International Nursing Review最新文献

{"title":"Registered nurses’ perspective of nurse practitioners: A mixed-methods study","authors":"Tatyana Miller NP, RN, MSN,&nbsp;Joshua Porat-Dahlerbruch RN, PhD,&nbsp;Shoshana Ratz NP, RN, MSc,&nbsp;Moriah E. Ellen PhD, MBA","doi":"10.1111/inr.13102","DOIUrl":"https://doi.org/10.1111/inr.13102","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To understand what registered nurses (RNs) know about the nurse practitioner (NP) role, and factors affecting RN perspectives toward NPs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Introduction</h3>\u0000 \u0000 <p>One issue hindering the integration of NPs into healthcare systems is poor RN–NP relationships. This relationship has been understudied where the NP role has been recently introduced.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used an explanatory sequential design. A cross-sectional survey was disseminated to RNs to identify knowledge and feelings regarding NPs and factors influencing their perspectives. Based on survey results, semistructured interviews were conducted and analyzed using thematic analysis. Quantitative and qualitative results were integrated to identify converging, diverging, and complementary results. This study adheres to the Checklist of Mixed-Methods Elements in a Submission to Advance the Methodology of Mixed-Methods Research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 277 survey respondents. The factors impacting perspectives toward NPs were age, exposure to NPs, years of experience, and level of education. Seven themes arose from the qualitative data: exposure to NPs, delineation of NP scope of practice, characterizations of NPs, acceptance of the role, advantages of NPs, cultural aspects, and effects of higher education. Quantitative and qualitative results converged in nearly all instances.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>To improve the RN–NP relationship, RNs must understand the NP role. RNs who have worked directly with NPs usually express the benefits of NP care for patients and care team members.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>To promote the integration of NPs into care teams, it is important to expose RNs to the NP role through education or work experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing policy</h3>\u0000 \u0000 <p>Upstream approaches to improve the RN–NP relationship include educating students about the NP role, offering clinical rotations with NPs, and organizational messaging promoting the RN–NP collaboration.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143446955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing patient safety culture in nursing practice in Kazakhstani healthcare institutions: A cross-sectional study","authors":"Kurolay Aimoldina MScN,&nbsp;Nassikhat Nurgaliyeva PhD,&nbsp;Gulmira Derbissalina PhD,&nbsp;Mojtaba Vaismoradi PhD","doi":"10.1111/inr.70005","DOIUrl":"https://doi.org/10.1111/inr.70005","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To assess the current patient safety culture in nursing practice within Kazakhstani healthcare institutions accredited by the Joint Commission International standards.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Studies on patient safety culture in nursing are scarce in regions like Kazakhstan, with most research focused on developed countries, leaving Central Asia with limited context-specific data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study using the Hospital Survey on Patient Safety Culture 2.0 collected data from 319 nurses, applying the Safety Culture Framework to assess and improve healthcare safety culture.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The average score for ‘overall patient safety grade’ was 73.5, with most nurses rating their workplace as very good/excellent or good. Communication about error received the highest positive scores, while reporting patient safety events had the lowest. Teamwork and organizational learning-continuous improvement were identified as key strengths. Nearly half of the respondents had not reported any patient safety incidents in the past 12 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Nurses in Kazakhstan have a positive attitude toward patient safety culture and confidence in workplace safety. However, there is a need for greater focus on non-punitive responses to errors and staffing. The impact of accreditation on patient safety culture remains unclear, warranting further research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and health policy</h3>\u0000 \u0000 <p>Insights from this study can guide the development of patient safety protocols and training programmes. Addressing gaps will help stakeholders strengthen patient safety culture, ultimately improving patient care quality and healthcare outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143446793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of violence on work morale on Taiwanese nurses: The moderator of perceived organizational support","authors":"Kuan-Yang Chen PhD,&nbsp;Hsuan-Man Wu Master,&nbsp;Hsiu-Chuan Wu Master","doi":"10.1111/inr.13098","DOIUrl":"https://doi.org/10.1111/inr.13098","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study aimed to investigate the impact of workplace violence on work morale, of nurses specifically focusing on work satisfaction and work commitment, and whether perceived organizational support moderates this relationship.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Prior research on this topic has predominantly explored the effects of workplace violence on the emotional antecedents of nurses’ turnover intentions, with limited attention given to organizational factors. The literature and evidence on this subject are inconsistent and often contradictory. Moreover, studies that address contingency factors within the dynamics of this relationship are lacking.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A sample of 550 nurses at a medical center in Taiwan provided the initial data collection pool, from which 300 respondents were selected for further analysis. To evaluate the proposed hypotheses, partial least squares structural equation modeling was applied.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Findings&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;When considered in the context of affective events theory and social support theory, the findings confirm workplace violence has significant effects on both work satisfaction and work commitment. Additionally, perceived organizational support acted as a moderating factor in this relationship.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study aligns with the Sustainable Development Goals established by the United Nations, particularly those concerning addressing gender equality (key themes addressed by goal 5: workplace violence and harassment) to foster a supportive work environment for women. This research contributes to the literature by elucidating the specific moderating mechanisms through which perceived organizational support influences the relationship between workplace violence and work morale.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for nursing and nursing policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The results of this study have a significant impact on international nursing policies focused on enhancing the safety and involvement of female nurses in the workplace, especially regarding workplace violence issues. Hospital administrators should create a positive nursing work environment that maintains nurses’ morale and reduces the negative effects of workplace violence. Additionally, organizations should provide nurses with supportive resources or establish policies to enhance nurses’ work morale.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 &lt;/div","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143248680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Finding the paths between job demand–resources and turnover intention of community mental health nurses in Korea","authors":"Eunmi Hwang RN, APN, PhD,&nbsp;Yeojin Yi RN, PhD","doi":"10.1111/inr.70004","DOIUrl":"https://doi.org/10.1111/inr.70004","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to investigate the pathways between client violence, supervision, workplace spirituality, burnout, work engagement, and turnover intention in community mental health nurses using the job demand–resources model with the goal of reducing turnover and improving workforce retention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>High turnover of nurses has a negative impact on the rehabilitation and recovery of people with mental illness. While individual factors influencing turnover intention are well studied, there is a lack of research on the dynamics between variables and what should be focused on.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were 243 mental health nurses working in the community health organizations. Data were collected through online questionnaires in April 2022 and analyzed using path analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Client violence against nurses as a job demand directly and indirectly negatively affected turnover intention through burnout. Supervision as a job resource only directly decreased turnover intention without mediating factors. Workplace spirituality as a personal resource indirectly lowered turnover intention through work engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>We need to focus more on organizational issues first, such as workplace safety (client violence) and administrative support (supervision) related to the nurses' turnover intention, and then on individual issues (workplace spirituality).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>The worst path (client violence to burnout) to accelerate turnover intention of the nurses must be managed and disconnected, while the best path (from workplace spirituality to work engagement) to lower turnover intention should be maintained.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and health policy</h3>\u0000 \u0000 <p>Policymakers should extend Workplace Safety Legislation to community organizations less well-served by the laws and incorporate supervision into organizational evaluation items and curricula. Collaboration between community organizations and law enforcement is essential to enhance safety and support for the nurses.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143248681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing support for nurses' moral competence: A commentary on Wiisak et al.’s multilevel framework","authors":"Chiu-Lien Chen PMHNP,&nbsp;Lien-Chung Wei MD, MPH","doi":"10.1111/inr.70003","DOIUrl":"https://doi.org/10.1111/inr.70003","url":null,"abstract":"","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143248682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating nurses' psychological and operational preparedness for mass-casualty events in Saudi Arabia","authors":"Nasser Shubayr PhD","doi":"10.1111/inr.70002","DOIUrl":"https://doi.org/10.1111/inr.70002","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study assessed nurses' psychological and operational preparedness for mass-casualty events in healthcare settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurses are vital responders in mass-casualty events, which demand quick and effective actions. Both psychological and operational preparedness are key to ensuring their ability to manage such high-pressure situations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A multicenter, cross-sectional study was conducted among 156 emergency nurses in Saudi Arabia. Data were collected using a structured questionnaire based on the Transactional Model of Stress and Coping and the Hospital Emergency Incident Command System to assess psychological and operational preparedness. Data collection included demographic information, previous training, incident response experience, preparedness priorities for various mass-casualty events, and perceived challenges and barriers to response. The data were analyzed using descriptive and inferential statistics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Discrepancies were observed between training and response experience for mass-casualty events, with natural disasters showing the highest alignment and priority, while transportation and fire-related incidents had a greater response than training, suggesting reliance on practical experience rather than formal education. War injuries were among the highly prioritized, with training exceeding response, potentially reflecting geopolitical concerns. Psychological and operational preparedness were moderately rated, with a strong correlation between the two, indicating that enhancing psychological resilience could improve overall preparedness. Key perceived barriers included staff shortages, inadequate resources, psychological stress, insufficient training, and unclear protocols or lack of guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study highlights moderate preparedness levels, with a need for more targeted training and systemic improvements to address identified barriers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and health policy</h3>\u0000 \u0000 <p>Health policies should prioritize comprehensive disaster preparedness programs with mental health support, clear protocols, and adequate training to improve nurse preparedness for mass-casualty events. Addressing perceived barriers will strengthen the healthcare system's emergency response.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143248679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing negative outcomes for nurses who experience patient safety incidents: An integrative review","authors":"Hanseulgi Lee MPH, RN,&nbsp;Nam-Ju Lee PhD, RN,&nbsp;Nari Kim PhD, RN","doi":"10.1111/inr.70000","DOIUrl":"10.1111/inr.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To synthesize evidence on factors influencing negative outcomes following patient safety incidents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Patient safety incidents affect not only patients and families but also healthcare workers (second victims) and institutions (third victims). Nurses are at risk due to stressful environments and direct patient care, leading to defensive practices, job turnover, and errors. Identifying these factors and developing support strategies are crucial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This integrative review followed Whittemore and Knafl's method, guided by the middle-range theory of nurses’ psychological trauma. Seven databases (PubMed, CINAHL, PsycINFO, Cochrane Library, KISS, KMbase, and RISS) were searched for English and Korean articles from 2014 to 2023. Study quality was evaluated using Joanna Briggs Institute tools, and reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A review of 24 cross-sectional studies from the United States and China revealed factors such as genetic/biological (e.g., gender and age), environmental (e.g., work experience and organizational support), and psychological (e.g., distress and coping). Nonpunitive cultures reduced negative emotions, while high harm and preventable incidents increased negative impacts, mitigated by spirituality. These findings underscore the need for targeted interventions and supportive policies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Multidimensional support strategies are necessary to improve nurses' working environments and patient care quality. Further research should explore additional mitigating factors and third victim studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing policy</h3>\u0000 \u0000 <p>This review highlights the need for global mental health strategies and supportive organizational cultures for nurses. Addressing punitive environments and systemic factors through policy changes can improve nurse well-being and patient care quality. Creating safer environments not only benefits nurses but also enhances the quality and safety of patient care, ultimately driving the provision of better healthcare services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between disaster preparedness perception, self-efficacy, and psychological capital among Turkish nurses","authors":"Merve Ataç Öksüz PhD, RN,&nbsp;Dilek Avci PhD, RN,&nbsp;Ali Kaplan PhD, RN","doi":"10.1111/inr.13097","DOIUrl":"10.1111/inr.13097","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Although disasters continue to increase all over the world and international nursing organizations warn nurses to be ready for disasters, it is stated that the training of nurses for disasters is inadequate in Turkey as in many countries, and studies on this subject are limited</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to explore the relationship between disaster preparedness perception, self-efficacy, and psychological capital among Turkish nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study was conducted with 270 nurses working at a university hospital in Turkey from May 2023 to December 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean Disaster Preparedness Perception Scale, General Self-Efficacy Scale, and Psychological Capital Questionnaire scores of the nurses were 73.19 ± 11.06, 31.24 ± 3.89, and 98.05 ± 11.35, respectively. According to linear regression analysis, self-efficacy, psychological capital, receiving disaster training, and being exposed to disaster were significant predictive factors that affected disaster preparedness perception.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>To improve nurses' disaster preparedness, it is vital to strengthen their self-efficacy and psychological capital through various strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing policy</h3>\u0000 \u0000 <p>Managers should identify individual and organizational barriers that affect nurses' readiness for disasters, prepare nurses for all stages of disaster management through continuous training, scenario-based simulation exercises and drills, and create a disaster management culture in the organization.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A descriptive analysis of nurses’ self-reported mental health symptoms during the COVID-19 pandemic: An international study","authors":"Allison Squires RN, PhD, FAAN,&nbsp;Hillary J. Dutton RN, MS, MPH,&nbsp;Maria Guadalupe Casales-Hernandez RN, PhD, MS,&nbsp;Javier Isidro Rodriguez López RN, MGEA,&nbsp;Juana Jimenez-Sanchez RN, DrHA,&nbsp;Paola Saldarriaga-Dixon RN, MSN,&nbsp;Cornelia Bernal Cespedes RN, MSN,&nbsp;Yesenia Flores RN, MSN,&nbsp;Maryuri Ibeth Arteaga Cordova RN, MSN,&nbsp;Gabriela Castillo EdD,&nbsp;Jannette Marga Loza Sosa RN, MSN,&nbsp;Julio Garcia RN, PhD,&nbsp;Taycia Ramirez RN, MSN,&nbsp;Cibeles González - Nahuelquin RN, PhD,&nbsp;Teresa Amaya RN, MSN,&nbsp;Jose Luis Guedes Dos Santos RN, PhD,&nbsp;Derby Muñoz Rojas RN, PhD,&nbsp;Lilia Andrea Buitrago-Malaver RN, PhD,&nbsp;Fiorella Jackeline Rojas-Pineda RN, MSc,&nbsp;Jose Luis Alvarez Watson RN, MSN,&nbsp;Mercedes Gómez Del Pulgar RN, PhD,&nbsp;Maria Anyorikeya MPH,&nbsp;Hulya Bilgin RN, PhD,&nbsp;Aurelija Blaževičienė RN, PhD,&nbsp;Lucky Sarjono Buranda MD, MSc, CMHA, CDIF, CLSSBB, FISQua,&nbsp;Theresa P. Castillo EdD, MA, CHES,&nbsp;Stefanía Johanna Cedeño Tapia RN, MSN,&nbsp;Stefania Chiappinotto RN, PhD, MSN,&nbsp;Dulamsuren Damiran RN, PhD,&nbsp;Blerina Duka RN, PhD,&nbsp;Vlora Ejupi RN, MA,&nbsp;Mohamed Jama Ismail RN, MSN, BSN,&nbsp;Shanzida Khatun RN, PhD,&nbsp;Virya Koy RN, PhD, MHPEd, MNSc,&nbsp;Seung Eun Lee RN, PhD,&nbsp;Taewha Lee RN, PhD, FAAN,&nbsp;Jakub Lickiewicz PhD,&nbsp;Jūratė Macijauskienė PhD,&nbsp;Iwona Malinowska-Lipien RN, PhD,&nbsp;Apiradee Nantsupawat RN, PhD,&nbsp;Abdulqadir J. Nashwan RN, MSN,&nbsp;Fadumo Osman Ahmed RN, MSN, BSN,&nbsp;Aylin Ozakgul RN, PhD,&nbsp;Yennuten Paarima RN, MPhil, BSN,&nbsp;Alvisa Palese RN, PhD,&nbsp;Veronica E. Ramirez PhD,&nbsp;Alisa Tsuladze MPH,&nbsp;Zeliha Tulek RN, PhD,&nbsp;Maia Uchaneishvili MPH,&nbsp;Margaret Wekem Kukeba RN, PhD,&nbsp;Enkhjargal Yanjmaa RN, PhD,&nbsp;Honey Patel MPH, MPA,&nbsp;Zhongyue Ma MPH,&nbsp;Lloyd A. Goldsamt PhD,&nbsp;Simon Jones PhD","doi":"10.1111/inr.13099","DOIUrl":"10.1111/inr.13099","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To describe the self-reported mental health of nurses from 35 countries who worked during the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There is little occupationally specific data about nurses' mental health worldwide. Studies have documented the impact on nurses’ mental health of the COVID-19 pandemic, but few have baseline referents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive, cross-sectional design structured the study. Data reflect a convenience sample of 9,387 participants who completed the opt-in survey between July 31, 2022, and October 31, 2023. Descriptive statistics were run to analyze the following variables associated with mental health: Self-reports of mental health symptoms, burnout, personal losses during the pandemic, access to mental health services, and self-care practices used to cope with pandemic-related stressors. Reporting of this study was steered by the STROBE guideline for quantitative studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Anxiety or depression occurred at rates ranging from 23%–61%, with country-specific trends in reporting observed. Approximately 18% of the sample reported experiencing some symptoms of burnout. The majority of nurses’ employers did not provide mental health support in the workplace. Most reported more frequently engaging with self-care practices compared with before the pandemic. Notably, 20% of nurses suffered the loss of a family member, 35% lost a friend, and 34% a coworker due to COVID-19. Nearly half (48%) reported experiencing public aggression due to their identity as a nurse.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The data obtained establish a basis for understanding the specific mental health needs of the nursing workforce globally, highlighting key areas for service development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing policy</h3>\u0000 \u0000 <p>Healthcare organizations and governmental bodies need to develop targeted mental health support programs that are readily accessible to nurses to foster a resilient nursing workforce.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enablers and inhibitors of nursing and midwifery leadership in Pacific Island collectivist cultures","authors":"Michele Rumsey RN, PhD, FACN, Order of Australia,&nbsp;Debra Thoms RN, BA, MSc, MNA, Grad Cert Bioethics, Adv Dip Arts, FACN, Wharton Fellow,&nbsp; Deki Master of Human Resources,&nbsp;Margaret Leong RN, BHealth(Nursing), Master of Leadership in Health, PGC Infection Prevention & Control,&nbsp;Colleen Turaga Wilson RN, RM, BN, PGC (Nursing Admin),&nbsp;Mele Sii Inukihaangana Filise RN, BNSci, MAdvN, MEd,&nbsp;Amelia Latu Afuha'amango Tuipulotu RN PhD Knight Grand Cross of the Crown of Tonga,&nbsp;Chris Rossiter BA(Hons)","doi":"10.1111/inr.13092","DOIUrl":"10.1111/inr.13092","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To identify and explore inhibitors and enablers of nursing and midwifery leadership in the Pacific; to develop context-specific recommendations for policy and practice.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Many Pacific Island countries experience poor health outcomes and are vulnerable to climate-related health emergencies. Nursing and midwifery leadership is essential to improve regional health outcomes through influencing policy decisions, strengthening health systems and ensuring optimal health workforce utilisation. Understanding factors affecting health professional leadership facilitates action to remove obstacles and stimulate professional development for emerging leaders.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This qualitative study utilised a culturally sensitive co-designed approach and follows the COREQ criteria. The PARcific research methodology synthesised Participant Action Research with Pacific methodologies for culturally safe interviews with 136 stakeholders.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Major enablers of leadership identified were professional development, particularly skills in communication, project planning and data literacy; adequate workforce resources; effective workforce management; support from peers and managers; and personal confidence and courage. Participants identified main inhibitors: inadequate workforce resources; limited cultural sensitivity;  and poor understanding of national and regional strategies.&lt;/p&gt;\u0000 \u0000 &lt;p&gt;However, perspectives varied between different participant groups. International and regional policy makers did not recognise the critical importance of workforce resources and individual agency to fostering nursing and midwifery leadership.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Joint action to enhance health professional leadership will promote better policymaking leading to improved health outcomes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for health policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Professional development should specifically include leadership training using culturally appropriate methods and mechanisms for management and peer support. Leadership development also requires adequate workforce resources to support training; regional standards for accreditation and professional development; improved formal and infor","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}