Journal of Nursing Management最新文献

{"title":"Characterizing the Decision-Making Competency of Nurse Managers: A Scoping Review","authors":"Alberto Gonzalez-Garcia,&nbsp;Pilar Marques-Sanchez,&nbsp;Arrate Pinto-Carral,&nbsp;Raquel Leiros-Rodriguez,&nbsp;Javier Perez-Rivera,&nbsp;Silvia Perez-González","doi":"10.1155/jonm/2771210","DOIUrl":"https://doi.org/10.1155/jonm/2771210","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> The purpose of this scoping review is to describe the characteristics of the decision-making competency of nurse managers. In addition, this review analyzes how technological, organizational, and contextual factors influence the development and practical application of this competency and identifies the key barriers and facilitators that specifically impact its growth and use in managerial practice.</p>\u0000 <p><b>Background:</b> Nurse managers’ decision-making abilities are essential for organizational performance in rapidly evolving healthcare systems. Despite its relevance, the specific characteristics that define this competency have not been thoroughly examined. Following our research methodology, we searched the Web of Science, Scopus, CINAHL, and PubMed electronic databases, focusing on the decision-making characteristics of nurse managers between January 2009 and February 2025.</p>\u0000 <p><b>Results:</b> Twenty-five studies were included, identifying 15 core characteristics that define nurse managers’ decision-making competency. The most frequently reported characteristics were professional values and ethics, information processing, systems and data management, and risk management. Technology was consistently identified as a critical facilitator of decision-making, enabling efficient information access and analysis. Conversely, high levels of stress and the complexity of healthcare environments were identified as the primary barriers to effective decision-making.</p>\u0000 <p><b>Conclusions:</b> Strengthening decision-making competency in nurse managers requires the development of ethical reasoning, data literacy, systems thinking, and risk evaluation. Technological proficiency is essential to enhance decision quality, while organizational stressors must be managed to reduce cognitive load and improve performance.</p>\u0000 <p><b>Implications for Nursing Management:</b> These findings support the design of targeted training programs, particularly those using simulation and virtual reality, focused on strengthening decision-making competency, a critical skill for effective nursing management. Developing this competency enhances nurse managers’ ability to navigate complex clinical and organizational challenges, make ethically sound decisions, and lead their teams with greater confidence and strategic insight.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/2771210","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256138","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":"Effort–Reward Imbalance Among Emergency Department Nurses in China: Construction and Evaluation of a Nomogram Predictive Model","authors":"Luying Zhong,&nbsp;Ling Wang,&nbsp;Hao Zhang,&nbsp;Dongmei Diao,&nbsp;Xiaoli Chen,&nbsp;Liqun Zou","doi":"10.1155/jonm/1412700","DOIUrl":"https://doi.org/10.1155/jonm/1412700","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Emergency department nurses face severe occupational stress. Effort–reward imbalance (ERI) has been shown to be a significant psychosocial stressor closely linked to adverse health consequences.</p>\u0000 <p><b>Objectives:</b> The primary objective of this study was to construct and rigorously evaluate a predictive model for ERI in emergency department nurses. The model is intended to precisely identify high-risk populations and provide a crucial reference in the formulation of targeted intervention strategies.</p>\u0000 <p><b>Design:</b> A descriptive cross-sectional survey design was employed.</p>\u0000 <p><b>Methods:</b> The study sample comprised 1540 registered nurses from 30 tertiary hospitals in China. The demographic characteristics of the respondents, their responses to the Chinese version of the ERI questionnaire, and their responses to the Chinese Nursing Work Environment (C-NWE) scale were collected via an anonymous online questionnaire. We used multiple logistic regression to develop our predictive model. Subsequently, a nomogram was plotted to simplify the model, and its performance was comprehensively evaluated using the area under the curve (AUC) and bootstrap resampling.</p>\u0000 <p><b>Results:</b> The prevalence of ERI among emergency department nurses was determined to be 26.2%. Overcommitment and weekly work hours (≥ 59 h) were identified as independent predictors of ERI. The AUC of the model reached 0.891, demonstrating robust discriminatory power.</p>\u0000 <p><b>Conclusions:</b> We constructed a precise predictive model that accurately quantifies the contributions of overcommitment and weekly work hours (≥ 59 h) to the risk of ERI among emergency department nurses. These findings have significant implications for the early identification and effective prevention of ERI in high-stress nursing environments.</p>\u0000 <p><b>Implications for Nursing Management:</b> Healthcare administrators can use our model to identify nurses at high risk of ERI. By taking steps to address overcommitment and manage work hours, they can mitigate the negative impact of ERI, thereby improving the health of emergency department nurses and enhancing the quality of care.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/1412700","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144214062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Robot-Assisted Digital Education on Prenatal Women’s Health Literacy: A Randomized Controlled Trial","authors":"Chin-Lan Yang,&nbsp;Zi-Yin Xu,&nbsp;Ching-Yi Chang","doi":"10.1155/jonm/8865606","DOIUrl":"https://doi.org/10.1155/jonm/8865606","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> This study aimed to evaluate the effectiveness of a robot-assisted digital education method in reducing anxiety and promoting healthy behaviors among pregnant women with gestational diabetes mellitus (GDM).</p>\u0000 <p><b>Design:</b> A randomized controlled trial was conducted to compare the impact of robot-assisted health education with conventional video-based education.</p>\u0000 <p><b>Participants:</b> A total of 66 pregnant women from a single hospital were randomly assigned to either the experimental group (<i>n</i> = 32) or the control group (<i>n</i> = 34).</p>\u0000 <p><b>Outcomes:</b> The primary outcome was the reduction of anxiety levels. Secondary outcomes included health education satisfaction, health literacy, and acceptance of technology.</p>\u0000 <p><b>Results:</b> The results indicated that the robot-assisted digital education method significantly reduced anxiety levels among pregnant women. Additionally, participants in the experimental group reported higher satisfaction with health education, improved health literacy, and greater acceptance of technology compared to the control group.</p>\u0000 <p><b>Conclusion:</b> This study highlights the potential benefits of integrating robotic technology into health education for pregnant women. In the global information age, the findings provide valuable insights for educators and researchers in medical institutions aiming to enhance long-term health education through innovative digital tools.</p>\u0000 <p><b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT06999421</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8865606","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144219994","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":"Nursing Robots Can Reduce Nursing Workload in General Adult Wards: A Two-Phase Study","authors":"Yulei Song,&nbsp;Jiaojiao Gao,&nbsp;Yuqing Chen,&nbsp;Jiarui Shi,&nbsp;Xueqing Zhang,&nbsp;Dan Luo,&nbsp;Mengmeng Wang,&nbsp;Ye Wang,&nbsp;Qiongqiong Zang,&nbsp;Zhiyi Pei,&nbsp;Yamei Bai,&nbsp;Guihua Xu","doi":"10.1155/jonm/9096837","DOIUrl":"https://doi.org/10.1155/jonm/9096837","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> This study aims to ascertain the range of nursing care tasks that can be performed by currently available nursing robots in general adult wards, as well as to quantify the extent to which these robots can potentially replace the nursing care workload when implemented.</p>\u0000 <p><b>Background:</b> The global shortage of nurses has emerged as a significant societal issue, and nursing robots may be a potential solution to alleviate this crisis. However, there is a dearth of empirical evidence regarding the specific tasks that nursing robots can effectively replace in general adult wards within hospitals and lacking comprehensive reports that quantify how much nursing workload can be reduced by nursing robots.</p>\u0000 <p><b>Methods:</b> This research utilizes a two-phase research design with a scoping review and cross-sectional survey, involving the searching and screening of 10 scientific databases to identify nursing robots suitable for deployment in general adult wards within hospital settings. Additionally, the study measures the 24 h nursing workload for all patients across 72 wards in six hospitals located in eastern, central, and western regions of China.</p>\u0000 <p><b>Results:</b> 199 studies were included in this scoping review. A total of 26 nursing functions that can be performed by nursing robots in general adult wards were summarized. 7073 hospitalized patients were included in this study. 26 nursing robots have the potential to substitute for 62.37% of the total nursing workload per capita.</p>\u0000 <p><b>Conclusions:</b> The use of nursing robots in general adult wards is promising. However, it is worth noting that while nursing programs with the largest share of nursing workload already have nursing robots in use, there are some robots whose development focus and direction need to be adapted to the needs of the clinical nursing workload.</p>\u0000 <p><b>Implications for Nursing Management:</b> It is imperative for nursing managers to receive training in order to increase their understanding of robotic nurses and to explore effective and optimized models for managing nursing human resources when robots and nurses collaborate. Simultaneously, the definition and development of core competencies for robotic specialized nurses need to be on the agenda.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/9096837","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144206945","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":"Adapting Nursing Care During the COVID-19 Pandemic: Staff Nurses’ Experiences, Lessons Learned, and Implications for Nursing Management","authors":"Nahed Alquwez","doi":"10.1155/jonm/6178630","DOIUrl":"https://doi.org/10.1155/jonm/6178630","url":null,"abstract":"<div>\u0000 <p>The COVID-19 pandemic experiences of nurses presented many challenges to all aspects of society, including healthcare. Nursing care must adapt to these changes amidst this pandemic to ensure quality nursing care. Thus, exploring the changes in nursing care for COVID-19 patients is essential in understanding how nurses adapt and adjust during a pandemic. This study explored the experiences of staff nurses in providing nursing care during COVID-19 and how they adapted their nursing care to the situation during the pandemic. Using the qualitative phenomenological design, utilizing a semantic thematic approach, 15 nurses in COVID-19 units in government hospitals in Saudi Arabia participated in this study. The study conducted in-depth face-to-face and Zoom interviews from September to December 2021. The analysis followed the steps of the semantic thematic approach. This study showed the evolving nursing care for COVID-19 patients in six major themes: emotional instability, learning, re-learning, and unlearning nursing care, resourcefulness in nursing practice, accepting and adjusting nursing roles, living with COVID-19, and spiritual belief and care. It was uncovered that nurses experienced emotional instability during the pandemic. The pandemic also provided opportunities for nurses to learn new knowledge and skills on COVID-19 prevention, protection, and intervention. They further re-learned basic knowledge on infection control and unlearned nursing practices that were not correctly performed before the pandemic.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6178630","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171724","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 Servant Leadership on the Work Environment and the Attitudes and Behavior of Nursing Professionals as a Function of Gender: A Systematic Review","authors":"Steven Saavedra,&nbsp;Pablo Ruiz-Palomino,&nbsp;Rosa Pérez-Contreras,&nbsp;Juan D. Gonzalez-Sanz","doi":"10.1155/jonm/8825138","DOIUrl":"https://doi.org/10.1155/jonm/8825138","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> To evaluate the impact of servant leadership (SL) on the work environment and the attitudes and behaviors of nursing professionals by examining the existing differences according to gender.</p>\u0000 <p><b>Background:</b> Leadership styles influence both the attitudes and behavior of people over whom they are exercised and the work climate. SL, a prosocial form of leadership, characterized by the recovery of closeness between the leader and the team members, is one of the most important leadership styles in the nursing field today. Differences in the leadership style developed may occur as a function of gender.</p>\u0000 <p><b>Evaluation:</b> A systematic review of the literature was conducted following PRISMA 2020 guidelines. The search spanned from 2000 to 2024 across the databases Web of Science, Scopus, PubMed, Science Direct, and CINAHL. The authors performed the review based on a search syntax, inclusion and exclusion criteria, and the data-extraction process. The synthesis categorized the studies according to their focus on leadership types.</p>\u0000 <p><b>Key Issues:</b> The review identified a total of 2140 records, with an additional 49 identified through snowball sampling. After thorough screening, fourteen studies were included in the final review, with an overall sample of 7041 participants, mostly female nurses. SL was positively related to aspects such as nurses’ behavior and attitudes, quality leader-nurse relationships, and psychological safety mechanisms, among others.</p>\u0000 <p><b>Conclusions:</b> SL has a positive impact on the work climate and attitudes and behaviors of nursing professionals. We did not find significant differences according to gender, as no studies regarding these differences were revealed in the nursing context. Therefore, further research on the impact of SL as a function of gender is essential.</p>\u0000 <p><b>Implications for Nursing Management:</b> The application of SL improves the work environment and the attitudes and behaviors of nurses and can therefore improve the quality standards of service offered to patients in hospitals.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8825138","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171723","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":"Validating a Multidimensional Perspective of the Relationship Between Workplace Bullying, Professional Quality of Life, and Turnover Intention of Chinese Novice Nurses","authors":"Simeng Dong,&nbsp;Xinshu Shen,&nbsp;Tong Zhao,&nbsp;Rui Zeng,&nbsp;Min Chen","doi":"10.1155/jonm/6653143","DOIUrl":"https://doi.org/10.1155/jonm/6653143","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> The global shortage of nurses is a pressing social issue, and the high mobility of the nursing profession further exacerbates this challenge. Novice nurses’ experiences of workplace bullying significantly increase their risk of leaving the profession. Therefore, exploring the mechanisms by which workplace bullying affects novice nurses’ turnover intention is important for alleviating the nursing shortage and maintaining the stability of the nursing workforce.</p>\u0000 <p><b>Method:</b> This cross-sectional study of 832 novice nurses in northeastern China self-reports assessed workplace bullying, professional quality of life, and turnover intention-related status. The structural equation model was developed to analyze how workplace bullying (including person-related negative, work-related negative, and organizational injustice) affects turnover intention through the mediating role of the professional quality of life (compassion satisfaction, burnout, and secondary traumatic stress).</p>\u0000 <p><b>Result:</b> The results indicated that workplace bullying was significantly associated with novice nurses’ turnover intention. Person-related negativity, work-related negative, and organizational injustice can influence turnover intentions by decreasing company satisfaction and increasing burnout; furthermore, work-related negativity can increase turnover intention by exacerbating secondary traumatic stress.</p>\u0000 <p><b>Conclusion:</b> This study provides new perspectives for understanding novice nurses’ psychological reactions and career decisions in a workplace bullying environment and provides empirical support for nursing management practices. The findings highlight the importance of effective intervention strategies to improve the stability of the nursing team, optimize the quality of patient care, and reduce nurse turnover.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6653143","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148300","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":"Analysis of the Current Situation and Influencing Factors of Clinical Nurse Association Standard Evidence-Based Practice","authors":"Meng Xiao,&nbsp;Tao Zhou,&nbsp;Yanling Pei","doi":"10.1155/jonm/3313404","DOIUrl":"https://doi.org/10.1155/jonm/3313404","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> The aim of this study was to investigate the current situation of clinical nurses with regard to association standard evidence-based practice (EBP) of the Chinese Nursing Association, analyze the factors affecting clinical nurses in carrying out association standard EBP, and provide scientific basis for further improving the level of clinical nurse association standard EBP.</p>\u0000 <p><b>Design:</b> An observational, cross-sectional study design.</p>\u0000 <p><b>Participants:</b> A total of 225 nurses in the departments of neurology and neurosurgery of a tertiary hospital in the Jilin province of China.</p>\u0000 <p><b>Methods:</b> The questionnaire survey was conducted using the general data questionnaire, the standard EBP cognition scale of clinical nurses, the standard EBP belief scale of clinical nurses, the standard EBP behavior scale of clinical nurses, and the organizational atmosphere scale of clinical nurses.</p>\u0000 <p><b>Results:</b> Clinical nurse association standard EBP cognition score was 26.66 ± 5.22 points, belief score was 17.92 ± 3.50 points, and behavior score was 31.08 ± 5.10 points. Multiple linear regression analysis showed that organizational atmosphere was the main factor affecting the cognition of evidence-based nursing practice of clinical nurses (<i>p</i> &lt; 0.05). Scientific research experience and organizational atmosphere were the main influencing factors of clinical nurses’ belief in evidence-based nursing practice (<i>p</i> &lt; 0.05). The degree of understanding of nursing association standards related to the department, cognition of association standard, and organizational atmosphere were the main influencing factors of clinical nurses’ evidence-based nursing practice behavior (<i>p</i> &lt; 0.05).</p>\u0000 <p><b>Conclusions:</b> The study reveals that clinical nurses demonstrate high levels of cognition, belief, and behavior regarding association standard EBP. Key influencing factors include organizational atmosphere, scientific research experience, and understanding of association standards. Nursing managers should foster a supportive work environment, leverage research talents, and organize comprehensive training to enhance evidence-based nursing practice further.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/3313404","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144140786","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":"Self-Directed Learning and Competencies as Perceived by New Graduates Before and After the Pandemic: A Repeated Cross-Sectional Study","authors":"Sara Dentice,&nbsp;Alessandro Galazzi,&nbsp;Stefania Chiappinotto,&nbsp;Satu Kajander-Unkuri,&nbsp;Luca Grassetti,&nbsp;Anna Brugnolli,&nbsp;Alvisa Palese","doi":"10.1155/jonm/1756024","DOIUrl":"https://doi.org/10.1155/jonm/1756024","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> The COVID-19 pandemic led to significant changes in nursing education; however, their impact on competencies and self-directed learning (SDL) skills achieved at the point of graduation has been limitedly investigated.</p>\u0000 <p><b>Aims:</b> To compare the perceived SDL skills and competencies at the time of graduation between pre- and postpandemic graduates; and to assess correlations, if any, between the SDL skills and competencies in both groups.</p>\u0000 <p><b>Design:</b> A repeated cross-sectional study design following the Strengthening of the Reporting of Observational Studies in Epidemiology checklist.</p>\u0000 <p><b>Methods:</b> All 2019 (prepandemic) and 2023 (postpandemic group) new graduates from two Italian Universities and willing to participate were included. The Self-Rating Scale of SDL (SRSSDL_ITA) and the Nurse Competence Scale (NCS) were administered. Descriptive and inferential statistics were used.</p>\u0000 <p><b>Results:</b> Postpandemic graduates reported slightly lower SDL scores (pre- 4.27 vs. postpandemic 4.18 out of 5, <i>p</i> = 0.030), with significant declines in “Awareness” (<i>p</i> = 0.005), “Learning Strategies” (<i>p</i> &lt; 0.001), and “Interpersonal Skills” factors (<i>p</i> = 0.007). Perceived overall competence as measured with the NCS was higher in the postpandemic group (pre- 68.01 out of 100 vs. post- 71.08, <i>p</i> = 0.020), with significant gains in “Helping Role” (<i>p</i> = 0.005), “Teaching-Coaching” (<i>p</i> &lt; 0.001), and “Ensuring Quality” dimensions (<i>p</i> &lt; 0.001). Correlations between SDL skills and competencies perceived were weaker in the postpandemic group.</p>\u0000 <p><b>Conclusions:</b> The perceived competencies have improved while the SDL skills slightly declined in the postpandemic group, suggesting new needs of graduates in the transition to their professional role. The weak correlation between SDL skills and competencies in the postpandemic group underlines the importance of clinical experience in promoting self-direct learning.</p>\u0000 <p><b>Implications for Nursing Management:</b> Nurse Managers are required to develop tailored strategies to support the transition process beyond the development of clinical competencies, with greater support for independence in learning—a crucial skill to become resilient and adaptable and to continually face the complexities of modern healthcare.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/1756024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148301","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":"Beyond Borders: Exploring the Experiences and Challenges of Ghanaian Nurses in Barbados Through Video-Based Analysis","authors":"Emmanuel Graham Nyameke,&nbsp;John Windie Ansah,&nbsp;Isaac Defiin","doi":"10.1155/jonm/8401519","DOIUrl":"https://doi.org/10.1155/jonm/8401519","url":null,"abstract":"<div>\u0000 <p>Migration of nurses continues to be a problem facing most African countries because governments are not able to absorb graduate nurses into the local health system. Because of this, some governments have resorted to bilateral agreements with other western countries to export nurses. Ghana has not been immunised against this social phenomenon. The government, through a bilateral agreement with the government of Barbados, has sent some nurses to the island. However, among the studies that have looked at the experiences of migrant nurses, the challenges and experiences of Ghanaian nurses in Barbados have not been explored. This paper explored the experiences and challenges of Ghanaian nurses in Barbados using video-based analysis, relying on three already existing videos of some of the nurses on YouTube. It was found that although the political environment was not favourable, the nurses were happy with the government’s decision to export nurses. Further, it was found that the government of Ghana does not play its supervisory role over the contracts to ensure that items in the contract are observed, which affects the nurses sent there.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8401519","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144140375","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}