Journal of Nursing Management最新文献

{"title":"Effects of Consensus on Leader–Member Exchange (LMX) Within Nursing Teams on the Relationship Between Abusive Supervision, Job Satisfaction, and Unit Turnover: A Multilevel Moderation Study","authors":"Andrea Caputo,&nbsp;Patricia Costa,&nbsp;Paola Gatti,&nbsp;Claudio G. Cortese,&nbsp;Aristides I. Ferreira","doi":"10.1155/jonm/6220416","DOIUrl":"https://doi.org/10.1155/jonm/6220416","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> This study explores how consensus on leader–member exchange (LMX)—the degree of within-unit agreement regarding the LMX nurse leaders establish with each team member—moderates the effects of abusive supervision on job satisfaction and internal turnover intentions.</p>\u0000 <p><b>Method:</b> Involving a sample of 1357 nurses nested into 130 groups (led by as many nurse leaders), cross-level moderations were tested.</p>\u0000 <p><b>Results:</b> Results show that, on one hand, LMX consensus acts as a resource when it is stronger, dampening the effect of abusive supervision on job satisfaction. On the other hand, nurses with higher job satisfaction belonging to groups with higher LMX consensus report higher intentions to change wards than nurses in groups with lower LMX consensus. The discussion addresses the concept of “star employees,” i.e., employees with better performance, visibility, and relevant social capital.</p>\u0000 <p><b>Implications for Nursing Management:</b> The discussion highlights the importance for nurse managers to consider both the quality of individual LMX and overall team consensus to enhance nurse well-being and reduce turnover intentions.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6220416","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143749303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying the Most Critical Predictors of Workplace Violence Experienced by Junior Nurses: An Interpretable Machine Learning Perspective","authors":"Lanjun Luo,&nbsp;Yuze Wu,&nbsp;Siyuan Li,&nbsp;Fengling Li,&nbsp;Xueyan Wang,&nbsp;Xuemei Wei","doi":"10.1155/jonm/5578698","DOIUrl":"https://doi.org/10.1155/jonm/5578698","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Workplace violence, defined as any disruptive behavior or threat to employees, seriously threatens junior nurses. Compared with senior nurses, junior nurses are more vulnerable to workplace violence due to inexperience, low professional recognition, and limited mental resilience. However, there is an absence of research discussing the workplace violence risk of junior nurses, in particular, the lack of analysis of critical factors within the multiple influences and the lack of targeted risk prediction models.</p>\u0000 <p><b>Objective:</b> Considering the multiple influencing factors faced by junior nurses, this study aims to predict the risk of workplace violence using interpretable machine learning models and identify the critical influencing factors and their nonlinear effects.</p>\u0000 <p><b>Design:</b> An observational, cross-sectional study design.</p>\u0000 <p><b>Participants:</b> A total of 5663 junior registered nurses in 90 tertiary hospitals in Sichuan Province, China.</p>\u0000 <p><b>Methods:</b> Data are all obtained through a questionnaire survey. An interpretable machine learning framework, including the Light Gradient Boosting Machine (LightGBM) model and two post hoc interpretable methods, Accumulate Local Effect and SHapely Additive exPlanations (SHAP), are conjoined.</p>\u0000 <p><b>Results:</b> The LightGBM model is more accurate than other machine learning methods, achieving an area under the receiver operating characteristic curve of 0.761 and a Brier score of 0.198 on the workplace violence prediction task. Among the dozens of potential influences input into the predictive model, seeing medical complaints, psychological demands, professional identity, etc., are the most critical predictors of workplace violence.</p>\u0000 <p><b>Conclusions:</b> The proposed LightGBM-SHAP-ALE approach dynamically and effectively identifies junior nurses at high risk of workplace violence, providing a foundation for timely detection and intervention.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/5578698","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transformational Nurse Leaders and Nurse Well-Being: Examining Mediating Influences of Organizational Justice and Quality of Work Life Mixed Methods Study","authors":"Abeer Nuwayfi Alruwaili","doi":"10.1155/jonm/4577350","DOIUrl":"https://doi.org/10.1155/jonm/4577350","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Transformational leadership is recognized as a crucial factor influencing nurses’ work experiences and well-being. However, the mechanisms through which transformational leadership affects nurse well-being, especially concerning organizational justice and quality of work life, are not fully understood.</p>\u0000 <p><b>Aim:</b> This study investigates the direct and indirect effects of transformational leadership on nurse well-being, focusing on the mediating roles of organizational justice and quality of work life.</p>\u0000 <p><b>Methods:</b> Using a sequential explanatory mixed methods design, quantitative data were collected from 580 nurses across five hospitals in Saudi Arabia with validated tools: the Global Transformational Leadership Scale, Organizational Justice Scale, Quality of Nursing Work–Life Scale, Emotional Exhaustion Subscale of the Maslach Burnout Inventory, Job Satisfaction Scale, and Perceived Stress Scale. Qualitative data were obtained from 25 focus group discussions using a validated semistructured discussion guide. Quantitative analyses included hierarchical multiple regression and mediation analyses, while qualitative data wereanalyzed thematically.</p>\u0000 <p><b>Results:</b> Transformational leadership significantly reduced emotional exhaustion (<i>β</i> = −0.48, <i>p</i> &lt; 0.001), increased job satisfaction (<i>β</i> = 0.53, <i>p</i> &lt; 0.001), and lowered perceived stress (<i>β</i> = −0.46, <i>p</i> &lt; 0.001). Mediation analyses showed significant indirect effects through organizational justice and quality of work life (indirect effects: −0.34 to 0.38, <i>p</i> &lt; 0.001). Qualitative findings highlighted the importance of inspirational motivation, individualized consideration, intellectual stimulation, and idealized influence.</p>\u0000 <p><b>Conclusions:</b> Transformational leadership directly and indirectly enhances nurses’ well-being through improved organizational justice and quality of work life. These findings emphasize the need for healthcare organizations to foster transformational leadership and promote fair, supportive work environments to enhance nurse well-being.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/4577350","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Occupational Well-Being Among Chinese Nurses: Exploring the Mediation of Job Stress in the Relationship Between Social Support and Occupational Well-Being","authors":"Yingjie Fu,&nbsp;Ge Qu,&nbsp;Jiyao Sun,&nbsp;Chuyun Wang,&nbsp;Jian Wang","doi":"10.1155/jonm/2140829","DOIUrl":"https://doi.org/10.1155/jonm/2140829","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> The occupational well-being of nurses is important for nurses’ human resource management and the sustainable development of hospitals. Several studies have demonstrated a positive association between social support and occupational well-being. However, the underlying mechanism behind this mechanism remains unclear. This study explored how social support influenced occupational well-being through the mediating roles of job stress.</p>\u0000 <p><b>Methods:</b> This study utilized the stratified random sampling method and conducted a questionnaire survey among 450 nurses from a tertiary general hospital from July 2022 to September 2022. The surveys included the Social Support Rating Scale, Job Stress Scale, and Occupational Well-Being Scale. We also collected data on participants’ sociodemographic characteristics and job-related factors. Structural equation modeling was applied to examine the associations between variables.</p>\u0000 <p><b>Results:</b> The results revealed that the nurses had a moderate level of occupational well-being. Social support is positively associated with occupational well-being (<i>γ</i> = 0.600, <i>p</i> &lt; 0.001), while job stress is negatively associated with occupational well-being (<i>γ</i> = −0.300, <i>p</i> &lt; 0.001). Social support had a significant negative association with job stress (<i>γ</i> = −0.318, <i>p</i> &lt; 0.001). The mediation effect shows that job stress mediated the association between social support and occupational well-being (indirect effect = 0.096, 95%CI: 0.061∼0.142), and the mediating effect of job stress can explain the 16% of the total effect of social support on occupational well-being.</p>\u0000 <p><b>Conclusion:</b> This study provides evidence that the effect of social support on occupational well-being is partially mediated by job stress among nurses in China. Social support can improve nurses’ occupational well-being by relieving job stress. Medical administration departments and hospital administrators should give nurses more support in their work and take targeted interventions to enhance the occupational well-being of nurses.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/2140829","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"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}