Journal of Nursing Management最新文献

{"title":"Workplace Violence and Mental Wellbeing Among Long-Term Care Nursing Assistants in Different Work Locations: A Cross-Sectional Study","authors":"Hang-Ju Yang,&nbsp;Yen-Ling Liu,&nbsp;Li-Chung Pien,&nbsp;Yun-Chieh Yang,&nbsp;Wan-Ju Cheng","doi":"10.1155/jonm/7817632","DOIUrl":"https://doi.org/10.1155/jonm/7817632","url":null,"abstract":"<div>\u0000 <p><b>Aims:</b> This study aims to investigate the association between workplace violence and mental wellbeing of long-term care nursing assistants (LTC-NAs) based on work locations.</p>\u0000 <p><b>Background:</b> The increasing global elderly population is elevating the demand for LTC services. The LTC-NA population is expanding, highlighting the necessity to create a secure work environment. However, little is known about how workplace violence poses a threat to the mental wellbeing of LTC-NAs across different work locations.</p>\u0000 <p><b>Methods:</b> This observational cross-sectional study was conducted from October 2022 to July 2023, involving a survey of 937 certified LTC-NAs recruited through convenience sampling from various Taiwanese LTC units. Participants were evaluated for experiences of four types of workplace violence (physical, psychological, verbal, and sexual harassment) using a disseminated questionnaire. Mental health was assessed using the 5-item Brief Symptom Rating Scale, and client-related burnout was evaluated with the 6-item scale from the Chinese version of Copenhagen Burnout Inventory. Logistic regression identified the association between workplace violence and mental wellbeing. In addition, the relationship among participants working in residential facilities or home settings were examined.</p>\u0000 <p><b>Results:</b> The completion rate of the questionnaire was 86%. Psychological violence was associated with poor mental health (adjusted odds ratio [OR] = 2.38 and 95% CI = 1.40–4.05), while verbal violence and sexual harassment were associated with client-related burnout (adjusted OR = 2.03 and 1.75, respectively). All types of workplace violence were more prevalent in residential facilities than home settings; however, the associations of workplace violence with poor mental wellbeing were more prominent among those working in home settings. Among violence victims, a higher proportion of LTC-NAs working in home settings reported experiencing physical and psychological violence from patients’ families compared to those working in residential facilities. Client-related burnout was found to mediate the relationship between violence from patients’ families and poor mental health.</p>\u0000 <p><b>Conclusion:</b> Nonphysical workplace violence and sexual harassment were associated with poor mental wellbeing among LTC-NAs, especially in homecare settings. Violence from patients’ families posed a notable risk to homecare LTC-NAs. Therefore, protective policies and organizational training programs should be tailored to address the unique challenges of each work setting.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7817632","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522003","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":"Characteristics of the Competency Ethical Principles for the Nurse Manager: A Systematic Review","authors":"Alberto González-García,&nbsp;Arrate Pinto-Carral,&nbsp;Pilar Marqués-Sánchez,&nbsp;Cristina Liebana-Presa,&nbsp;Rubén García-Fernández,&nbsp;Silvia Pérez-González","doi":"10.1155/jonm/2575609","DOIUrl":"https://doi.org/10.1155/jonm/2575609","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> The escalating complexity of healthcare environments underscores the importance of nurse managers’ ethical competency, which impacts organizational culture, work climate, and healthcare outcomes.</p>\u0000 <p><b>Objective:</b> The purposes of this study were to identify and describe the characteristics of nurse managers’ competency in ethical principles in healthcare settings.</p>\u0000 <p><b>Methods:</b> A systematic search was conducted across the Web of Science, Scopus, and PubMed databases, covering the literature from January 1, 2014, to April 1, 2024. Articles were selected based on specific inclusion criteria, and data were extracted and analyzed using a frequency analysis of the identified characteristics. This systematic review adhered to the PRISMA guidelines and the Joanna Briggs Institute assessment tools. The review protocol was registered in PROSPERO (ID: CRD42024542594).</p>\u0000 <p><b>Results:</b> The review analyzed 22 studies, each focusing on nurse managers and their ethical competencies. Fourteen distinct characteristics of ethical competency were identified, with ethical leadership, ethical decision-making, and conflict resolution being the most prominent. Key ethical problems included conflicts between personal values and organizational policies, pressures to compromise ethical standards, and management of limited resources. These problems often led to significant consequences such as decreased staff morale, increased stress and burnout, and compromised patient care quality.</p>\u0000 <p><b>Conclusions:</b> The development of ethical leadership and the ability to make ethical decisions are fundamental for nurse managers to create supportive work environments and reduce burnout. Promoting continuous professional development and fostering an ethical culture is essential for maintaining high ethical standards. Future research should explore how cultural, organizational, and environmental differences influence ethical decision making and leadership.</p>\u0000 <p><b>Implications for the Nursing Management:</b> The development of ethical leadership and the ability to make ethical decisions are fundamental characteristics of ethical principles competency, as they facilitate the achievement of an adequate work environment and reduce burnout and emotional overload.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/2575609","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143490029","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":"EQUANU: Equality in Societal and Professional Recognition of Nurses—A Cross-Sectional Study on Societal and Professional Recognition of European Nurses","authors":"Elyne De Baetselier,&nbsp;Luis Manuel da Cunha Batalha,&nbsp;José Miguel Sousa Pedro Seguro,&nbsp;Nienke E. Dijkstra,&nbsp;Vigdis Abrahamsen Grøndahl,&nbsp;Jana Heczková,&nbsp;Ann Karin Helgesen,&nbsp;Rebeka Lekše,&nbsp;Manuel Lillo-Crespo,&nbsp;Alba Malara,&nbsp;Laura Petraglia,&nbsp;Andrea Pokorná,&nbsp;Mirko Prosen,&nbsp;Styliani Tziaferi,&nbsp;Tinne Dilles","doi":"10.1155/jonm/7466527","DOIUrl":"https://doi.org/10.1155/jonm/7466527","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Despite trends towards greater professionalisation of the nursing profession and an improved public image in certain countries, studies also show that large proportions of the public still do not fully appreciate nurses’ competencies. Mapping differences in the societal and professional recognition of nurses allows for benchmarking among countries.</p>\u0000 <p><b>Aim:</b> To investigate the level of societal recognition of the nursing profession in nine European countries, and the level of professional recognition perceived by European nurses themselves; to compare levels of recognition between countries; and to identify influencing factors.</p>\u0000 <p><b>Methods:</b> A cross-sectional study was conducted. Through an online survey, the study surveyed both the general public and nurses from various healthcare settings across nine countries between December 2022 and June 2023. The instrument used was a combination of self-developed questions on societal and professional recognition, the Work Motivation Scale and an adapted version of the Multidimensional Work Motivation Scale. Data were analysed using SPSS v.29.0, with socioeconomic prestige scores for the public and work environment/work motivation scores for nurses calculated accordingly.</p>\u0000 <p><b>Results:</b> A total of 1618 adult citizens and 2335 nurses participated. The public predominantly characterised nurses with attributes such as friendliness, warmth, empathy and compassion. The mean socioeconomic prestige score assigned to nurses was 7.2/10 (SD 1.9), with Portugal having the highest score (<i>M</i> 7.5/10, SD 2.0) and Norway the lowest (<i>M</i> 5.8/10, SD 1.4; <i>p</i> &lt; 0.001). Professional recognition experienced by nurses was generally low (54% indicated rather low, 17% very low). Slovenia, the Netherlands and Belgium had slightly higher mean scores (all <i>M</i> 1.4/3) compared to other countries (<i>p</i> &lt; 0.001). High professional recognition could be predicted for 33% by work environment score (OR = 1.21; 95% CI [1.19–1.24]), work motivation score (OR = 1.02; 95%CI[1.01–1.02]), expertise outside the hospital (OR = 1.57; 95% CI [1.25–1.97]) and work experience (OR = 1.01; 95% CI [1.00–1.02]) corrected for country.</p>\u0000 <p><b>Conclusion:</b> The study highlights the need for targeted interventions to improve the professional and public image of the nursing profession while addressing disparities in professional recognition between countries. Longitudinal studies are recommended to monitor changes in public perception and professional recognition among nurses.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7466527","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143490028","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 Relationship Between Commuting Stress and Nurses’ Well-Being: Considering Gender Differences","authors":"DanYang Li,&nbsp;Jeffery D. Houghton,&nbsp;Xuan Li,&nbsp;QiQi Peng,&nbsp;JianQing Li,&nbsp;WenChi Zou","doi":"10.1155/jonm/4414417","DOIUrl":"https://doi.org/10.1155/jonm/4414417","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> This research explores how and why commuting stress influences Chinese nurses’ well-being.</p>\u0000 <p><b>Background:</b> A daily work commute may result in a significant psychological risk factor that can lead to harmful physiological and mental health consequences. Emerging research indicates that nurses experience long-lasting negative effects on their mental health, including burnout, due to the stress of a daily work commute.</p>\u0000 <p><b>Methods:</b> The study employed a cross-sectional design involving 380 registered nurses from state-owned hospitals in southern China. Hypotheses were tested using the PROCESS macro developed by Hayes [1].</p>\u0000 <p><b>Results:</b> The stress of commuting indirectly influences nurses’ well-being through increased emotional exhaustion. There is an interaction between commuting stress and nurses’ gender such that the indirect effect of commuting stress on well-being is stronger for female nurses.</p>\u0000 <p><b>Conclusions:</b> The spillover effect of commuting stress in the nursing profession is often underestimated. However, this study underscores its significant impact on nurses’ emotional exhaustion and well-being. The research findings emphasize that commuting stress contributes to emotional exhaustion and a decline in nurses’ well-being.</p>\u0000 <p><b>Implications for Nursing Management</b>: Healthcare organizations should leverage these findings to reinforce the importance of self-care for nurses and to provide nurses with resources to help decrease the potential negative outcomes of commuting stress. The study also shows that female nurses may experience a more pronounced association between commuting stress and emotional exhaustion. As such, healthcare organizations should develop gender-specific interventions and support systems that address the unique challenges faced by female nurses in relation to commuting stress.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/4414417","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143489768","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":"Association Between Nurse Staffing Coverage and Patient Outcomes in a Context of Prepandemic Structural Understaffing: A Patient-Unit-Level Analysis","authors":"Maria-Eulàlia Juvé-Udina,&nbsp;Jordi Adamuz,&nbsp;Maribel González-Samartino,&nbsp;Marta Tapia-Pérez,&nbsp;Emilio Jiménez-Martínez,&nbsp;Carme Berbis-Morello,&nbsp;Oliver Polushkina-Merchanskaya,&nbsp;Adelaida Zabalegui,&nbsp;María-Magdalena López-Jiménez","doi":"10.1155/jonm/8003569","DOIUrl":"https://doi.org/10.1155/jonm/8003569","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> To evaluate the association between nurse staffing coverage and patient outcomes in a context of structural understaffing.</p>\u0000 <p><b>Design:</b> This is a population-based, cross-sectional, multicenter study, including patient and staffing data from eight public hospitals from Catalonia, Spain.</p>\u0000 <p><b>Participants:</b> A total of 183,085 adult in-patients admitted to hospital wards and step-down units during 2016 and 2017.</p>\u0000 <p><b>Outcomes:</b> In-hospital mortality, 30-day hospital readmission, and three cluster nurse-sensitive adverse events: healthcare-acquired infections, failure to maintain, and avoidable critical complications. The study factor is safe nursing staffing equivalent to nurse staffing coverage &gt; 90%.</p>\u0000 <p><b>Results:</b> Average patient acuity was equivalent to 4.5 required nursing hours per patient day. The mean available nursing hours per patient day was 2.6. The average nurse staffing coverage reached 65.5%. Overall, 1.9% of patients died during hospitalization, 5% were readmitted within 30 days, and 15.9% experienced one or more adverse events. Statistically significant differences were identified for all patient outcomes when comparing patients safely covered (nurse staffing coverage &gt; 90%) and under-covered (nurse staffing coverage &lt; 90%). Increasing nurse staffing coverage to a safe level (&gt; 90%) is associated with a reduction of the risk of death (RR: 0.41, 95% CI: 0.37–0.45), a decrease in the risk of hospital readmission (RR: 0.93, 95% CI: 0.89–0.97), and a reduction of nurse-sensitive adverse events (RR: 0.67, 95% CI: 0.66–0.69).</p>\u0000 <p><b>Conclusion:</b> Safe nurse staffing coverage acts as a protective factor for detrimental patient outcomes, significantly reducing the risk of in-hospital mortality, 30-day hospital readmission, healthcare-associated infections, failure to maintain, and avoidable critical complications. Further policy efforts are needed to guarantee a safe registered nurse staffing coverage.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8003569","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143475705","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":"Midwives’ Knowledge, Attitudes, and Practices of Liberal Birthing Position Management During the Second Stage of Labor: A Cross-Sectional Study","authors":"Taizhen Luo,&nbsp;Yang Gong,&nbsp;Hua-an Xia,&nbsp;Zhiyan Jiang,&nbsp;Huating Chen,&nbsp;Lingling Gao","doi":"10.1155/jonm/6139992","DOIUrl":"https://doi.org/10.1155/jonm/6139992","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> To investigate the knowledge, attitudes, and practices of Chinese midwives regarding liberal birthing position management during the second stage of labor and explore the factors related to their practices.</p>\u0000 <p><b>Background:</b> Midwives play a critical role in managing the second stage of labor, during which appropriate delivery posture is essential for promoting normal birth and improving childbirth experiences.</p>\u0000 <p><b>Methods:</b> A cross-sectional study was conducted in Guangdong Province, China, from April to May 2023. Three hundred and sixty midwives completed the questionnaire on knowledge, attitude, and practice of liberal birthing position management during the second stage of labor. <i>SPSS 29.0</i> was used to analyze the data. Descriptive statistics, independent sample <i>t</i>-test, one-way ANOVA, Pearson correlation analysis, and multiple linear regression analysis were performed. <i>p</i> &lt; 0.05 was considered statistically significant.</p>\u0000 <p><b>Results:</b> The midwives’ mean knowledge total score was high, with an 83.1% rate of correct answers. The midwives had a lower moderate level of attitude with a mean total score of 43.06 ± 9.08 out of 76 and a low level of the Worry dimension of attitude (19.86 ± 7.92 out of 48). The midwives had a moderate level of practice with a mean total score of 3.03 ± 1.85 out of 6. The scores of knowledge, attitude, and practice were pairwise positively correlated (<i>p</i> &lt; 0.001). The multiple linear regression analysis showed that knowledge, attitude, having participated in training on maternal birthing positions, having experiences in clinical teaching, hospital grade, and hospital category were the predictors of midwives’ practice of liberal birthing position management during the second stage of labor (<i>p</i> &lt; 0.05).</p>\u0000 <p><b>Conclusion:</b> Midwives’ attitudes and practices of liberal birthing position management during the second stage of labor need to be improved, and participating in training and undertaking clinical teaching tasks are crucial for them to improve their practices in this area.</p>\u0000 <p><b>Implications:</b> Midwifery managers need to pay more attention to the professional education and training of midwives and should establish organizations that are specifically designed to support midwives’ continuous learning and professional development. These organizations can offer targeted training programs, create collaborative learning environments, and facilitate the sharing of best practices among midwives. Nursing educators should be familiar with and in line with international standards, emphasizing upgrading midwifery teaching materials and establishing a standardized on-the-job training system.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6139992","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143475706","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 Effect of “Online–Simulation–Bedside” Three-Step Teaching Method in Team Cardiopulmonary Resuscitation Skills Training of Emergency Department and Critical Care Nursing Interns—An Analysis Based on Kirkpatrick Model","authors":"Huan Liu,&nbsp;Hui Huang,&nbsp;Miaoya Li,&nbsp;Ping Mao,&nbsp;Aidi Zhang,&nbsp;Yanting Sun,&nbsp;Zhaoxun Liu,&nbsp;Hong Tao,&nbsp;Sha Zhao,&nbsp;Yuting Xia,&nbsp;Jiandang Zhou,&nbsp;Jinxin Liu","doi":"10.1155/jonm/8624274","DOIUrl":"https://doi.org/10.1155/jonm/8624274","url":null,"abstract":"&lt;div&gt;\u0000 &lt;p&gt;&lt;b&gt;Aim:&lt;/b&gt; This study designed a three-step teaching method of “online–simulation–bedside,” which was applied to the teaching of cardiopulmonary resuscitation skills in the team of emergency and critical care nursing interns, and the effectiveness of this teaching method was evaluated using the Kirkpatrick model.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Background:&lt;/b&gt; Mastering knowledge of cardiopulmonary resuscitation and emergency techniques is necessary for nursing interns to fulfill their roles. At present, the first aid awareness and rescue skills of nursing interns are not optimistic. Training programs can improve the cardiopulmonary resuscitation ability of nursing students, but most of them only evaluate the changes in cardiopulmonary resuscitation ability before and after training and rarely use educational evaluation theories and models to evaluate the effectiveness of cardiopulmonary resuscitation training research.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Methods:&lt;/b&gt; This is a quasi-experimental research design: pretest and posttest design. Our research focuses on nursing interns who interned in the emergency and critical care departments of a hospital from September 2023 to January 2024. Adopting the three-step teaching method of “online-simulation-bedside”, provide team cardiopulmonary resuscitation skills training for emergency and critical care nursing interns. The four levels of Kirkpatrick’s model, that is, reaction, learning, behavior, and result, were applied for the evaluation together with questionnaires. Conduct a baseline survey before online learning. Evaluate team working ability, clinical thinking ability, confidence in skills, and active participation on the first day after simulated training and the 30th day of clinical practice. On the 30th day of clinical practice, satisfaction and skill level assessments will also be conducted.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Results:&lt;/b&gt; At the reaction level, the satisfaction rate of nursing interns is 98.80%. At the learning level, there was a statistically significant difference (&lt;i&gt;p&lt;/i&gt; &lt; 0.001) in the team work ability and clinical thinking ability of nursing interns before training, on the first day after training, and on the 30th day of clinical practice. At the behavioral level, there was a statistically significant difference (&lt;i&gt;p&lt;/i&gt; &lt; 0.001) in the skill confidence and participation initiative of nursing interns before training, on the first day after training, and on the 30th day of clinical practice. At the result level, on the 30th day of clinical practice, the nursing intern team’s cardiopulmonary resuscitation skills assessment scores were all good or above, with an average score of 90.09 ± 1.58.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Conclusion:&lt;/b&gt; The Kirkpatrick model can be used to evaluate the effectiveness of cardiopulmonary resuscitation skills training for nursing intern teams. Nursing interns are highly satisfied with the “online–simulation–bedside” three-step teaching method, which can","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8624274","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143475355","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 Main Bottlenecks in the Workflow of Saudi Arabian Emergency Departments (EDs)","authors":"Abdulellah Al Thobaity","doi":"10.1155/jonm/4239274","DOIUrl":"https://doi.org/10.1155/jonm/4239274","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Crowded emergency departments (EDs) adversely affect patient care and healthcare efficiency, leading to prolonged wait times, delayed treatments, and increased medical errors. This issue also diminishes patient satisfaction and disrupts hospital operations. In Saudi Arabia, ED overcrowding impacts response times and staff morale, highlighting the need for efficient patient flow processes to ensure timely and effective care.</p>\u0000 <p><b>Objectives:</b> The aim of this study is to identify the main bottlenecks in the workflow of Saudi Arabian EDs from patient arrival to disposition.</p>\u0000 <p><b>Design:</b> A retrospective quantitative study analyzed data from 753 patients across multiple hospitals in Saudi Arabia’s EDs to identify workflow bottlenecks. Using SPSS and AMOS for data analysis, various statistical methods, including ANOVA and structural equation modeling (SEM), were employed to evaluate key performance metrics and their influence on the total length of stay (LOS).</p>\u0000 <p><b>Results:</b> The Doctor to Decision Time is the most significant bottleneck, followed by the Triage to Doctor Time. CTAS3 and CTAS4 categories experience the most significant delays across multiple stages. In addition, the default model in AMOS 29 shows an excellent fit, indicating that reducing delays in Decision to Disposition Time (estimate = 0.840) and Doctor to Decision Time (estimate = 0.442) is crucial for improving the total LOS in the ED.</p>\u0000 <p><b>Conclusion:</b> This study identifies significant inefficiencies in the ED workflow in Saudi Arabia, particularly in the Doctor to Decision Time and Triage to Doctor Time stages, and recommends streamlining consultation protocols, enhancing medication delivery, expediting lab and radiology services, and increasing staffing to improve operational efficiency and patient outcomes. Faster bed turnover reduces Decision to Disposition Time and frees up ED beds. Adequate staffing improves triage, evaluation times, and care quality. Well-trained nurses enhance patient interactions and reduce delays. Standardized guidelines ensure timely treatment. Effective communication and teamwork improve patient flow and reduce bottlenecks.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/4239274","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143481422","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 Relationship Between Staffing, Nurses’ Emotional Exhaustion, and Adverse Patient Events in Critical Care Units in Sultanate of Oman","authors":"Sulaiman Al Sabei,&nbsp;Mohammed Qutishat,&nbsp;Leodoro Labrague,&nbsp;Omar Al-Rwajfah,&nbsp;Ikram Burney,&nbsp;Raeda AbulRub","doi":"10.1155/jonm/1977327","DOIUrl":"https://doi.org/10.1155/jonm/1977327","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Ensuring safe practices remains a top priority for healthcare policymakers. However, limited evidence has examined the link between individual, work-related factors, and patient safety within critical care units in Oman.</p>\u0000 <p><b>Aim:</b> To assess the relationship between staffing levels, job-related emotional exhaustion, and adverse patient events among nurses working in critical care units.</p>\u0000 <p><b>Design:</b> A cross-sectional study was conducted to collect data from critical care nurses in Oman. Nurses were recruited using a stratified proportional sampling method.</p>\u0000 <p><b>Results:</b> A total of 694 critical care nurses participated in the study. More than half (64.1%) of the critical care nurses experienced higher levels of emotional exhaustion. Significant predictors of adverse patient events included nurse staffing level (<i>r</i> = 0.09, <i>p</i> &lt; 0.001), emotional exhaustion (<i>β</i> = 0.25, <i>p</i> &lt; 0.001), hospital type (being affiliated with nonteaching hospitals) (<i>p</i> = 0.021), and nationality (<i>β</i> = −0.15, <i>p</i> &lt; 0.001).</p>\u0000 <p><b>Conclusion:</b> The occurrence of nurse-reported adverse events was associated with several key variables, including nurse staffing levels, emotional exhaustion, hospital type, and nationality.</p>\u0000 <p><b>Implications for Nursing Management:</b> To improve patient safety, healthcare policymakers should prioritize optimizing nurse staffing levels and implement strategies to reduce emotional exhaustion, particularly in nonteaching hospitals and among specific nurse demographics.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/1977327","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143431581","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":"Profiles and Influencing Factors of Work–Family Balance Among Nurses in China: A Cross-Sectional Study Based on Latent Profile Analysis","authors":"Qian Tang,&nbsp;Yijia Wang,&nbsp;Chi Zhang,&nbsp;Yuefan Zhao,&nbsp;Xinjie Zhou,&nbsp;Jie Huang,&nbsp;Jun Yao","doi":"10.1155/jonm/8556545","DOIUrl":"https://doi.org/10.1155/jonm/8556545","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> To profile the work–family balance (WFB) among clinical nurses and identify their influencing factors.</p>\u0000 <p><b>Background:</b> WFBs take on various patterns in nurses. Nurses with different characteristics exhibit various patterns of WFB.</p>\u0000 <p><b>Methods:</b> A cross-sectional study was performed, involving 1292 nurses from public hospitals in Jiangsu Province from February to April 2024. Latent profile analysis (LPA) was employed to categorize the data, and multinominal logistic regression analysis to determine factors influencing WFB.</p>\u0000 <p><b>Results:</b> A total of 1718 questionnaires were distributed, yielding 1292 valid responses (a response rate of 75.2%). The total score of WFB was 44.35 ± 8.693 points. The LPA revealed three profiles of WFB: the family priority group (28.1%), the balanced adaptation group (46.8%), and the challenge coping group (25.1%). The entropy value was high (0.892), indicating a correct classification. Multivariate regression analyses showed that professional title, department, nonclinical work pressure, organizational identification, work meaning, and self-efficacy as factors influencing WFB profiles.</p>\u0000 <p><b>Conclusion:</b> The WFB among nurses was at a moderate level with significant heterogeneity and could be divided into three profiles. The challenge coping group presented lower professional titles and higher self-efficacy, and working at surgical, pediatric, and other specialized departments. Managers can tailor intervention strategies based on the characteristics and influencing factors of each profile.</p>\u0000 <p><b>Implications for Nursing Management:</b> Nursing managers must consider the characteristics of high-risk groups and factors that affect WFB and take targeted measures to mitigate work–family conflicts (WFC) among nurses and stabilize the nursing workforce.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8556545","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424209","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}