Journal of Nursing Management最新文献

{"title":"Determining the Relationship Between Work Stress and Job Performance: A Cross-Sectional Study Among Healthcare Workers","authors":"Hakan Oğuz Ari","doi":"10.1155/jonm/5051149","DOIUrl":"https://doi.org/10.1155/jonm/5051149","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Work stress and job performance are critical factors for increasing productivity and ensuring sustainability in healthcare institutions.</p>\u0000 <p><b>Aim:</b> This study investigates the work stress and job performance levels of healthcare workers in Türkiye and the relationship between them.</p>\u0000 <p><b>Methods:</b> The study included healthcare workers of a private hospital in Ankara, Türkiye. Data were collected using the General Work Stress Scale and the Job Performance Scale.</p>\u0000 <p><b>Results:</b> In the study where 47.3% of the participants were nurses, it was observed that healthcare workers had low work stress levels and high job performance levels. Nurses had higher work stress than others but lower job performance. It was determined that there was a negative, weak and statistically significant relationship between work stress and job performance.</p>\u0000 <p><b>Conclusion:</b> In order to reduce work stress and increase job performance, it is important to develop managerial intervention programs by considering variables such as healthcare workers’ age, marital status, years employed in the profession and their occupations. This study provides evidence-based clues for actions that will help hospital and nursing service managers control job stress and increase clinical services’ and hospitals’ performance.</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/5051149","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143801393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse Leaders’ Perceptions of Followership Development Needs: A Descriptive Qualitative Study","authors":"Welile M. Mamba,&nbsp;Willem Fourie,&nbsp;Tanya Heyns","doi":"10.1155/jonm/7920607","DOIUrl":"https://doi.org/10.1155/jonm/7920607","url":null,"abstract":"<div>\u0000 <p><b>Introduction:</b> Followership is a critical aspect of leadership because, without followers, there can be no leaders. To be successful, organizations must develop high-performance, self-developed, and self-led followers with specific values. However, organizations have traditionally prioritized developing leaders, leaving out followers in the development equation. Followership development allows nurses to learn how to work effectively in teams, fostering teamwork skills.</p>\u0000 <p><b>Aim:</b> To explore nurse leaders’ perceptions of followership development needs.</p>\u0000 <p><b>Materials and Methods:</b> A descriptive qualitative design was used. Data were collected via face-to-face, semistructured, in-depth interviews with 10 purposively selected nurse leaders (middle and top management). The interviews were audio-recorded, transcribed verbatim, and analyzed via Braun and Clarke’s approach.</p>\u0000 <p><b>Findings:</b> Participants emphasized the need for followership education for nurses. Followership should be incorporated into undergraduate nursing curricula and in-service training. Additionally, participants verbalized the need for a followership development program that should train nurse followers in communication, interprofessional collaboration, decision-making, team building, teamwork, and leadership. The participants suggested that followership could be developed by providing incentives for good followership behavior and conducting periodic performance appraisals.</p>\u0000 <p><b>Conclusion:</b> The participants emphasized the importance of a followership development program, which may enhance the relationship between nurse leaders and followers and contribute to positive patient outcomes. Future research needs to develop programs to develop nurses who are followers.</p>\u0000 <p><b>Implications for Nursing Management:</b> Developing followers in a hospital setting is critical. Understanding needs and what a followership program should include assists nurse leaders in planning and implementing relevant programs.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7920607","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786789","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":"Changes in the Pre- and Postpandemic Unfinished Nursing Care Occurrence and Reasons as Perceived by Italian Nursing Students: A Secondary Analysis","authors":"Stefania Chiappinotto,&nbsp;Tommaso Lupi,&nbsp;Aysun Bayram,&nbsp;Renzo Moreale,&nbsp;Luca Grassetti,&nbsp;Alvisa Palese","doi":"10.1155/jonm/8892363","DOIUrl":"https://doi.org/10.1155/jonm/8892363","url":null,"abstract":"<div>\u0000 <p>Missed care, a phenomenon born in the United States more than 30 years ago and currently called unfinished nursing care (UNC), has been compared in pre- and postpandemic to detect changes in the trends as perceived by nurses. However, no studies have compared the perceptions of nursing students before and after these challenging times. The aim of this study was to compare pre- and postpandemic UNC occurrence and the reasons for it as perceived by Italian nursing students during their clinical rotations. A secondary analysis of data collected in 2018 (prepandemic) and 2023 (postpandemic) was conducted and here reported according to STROBE guidelines. The Unfinished Nursing Care Survey for Students (UNCS4S), measuring 22 expected interventions (from 22 [<i>never</i>] to 110 [<i>always left unfinished</i>]) and 18 possible reasons for it (from 18 [<i>nonsignificant</i>] to 90 [<i>very significant</i>]), was administered. The UNCS4S total scores of 231 (prepandemic) and 352 (postpandemic) students were 39.80 (CI 95% 37.06–42.54) and 50.89 (CI 95% 47.66–54.12), respectively (<i>p</i> ≤ 0.001). No significant differences between groups emerged for reasons (47.91, CI 95% 45.10–50.71 vs. 45.92, CI 95% 43.91–47.93, respectively; <i>p</i> = 0.257). Postpandemic students perceived a higher occurrence of UNC but with similar reasons to those reported before the pandemic.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8892363","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786643","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":"Patterns and Trends in Global Nursing Robotics Research: A Bibliometric Study","authors":"Shan Zhang,&nbsp;Lu Liu,&nbsp;Tingting Peng,&nbsp;Shu Ding","doi":"10.1155/jonm/7853870","DOIUrl":"https://doi.org/10.1155/jonm/7853870","url":null,"abstract":"<div>\u0000 <p><b>Aims:</b> The present study aimed to investigate the trends and research status of global nursing robot research.</p>\u0000 <p><b>Background:</b> The global aging population has intensified the demand for caregiving services, highlighting the need for innovative solutions like nursing robots to address caregiver shortages and enhance healthcare efficiency. A bibliometric analysis of nursing robots from 2014 to 2024 are noteworthy but limited.</p>\u0000 <p><b>Methods:</b> We searched the Web of Science database for relevant articles concerning nursing robots, published between January 1, 2014 to October 30, 2024. Data collected include: the number of publications, countries, institutions, authors, journals, reference, and keywords. CiteSpace were used to conduct the bibliometric analysis.</p>\u0000 <p><b>Results:</b> The analysis included a total of 696 publications, which were produced by 165 institutions from 66 countries and involved 243 authors. The publications exhibited a generally increasing trend with fluctuations over time. The United States of America contributed the majority of articles, with 187 publications accounting for 26.87% of the total. Griffith University from Australia led the institutions with 11 publications, representing 1.58% of the overall count. The International Journal of Social Robotics was the most prolific in publishing articles on nursing robots, with 162 publications. Through the analysis of timeline graph and burst terms, we identified technology, functionality, and impact of nursing robots as research hotspots. The application of social robots in patient care and advancements in team collaboration during robot-assisted surgery are potential emerging research directions.</p>\u0000 <p><b>Conclusions:</b> This study presents an overview of the nursing robot research landscape over the past decade. This research offer valuable insights and direction for future trends and research trajectories in the domain of nursing robots.</p>\u0000 <p><b>Implications for Nursing Management:</b> Nursing administrators can appropriately apply nursing robots to assist in improving nursing efficiency, thereby freeing up nurses’ time to focus on more complex patient care.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7853870","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770253","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 Relationships Between Ethical Sensitivity, Ethical Decision-Making Ability, and Ethical Conflict Among ICU Nurses: A Structural Equation Model","authors":"Qingyun He,&nbsp;Chunmei Huang,&nbsp;Zhixian Feng,&nbsp;Huajuan Shen","doi":"10.1155/jonm/7756343","DOIUrl":"https://doi.org/10.1155/jonm/7756343","url":null,"abstract":"&lt;div&gt;\u0000 &lt;p&gt;&lt;b&gt;Background:&lt;/b&gt; Ethical conflict in nursing is a common phenomenon in intensive care units (ICUs). Nurses’ ethical sensitivity forms the basis for identifying ethical conflicts. Ethical decision-making abilities are closely related to ethical conflict. However, there are currently no reports on the pathways between ethical sensitivity, decision-making ability, and conflicts among ICU nurses.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Purpose:&lt;/b&gt; Based on the cognitive-behavioral theory, a structural equation model was developed to quantitatively analyze the relationships between ICU nurses’ ethical sensitivity, decision-making ability, and conflicts.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Methods:&lt;/b&gt; A cross-sectional survey was conducted involving ICU nurses from six general hospitals in China from May to July 2024, using the General Information Questionnaire, Ethical Conflict Nursing Questionnaire–Critical Care Version (ECNQ-CCV), Chinese Moral Sensitivity Questionnaire–Revised Version (MSQ-R-CV, including the dimensions of moral responsibility and strength and sense of moral burden), and Chinese version of judgment about nursing decision (JAND-CE). Descriptive analyses were conducted with SPSS 25.0, and a structural equation model (using Amos 26.0) was performed to identify path relationships between the variables.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Results:&lt;/b&gt; The constructed model demonstrated a strong overall fit, and there were significant correlations between ethical sensitivity, decision-making ability, and conflicts among Chinese ICU nurses (&lt;i&gt;p&lt;/i&gt; &lt; 0.05). The values of path coefficients showed that moral responsibility and strength have a positive association with JAND-CE (&lt;i&gt;β&lt;/i&gt; = 0.263, &lt;i&gt;p&lt;/i&gt; &lt; 0.05) and negative association with ECNQ-CCV (&lt;i&gt;β&lt;/i&gt; = −0.246, &lt;i&gt;p&lt;/i&gt; &lt; 0.05). Moreover, sense of moral burden has a negative association with JAND-CE (&lt;i&gt;β&lt;/i&gt; = −0.353, &lt;i&gt;p&lt;/i&gt; &lt; 0.05) and positive association with ECNQ-CCV (&lt;i&gt;β&lt;/i&gt; = 0.232, &lt;i&gt;p&lt;/i&gt; &lt; 0.05). Further, JAND-CE has a negative association with ECNQ-CCV (&lt;i&gt;β&lt;/i&gt; = −0.183, &lt;i&gt;p&lt;/i&gt; &lt; 0.05). This study conducted mediation analysis by examining the indirect path between moral responsibility and strength, sense of moral burden, and ECNQ-CCV via JAND-CE, whereby the beta coefficients of independent mediating and mediating-dependent variables were multiplied. The indirect path between moral responsibility and strength and ECNQ-CCV through JAND-CE was significant (i.e. indirect path (0.263 × (−0.183)) = −0.048, &lt;i&gt;p&lt;/i&gt; &lt; 0.05, LL = −0.608, UL = −0.07), and the indirect path between sense of moral burden and ECNQ-CCV through JAND-CE was significant (indirect path ((-0.353) × (−0.183)) = 0.065, &lt;i&gt;p&lt;/i&gt; &lt; 0.05, LL = 0.082, UL = 0.758) and did not contain a zero value between lower and upper boundaries.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Conclusions:&lt;/b&gt; This study reveals the dual-path mechanism of moral responsibility and strength and sense of moral burden on ethical conflicts throug","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7756343","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762051","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 Differential Association Between Leadership Styles and Organizational Silence in a Sample of Chinese Nurses: A Multi-Indicator and Multicause Study","authors":"Guangling Hu,&nbsp;Zhiyang Guo,&nbsp;Yu Wang,&nbsp;Luwen Wang","doi":"10.1155/jonm/9626175","DOIUrl":"https://doi.org/10.1155/jonm/9626175","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> To determine the effect of diverse leadership styles on the organizational silence of nurses and the association between demographic factors and organizational silence of nurses.</p>\u0000 <p><b>Background:</b> Organizational silence prevails among nurses, threatening patient safety and hospital innovation. Transformational and transactional leadership negatively affect nurses’ organizational silence, but further confirmation is needed.</p>\u0000 <p><b>Methods:</b> The 545 clinical nurses from four hospitals in Shenzhen completed the online self-report questionnaires including multivariate leadership style scale and nurses’ organizational silence assessment questionnaire.The data were analyzed by SPSS26.0 software using analysis of variance and Pearson’s correlation. The Multiple Indicators Multiple Causes (MICIC) model was used to analyze the influencing factors of organizational silence using AMOS 24.</p>\u0000 <p><b>Results:</b> The results of the univariate analysis revealed that the differences in the organizational silence scores of the nurses based on demographic factors such as age, gender, professional title, and undertaking nursing management tasks were not significant (all <i>p</i> &gt; 0.05). However, the difference in the employment status was significant (<i>p</i> &lt; 0.05). The MICIC model showed that the transformational leadership can aggravate this organizational silence of the nurses (<i>β</i> = 0.59, <i>p</i> &lt; 0.001), whereas transactional leadership style and employment status had no significant effects (both <i>p</i> &gt; 0.05).</p>\u0000 <p><b>Conclusion:</b> The organizational silence of nurses was at a moderately low level and transformational leadership style contributes to organizational silence of the nurses. The findings of this study suggested that nursing managers should strive for authentic and open leadership, pay attention to individual differences, and adjust their leadership style according to the preferences and needs of nurses, achieving personalized adaptation of leadership.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/9626175","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770157","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":"Effects of Consensus on Leader–Member Exchange (LMX) Within Nursing Teams on the Relationship Between Abusive Supervision, Job Satisfaction, and Unit Turnover: A Multilevel Moderation Study","authors":"Andrea Caputo,&nbsp;Patricia Costa,&nbsp;Paola Gatti,&nbsp;Claudio G. Cortese,&nbsp;Aristides I. Ferreira","doi":"10.1155/jonm/6220416","DOIUrl":"https://doi.org/10.1155/jonm/6220416","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> This study explores how consensus on leader–member exchange (LMX)—the degree of within-unit agreement regarding the LMX nurse leaders establish with each team member—moderates the effects of abusive supervision on job satisfaction and internal turnover intentions.</p>\u0000 <p><b>Method:</b> Involving a sample of 1357 nurses nested into 130 groups (led by as many nurse leaders), cross-level moderations were tested.</p>\u0000 <p><b>Results:</b> Results show that, on one hand, LMX consensus acts as a resource when it is stronger, dampening the effect of abusive supervision on job satisfaction. On the other hand, nurses with higher job satisfaction belonging to groups with higher LMX consensus report higher intentions to change wards than nurses in groups with lower LMX consensus. The discussion addresses the concept of “star employees,” i.e., employees with better performance, visibility, and relevant social capital.</p>\u0000 <p><b>Implications for Nursing Management:</b> The discussion highlights the importance for nurse managers to consider both the quality of individual LMX and overall team consensus to enhance nurse well-being and reduce turnover intentions.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6220416","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143749303","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":"Identifying the Most Critical Predictors of Workplace Violence Experienced by Junior Nurses: An Interpretable Machine Learning Perspective","authors":"Lanjun Luo,&nbsp;Yuze Wu,&nbsp;Siyuan Li,&nbsp;Fengling Li,&nbsp;Xueyan Wang,&nbsp;Xuemei Wei","doi":"10.1155/jonm/5578698","DOIUrl":"https://doi.org/10.1155/jonm/5578698","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Workplace violence, defined as any disruptive behavior or threat to employees, seriously threatens junior nurses. Compared with senior nurses, junior nurses are more vulnerable to workplace violence due to inexperience, low professional recognition, and limited mental resilience. However, there is an absence of research discussing the workplace violence risk of junior nurses, in particular, the lack of analysis of critical factors within the multiple influences and the lack of targeted risk prediction models.</p>\u0000 <p><b>Objective:</b> Considering the multiple influencing factors faced by junior nurses, this study aims to predict the risk of workplace violence using interpretable machine learning models and identify the critical influencing factors and their nonlinear effects.</p>\u0000 <p><b>Design:</b> An observational, cross-sectional study design.</p>\u0000 <p><b>Participants:</b> A total of 5663 junior registered nurses in 90 tertiary hospitals in Sichuan Province, China.</p>\u0000 <p><b>Methods:</b> Data are all obtained through a questionnaire survey. An interpretable machine learning framework, including the Light Gradient Boosting Machine (LightGBM) model and two post hoc interpretable methods, Accumulate Local Effect and SHapely Additive exPlanations (SHAP), are conjoined.</p>\u0000 <p><b>Results:</b> The LightGBM model is more accurate than other machine learning methods, achieving an area under the receiver operating characteristic curve of 0.761 and a Brier score of 0.198 on the workplace violence prediction task. Among the dozens of potential influences input into the predictive model, seeing medical complaints, psychological demands, professional identity, etc., are the most critical predictors of workplace violence.</p>\u0000 <p><b>Conclusions:</b> The proposed LightGBM-SHAP-ALE approach dynamically and effectively identifies junior nurses at high risk of workplace violence, providing a foundation for timely detection and intervention.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/5578698","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762094","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":"Transformational Nurse Leaders and Nurse Well-Being: Examining Mediating Influences of Organizational Justice and Quality of Work Life Mixed Methods Study","authors":"Abeer Nuwayfi Alruwaili","doi":"10.1155/jonm/4577350","DOIUrl":"https://doi.org/10.1155/jonm/4577350","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Transformational leadership is recognized as a crucial factor influencing nurses’ work experiences and well-being. However, the mechanisms through which transformational leadership affects nurse well-being, especially concerning organizational justice and quality of work life, are not fully understood.</p>\u0000 <p><b>Aim:</b> This study investigates the direct and indirect effects of transformational leadership on nurse well-being, focusing on the mediating roles of organizational justice and quality of work life.</p>\u0000 <p><b>Methods:</b> Using a sequential explanatory mixed methods design, quantitative data were collected from 580 nurses across five hospitals in Saudi Arabia with validated tools: the Global Transformational Leadership Scale, Organizational Justice Scale, Quality of Nursing Work–Life Scale, Emotional Exhaustion Subscale of the Maslach Burnout Inventory, Job Satisfaction Scale, and Perceived Stress Scale. Qualitative data were obtained from 25 focus group discussions using a validated semistructured discussion guide. Quantitative analyses included hierarchical multiple regression and mediation analyses, while qualitative data wereanalyzed thematically.</p>\u0000 <p><b>Results:</b> Transformational leadership significantly reduced emotional exhaustion (<i>β</i> = −0.48, <i>p</i> &lt; 0.001), increased job satisfaction (<i>β</i> = 0.53, <i>p</i> &lt; 0.001), and lowered perceived stress (<i>β</i> = −0.46, <i>p</i> &lt; 0.001). Mediation analyses showed significant indirect effects through organizational justice and quality of work life (indirect effects: −0.34 to 0.38, <i>p</i> &lt; 0.001). Qualitative findings highlighted the importance of inspirational motivation, individualized consideration, intellectual stimulation, and idealized influence.</p>\u0000 <p><b>Conclusions:</b> Transformational leadership directly and indirectly enhances nurses’ well-being through improved organizational justice and quality of work life. These findings emphasize the need for healthcare organizations to foster transformational leadership and promote fair, supportive work environments to enhance nurse well-being.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/4577350","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741318","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":"Enhancing Occupational Well-Being Among Chinese Nurses: Exploring the Mediation of Job Stress in the Relationship Between Social Support and Occupational Well-Being","authors":"Yingjie Fu,&nbsp;Ge Qu,&nbsp;Jiyao Sun,&nbsp;Chuyun Wang,&nbsp;Jian Wang","doi":"10.1155/jonm/2140829","DOIUrl":"https://doi.org/10.1155/jonm/2140829","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> The occupational well-being of nurses is important for nurses’ human resource management and the sustainable development of hospitals. Several studies have demonstrated a positive association between social support and occupational well-being. However, the underlying mechanism behind this mechanism remains unclear. This study explored how social support influenced occupational well-being through the mediating roles of job stress.</p>\u0000 <p><b>Methods:</b> This study utilized the stratified random sampling method and conducted a questionnaire survey among 450 nurses from a tertiary general hospital from July 2022 to September 2022. The surveys included the Social Support Rating Scale, Job Stress Scale, and Occupational Well-Being Scale. We also collected data on participants’ sociodemographic characteristics and job-related factors. Structural equation modeling was applied to examine the associations between variables.</p>\u0000 <p><b>Results:</b> The results revealed that the nurses had a moderate level of occupational well-being. Social support is positively associated with occupational well-being (<i>γ</i> = 0.600, <i>p</i> &lt; 0.001), while job stress is negatively associated with occupational well-being (<i>γ</i> = −0.300, <i>p</i> &lt; 0.001). Social support had a significant negative association with job stress (<i>γ</i> = −0.318, <i>p</i> &lt; 0.001). The mediation effect shows that job stress mediated the association between social support and occupational well-being (indirect effect = 0.096, 95%CI: 0.061∼0.142), and the mediating effect of job stress can explain the 16% of the total effect of social support on occupational well-being.</p>\u0000 <p><b>Conclusion:</b> This study provides evidence that the effect of social support on occupational well-being is partially mediated by job stress among nurses in China. Social support can improve nurses’ occupational well-being by relieving job stress. Medical administration departments and hospital administrators should give nurses more support in their work and take targeted interventions to enhance the occupational well-being of nurses.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/2140829","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741317","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}