Applied Nursing Research最新文献

{"title":"The association of depression, anxiety, stress, and quality of life with the presence or absence of chronic obstructive pulmonary disease in lung cancer patients","authors":"Canan Bozkurt ,&nbsp;Hülya Bulut","doi":"10.1016/j.apnr.2025.151933","DOIUrl":"10.1016/j.apnr.2025.151933","url":null,"abstract":"<div><h3>Aim</h3><div>This study examines the association between mental health symptoms (depression, anxiety, and stress) and quality of life (QoL) in lung cancer patients, stratified by the presence or absence of chronic obstructive pulmonary disease (COPD). It also identified predictors of physical and mental QoL.</div></div><div><h3>Background</h3><div>Lung cancer and COPD frequently coexist due to shared risk factors, such as smoking, which compounds physical and psychological burdens. Despite this, limited research has explored how this comorbidity affects mental health and QoL.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 456 hospitalized lung cancer patients, of whom 235 had COPD. Depression, anxiety, and stress were assessed using the DASS-21, while QoL was measured using the SF-12. Multiple regression analyses were conducted to identify predictors of QoL.</div></div><div><h3>Results</h3><div>Patients with COPD reported significantly higher levels of depression, anxiety, and stress (p &lt; .05). Stress was a significant negative predictor of physical QoL (adjusted R²: 0.103, p &lt; .001), while COPD and anxiety significantly negatively predicted mental QoL (adjusted R²: 0.128, p &lt; .001).</div></div><div><h3>Conclusions</h3><div>COPD exacerbates psychological distress and worsens QoL in lung cancer patients. Stress and anxiety significantly impair physical and mental QoL, underscoring the need for integrated care.</div></div><div><h3>Implications for practice</h3><div>Holistic care approaches that address stress and anxiety, promote smoking cessation, and provide personalized treatments are essential for improving QoL and outcomes in this vulnerable population.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151933"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severity of insomnia and stress perception as a chained mediator between perceived social support and somatic symptoms in Chinese's nurses","authors":"Xiaoyan Qi ,&nbsp;Qian Zhao ,&nbsp;Wenru Wang","doi":"10.1016/j.apnr.2025.151940","DOIUrl":"10.1016/j.apnr.2025.151940","url":null,"abstract":"<div><h3>Background</h3><div>Social support is crucial for reducing nurses' somatic symptoms and insomnia, which are linked to stress perception. Understanding these relationships can help explain somatic symptom mechanisms in nursing staff.</div></div><div><h3>Methods</h3><div>We studied 293 front-line nurses using scales for perceived stress, social support, insomnia severity, and somatic symptoms. We analyzed the data with Pearson correlations and SPSS mediation model.</div></div><div><h3>Results</h3><div>Greater perceived social support was associated with fewer somatic symptoms, lower insomnia severity, and less perceived stress. Insomnia severity was linked to stress perception and somatic symptoms. Stress perception also correlated with somatic symptoms. Social support indirectly predicted somatic symptoms through insomnia severity and stress perception, explaining 6.62% of the total effect.</div></div><div><h3>Conclusion</h3><div>Social support indirectly affects somatic symptoms in nurses, with insomnia severity and stress perception playing a mediating role. This finding highlights the importance of addressing these factors to reduce somatic symptoms in nursing staff.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151940"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143632157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between health literacy and readiness for hospital discharge among family caregivers of acute myocardial infarction patients","authors":"Jehad A. Rababah,&nbsp;Mohammed Munther Al-Hammouri,&nbsp;Ayat Radaideh","doi":"10.1016/j.apnr.2025.151950","DOIUrl":"10.1016/j.apnr.2025.151950","url":null,"abstract":"<div><h3>Background</h3><div>Family caregivers play a pivotal role in post-discharge care, yet their ability to manage this responsibility is influenced by their level of health literacy. However, limited research has examined the relationship between health literacy and family caregivers' preparedness for discharge in the context of acute myocardial infarction.</div></div><div><h3>Aim</h3><div>This study aimed to explore the association between health literacy and readiness for hospital discharge among family caregivers of acute myocardial infarction patients.</div></div><div><h3>Methods</h3><div>A cross-sectional design was employed, with 123 family caregivers of acute myocardial infarction patients recruited from three hospitals in Jordan. Data were collected using the Health Literacy Questionnaire (HLQ) and the Readiness for Hospital Discharge Scale-Family Caregiver Form (FamRHDS). Bivariate correlations and multiple linear regression were used to perform data analysis.</div></div><div><h3>Results</h3><div>Bivariate correlations analysis revealed significant positive associations between all nine health literacy domains and readiness for hospital discharge. Multiple linear regression indicated that three HLQ scales significantly predicted caregivers' readiness for hospital discharge, <em>F</em> (4, 122) = 32.02, <em>p</em> &lt; .001, <em>R</em>^<em>2</em> = 0.52, explaining 50 % of the variance.</div></div><div><h3>Conclusion</h3><div>Health literacy significantly impacts family caregivers' readiness for hospital discharge, particularly in the domains of social support, appraisal, and understanding of health information. Healthcare providers should incorporate health literacy assessments and interventions into discharge planning for acute myocardial infarction patients and their family caregivers. Tailoring education to caregivers' health literacy levels can improve post-discharge care, patient outcomes, and the overall quality of the care transition.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151950"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of the relationship between work motivation, work performance and turnover intention of surgical nurses: a cross-sectional study","authors":"Nihal Celikturk Doruker PhD (Research Assistant) ,&nbsp;Gulver Hacioglu RN ,&nbsp;Birgul Nurulke RN ,&nbsp;Leyla Ceylan RN","doi":"10.1016/j.apnr.2025.151960","DOIUrl":"10.1016/j.apnr.2025.151960","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to examine the relationship between work motivation, performance, and turnover intentions among surgical nurses, and to explore their impact on nurse retention and care quality.</div></div><div><h3>Methods</h3><div>This descriptive and cross-sectional study was conducted in a university hospital's surgical units between March and August 2024. The study included 322 nurses working in clinics, intensive care units and operating rooms for at least six months. Sociodemographic and Descriptive Characteristics of Form, the Nurses Work Motivation Scale (NWMS), the Individual Work Performance Questionnaire (IWPQ) and the Nurse Turnover Intention Scale (NTIS) were used to collect the data.</div></div><div><h3>Results</h3><div>In this study, the mean total score of the NWMS was 58.66 ± 8.95. The mean total score of the IWPQ was 55.02 ± 8.65, the mean total score of the task subscale was 20.32 ± 3.77, the mean total score of the contextual performance subscale was 21.80 ± 5.37, and the median total score of the counterproductive work behaviour subscale was 14.00 ± 2.59. The mean total score of the NTIS was 37.88 ± 8.15. In this study, a positive and statistically significant relationship was found between the mean total scores of HWMS with IWPQ (r: 0.359, p: 0.000), task performance subscale (r: 0.321, p: 0.000), contextual performance subscale (r: 0.2851, p: 0.000) and counterproductive work behaviour subscale (r: 0.219, p: 0.000). A negative and statistically significant (r: −0.145, p: 0.009) relationship was also found between the mean total scores of NWMS and NTIS.</div></div><div><h3>Conclusion</h3><div>This study determined that as nurse work motivation increased, individual work performance increased and turnover intentions decreased.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151960"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing and testing of patient decision aids for the use of healthcare providers in facilitating advance care planning for patients with dementia","authors":"Hsiu-Ching Lin ,&nbsp;Yu-Tai Lo ,&nbsp;Yi-Ching Yang ,&nbsp;Hua-Tsen Hsiao ,&nbsp;Hui-Chen Su ,&nbsp;Hui-Chen Chao ,&nbsp;Jing-Jy Wang ,&nbsp;Ya-Ping Yang","doi":"10.1016/j.apnr.2025.151967","DOIUrl":"10.1016/j.apnr.2025.151967","url":null,"abstract":"<div><div>Promoting advance care planning (ACP) in long-term care facilities presents significant challenges, particularly for people with dementia (PWD) and their families in making informed decisions. To address this, patient decision aids (PDAs) specifically tailored to end-of-life medical decisions for this population is needed. This study aimed to develop PDAs to aid healthcare providers in discussing ACP for end-of-life care decisions with PWD and their families. A mixed-method design was used to develop the PDAs through three sequential steps. First, design of the PDAs: This involved creating a brochure, a checklist, and six videos informed by existing ACP regulations and literature evidence. The initial design was evaluated for content validity by experts. Second, re-validation: The PDAs underwent re-validation using the Patient Education Materials Assessment Tool. This included alpha testing to assess the prototype and beta testing to evaluate understandability and actionability. Third, field testing: The Preparation for Decision Making Scale was used to measure readiness for making end-of-life care decision in a field test setting. Alpha testing of the PDAs demonstrated a high reliability score ranging from 0.85 to 1. In beta testing for understandability and actionability, the reliability scores were 0.91–0.97 and 0.96–1, respectively. In a clinical setting where the PDAs was tested, all participants reported being well-prepared for decision-making and found the PDAs beneficial in facilitating ACP. The developed PDAs exhibits strong understandability, actionability, and effectiveness in preparing service users for decision-making. They are valuable tools for healthcare providers to support end-of-life care decisions for PWD and their families.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151967"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Constipation severity mediates the relationship between affective symptoms and sleep quality among people with schizophrenia: A multicenter cross-sectional study","authors":"Shu-Yin Huang ,&nbsp;Li-Ru Wang ,&nbsp;Chieh-Yu Liu ,&nbsp;Chiu-Yueh Yang","doi":"10.1016/j.apnr.2025.151948","DOIUrl":"10.1016/j.apnr.2025.151948","url":null,"abstract":"<div><h3>Background</h3><div>More than half of people with schizophrenia experience poor sleep quality, which is greater than the proportion among the general population and among individuals with bipolar disorder. Poor sleep is a key indicator of symptom stability. Constipation is also more common in this population. While emerging evidence suggests that gut-brain interactions play a role in affective disorders, the relationship between constipation severity and sleep disturbances remains underexplored.</div></div><div><h3>Aim</h3><div>This study examined the mediating effect of constipation severity on the relationship between affective symptoms and sleep quality in people with schizophrenia.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study involving 256 participants with schizophrenia across two psychiatric hospitals. Structured questionnaires were used to assess affective symptoms, constipation severity, and sleep quality. We analyzed the mediating role of constipation severity while controlling for seven covariates by conducting multiple regression analysis using the SPSS PROCESS macro model 4.</div></div><div><h3>Results</h3><div>Anxiety, depressive symptoms, constipation severity, and sleep quality were found to be interconnected. The findings showed that neither anxiety nor depressive symptoms significantly impacted sleep quality when accounting for constipation severity, indicating that constipation fully mediated the relationship between affective symptoms and sleep quality.</div></div><div><h3>Conclusion</h3><div>In individuals with schizophrenia, constipation has a greater negative impact on sleep quality than affective symptoms. This study highlights the need to address constipation in mental health care, as managing it may improve both sleep and emotional well-being. A holistic approach that includes constipation management should be part of treatment plans for those facing mental health and sleep issues.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151948"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring nurses perceived self-efficacy and mental health competency for enhancing psychiatric care delivery in non-psychiatric settings","authors":"Ahmad A. Abujaber PhD ,&nbsp;Abdulqadir J. Nashwan PhD(c) ,&nbsp;Mutaz I. Othman MSc ,&nbsp;George V. Joy PhD(c) ,&nbsp;Ananth Nazarene PhD ,&nbsp;Fadi A. Amro MSc","doi":"10.1016/j.apnr.2025.151959","DOIUrl":"10.1016/j.apnr.2025.151959","url":null,"abstract":"<div><h3>Background</h3><div>Nursing care is essential for providing high-quality, safe, and person-centered care, particularly for patients with mental health diagnoses. Mental illness poses significant global health challenges, and nurses often encounter difficulties in delivering care due to negative attitudes, poor mental health literacy, and fear, especially in non-psychiatric settings.</div></div><div><h3>Objective</h3><div>This study aims to investigate the perceived self-efficacy and mental health competency among nurses delivering psychiatric care in non-psychiatric settings.</div></div><div><h3>Methods</h3><div>A quantitative descriptive-cross-sectional design was employed. The study involved nurses from various non-psychiatric hospital settings, selected through convenience sampling to ensure a diverse representation in terms of experience, educational background, and exposure to psychiatric care. Participants' perceived competencies were assessed using the Behavioral Health Care Competency (BHCC) survey, while self-efficacy was measured using the Nursing Professional Self-Efficacy Scale—Version 2 (NPSES2).</div></div><div><h3>Data analysis</h3><div>Statistical analysis conducted using SPSS version 26, focusing on descriptive and inferential statistics at a significance level of <em>p</em> &lt; 0.05 (two-tailed).</div></div><div><h3>Result</h3><div>Among 280 nurses, significant differences were found in nurse-perceived BHCC and NPSE based on training, with a notable correlation between perceived BHCC and NPSES, while sociodemographic factors like sex and education showed no significant impact.</div></div><div><h3>Conclusion</h3><div>The research suggests the need for educational and training programs for non-psychiatric nurses to address the gap in patient care. Extensive training and education equip nurses to deliver optimal care and compassion for patients with psychiatric demands.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151959"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Temporal trends in quality of work life, burnout, resilience, and turnover intention among newly employed nurses","authors":"Chien-Chou Su ,&nbsp;Hsiang-Chin Hsu ,&nbsp;Hsuan-Man Hung ,&nbsp;Shih-Yu Chang ,&nbsp;Huan-Fang Lee ,&nbsp;Susan Fetze ,&nbsp;Miaofen Yen","doi":"10.1016/j.apnr.2025.151949","DOIUrl":"10.1016/j.apnr.2025.151949","url":null,"abstract":"<div><h3>Aims</h3><div><em>As the</em> global nursing shortage continues to worsen, the influence of newly employed nurses' attributes on nurse retention requires attention. This study examined quality of work life (QWL), resilience, and burnout on the turnover intention of new nurses during their first six months of employment.</div></div><div><h3>Methods</h3><div>A longitudinal study recruited newly employed nurses providing direct patient care in six hospitals across Taiwan. Validated instruments related to QWL, burnout, resilience, and turnover intention collected data at the first, third, and sixth month of employment. Sample characteristics were summarized with descriptive statistics. Longitudinal data was analyzed using generalized estimating equations (GEE) to examine the relationships among the variables and turnover intention.</div></div><div><h3>Results</h3><div>Newly employed nurses (<em>n</em> = 615) reported moderately high QWL, low resilience, and moderate burnout. Turnover intention increased significantly over six months. Male, older, and unmarried nurses reported greater turnover intention, while high QWL and resilience reduced turnover risk. Emotional exhaustion and depersonalization, two factors contributing to burnout, strongly predicted greater turnover intention.</div></div><div><h3>Conclusion</h3><div>Turnover intention among new nurses increases in the first six months of employment, influenced by individual and workplace factors. Targeted early interventions to enhance QWL, reduce burnout, and build resilience are critical for improving retention rates among newly employed nurses.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151949"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of effleurage massage on sleep quality in women hospitalized for high-risk pregnancies: A randomized crossover design","authors":"Yu-Ting Tien ,&nbsp;Chi-Jane Wang ,&nbsp;Chiung-Hsin Chang ,&nbsp;Ying-Ju Chang ,&nbsp;Hsiao-Ying Hung","doi":"10.1016/j.apnr.2025.151955","DOIUrl":"10.1016/j.apnr.2025.151955","url":null,"abstract":"<div><h3>Introduction</h3><div>It is important for health care professionals to improve sleep quality of women hospitalized for high-risk pregnancies to avoid adverse maternal and infant consequences.</div></div><div><h3>Methods</h3><div>A randomized crossover study was conducted at a medical center in southern Taiwan. Sixty hospitalized pregnant women were randomly assigned to receive either two consecutive nights of 20-minute effleurage massage followed by two nights of routine care, or the reverse order. Sleep quality was assessed using subjective measures, including the Pittsburgh Sleep Quality Index (PSQI) and the Verran and Snyder-Halpern Sleep Scale, as well as objective data collected via wrist actigraphy.</div></div><div><h3>Results</h3><div>The women perceived their sleep quality to be better when they received massages than when they received standard care (z = 5.801, <em>p</em> &lt; .001). Additionally, the women had shorter sleep latency (z = −6.493, p &lt; .001), less frequent awakenings (z = −4.829, p &lt; .001), and longer total sleep duration (z = 5.713, p &lt; .001) when receiving massage. These improvements were evident regardless of the women's initial sleep quality.</div></div><div><h3>Conclusion</h3><div>A 20-minute effleurage massage before bedtime for two consecutive days improves sleep quality of hospitalized women with high-risk pregnancies. Massage should be included in routine care for these women to avoid negative maternal and fetal health outcomes caused by insufficient sleep.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151955"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of communication competence, meaning of work, and work-life balance on turnover intention in Generation Z nurses in South Korea: A cross-sectional study","authors":"Kyu-Yeon Jeong ,&nbsp;MiRa Yun ,&nbsp;Eun-Hi Choi","doi":"10.1016/j.apnr.2025.151952","DOIUrl":"10.1016/j.apnr.2025.151952","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to identify the effects of communication skills, meaningfulness of work, and work-life balance on turnover intention in Generation Z nurses, and investigate the correlations between these factors.</div></div><div><h3>Background</h3><div>Nursing organizations need to reassess staff retention strategies to accommodate the unique attributes of Generation Z, which is just beginning to enter the workforce.</div></div><div><h3>Methods</h3><div>Data were collected from July 24 to September 10, 2023, using a convenience sample of Generation Z nurses employed in three university hospitals, each with over 500 beds, in D Metropolitan City. A total of 179 nurses participated in the study, all born after 1995 and with &gt;6 months of clinical experience.</div></div><div><h3>Results</h3><div>Turnover intention was significantly correlated with meaningfulness of work (r = –0.327, <em>p</em> &lt; 0.001) and work-life balance (r = –0.613, <em>p</em> &lt; 0.001). However, communication skills were not found to be significantly correlated with turnover intention. Hierarchical multiple regression analysis revealed statistically significant relationships between turnover intention and clinical experience (β = 0.139, <em>p</em> = 0.020), engaging in hobbies once a month (β = –0.166, <em>p</em> = 0.036), and work-life balance (β = –0.603, <em>p</em> &lt; 0.001). The explanatory power was 45.6 % in model 3.</div></div><div><h3>Conclusions</h3><div>Based on these results, it is recommended that organizations develop and manage intervention programs for Generation Z nurses to improve their satisfaction with their current work units. Additionally, measures to promote work-life balance should be explored and implemented to reduce turnover.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151952"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143904511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}