Journal of Nursing Management最新文献

{"title":"Motivation to Lead: A Study of the Supportive Nursing Leadership Environment","authors":"Sulaiman Al Sabei,&nbsp;Amy Miner Ross,&nbsp;Asma Al Yahyaei,&nbsp;Leodoro Labrague,&nbsp;Omar Al-Rwajfah,&nbsp;Kylee Deterding","doi":"10.1155/2024/2652746","DOIUrl":"https://doi.org/10.1155/2024/2652746","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. With projected nursing shortages, an aging workforce, and the imminent retirement of nurse leaders, nursing leadership shortages are a concern. While several studies have indicated the interest of nurses in pursuing leadership positions, limited research has focused on examining the influence of the leadership practice environment on nurses’ motivation to lead. <i>Aim</i>. The aims of the study were to (1) assess the relationship between the leadership environment and the motivation of nurses to lead and (2) determine whether there are particular aspects of the leadership environment that influence motivation to lead. <i>Methods</i>. A cross-sectional research design was used to collect data from 435 nurses working in 16 public and private hospitals in Oman. Leadership Environment Scale and Motivation to Lead Scale were used to assess participants’ perceived leadership environment and their motivation to engage in formal leadership roles, respectively. Multivariate linear regression was used to assess the relationship between the perceived leadership environment and the motivation of nurses to undertake leadership roles. <i>Findings</i>. Nurses reported a mean scale value of 3.208 out of 5 (SD = 0.467) for their motivation to lead, which exceeds the midpoint, indicating a strong motivation to engage in formal leadership roles. Nurses reported a mean score of 3.194 out of 4 (SD = 0.661), which exceeds the midpoint, suggesting a favorable perception of leadership environment. The findings showed a significant relationship between the leadership environment and nurses’ motivation to lead. Specifically, self-organization (<i>β</i> = 0.185, <i>p</i> = 0.001, CI = 0.086–0.378), agents (<i>β</i> = 0.221, <i>p</i> = 0.002, CI = 0.124–0.474), and transformative exchange (<i>β</i> = 0.100, <i>p</i> = 0.037, CI = 0.101–0.142) were characteristics of the leadership environment that were associated with greater motivation to engage in leadership. <i>Conclusion</i>. This study emphasizes the importance of cultivating a supportive leadership environment as a potential strategy to attract nurses to assume formal nursing leadership roles. <i>Implications for Nursing Management</i>. Strategies to improve nurses’ motivation to lead in a complex healthcare environment include improving nurses’ active involvement in their organization, creating a collegial supportive and mentoring leadership culture, and improving transformative exchange by supporting career and educational advancement.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/2652746","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141584089","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":"Ward-Specific Probabilistic Patterns in Temporal Dynamics of Nursing Demand in Japanese Large University Hospital: Implication for Forecasting and Resource Allocation","authors":"Rie Tajika,&nbsp;Yoshiaki Inoue,&nbsp;Keisuke Nakashima,&nbsp;Takako Yoshimi,&nbsp;Nobue Arimoto,&nbsp;Haruna Fukushige,&nbsp;Yoko Taniura,&nbsp;Tomoyuki Iwasaki,&nbsp;Atsue Ishii","doi":"10.1155/2024/2554273","DOIUrl":"https://doi.org/10.1155/2024/2554273","url":null,"abstract":"<div>\u0000 <p>As global populations age, a looming nursing shortage is anticipated to become a critical issue. Charge nurses have the responsibility of optimally allocating nursing resources to ensure the quality of patient care during a shift. Therefore, an accurate estimate of nursing demand is crucial. However, the ability to forecast future nursing demand remains underdeveloped, mainly because the nature of nursing demand is highly individualized and does not follow a definitive pattern. In practice, the nursing demand is often perceived as unpredictable, leading to an ad hoc approach to staffing. The primary objective of our study is to demonstrate that longitudinal data analysis can reveal strong statistical regularities in the temporal dynamics of nursing demand. This approach not only provides new possibilities for efficient resource allocation but also paves the way for data-driven prediction of nursing demand. Our study uses Sankey diagrams to visualize the temporal dynamics of nursing demand within each ward for each fiscal year, representing these dynamics as an overlay of trajectories from multiple individual patients. Consequently, our study reveals ward-specific statistical regularities in the temporal dynamics of nursing demand. In one ward, approximately 25% of patients experienced an increase in nursing demand from 1 to between 6 and 9 points from the second to the third day of hospitalization, while in another, only 0.1% showed such an increase. These findings suggest that patients admitted to the wards tend to exhibit a certain probabilistic change in nursing demand. This study can predict probabilistically the temporal variation of nursing demand among patients in the coming years by analyzing data on the temporal changes in nursing demand over the past years. Our findings are expected to significantly influence the forecasting of nursing demand and the estimation of nursing resources, leading to data-driven and more efficient nursing management.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/2554273","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141583879","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 an Organizational Climate for Evidence-Based Practice on Evidence-Based Practice Behaviour among Nurses: Mediating Effects of Competence, Work Control, and Intention for Evidence-Based Practice Implementation","authors":"Miao Huo,&nbsp;Haihong Qin,&nbsp;Xiaohua Zhou,&nbsp;Jinghua Li,&nbsp;Bolun Zhao,&nbsp;Ye Li","doi":"10.1155/2024/5972218","DOIUrl":"https://doi.org/10.1155/2024/5972218","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Despite the emphasis on the importance of implementing evidence-based practices, nurses did not adopt this approach as a standard. For those who have attempted to implement evidence-based practice in health care settings, the behaviour is rarely simple or straightforward. Therefore, exploring the mechanism that motivates nurses’ evidence-based practice behaviour is essential to promote this practice. <i>Aims</i>. The aim of this study was to investigate the effect of the organizational climate for evidence-based practice on evidence-based practice behaviour among nurses through the mediating role of evidence-based practice competence, work control, and the intention to implement evidence-based practice. <i>Methods</i>. This study consisted of a cross-sectional design and convenience sampling to recruit 641 nurses employed in 6 hospitals in China. Five self-report instruments were used to collect the data. A structural equation model was adopted to verify the research hypotheses. IBM SPSS 26.0 and AMOS 24.0 were used for statistical analysis of the data. <i>Results</i>. The organizational climate for evidence-based practice was significantly and positively related to the nurses’ evidence-based practice behaviour (<i>p</i> &lt; 0.01). Direct effects accounted for 45.93% of the total effect. Evidence-based practice competence, work control, and the intention to implement evidence-based practice partially mediated the association between the organizational climate and evidence-based practice behaviour. The indirect effect accounted for 54.07% of the total effect. <i>Conclusion</i>. The organizational climate for evidence-based practice is critical for predicting and enhancing evidence-based practice behaviour. Evidence-based practice competence, work control, and the intention to implement evidence-based practice are intervening mechanisms that explain how the organizational climate promotes evidence-based practice behaviour. <i>Implications for Nursing Management</i>. Nursing managers should be aware of the interaction of individual and organizational factors that influence evidence-based practice behaviours among nurses. Administrators should improve the organizational climate by providing nurses with cultural and team support, mentoring, training projects, resource provisions, and more autonomy and authority at work, which are beneficial to the nurses’ evidence-based practice competence, work control, and intentions to adopt evidence-based practices.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5972218","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141583880","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":"Effectiveness of a Structured Disaster Management Training Program on Nurses’ Disaster Readiness for Response to Emergencies and Disasters: A Randomized Controlled Trial","authors":"Chia-Huei Lin,&nbsp;Wen-Chii Tzeng,&nbsp;Li-Chi Chiang,&nbsp;Min-Chin Lu,&nbsp;Meei-Shyuan Lee,&nbsp;Shang-Lin Chiang","doi":"10.1155/2024/5551894","DOIUrl":"https://doi.org/10.1155/2024/5551894","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Most frontline nurses lack sufficient readiness for effective disaster response. Therefore, designing a disaster management training program (DMTP) to promote nurses’ readiness for disaster response is imperative. <i>Aim</i>. This study aimed to evaluate the effectiveness of a structured DMTP on nurses’ readiness for response to disasters. <i>Methods</i>. A randomized controlled trial was conducted. One hundred eligible nurses, recruited using convenience sampling from a medical centre in northern Taiwan, were randomly assigned to either the experimental (EG, <i>n</i> = 50) or control (CG, <i>n</i> = 50) group. Both groups received regular continuous nursing education. The EG received an extra two-day (16 h) structured DMTP delivered by transdisciplinary collaborations through multiple teaching strategies (lectures, simulations, problem-solving lessons, demonstrations, tabletop exercises, discussions, group presentations, and reflections). Readiness for disaster response, consisting of four subscales (emergency response, clinical management, self-protection, and personal preparation), was assessed at baseline and 12 weeks after the intervention. Generalized estimating equations were used as the primary method of data analyses to evaluate the intervention effects. <i>Results</i>. Ninety-four nurses (94%) completed the study, and 100 nurses were included in the intention-to-treat analysis. While participants in the EG had increased readiness for disaster response after training and at the 12-week follow-up, those in the CG exhibited no differences between baseline and 12-week follow-up. When the group × time interaction was examined, the EG had a greater increase in readiness for disaster response and its four domains, including emergency response, clinical management, self-protection, and personal preparedness after 12 weeks, than the CG. <i>Conclusion</i>. A two-day structured DMTP utilizing multiple teaching strategies through transdisciplinary collaborations is recommended to enhance hospital nurses’ readiness for disaster response. <i>Implications for Nursing Management</i>. Nursing leaders should consider incorporating such a structured DMTP into ongoing nursing training as a critical component of professional development programs, thereby strengthening nurses’ disaster readiness in hospital settings.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5551894","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565718","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":"Appreciative Leadership, Workplace Belongingness, and Affective Commitment of Nurses: The Mediating Role of Job Crafting","authors":"Manal Saleh Moustafa Saleh,&nbsp;Zaineb Naiem Abd-Elhamid,&nbsp;Nouf Afit Aldhafeeri,&nbsp;Hamad Ghaleb Dailah,&nbsp;Atallah Alenezi,&nbsp;Mohamed Zoromba,&nbsp;Hanan Elsaid Elsabahy","doi":"10.1155/2024/2311882","DOIUrl":"https://doi.org/10.1155/2024/2311882","url":null,"abstract":"<div>\u0000 <p><i>Aim</i>. This study aimed to investigate the appreciation leadership, workplace belongingness, and affective commitment among nurses, with a specific focus on the mediating role of job crafting. <i>Background</i>. Leadership, particularly in healthcare care, significantly influences employee experiences and outcomes. Appreciative leadership fosters a positive work environment, valuing and motivating employees. However, its impact on workplace belongingness and affective commitment among nurses requires further exploration. Job crafting, a mechanism in which employees shape their roles to align with their preferences, strengths, and values, can serve as a mediator in the relationship between appreciative leadership and outcomes, such as workplace belongingness and affective commitment. <i>Subjects and Methods</i>. A cross-sectional descriptive study was conducted in nurses from two hospitals (Prince Mohammed bin Abdulaziz and Shaqra General Hospital) in Riyadh City, Saudi Arabia. Four standardized scales were used to assess appreciation for leadership, sense of belonging, affective commitment among nurses, and job crafting; 381 nurses were surveyed. AMOS structural equation modeling (SEM) was used to examine the hypothetical model of the study. <i>Results</i>. APL significantly affects job-crafting behaviors, belonging, and affective commitment among nurses. Furthermore, job-crafting behaviors significantly affect belonging among nurses and commitment. <i>Conclusions</i>. This indicates that when nurses perceive their leadership positively, their job-crafting behaviors increase, which in turn enhances their sense of belonging at work. Furthermore, these findings indicate that positive leadership perceptions directly improve nurses’ commitment to their jobs. This study recommended that educational programs can upgrade leadership styles and change practice levels. <i>Implications for Nursing Management</i>. Nursing managers should focus on cultivating appreciative leadership behaviors, such as providing regular feedback, recognizing achievements, and fostering a supportive work culture. Organizations can encourage the creation of jobs among nurses by offering opportunities for autonomy, skill development, and flexibility in job roles.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/2311882","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536995","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’ Readiness for Catastrophe Management and Its Relation to Their Organizational Commitment: Recommendations for Education","authors":"Aziza Z. Ali,&nbsp;Sameer A. Alkubati,&nbsp;Ahmad K. Al-Sadi,&nbsp;Wessam A. Elsayed,&nbsp;Shaimaa M. Nageeb,&nbsp;Nahed M. Saber,&nbsp;Sara F. Alenizi,&nbsp;Seham S. Alanazi,&nbsp;Mohannad J. Alkuwaisi,&nbsp;Laila A. Hamed","doi":"10.1155/2024/5217371","DOIUrl":"https://doi.org/10.1155/2024/5217371","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Catastrophes are challenging events for nations and health systems that require healthcare providers, especially nurses, to be prepared to respond effectively. Although nurses play a critical role in managing catastrophes and postcatastrophic situations, their preparedness is often inadequate and affected by their organizational commitment. Therefore, this study assessed nurses’ preparedness for catastrophe management and its relationship with their organizational commitment. <i>Methods</i>. A cross-sectional correlational, descriptive design involving 286 conveniently sampled nurses was conducted in four public hospitals in Hail city. Data were collected using a questionnaire that compiled two tools: the Disaster Preparedness Evaluation Tool to assess nurses’ preparedness for catastrophe management and the Organizational Commitment Scale to assess their attachment to their hospitals. Correlations between mean scores of nurses’ knowledge, skills, and preparedness for postcatastrophe management and organizational commitment were tested using Spearman’s correlation, with a significance level of &lt;0.05. <i>Results</i>. Most nurses had low levels of knowledge (79.7%), skills (78.7%), and preparedness for postcatastrophe management (78.7% each). Meanwhile, 57.3% of nurses had low levels of affective commitment to their hospitals, compared to 78.7% for continuance and normative commitments. Statistically significant positive, moderate correlations were found between nurses’ knowledge and skills in managing catastrophes (<i>r</i> = 0.512; <i>p</i> &lt; 0.01) and knowledge and preparedness for postcatastrophe management (<i>r</i> = 0.492; <i>p</i> &lt; 0.01), as well as nurses’ skills and preparedness for postcatastrophe management (<i>r</i> = 0.533; <i>p</i> &lt; 0.01). However, the nurses’ level of organizational commitment was not significantly correlated with their knowledge, skills, or preparedness for postcatastrophe management. <i>Conclusion</i>. Nurses in Hail city are not adequately prepared to respond to and manage catastrophes and postcatastrophic situations, and they have low organizational commitments to their hospitals. Therefore, nursing education should integrate catastrophe management into the curricula, and hospital administrators should prioritize a supportive work environment that strengthens organizational commitment and provides ongoing education and regular training to improve nurses’ preparedness for catastrophe management.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5217371","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141537020","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":"Mediating Effects of Perceived Social Support on the Relationship between Comfort and Hope in Hospitalized Patients with Acute Ischemic Stroke","authors":"Yueyue He,&nbsp;Rui Wang,&nbsp;Linqi Mo,&nbsp;Ling Feng","doi":"10.1155/2024/6774939","DOIUrl":"https://doi.org/10.1155/2024/6774939","url":null,"abstract":"&lt;div&gt;\u0000 &lt;p&gt;&lt;i&gt;Background&lt;/i&gt;. The relationship among comfort, perceived social support, and hope should still be further explored. Clarifying the relationship between the aforementioned variables can enable clinical staff to implement tailored and effective intervention strategies for enhancing the management and quality of care of patients with ischemic stroke. &lt;i&gt;Aim&lt;/i&gt;. This study aims to investigate the relationship between comfort, perceived social support, and hope in hospitalized patients with acute ischemic stroke and to explore the mediating effect of perceived social support on comfort and hope. &lt;i&gt;Methods&lt;/i&gt;. A correlational cross-sectional study was performed using an online questionnaire. The study was conducted from January to August 2023 among 572 patients with acute ischemic stroke, and finally 534 valid questionnaires were included in the analysis. The general information questionnaire, Modified Barthel Index, Shortened General Comfort Questionnaire, Perceived Social Support Scale, and Herth Hope Index were utilized for investigation. Mediation analysis was performed by structural equation modelling. Indirect effects were evaluated through bootstrapping. Data analysis was performed using the statistical program packages, namely, &lt;i&gt;SPSS 29.0&lt;/i&gt; and &lt;i&gt;AMOS 24.0&lt;/i&gt;. &lt;i&gt;Results&lt;/i&gt;. The comfort, perceived social support, and hope scores of patients with acute ischemic stroke were 94.1 (11.92), 72.74 (10.26), and 40.55 (4.99), respectively. The participants’ hope was positively related to comfort (&lt;i&gt;r&lt;/i&gt; = 0.531, &lt;i&gt;p&lt;/i&gt; &lt; 0.001) and perceived social support (&lt;i&gt;r&lt;/i&gt; = 0.589, &lt;i&gt;p&lt;/i&gt; &lt; 0.001). Perceived social support exerts a partial mediating role between comfort and hope, and the mediating effect was 0.159 (95% CI [0.117, 0.210]), accounting for 25.0% of the total effect. &lt;i&gt;Conclusion&lt;/i&gt;. We reported that comfort—directly and indirectly—exerts a positive impact on hope. Particularly, perceived social support enhances the impact of comfort on hope; perceived social support mediates the relationship between comfort and hope. Clinical staff should correctly understand the relationship among the three variables; they should effects targeted strategies to enhance patient comfort and social support, thereby increasing the hope level among ischemic stroke patients and bolstering confidence in disease management. &lt;i&gt;Implications for Nursing Management&lt;/i&gt;. This study demonstrates that comfort and perceived social support serve as protective factors for hope among ischemic stroke patients. This observation provides evidence supporting the optimization of management for ischemic stroke patients from the perspectives of the cognitive adaptation theory and comfort theory. The findings of this study contribute to a more optimal understanding among clinical caregivers regarding the mechanisms underlying the relationship between comfort, social support, and hope, and it facilitates the adoption of effective interventi","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/6774939","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141537021","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":"Exploring Bystander Behavior Types as a Determinant of Workplace Violence in Nursing Organizations Focusing on Nurse-To-Nurse Bullying: A Qualitative Focus Group Study","authors":"Kyoungja Kim,&nbsp;Scott Seung Woo Choi,&nbsp;Cheongin Im","doi":"10.1155/2024/4653042","DOIUrl":"https://doi.org/10.1155/2024/4653042","url":null,"abstract":"<div>\u0000 <p><i>Aim</i>. This study explored and analyzed the characteristics of bystander types of workplace violence in hospital nurses experiencing horizontal (nurse-to-nurse) violence. The primary research question was “What are the behavioral patterns of bystander types in peer-to-peer violence situations among hospital nurses?”. <i>Background</i>. Workplace violence is a result of environmental and structural conflicts, rather than deviant individual perpetrators. Research examining workplace violence suggests that bystanders are not merely witnesses of acts of aggression but can play a substantial role in escalating or deflecting violence. Types of bystander influence power dynamics within a group, resulting in changes in the pattern of violence. <i>Methods</i>. Employing a qualitative design, this study conducted focus group interviews with nurses from three tertiary hospitals. The qualitative data collected was analyzed using inductive and qualitative content analysis methods. <i>Results</i>. Nine focus group interviews (<i>n</i> = <i>26</i>) were conducted on bystanders’ experiences of workplace violence. A total of 185 analysis units were identified and categorized into three main themes, based on their impact on workplace violence (reinforcing, avoiding, and suppressing) with six subcategories (facilitative reinforcer, diffuse reinforcer, condoning avoider, powerless avoider, empathic suppressor, and interventional suppressor). <i>Conclusions</i>. This study delineates a typology of bystander roles in workplace bullying/horizontal violence among nurses, identifying three distinct types of bystanders. The outcomes of workplace violence vary, based on the type of bystander involved as well as the dynamics among bystanders, perpetrators, and victims. <i>Implications for Nursing Management</i>. Nursing organizations should educate nurses about the concept of bystanders as this will help nurses understand that even if they may not be perpetrators or victims of workplace violence, they are still implicated as bystanders. Additionally, nursing organizations and leaders should empower nurses to play a positive bystander role.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/4653042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536980","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 Barriers and Facilitators Influencing Nurses’ Political Participation or Healthcare Policy Intervention: A Systematic Review and Qualitative Meta-Synthesis","authors":"Nam Kyung Han,&nbsp;Gwang Suk Kim","doi":"10.1155/2024/2606855","DOIUrl":"https://doi.org/10.1155/2024/2606855","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Nurses, who comprise the largest proportion of healthcare professionals, must advocate for public health in a changing healthcare environment. Therefore, nurses have a social responsibility to be interested in politics, political participation, or healthcare policy interventions as leaders in healthcare policy reforms. However, previous research has reported that nurses’ political interests and participation are insufficient in most countries. <i>Aim</i>. This study systematically reviewed and synthesized qualitative data to identify the barriers and facilitators influencing nurses’ political participation and healthcare policy interventions. <i>Methods</i>. This study performed a systematic review and qualitative meta-synthesis. Literature searches were conducted using seven databases to comprehensively examine published journals, including doctoral dissertations, until December 31, 2023. The selection criteria for this study were articles analyzed using phenomenology, ethnography, qualitative research, and grounded theory, targeting nurses with extensive experience in healthcare policy intervention and political activities. Two researchers, professors in nursing with extensive experience in healthcare policy interventions and qualitative research screened the qualitative studies and extracted the data. Eighteen papers were analyzed, and the quality of each study was evaluated using the Critical Appraisal Skills Program Qualitative Checklist. Meta-ethnography was applied as the qualitative meta-synthesis method using ATLAS. ti. <i>Results</i>. Barriers include nurses’ lack of political interest and competence, nursing education, restrictive organizational cultures, and the nursing profession’s political activities. Facilitators include recognizing social responsibilities, enhancing political competence, innovating organizational environments, and strengthening nursing organizations’ political activities and policy interventions. <i>Conclusions</i>. This study could be used as data to enhance nurses’ political participation and to plan policy interventions and strategies. <i>Implication for Nursing Management</i>. To activate nurses’ political participation in the future, it is necessary to develop strategies, such as developing nursing political education programs and expanding opportunities for policy intervention.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/2606855","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141488491","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":"Anxiety, Depression, Social Support, Needs, and Concerns of Frontline Nurses during COVID-19 Peak Infection Period: A Cross-Sectional Multicenter Study","authors":"Liuyi Zhang,&nbsp;Kemei Zhang,&nbsp;Li Tong,&nbsp;Yafen Guo,&nbsp;Jinhua Shen,&nbsp;Xue-qing Zhang,&nbsp;Pan Yang","doi":"10.1155/2024/6007430","DOIUrl":"https://doi.org/10.1155/2024/6007430","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. The worldwide pandemic of COVID-19 had put enormous pressure on frontline healthcare workers. In December 2022, China released its “10 new measures,” signaling the end of the “dynamic zero COVID-19 strategy.” This triggered a period of peak infection, which shocked China’s healthcare system and affected the mental health of nurses. <i>Objective</i>. To explore the anxiety, depression, and social support levels of frontline nurses during the peak period of COVID-19 infection and to identify the main needs and concerns of nurses during this period. <i>Design</i>. A multicenter cross-sectional study. <i>Settings</i>. 18 hospitals of different grades in three cities in Hunan Province from December 21, 2022, to January 10, 2023, the peak period of COVID-19 infection. <i>Participants</i>. A total of 4,160 nurses completed the survey. <i>Methods</i>. The questionnaire included general information, symptoms, the preparation for nurses, GAD-7, PHQ-9, PSSS, and two open-ended questions investigating nurses’ needs and concerns. General linear models were used to analyze the factors influencing anxiety. Hospital preparation for nurses, nurses’ needs, and nurses’ concerns were categorized and subjected to frequency counts. <i>Results</i>. The median (P25, P75) scores for anxiety and depression among nurses were 7.00 (3, 12) and 8 (3, 12), respectively. Type of hospital, professional title, family structure, isolation staff lounge preparation, ibuprofen preparation, health status of parents, fever, chest distress, dyspnea, cough, insufficient protective equipment, number of children, and PSSS others were the influencing factors of GAD grades. The top 3 needs were free drugs and treatments (78.71%), shift breaks and paid leave (77.66%), and understanding and supports from hospitals and families (75.99%). The first three concerns were the fear of spreading the disease to family members (83.89%), the after-effects of infection (65.67%), and cross-infection with colleagues and patients (61.70%). <i>Conclusions</i>. Nurses’ anxiety was more severe during peak infection period. Overloaded work schedules and insufficient sleep became a common situation. Worries about family members became the main concern of nurses. Managers should make contingency plans for public health emergencies and provide frontline nurses with protective equipment, stress-relieving measures, and a rotation system. More importantly, they should pay attention to the needs of nurses’ family members and provide medical and care support. The media should also explain how hospitals operate and carry out their duties during these extraordinary times in order for the public to comprehend the condition of frontline epidemic fighters.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/6007430","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141488492","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}