Journal of Nursing Management最新文献

{"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}

{"title":"Impact of Authentic Leadership on Nurses’ Ethically Oriented Practices and Patient-Oriented Outcomes: A Multilevel Analysis","authors":"Dina Metwally,&nbsp;Haroon Bakari,&nbsp;Mohamed Metwally","doi":"10.1155/jonm/5336957","DOIUrl":"https://doi.org/10.1155/jonm/5336957","url":null,"abstract":"<div>\u0000 <p><b>Objectives:</b> Authentic leadership is considered to be a popular leadership style within the health sector. However, despite the team-oriented work context in hospitals, most research in the health sector is based on data collected from individuals and not teams. Utilizing a multilevel modeling approach, this study aimed to examine the impact of authentic leadership on nursing outcomes at both individual and team levels. It aims to explore the impact of team-level authentic leadership on nursing outcomes at both team and individual levels.</p>\u0000 <p><b>Methods:</b> A survey was conducted in hospitals operating in Cairo, Egypt to test the proposed model. Data were collected from 40 nurse supervisors and 200 nurse subordinates in a time-lagged design. Given the multilevel nature of the data (individuals nested within groups), the study’s hypotheses were tested utilizing multilevel modeling that incorporates the nonindependence of observations obtained from lower levels nested within higher levels.</p>\u0000 <p><b>Results:</b> Results suggest that the hypothesized model was a good fit to the data (CMIN/DF = 1.362, CFI = 0.957, TLI = 0.955, IFI = 0.958, and RMSEA = 0.049). Empirical results suggest that team-level authentic leadership positively predicted nursing teams’ performance in improving patient comfort (<i>β</i> = 2.17, <i>p</i> &lt; 0.05) and their ethically oriented nursing practices (<i>β</i> = 0.664, <i>p</i> &lt; 0.05). Nurses’ ethically oriented practices positively predicted nurses’ patient-oriented performance (<i>β</i> = 0.188, <i>p</i> &lt; 0.05) and mediated the link between authentic leadership and patient-oriented performance (UCI-0.6744, LCI-0.0474). The relationship between authentic leadership and ethically oriented practices was moderated by nurses’ compassion at work (<i>β</i> = 0.129, <i>p</i> &lt; 0.05), such that it was stronger when nurses had higher levels of compassion.</p>\u0000 <p><b>Conclusion:</b> Nursing supervisors who practice authentic leadership can enhance nursing teams’ performance regarding patient comfort. Authentic leadership can also foster ethical orientation in nurses. Furthermore, a nurse’s compassion at work has a synergetic effect with authentic leadership to increase ethically oriented practices.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/5336957","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741469","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":"Employment Intention and Associated Factors of Nursing Graduates: A Structural Equation Model","authors":"Xinmin Zhang,&nbsp;Yongai Zhang,&nbsp;Jiming Han,&nbsp;Yanhui Jiao,&nbsp;Jinpei Chen,&nbsp;Miao Chu,&nbsp;Zitong Guo","doi":"10.1155/jonm/7402874","DOIUrl":"https://doi.org/10.1155/jonm/7402874","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> To assess the associated factors of employment intention among contemporary nursing graduates.</p>\u0000 <p><b>Background:</b> In the postepidemic era, the shortage of nurses and the decline in the employment rate have garnered significant attention globally. It is crucial to evaluate the factors associated with the employment intentions of nursing graduates to address the issue of nurse shortage. So far, existing research on the employment intentions of nursing graduates in China has mainly focused on examining the relationship between individual factors and employment intentions. However, there is a notable lack of systematic research grounded in scientific nursing theories that predicts employment intentions and related factors by constructing structural equation models to validate the interrelationships among variables.</p>\u0000 <p><b>Methods:</b> A total of 1332 nursing graduates were selected from 15 undergraduate colleges and universities in Shaanxi Province, Northwest China, using cross-sectional multistage cluster sampling. A model was constructed, and variables including human capital, learning satisfaction, social support, professional values, psychological capital, and employment intention were measured through structured questionnaires. Descriptive analysis was conducted using SPSS 26.0, while AMOS 24.0 was utilized for the verification and analysis of structural equation modeling.</p>\u0000 <p><b>Results:</b> The final model explained 20.2% of the total variation of nursing graduates’ employment intention. Learning satisfaction (<i>B</i> = 0.417, <i>p</i> &lt; 0.001), social support (<i>B</i> = −0.101, <i>p</i> &lt; 0.05), professional values (<i>B</i> = 0.630, <i>p</i> &lt; 0.001), and psychological capital (<i>B</i> = 0.594, <i>p</i> &lt; 0.001) significantly influence employment intention. The total effects of learning satisfaction and psychological capital on employment intention were (0.225 and 0.283), direct effects of (0.129 and 0.235), and indirect effects of (0.096 and 0.048), respectively.</p>\u0000 <p><b>Conclusion:</b> The employment intentions of nursing graduates are influenced by various factors, among which psychological capital is the most significant.</p>\u0000 <p><b>Implications for Nursing Management:</b> The education departments related to nursing talent cultivation should continuously explore the effectiveness of vocational education, adopt various social support methods, optimize the undergraduate nursing teaching model, and improve the learning satisfaction and human capital level of nursing graduates. This will enhance their psychological capital and help them establish a correct professional value system, thereby increasing the employment intentions of nursing graduates.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7402874","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735443","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":"Assessing the Impact of Burnout on Nurse Safety Behaviors and Patient Safety Competence: A Latent Profile Analysis Study","authors":"Fengyan Ma,&nbsp;Yajing Zhu,&nbsp;Lu Liu,&nbsp;Helin Chen,&nbsp;Yan Liu,&nbsp;Fan Zhang","doi":"10.1155/jonm/3793927","DOIUrl":"https://doi.org/10.1155/jonm/3793927","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> This study examines the association between burnout, nurse safety behaviors, and patient safety competency among nurses working in cancer hospitals using person-centered and variable-centered methodologies.</p>\u0000 <p><b>Background:</b> Burnout is prevalent among nurses worldwide, with cancer hospital nurses exhibiting high levels of burnout. Burnout correlates with a higher incidence of adverse events and diminished patient safety. Nurse safety behaviors and patient safety competency play protective roles in ensuring patient safety.</p>\u0000 <p><b>Methods:</b> This study used a cross-sectional online survey and included 2092 eligible nurses, with 95.0% being female. We invited nurses from cancer hospitals in 12 provinces in China to complete an online survey from April to June 2023. Through the online Questionnaire Star platform, invited nurses provided demographic information and completed the Maslach Burnout Inventory, the Nurse Safety Behaviors Scale, and the Patient Safety Competency Scale. Latent profile analysis was used to identify heterogeneous characteristics of nurse burnout.</p>\u0000 <p><b>Results:</b> From a person-centered perspective, nurse burnout was categorized into three latent profiles: “high achievement stable type” (70.3%), “high-efficiency contradictory type” (6.6%), and “high-pressure adaptive type” (23.1%). From a variable-centered perspective, patient safety competency partially mediated the relationship between burnout profiles and nurse safety behaviors.</p>\u0000 <p><b>Conclusion:</b> This study identified three heterogeneous latent profiles of burnout among cancer hospital nurses and highlighted the significant impact of excessive working hours and lack of safety training on burnout across different job titles and income levels. Additionally, it verified the mediation effect of patient safety competency between burnout profiles and nurse safety behaviors. Future treatments should focus on high-risk populations by offering improved safety training and suitable work schedules to reduce burnout. Furthermore, personalized measures to enhance nurses’ safety competencies should be adopted to improve burnout and safety behaviors. This study integrates person-centered and variable-centered methods, offering new insights and underscoring the critical role of safety in mitigating burnout.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/3793927","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717143","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":"Fostering a Resilient Healthcare System: Supportive Practice Environment Initiatives to Support Nurse and Midwives a Scoping Review","authors":"Gemma Doleman,&nbsp;Dianne Bloxsome,&nbsp;Rong Wang,&nbsp;Lisa Whitehead","doi":"10.1155/jonm/8898411","DOIUrl":"https://doi.org/10.1155/jonm/8898411","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> This scoping review aimed to explore supportive practice environment initiatives that support novice and expert nurses and midwives.</p>\u0000 <p><b>Design:</b> Scoping review.</p>\u0000 <p><b>Methods:</b> Studies were identified through the electronic databases Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, PsychInfo, Scopus, and Web of Science. Grey literature was searched using GreyNet, National Grey Literature Collection, ProQuest Dissertation and Theses, and Google Scholar.</p>\u0000 <p><b>Results:</b> Thirty-one papers met the criteria for inclusion and data extraction. The key concepts identified were the need for adequate staffing and resources, clear and regular communication, managerial presence and engagement in committees and relationship building, celebration and recognition of staff efforts, career mapping, shared decision-making at the unit level, a positive organisational culture that promotes inclusivity and wellbeing, mentoring, support, and succession planning.</p>\u0000 <p><b>Conclusion:</b> Implementation of support initiatives can increase job satisfaction for nurses and midwives across the career trajectory, resulting in them remaining in the profession.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8898411","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717144","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":"Using Behaviour Diagnostics to Identify Enablers and Barriers to Optimise Nurse and Midwife Manager Leadership Time","authors":"Julie Considine,&nbsp;Philippa Blencowe,&nbsp;Naida Lumsden,&nbsp;Jordana Schlieff,&nbsp;Judy Currey","doi":"10.1155/jonm/6498541","DOIUrl":"https://doi.org/10.1155/jonm/6498541","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Effective nursing and midwifery leadership benefits patients, staff and organisations. In February 2024, all nurse/midwife managers (<i>N</i> = 89) across one organisation transitioned to five allocated leadership days per week. For many nurse/midwife managers, whose default was to assume the clinical shift leader role when the unit was busy or short staffed, optimising use of five allocated leadership days per week required significant behaviour change.</p>\u0000 <p><b>Aim:</b> The aims of this study were to: (i) examine the enablers and barriers to nurse/midwife managers using allocated leadership time to fulfil their core responsibilities and (ii) develop a theory-informed implementation plan to optimise allocated leadership time use.</p>\u0000 <p><b>Methods:</b> A survey of all nurse/midwife managers, underpinned by the Theoretical Domains Framework, enabled identification of enablers and barriers to using allocated leadership time. The Behaviour Change Wheel was used to map enablers and barriers, identify intervention functions and behaviour change techniques to form an implementation plan. The APEASE criteria (acceptability, practicability, effectiveness, affordability, side effects/safety and equity) were applied to ensure effective and feasible strategies were selected.</p>\u0000 <p><b>Results:</b> The response rate was 62.5% (55/89). Reflective motivation was the dominant enabler (clear goals, intentions and optimism). The most common barriers were reflective motivation (feeling responsible if an adverse event impacted staff or patients; perceptions of lack of control); automatic motivation (feelings of guilt, anxiety and stress if using allocated leadership time when their area is short staffed) and social opportunity (social influences and balancing the expectations of others). A range of intervention functions were necessary to support identified enablers and address identified barriers to nurse/midwife managers optimising their use of allocated leadership time.</p>\u0000 <p><b>Conclusions:</b> Behaviour change theory is useful for identifying real-world enablers and barriers of nurse/midwife managers’ use of allocated leadership time and developing a theory-informed implementation plan to optimise use of their allocated leadership time.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6498541","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717412","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":"Evaluating Workplace Incivility and Its Relationship With Patient Safety Culture Among EMS Staff: A Cross-Sectional Analytical Study in Iran","authors":"Amirreza Homaei,&nbsp;Reza Nemati-Vakilabad,&nbsp;Erfan Ebadi,&nbsp;Mirtohid Hosseini,&nbsp;Alireza Mirzaei","doi":"10.1155/jonm/8846297","DOIUrl":"https://doi.org/10.1155/jonm/8846297","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Workplace incivility can severely affect healthcare workers and patients. It creates an unhealthy and unsafe environment, reduces job satisfaction, and often leads to higher staff turnover rates. Therefore, it is crucial to establish a culture of respect and civility in healthcare workplaces to prevent these adverse outcomes.</p>\u0000 <p><b>Aims:</b> Research on the relationship between safety culture and workplace incivility in emergency medical service (EMS) settings in Iran needs to be improved, and more studies are required to examine patient safety culture globally. This study examines the relationship between workplace incivility and safety culture among the EMS staff.</p>\u0000 <p><b>Research Design:</b> Cross-sectional analytical survey.</p>\u0000 <p><b>Methods:</b> This study included 203 EMS staff members who were selected using census population sampling from emergency medical centers in Ardabil City. Researchers used the EMS–Safety Attitudes Questionnaire (EMS–SAQ), the workplace incivility scale, and a demographic characteristics’ form to gather information. The study employed multivariable logistic regression and multiple linear regression analyses to analyze the impact of various factors on workplace incivility and safety culture amongst EMS staff.</p>\u0000 <p><b>Results:</b> According to the study, EMS workers’ average patient safety culture was 51.32%. The study also revealed that more than half of EMS workers (52.7%) experience workplace incivility at least once a month. This behavior negatively affects the staff’s adherence to patient safety guidelines during EMS missions, leading to high turnover rates. The study also found that workplace incivility is linked to patient safety culture, and these negative experiences can decrease patient safety culture.</p>\u0000 <p><b>Conclusion:</b> EMS workers in Iran exhibit a poor attitude toward patient safety culture, exacerbated by workplace incivility. This negative behavior impacts adherence to safety guidelines and contributes to high staff turnover intention rates. To improve outcomes, healthcare organizations need to implement policies and training programs to address inappropriate behaviors. Cultivating a culture of respect, professionalism, and effective communication can enhance staff safety and improve the quality of patient care.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8846297","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143698766","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":"Occupational Health Hazards and Control Measures in Government Hospitals: A Cross-Sectional Survey of Nurses’ and Nurse Managers’ Perspectives","authors":"Fathia Ahmed Mersal,&nbsp;Ibrahim Naif Alenezi,&nbsp;Rasmia Abd El Sattar Ali,&nbsp;Faisal Khalaf Alanazi","doi":"10.1155/jonm/6657959","DOIUrl":"https://doi.org/10.1155/jonm/6657959","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Healthcare environments expose workers and patients to hazardous substances, leading to sickness and death. Nurses play a critical role in maintaining patient health and managing occupational risks, including biological, physical, chemical, and psychological hazards, highlighting the need for significant commitment. This study aims to explore the occupational health hazards and control measures among nurses and nurse managers in Saudi Arabia.</p>\u0000 <p><b>Methods:</b> A descriptive, cross-sectional study was conducted using a convenience sample of 222 nurses and nurse managers in Northern Border Hospitals. A Google survey questionnaire was utilized for capturing data, including demographic information, occupational health hazards, and control measures.</p>\u0000 <p><b>Results:</b> Of the 222 nurses surveyed, 20.3% experienced high ergonomic hazards, 14.4% experienced physical hazards, 14.9% experienced chemical hazards, 17.1% experienced biological hazards, and 34.2% experienced moderate psychological hazards. Regarding safety measures, 86.0% of participants reported high levels of control, 80.6% took proactive safety precautions, and 87.8% adhered to comprehensive control measures. There was little correlation between demographic characteristics, occupational hazards, and control measures. A significant negative association was found between control measures and occupational hazards (<i>p</i> value ≤ 0.001).</p>\u0000 <p><b>Conclusion:</b> Nurses face a range of occupational hazards, including ergonomic, physical, chemical, biological, and psychological risks. Addressing these hazards is essential for the well-being of nurses, the quality of patient care, and the creation of a healthier work environment. While control measures are generally effective, some healthcare workers lack access to adequate safety protocols. The results indicated a negative correlation between exposure to occupational health hazards and the implementation of control measures.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6657959","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689888","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 Nurses’ Voice Behavior in Neonatal Intensive Care Units of Grade A Tertiary Hospitals in Sichuan Province: A Multicenter Cross-Sectional Study","authors":"Xiujuan Zhang,&nbsp;Qiong Chen,&nbsp;Yanling Hu,&nbsp;Xiufang Zhao,&nbsp;Xi Huang","doi":"10.1155/jonm/8175652","DOIUrl":"https://doi.org/10.1155/jonm/8175652","url":null,"abstract":"&lt;div&gt;\u0000 &lt;p&gt;&lt;b&gt;Aims:&lt;/b&gt; Voice behavior refers to nurses’ proactive actions in offering constructive suggestions, providing feedback, or raising concerns in the workplace, which are crucial for enhancing care quality and improving the work environment. This study aims to investigate the current status and influencing factors of voice behavior among nurses in neonatal intensive care units (NICUs) in tertiary hospitals in Sichuan Province, providing empirical evidence for improved nursing management and hospital administration.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Design:&lt;/b&gt; A multicenter, crosssectional survey.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Methods:&lt;/b&gt; From January to June 2023, 422 neonatal nurses from tertiary hospitals in Sichuan Province were selected through stratified random sampling. Data were collected through self-reported questionnaires, including a general information questionnaire and a voice behavior scale. The voice behavior scale consists of 10 items, divided into promotive and prohibitive behavior dimensions, using a five-point Likert scale (1 = “&lt;i&gt;never&lt;/i&gt;” and 5 = “&lt;i&gt;always&lt;/i&gt;”). The scale has been widely used among Chinese nurses and demonstrates good internal consistency (Cronbach’s α = 0.951). Data analysis was conducted using SPSS Version 26.0. Structural validity was assessed through exploratory factor analysis (KMO &gt; 0.8, Bartlett’s test &lt;i&gt;p&lt;/i&gt; &lt; 0.05), followed by confirmatory factor analysis using AMOS. For group comparisons, independent &lt;i&gt;t&lt;/i&gt;-tests and analysis of variance (ANOVA) were used, with Welch’s test for unequal variances. Post hoc multiple comparisons were performed using Tamhane’s T2 for unequal variances and LSD for equal variances. A &lt;i&gt;p&lt;/i&gt;-value &lt; 0.05 was considered statistically significant.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Results:&lt;/b&gt; Age, marital status, and number of children significantly influenced voice behavior. Voice behavior increased with age up to 50 years, unmarried individuals exhibited less voice behavior than married or divorced ones, and more children correlated with more voice behavior. Job title, position, and years of experience in the neonatal department also significantly impacted voice behavior. Higher positions and more than 15 years of experience were associated with increased voice behavior. Senior titles correlated with higher prohibitive voice behavior.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Conclusion:&lt;/b&gt; The voice behavior of NICU nurses is influenced by various factors, including age, marital status, number of children, job title, position, and years of experience in the neonatal department. As age increases, the number of children grows, work experience accumulates, and nurses’ voice behavior tends to intensify. In particular, for senior nurses, managers should pay attention to their prohibitive voice behavior and encourage their active involvement in decision-making processes to enhance the quality of care. Nursing managers should tailor management strategies based on these individual charac","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8175652","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143690116","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":"Contribution of Clinical Nurses to Hospital Efficiency and Economic Sustainability: A Systematic Review","authors":"Daniel Bárcenas-Villegas,&nbsp;Rocío Cáceres-Matos,&nbsp;Soledad Vázquez-Santiago","doi":"10.1155/jonm/3332688","DOIUrl":"https://doi.org/10.1155/jonm/3332688","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> To analyze the existing evidence on the contribution of the nursing profession to efficiency and healthcare sustainability in the hospital setting.</p>\u0000 <p><b>Background:</b> Promoting economic efficiency in hospital centers is a key factor in ensuring their long-term sustainability. In this regard, nursing professionals with caregiving roles could emerge as valuable contributors to the survival of the existing hospital model.</p>\u0000 <p><b>Design:</b> A systematic review was conducted following PRISMA guidelines. This review has been registered with PROSPERO under the registration number: CRD42023481140.</p>\u0000 <p><b>Method:</b> A search was conducted across four international databases (CINAHL, PubMed, Scopus, and WOS) from 2013 to the present for studies in English and Spanish. Primary studies on economic evaluations and systematic reviews were included. The study selection was carried out in three stages, with two reviewers independently analyzing the data and resolving disagreements through discussion and consensus. The quality assessment utilized the CASP tool, the CHEERS checklist, and the STROBE statement.</p>\u0000 <p><b>Results:</b> Out of 3058 records identified, nine were deemed eligible, comprising one longitudinal study, four descriptive studies, two systematic reviews, two randomized controlled trials, one cohort study, and two case-control studies, with a total of 333,597 patients. The studies varied in sample size, intervention strategy, content, measurement scales, and statistical analysis of the primary outcome. The studies indicate that health education provided by hospitals is cost-effective, potentially generating costs below 100,000 dollars per quality-adjusted life year. Investing in nursing specialty, advanced practice nurses, and clinical safety reduces the number of admissions and decompensations.</p>\u0000 <p><b>Conclusions:</b> This review highlights that health education and clinical safety are the areas where nursing tasks have the most significant economic impact. Nursing specialty and the inclusion of advanced practice nurses are proving to be fields towards which health systems should focus to promote a more economically sustainable model.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/3332688","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143646227","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}