Journal of Nursing Management最新文献

{"title":"The Relationship Between Tranquility Level and Professional Satisfaction in Nurses","authors":"Burcu Genç Köse,&nbsp;Ayşe Gümüşler Başaran,&nbsp;Bahar Kefeli Çol","doi":"10.1155/jonm/5053232","DOIUrl":"https://doi.org/10.1155/jonm/5053232","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> The study was conducted to determine the level of tranquility and professional satisfaction in nurses working in two different cities.</p>\u0000 <p><b>Background:</b> Peace of mind, the expectation of all individuals throughout life, is essential in the nursing profession, which performs patient care and treatment. The satisfaction of the service and care provided to others is related to the mental peace and satisfaction of the nurse.</p>\u0000 <p><b>Methods:</b> The study is a descriptive type. The study was conducted in three hospitals in two provinces. No sample selection was made, and data were collected from 546 nurses who agreed to participate in the study. The nurse recognition form, tranquility scale, and professional satisfaction scale were used to collect the data.</p>\u0000 <p><b>Results:</b> Nurses’ tranquility and professional satisfaction levels were moderate. The level of tranquility of postgraduate and single nurses was significantly higher. The level of tranquility and professional satisfaction was significantly higher in nurses with adequate income, professional experience, years of working in an organization of 11 years or more, and a managerial position. The professional satisfaction score was significantly higher in nurses working at “<i>X</i>” training and research hospital. A positive correlation was found between the tranquility and professional satisfaction scales.</p>\u0000 <p><b>Conclusion:</b> Sufficiency of income level, professional experience, continuity in the institution, and working in a managerial position positively affected the level of tranquility and professional satisfaction. In this context, institution managers should implement policies to ensure organizational continuity.</p>\u0000 <p><b>Implications for Nursing Management:</b> The positive relationship between tranquility and professional satisfaction emphasizes the importance of increasing nurse tranquility in institutions. Regulation of working environments affects nurses’ levels of tranquility, and regular implementation of practices such as recognition and promotion will increase professional satisfaction and tranquility and will positively reflect on the quality of care. In metropolitan cities where professional satisfaction is higher, conducting studies that include external and internal factors are recommended to reveal the reason for the difference.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/5053232","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143809720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Prevalence and Associated Factors of Job Burnout Among Medical Workers at COVID-19 Vaccination Sites: A Cross-Sectional Study","authors":"Sijun Liu,&nbsp;Yinan Qian,&nbsp;Lili Gou,&nbsp;Lei Yuan,&nbsp;Lijun Lu,&nbsp;Mohammad Sulaiman Fadhi Al-shdifat","doi":"10.1155/jonm/1280959","DOIUrl":"https://doi.org/10.1155/jonm/1280959","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> During the pandemic period of the COVID-19, temporary centralized vaccination sites were set up in each administrative district in Nanjing to efficiently manage the vaccination campaign. Medical workers at COVID-19 vaccination sites are exposed to burnout syndrome due to repetitive and overload vaccination work. The purpose of our study was to investigate the prevalence of burnout among these medical workers and to explore its associated factors.</p>\u0000 <p><b>Methods:</b> A cross-sectional study was conducted at COVID-19 vaccination sites in May 2021 in Nanjing, China. The online questionnaire included demographic, job and COVID-19-related characteristics, Chinese Maslach Burnout Inventory, and Social Support Rating Scale. The hierarchical multiple regression model was used to identify the risk factors for job burnout of medical workers.</p>\u0000 <p><b>Results:</b> Of the 425 respondents, 189 had job burnout. The overall prevalence of burnout symptoms among medical workers at COVID-19 vaccination sites was 44.5% with a breakdown in severity as follows: 122 (28.7%) mild, 53 (12.5%) moderate, and 14 (3.3%) severe cases. Hierarchical multiple linear regression analysis indicated that education level, job titles, self-reported increased work intensity, self-assessment risk of contracting COVID-19 during work, and social support were significantly related to job burnout (<i>p</i> &lt; 0.05), which explained 28.2% of the variance of job burnout score (<i>F</i> = 14.879, <i>p</i> &lt; 0.01).</p>\u0000 <p><b>Conclusion:</b> The burnout symptoms were relatively common among medical workers at COVID-19 vaccination sites. More attention should be paid to medical workers with master degree or higher, junior job titles, increased work intensity, high risk of contracting COVID-19 during work, and low level of social support. Interventions that aim to reduce workload and increase social support can be effective approaches to prevent job burnout among medical workers during controlled COVID-19 period.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/1280959","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143801441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses’ Self-Efficacy, Job Embeddedness, and Psychological Empowerment: A Cross-Sectional Study","authors":"Xin Wang,&nbsp;Ming Liu,&nbsp;Angela Y. M. Leung,&nbsp;Jun-E Zhang,&nbsp;Renli Deng,&nbsp;Yan Li,&nbsp;Yan Wang,&nbsp;Hongxia Dai,&nbsp;Xiaoyan Jin,&nbsp;Shaomei Shang","doi":"10.1155/jonm/6259635","DOIUrl":"https://doi.org/10.1155/jonm/6259635","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> To strengthen and motivate the nursing workforce, this study explored the relationship between nurses’ self-efficacy, job embeddedness, and psychological empowerment, and how this relationship varied across three regions in the Guangdong–Hong Kong–Macao Greater Bay Area of China.</p>\u0000 <p><b>Methods:</b> A multicenter cross-sectional study surveyed 3806 nurses between March and July 2023 using the Sociodemographic Information Questionnaire, Self-Efficacy Scale, Job Embeddedness Scale, and Psychological Empowerment Scale. A directed acyclic graph was used to expose the minimum sufficient adjustment sets for the influence hypothesized model, which was used as a covariate in the model. Pearson correlation analysis, multiple linear regression, and mediation effect analysis were used to test the relationship between variables. The moderated mediation model was employed to test the moderating effect of regions.</p>\u0000 <p><b>Results:</b> The psychological empowerment score of 3806 participants was medium-high level (45.22 ± 6.89); self-efficacy (<i>B</i> = 0.642, <i>p</i> &lt; 0.001) and job embeddedness (<i>B</i> = 0.189, <i>p</i> &lt; 0.001) directly affected psychological empowerment. Job embeddedness mediated self-efficacy and psychological empowerment (<i>B</i> = 0.300, 95% CI: [0.266, 0.355]), but there was no indirect association between self-efficacy and psychological empowerment among Hong Kong participants (<i>B</i> = 0.024, 95% CI: [−0.079, 0.150]). Specifically, regions of Guangdong–Hong Kong moderated the relationship between self-efficacy and job embeddedness (<i>B</i> = −1.447, <i>p</i> &lt; 0.001), and self-efficacy was not significantly associated with job embeddedness (<i>B</i> = 0.147, <i>p</i> = 0.539) among Hong Kong nurses.</p>\u0000 <p><b>Conclusion:</b> Managers should acknowledge the influence and significance of nurses in the current healthcare environment. By truly enhancing nurses’ psychological empowerment, organizations can foster a genuine sense of empowerment, thereby promoting nurse leadership and improving nurse retention. Improving nurses’ self-efficacy can increase job embeddedness and further increase psychological empowerment. This model needs further validation in regions with different cultural and societal backgrounds. Future interventions can be made by identifying work scenarios that affect nurses’ self-efficacy, providing information on self-efficacy and increasing nurses’ job embeddedness, which may help to improve their psychological empowerment.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6259635","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143793340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospital Nurses’ Professional Quality of Life Model: A Cross-Sectional Study Based on the Expanded Job Demands-Resources Model","authors":"Younghee Kim,&nbsp;Mi Yu","doi":"10.1155/jonm/7500360","DOIUrl":"https://doi.org/10.1155/jonm/7500360","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> This study aimed to develop a model that explained the factors influencing the professional quality of life (ProQoL) in hospital nurses based on the expanded job demands-resources model (JD-R model).</p>\u0000 <p><b>Methods:</b> This cross-sectional study included 296 nurses with &gt; 1 year of experience from three general hospitals in South Korea. Data were collected via self-reported questionnaires between February 13 and 24, 2023. Job stress (JS), supportive organizational environment (SOE), psychological ownership (PO), and career commitment (CC) were exogenous variables. Compassion fatigue (CF) and satisfaction (CS), components of ProQoL, were the endogenous variables. A hypothetical model was assessed through maximum likelihood and bootstrapping via SPSS/AMOS.</p>\u0000 <p><b>Results:</b> CF was directly influenced by JS (<i>β</i> = 0.44, <i>p</i> &lt; 0.001) and CC (<i>β</i> = −0.28, <i>p</i> &lt; 0.001). CS was influenced by JS (<i>β</i> = −0.16, <i>p</i> = 0.003), PO (<i>β</i> = 0.30, <i>p</i> = 0.012), and CC (<i>β</i> = 0.33, <i>p</i> &lt; 0.001). The model’s explanatory power for CF and CS was 37.0% and 39.0%, respectively. SOE (<i>β</i> = −0.15 <i>p</i> = 0.009) indirectly affected CF through PO and CC. Additionally, PO indirectly affected (<i>β</i> = −0.09, <i>p</i> = 0.008) CF through CC. SOE (<i>β</i> = 0.34 <i>p</i> = 0.014) indirectly affected CS through PO and CC. PO also had an indirect effect (<i>β</i> = 0.11, <i>p</i> = 0.004) on CS through CC. The final model exhibited a good fit.</p>\u0000 <p><b>Conclusions:</b> The ProQoL model, based on the expanded JD-R model, is suitable for explaining and predicting the ProQoL among hospital nurses. CC is crucial in mediating the relationships between a SOE, PO, and CF or CS. These findings have implications for developing strategies to enhance nurses’ ProQoL.</p>\u0000 <p><b>Implication for Nursing Management:</b> This implies the need to reduce JS through workplace improvements, appropriate compensation, and feedback while fostering PO and CC through supportive programs and participatory decision making.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7500360","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143793331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"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}