International Nursing Review最新文献

{"title":"Comment on “Developing an Evaluation Framework Based on Entrustable Professional Activities for Advanced Practice Nurses in China”","authors":"Palavardhan Peddapalegani, Raghav Gupta, Priyanka Bansal, Pankaj Nainwal, Hariharan Srinivasan","doi":"10.1111/inr.70171","DOIUrl":"10.1111/inr.70171","url":null,"abstract":"","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272919","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":"The Influence of Nursing Leadership Styles on Medication Safety: A Mixed-Methods Systematic Review","authors":"Hasan Fehmi Dirik, Chrysanthi Theiakouli, Nikolaos Efstathiou","doi":"10.1111/inr.70166","DOIUrl":"10.1111/inr.70166","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To synthesise evidence on the impact of nursing leadership styles on medication errors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Leadership plays a critical role in medication safety by shaping staff behaviour, promoting adherence to clinical guidelines and fostering a safety-oriented culture. However, the effects of specific leadership styles on medication safety have not yet been comprehensively synthesised.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The Joanna Briggs Institute convergent segregated approach for mixed-method systematic reviews was employed and reported in accordance with PRISMA guidelines. Searches were conducted in MEDLINE, CINAHL, Scopus, PubMed, Web of Science, EMBASE, PsycINFO and Google Scholar, encompassing literature published from January 2014 to April 2025.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The review includes 15 papers: 11 cross-sectional, 2 quality improvement, 1 quasi-experimental and 1 mixed-methods study. Transformational (<i>n</i> = 11) and ethical leadership styles were associated with enhanced medication safety, as evidenced by increased error reporting and greater adherence to medication protocols. Situational leadership was linked to gradual improvements in self-reporting behaviours. In contrast, passive-avoidant and toxic leadership styles correlated with higher rates of medication errors and decreased willingness to report errors. The effects of transactional leadership (<i>n</i> = 5) were mixed and appeared to be influenced by contextual factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Synthesising both consistent and divergent findings clarified the complex dynamics through which leadership can mitigate or exacerbate medication errors, and offered guidance for the development of innovative and integrated leadership approaches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Transformational, ethical and situational leadership styles contribute to improved medication safety, whereas passive-avoidant and toxic leadership styles lead to increased medication errors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and Nursing Policy</h3>\u0000 \u0000 <p>This review highlights the relevance of leadership approaches associated with safety-oriented behavio","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12927690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272982","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}

{"title":"Historical Roots of Hospital Nursing Centrism in China (1835–Present): A Path Dependence Analysis","authors":"Jackie Zhanbiao Li, Duo Wang, Huohuo Dai, Xin Li, Yingqian Lao","doi":"10.1111/inr.70168","DOIUrl":"10.1111/inr.70168","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To trace the historical evolution of hospital nursing centrism in China (1835–present) and examine how institutional path dependence has shaped the subordinate status of nursing within a doctor-dominated healthcare system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Introduction</h3>\u0000 \u0000 <p>Despite major expansions in nursing education and policy advocacy, China's nursing profession remains structurally marginalized. Understanding the roots of this subordination requires a historical and institutional lens.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Drawing on path dependence theory, this study analyzes five critical phases in the development of nursing in China from 1835 to the present. A four-dimensional analytical framework that encompasses professional, organizational, fiscal, and governance institutions was applied to archival records, policy documents, academic studies, and interview data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results or Findings</h3>\u0000 \u0000 <p>Findings reveal that nursing has been persistently embedded in a “doctor-led, nurse-subordinate” governance structure. Although educational and legislative reforms expanded nursing's professional scope, entrenched institutional arrangements across the four dimensions have locked nursing into a structurally dependent position.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The historical institutionalization of nursing as an auxiliary role has limited its professional identity, participation in governance, and access to resources. The analysis highlights the limitations of reforms focused solely on education and policy without restructuring governance mechanisms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The professional development of nursing in China has been constrained by enduring path-dependent forces. To achieve true professionalization, reforms must address deep-seated institutional logics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and Nursing Policy</h3>\u0000 \u0000 <p>Professional empowerment requires the redesign of nursing roles, decision-making power, and career pathways within hospital governance. Policy reforms should dismantle hierarchical governance structures and institutionalize nurses’ participation in leadership, ensuring equitable distributio","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12927680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272927","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}

{"title":"The Effect of Education on Evidence-Based Practice Implementation Among Nurse Leaders: A Mixed-Methods Systematic Review","authors":"Dawn M. Horsom, Natasha Keogh, Geraldine Lee, Mohamad M. Saab","doi":"10.1111/inr.70169","DOIUrl":"10.1111/inr.70169","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This mixed methods systematic review explored the effect of education on the implementation of evidence-based practice among nurse leaders within healthcare settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Education influences nurse leaders’ ability to implement evidence-based practice. Successful implementation requires multifaceted strategies, including organisational support and leadership engagement, to overcome persistent challenges and ensure evidence-based knowledge is translated into high-quality, person-centred care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This review followed Joanna Briggs Institute (JBI) guidance and was reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. CINAHL, PubMed, Cochrane Central Register of Controlled Trials, Web of Science, ClinicalTrials.gov, and Google Scholar were searched without language or year limits to June 2025. Studies were double screened, appraised using the Mixed-Method Appraisal Tool, and synthesised using convergent parallel synthesis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 3,646 records were identified, with nine studies included. Education positively influenced nurse leaders’ knowledge, attitudes, beliefs, clinical skills, and leadership behaviours regarding evidence-based practice. Perceptions of leadership support improved following interventions. However, evidence on long-term sustainability was limited. Organisational culture, resourcing, communication, and collaboration acted as both barriers and facilitators to implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Education strengthens nurse leaders’ capacity to support evidence-based practice but is most effective when embedded within supportive organisational contexts. Education alone is insufficient without alignment with culture, resources, and leadership structures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Education enhances nurse leaders’ ability to implement evidence-based practice, but sustained impact requires organisational readiness and ongoing support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and nursing policy</h3>\u0000 \u0000 <p>Targeted education, combined with organisational support, can st","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12927687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272994","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}

{"title":"The Correlation of Ethical Climate With Work Engagement Among Jordanian Nurses in the Emergency Department: A Cross-Sectional Study","authors":"Malakeh Z. Malak,&nbsp;Anas Shehadeh,&nbsp;Mohammad Taamnha","doi":"10.1111/inr.70155","DOIUrl":"10.1111/inr.70155","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to investigate work engagement and its association with ethical climate among Jordanian nurses in the emergency department.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Work engagement and ethical climate are critical factors for emergency nurses who work in high-pressure environments that require rapid clinical and ethical decision-making.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted. Data were collected from a sample of 650 emergency nurses in Jordan from March to May 2025. Measures comprised the Ethical Climate Questionnaire (ECQ), the Utrecht Work Engagement Scale 9 (UWES-9), and sociodemographic variables. A hierarchical multiple regression analysis was used to analyze the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The participants reported moderate levels of both satisfaction with the ethical climate and work engagement. A positive correlation existed between ethical climate and work engagement. Higher levels of work engagement correlated with participants who were female, single, divorced or widowed, employed in the private sector, and had lower monthly income. Five models resulted from the hierarchical multiple regression. They indicated that ethical climate, monthly income, marital status, and gender accounted for a meaningful proportion of variance in work engagement in this sample. Ethical climate was the strongest factor associated with work engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Enhancing the ethical climate within emergency departments could be an effective strategy for strengthening nurses’ work engagement and sustaining workforce performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing</h3>\u0000 \u0000 <p>Nursing managers should promote ethical dialogue, supportive supervision, continuous training, and equitable workplace practices to strengthen work engagement among emergency nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and/or Health Policy</h3>\u0000 \u0000 <p>Healthcare policymakers should support ethical workplace policies, inclusive leadership development, and organizational empowerment to enhance an ethical climate in emergency departments.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203871","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":"The Influence of Nurse Influencers on Nursing Students’ Professional Attitudes: A Qualitative Study","authors":"Necibe Dağcan Şahin,&nbsp;Gülşah Gürol Arslan","doi":"10.1111/inr.70161","DOIUrl":"10.1111/inr.70161","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 examine the impacts of nurse influencers on nursing students’ attitudes toward their profession, their motivation, and educational development.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background/Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;With the rise of digital media, nurse influencers on social platforms have become visible figures who may shape nursing students’ professional perspectives, motivation, and perceptions of nursing in society.&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 descriptive qualitative study was conducted with 19 nursing students between June 2024 and February 2025. Data were gathered through face-to-face, in-depth interviews using a semi-structured guide and analyzed using Braun and Clarke's thematic analysis method. The study was reported following the COREQ checklist.&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;Six main themes emerged: (1) the power of nurse influencers, (2) impact on perceptions toward the nursing profession, (3) impact on societal perception of nursing, (4) ethical and safe boundaries of social media posts, (5) impact on professional development, and (6) contribution to the educational process. Nurse influencers were seen as relatable figures (“one of us”) who inspire motivation and career aspirations, while ethical violations and content mismatching reality remained critical concerns.&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;Findings indicate that social media nurse influencers significantly shape nursing students’ professional attitudes and educational engagement. While influencers serve as a source of motivation and practical knowledge, students need guidance to critically evaluate content, particularly regarding patient privacy and ethical boundaries.&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;Social media nurse influencers positively affect nursing students’ professional attitudes, motivation, and educational processes when the content is ethically sound. However, the potential for demotivation and negative societal perception exists. Their presence can serve as a supplementary educational tool when used responsibly.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for Nursing&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Integrating social media literacy, digital professionalism, and ethical awareness into undergraduate nursing curricula is essential to help students develop critical awareness.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183328","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":"International Recruitment and Nursing Shortage in the Nordic Region: Ethical Implication and the Global Code: A Policy Analysis","authors":"Floro Cubelo,&nbsp;Tiina Vaittinen","doi":"10.1111/inr.70164","DOIUrl":"10.1111/inr.70164","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To communicate ethical concerns about recruiting internationally educated nurses (IENs) from outside the European Union/European Economic Area (EU/EEA) to the Nordic region.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurse migration from low- and middle-income countries to the Nordics is increasing, and national and international organizations have raised ethical concerns about active recruitment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This paper employed a reflective analysis using heuristic experience in a postmodern paradigm drawn from secondary sources and experiential knowledge from nonprofit work.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Key ethical issues include high costs from multiple service fees, IENs’ limited understanding of contracts and working conditions, and deskilling after arrival, where nurses perform tasks below their competence. Even experienced registered nurses are often placed in practical nursing programs and first hired as care assistants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Existing laws on labor exploitation and trafficking alone are insufficient, covering the complex exploitation in transnational nurse recruitment. Without legal frameworks, international nurse recruiters can ignore the principles of the World Health Organization (WHO) Global Code of Practice on the International Recruitment of Health Personnel</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>States relying on international nurse recruitment should enact laws regulating recruitment actors and embed ethical guidelines in national legislation to protect IENs from exploitation. WHO member states must monitor international recruitment and ensure compliance with the WHO Global Code of Practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and Health Policy</h3>\u0000 \u0000 <p>Nursing science perspectives and transnational migration governance must be integrated into policy-making and implementation to protect IENs, their colleagues, patients, and families, and to prepare nurse managers to handle ethical issues in international recruitment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12903835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183353","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}

{"title":"Psychological Empowerment as a Predictor of Nurses’ Job Satisfaction: The Mediating Role of Professional Identity","authors":"Nurcan Bilgin,&nbsp;Havva Kara,&nbsp;Aynur Çetinkaya","doi":"10.1111/inr.70160","DOIUrl":"10.1111/inr.70160","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 examine the mediating role of professional identity in the relationship between psychological empowerment and job satisfaction among nurses.&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;Nurses play a fundamental role in patient care while fulfilling professional responsibilities, and their psychological empowerment may influence both professional identity and job satisfaction.&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 analytical cross-sectional study was conducted with a sample of 237 nurses selected from a population of 600 nurses working at a university hospital between February and May 2025. In the analysis of the data, Pearson correlation analysis and simple linear regression analysis were used. To test the mediating effect, Hayes’ Process Macro (Model 4) with 5000 bootstrap resamples and a 95% confidence interval was employed.&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;Psychological empowerment accounted for 19.2% of the variance in job satisfaction and 29% in professional identity. Professional identity explained 37.4% of the variance in job satisfaction, while the combination of psychological empowerment and professional identity explained 39.4%. Furthermore, professional identity significantly mediated the relationship between psychological empowerment and job satisfaction, with an effect coefficient of 0.286 (95% CI [0.203, 0.371]), as supported by bootstrapping results, indicating a meaningful mediation effect.&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;These results suggest that enhancing nurses’ psychological empowerment can strengthen their professional identity, thereby improving job satisfaction.&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;The study demonstrated that professional identity mediated the relationship between psychological empowerment and job satisfaction among nurses. Strengthening nurses’ psychological empowerment may enhance professional identity, which in turn leads to increased job satisfaction.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for Nursing&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Enhancing nurses’ psychological empowerment may strengthen their professional identity and increase job satisfaction.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for Nursing Policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nurse managers should develop strategies to promote psychological empowerment ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183396","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":"The Role of Spirituality and Religion When Nurses Care for People Experiencing Suicidality: An Integrative Review","authors":"Katherine Cooper,&nbsp;Ethar Alsharaydeh,&nbsp;Sara Shishehghar,&nbsp;Gihane Endrawes,&nbsp;Gillian Murphy","doi":"10.1111/inr.70158","DOIUrl":"10.1111/inr.70158","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To synthesise quantitative and qualitative research on the role of spirituality and religion in shaping nurses’ knowledge, attitudes, practices, and experiences when caring for individuals experiencing suicidality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurses play a vital role in assessing and holistically caring for individuals experiencing suicidality. However, the influence of spirituality and religion on nursing care is unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>An integrative review was conducted using Cronin and George's framework. Medline, CINAHL Plus, Scopus, ProQuest Full Text, and PsycINFO databases were searched between January 2000 and February 2025. The PRISMAchecklist was used for reporting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight studies were included. This review found that some nurses struggled when caring for individuals experiencing suicidality due to personal spiritual and religious beliefs. This was attributed to inadequate training related to suicide care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The novel result in this integrative review lies in how it notably brings together and compares evidence across cultural, religious, and geographical contexts to demonstrate that nurses’ personal religious, spiritual, and cultural beliefs not only influence their attitudes towards suicidality but also shape the care they provide. This review identifies a direct link between the lack of suicide-specific training and the reliance on personal spiritual or cultural frameworks when caring for patients experiencing suicidality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Policymakers and education providers need to provide clearer guidance and instruction on how nurses are to care for patients experiencing suicidality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and Health Policy</h3>\u0000 \u0000 <p>Prioritising spiritual care education and considering diverse cultural contexts is essential to ensure nursing practice aligns with nursing policies and promotes individuals’ recovery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12887749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151362","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}

{"title":"The Integral Role of Nurses in Ensuring Well-Designed and Functional New Public Hospitals: A Qualitative Study","authors":"Ronen Segev,&nbsp;Iris Leibovich-Nassi,&nbsp;Alla Perepech,&nbsp;Inna Adler,&nbsp;Talia Danieli","doi":"10.1111/inr.70156","DOIUrl":"10.1111/inr.70156","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 explore the role of nursing in the planning and establishment of a new public hospital, from initial design to full operational capacity.&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;Building new public hospitals requires comprehensive planning and collaboration to address population growth and aging demographics. Nurses offer invaluable insights into patient care and workflow, which are crucial for effective hospital design.&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 qualitative descriptive study was conducted using focus groups and interviews with 36 participants, including nurses, administrative staff, physicians, and laboratory directors involved in the design and operation of a new public hospital. Data were analyzed using thematic analysis.&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;Three themes emerged. The first involved challenges such as recruiting qualified staff, creating standardized regulations, and mismatches between infrastructure and system requirements. The second described coping strategies, including salary adjustments, policy development, and equipment acquisition. The third offered recommendations for future projects, emphasizing comprehensive planning, collaboration, and nursing involvement in decision-making.&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;Nurses’ knowledge of patient care and workflows bridges the gap between architectural design and clinical function. Their early and sustained involvement supports operational readiness and interdisciplinary collaboration.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nurses play a vital role in hospital planning and operation, improving teamwork, recruitment, and standardization.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for Nursing&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nursing involvement in hospital planning ensures alignment with patient care and workflow needs. Leaders should advocate for participation and develop competencies in design and construction to enhance collaboration and patient safety.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for Nursing Policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Evidence-based nursing input should be integrated into hospital design, and nur","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12887747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151334","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}