":"Jason R. Lambert,&nbsp;Lee W. Brown,&nbsp;Thanayi A. Lambert,&nbsp;Caleigh Torres Nava","doi":"10.1155/2024/3397854","DOIUrl":"https://doi.org/10.1155/2024/3397854","url":null,"abstract":"<div>\u0000 <p>The bullying of nurses by patients, doctors, and employees is common in the healthcare industry. Nurses who are bullied are more likely to experience burnout, and nurses who experience burnout are more likely to intend to quit. However, few studies investigate how leadership can mitigate workplace incivility and nurse bullying as a way to improve nurse retention. A cross-sectional study was conducted using a sample of 216 nurses recruited from various regions across the United States from different specialties. A moderated mediation model using path analysis was used to examine the relationships between bullying, burnout, and ethical leadership in predicting intentions to stay. Bullying significantly and positively related to burnout (<i>β</i> = 0.22, <i>p</i> = 0.02), and burnout significantly and negatively related to intent to stay (<i>β</i> = −0.18,<i>p</i> = 0.01). Perceived ethical leadership predicted intentions to stay (<i>β</i> = 0.62, <i>p</i> = 0.00), and ethical leadership moderated the effect of bullying on burnout (<i>β</i> = 0.20, <i>p</i> = 0.03). The results of our study also suggest that nurses are less likely to quit when ethical leadership is present, and ethical leadership weakens the effect of bullying on burnout.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/3397854","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142429852","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":"Impact of Artificial Intelligence–Based Technology on Nurse Management: A Systematic Review","authors":"Nombre Alberto Gonzalez-Garcia,&nbsp;Silvia Pérez-González,&nbsp;Carmen Benavides,&nbsp;Arrate Pinto-Carral,&nbsp;Enedina Quiroga-Sánchez,&nbsp;Pilar Marqués-Sánchez","doi":"10.1155/2024/3537964","DOIUrl":"https://doi.org/10.1155/2024/3537964","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> To describe the use of artificial intelligence (AI) by nurse managers to enhance management, leadership, and healthcare outcomes.</p>\u0000 <p><b>Background:</b> AI represents a significant transformation in healthcare management by enhancing decision-making, communication, and resource optimization. However, the integration and strategic application of AI in nursing management are underexplored, particularly regarding its impact on leadership roles and healthcare delivery.</p>\u0000 <p><b>Methods:</b> Methodological guidelines described by PRISMA were followed, and quality was assessed using the Joanna Briggs Institute (JBI) methodology. The databases searched included the Web of Science, Scopus, CINAHLi, and PubMed. The review included quantitative, qualitative, and mixed-method studies published between January 2015 and April 2024.</p>\u0000 <p><b>Results:</b> Fourteen studies were selected for the review. The key findings indicate that AI technologies facilitate better resource management, risk assessment, and decision-making. AI also supports nurse managers in leading changes, enhancing communication, and optimizing administrative tasks.</p>\u0000 <p><b>Conclusion:</b> AI has been progressively integrated into nursing management, demonstrating significant benefits in operational efficiency, decision support, and leadership enhancement. However, challenges, such as resistance to technological change and ethical complexities, need to be addressed.</p>\u0000 <p><b>Implications for Nursing Management:</b> Specific training programs for nurse managers are essential to optimize the integration of AI. Such programs should focus on the management of AI applications and data analyses. In addition, creating interdisciplinary groups involving nurse managers, AI developers, and nursing staff is crucial for tailoring AI solutions to meet the unique needs of healthcare settings.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/3537964","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142429861","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":"Elevating Elderly Cancer Care: A Systematic Review of Advanced Practice Nursing’s Role in Senior Oncology Patients’ Quality of Life","authors":"Cristian-David Useche-Guerrero,&nbsp;María-de-los-Ángeles Merino-Godoy,&nbsp;Eva-María Barroso-Márquez,&nbsp;Emilia Isabel Martins Teixeira da Costa,&nbsp;Rafaela Camacho Bejarano,&nbsp;Francisco-Javier Gago-Valiente","doi":"10.1155/2024/6698804","DOIUrl":"https://doi.org/10.1155/2024/6698804","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. According to projections based on current trends, it can be anticipated that from 2024 onward, approximately 70% of all cancer cases will be diagnosed in individuals 65 years and older. Given this complex intersection between population ageing and cancer incidence, it is of great importance to address this issue from a comprehensive care perspective. Here comes the importance of advanced practice nurse into play. However, this figure is still not sufficiently valued in many countries. Its roles are also not clearly defined at the international level. For this reason, a systematic review of the scientific literature was carried out to analyze the impact of advanced practice nurse on the quality of life of older adults with cancer. <i>Methods</i>. Searches were carried out in PubMed, Web of Science (WoS), Scopus, CINAHL, LILACS, and ScienceDirect databases. They were limited to studies conducted in the last 7 years. Only open-access articles were selected. To analyze the chosen articles and assess their quality, the criteria of the PRISMA and CASPe statements were applied. All authors participated in both the selection of the articles and their analysis. <i>Results</i>. Of the initial 58 articles selected, a total of 10 articles were finally included, as they met the eligibility criteria established after further analysis. The results show a positive relationship between the advanced practice nurse intervention and quality of life in older adults with cancer. <i>Conclusions</i>. Advanced practice nurse (APN) plays a key role in the care of older adults with cancer, significantly improving their quality of life and contributing to the comprehensive care of these patients. The findings evidenced in this work support the integration of APNs in cancer care teams to improve patient experience and overall well-being.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/6698804","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142404730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Relationship Between Ethical Leadership and Nurses’ Moral Courage in China: The Mediating Effect of Psychological Empowerment","authors":"Xuan Wang,&nbsp;Lijuan Zhou,&nbsp;Xianxiu Wen,&nbsp;Li Gou","doi":"10.1155/2024/6664191","DOIUrl":"https://doi.org/10.1155/2024/6664191","url":null,"abstract":"&lt;div&gt;\u0000 &lt;p&gt;&lt;b&gt;Aim:&lt;/b&gt; To empirically investigate the impact of ethical leadership on nurses’ moral courage in China and examine the mediating role of psychological empowerment in this relationship.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Background:&lt;/b&gt; Moral courage is essential for alleviating nurses’ moral distress, safeguarding patients’ safety and rights, and providing high-quality care. Previous studies have emphasized the strong relationship between ethical leadership and moral courage; however, little is known about the actual impact of ethical leadership on nurses’ moral courage. This study introduces psychological empowerment, sets out to test empirically its role in the relationship between ethical leadership and moral courage, and provides countermeasures and a theoretical basis for cultivating nurses’ moral courage.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Methods:&lt;/b&gt; Between February and May 2023, a questionnaire survey was conducted among 837 nurses from five hospitals in Sichuan Province, southwest China. The three validated self-report scales, the ethical leadership scale, psychological empowerment scale, and nurses’ moral courage scale, were used to collect data. We used IBM SPSS 27.0 for descriptive statistics, univariate analyses, Cronbach’s &lt;i&gt;α&lt;/i&gt;, and correlations of each variable, modeling a hypothesized model of ethical leadership on moral courage in nurses and testing the internal mechanisms by AMOS 26.0.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Results:&lt;/b&gt; Ethical leadership significantly positively correlated with psychological empowerment (&lt;i&gt;r&lt;/i&gt; = 0.374, &lt;i&gt;p&lt;/i&gt; &lt;  0.01), as well as moral courage (&lt;i&gt;r&lt;/i&gt; = 0.341, &lt;i&gt;p&lt;/i&gt; &lt;  0.01). In addition, psychological empowerment significantly positively correlated with moral courage (&lt;i&gt;r&lt;/i&gt; = 0.518, &lt;i&gt;p&lt;/i&gt; &lt;  0.01). The structural equation modeling (SEM) shows a satisfactory model fit: &lt;i&gt;χ&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 2156.36, &lt;i&gt;df&lt;/i&gt; = 849, &lt;i&gt;χ&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt;/&lt;i&gt;df&lt;/i&gt; = 2.540, root mean square of approximation = 0.043, standard root mean square residual = 0.047, normed fit index = 0.911, Tucker–Lewis index = 0.941, and comparative fit index = 0.944. Ethical leadership directly influenced moral courage (&lt;i&gt;β&lt;/i&gt; = 0.135, &lt;i&gt;p&lt;/i&gt; = 0.006) and indirectly affected moral courage via psychological empowerment (&lt;i&gt;β&lt;/i&gt; = 0.247, &lt;i&gt;p&lt;/i&gt; = 0.001).&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Conclusion:&lt;/b&gt; Promoting ethical leadership and psychological empowerment is essential for nurses to promote moral courage. The results of this study illustrate the pivotal role of psychological empowerment in establishing the impact of ethical leadership on nurses’ moral courage and the partially mediating part of psychological empowerment in this relationship.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Implications for Nursing Management:&lt;/b&gt; Nursing managers should understand the importance of moral courage in protecting patients’ rights and interests, as well as in maintaining a stable nursing workforce. They should reinforce the positive influence of ethical ","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/6664191","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142404700","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 Between Medical Care Policy Alienation and Career Success: A Cross-Sectional Study","authors":"Jia Xu,&nbsp;Chun Xia,&nbsp;Hui Zhu,&nbsp;Xiuzhen Ding","doi":"10.1155/2024/5598520","DOIUrl":"https://doi.org/10.1155/2024/5598520","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> This study examines the interrelationship between medical staff’s sense of medical care policy alienation (SPA) and their subjective career success and the potential mediating roles of occupational calling (OC) and job satisfaction.</p>\u0000 <p><b>Background:</b> Medical staff’s pivotal role in medical care policy implementation outcomes underscores their approach to career success, which affects work efficiency, and willingness to implement medical care policy. Effective policy is anticipated to be positively and rationally implemented, fostering favorable perceptions and career success among policy executors such as medical staff. However, limited research examines the relationship between career outcomes and medical staff′s SPA.</p>\u0000 <p><b>Methods:</b> A cross-sectional study conducted from May to June 2023 collected data from 521 medical staff in 14 hospitals in northern, western, and southern China through questionnaire surveys. The questionnaire measured their SPA, OC, job satisfaction, and career success. A chain multiple mediation model was constructed to explore SPA’s relationship with medical staff’s OC and job satisfaction, resulting in less career success, and whether work overload moderated this relationship.</p>\u0000 <p><b>Results:</b> Medical staff’s SPA was negatively related to career success via a chain mediation mechanism involving OC and job satisfaction. Work overload did not moderate SPA’s negative association with OC; however, it moderated its association with job satisfaction. High workload intensified SPA’s association with job satisfaction, increasing the mediating effect on career success compared to those with lower workloads.</p>\u0000 <p><b>Conclusion:</b> Medical staff’s SPA was significantly negatively related to career success, reflected in a weakened OC, and decreased job satisfaction. Work overload somewhat moderated the relationship between SPA and job satisfaction. Policymakers and medical stakeholders should emphasize improved communication between medical institutions and staff, which is essential for crafting and disseminating medical care policies. Medical care policy implementation should be enhanced in diverse Chinese contexts to enrich the understanding of medical policy management.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5598520","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142404366","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":"A Cross-Sectional Survey of Swedish Primary Healthcare Nurses’ Discontent With Their Current Job","authors":"Elin Karlsson,&nbsp;Nadine Karlsson,&nbsp;Hanna Fernemark,&nbsp;Ida Seing,&nbsp;Janna Skagerström,&nbsp;Emma Brulin,&nbsp;Per Nilsen","doi":"10.1155/2024/2786600","DOIUrl":"https://doi.org/10.1155/2024/2786600","url":null,"abstract":"<div>\u0000 <p>Nursing staff turnover is an increasing problem for healthcare globally. In Sweden, the shortage of nurses in primary healthcare has increased significantly in recent years. This development is alarming because primary healthcare, both in Sweden and internationally, is responsible for a large part of healthcare. The aim of this study was to explore working conditions (change fatigue, leadership climate, and social support from colleagues) and characteristics of primary care nurses who are discontent with their current job, i.e., those with high turnover intentions and poor job satisfaction in Sweden. This was a cross-sectional survey of 466 registered nurses working in Swedish primary healthcare. Data were analyzed using descriptive statistics and logistic regression. The results demonstrate that 21.1% of the responding nurses are discontent with their current job and have considered quitting. Being discontent had significant associations with poor leadership climate (<i>p</i> &lt; 0.001), lack of social support from colleagues (<i>p</i> &lt; 0.001), change fatigue (<i>p</i> &lt; 0.001), poor health (<i>p</i> &lt; 0.001), and working more than 40 h per week (<i>p</i> = 0.02). The results have implications for how healthcare organizations structure the work of nurses in primary healthcare and how they can attract and retain future staff to these workplaces.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/2786600","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142359844","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}