International Nursing Review最新文献

{"title":"Levels of Flow at Work among Nurses: A Systematic Review and Meta-Analysis","authors":"Peishuang Wang,&nbsp;Rui Gao,&nbsp;Xinyan Zhuang,&nbsp;Yi Yang,&nbsp;Fang Zhou,&nbsp;Fang Wu,&nbsp;Jiao Wu,&nbsp;Shumin Tu,&nbsp;Nana Liu,&nbsp;Huihui Hu","doi":"10.1111/inr.70098","DOIUrl":"https://doi.org/10.1111/inr.70098","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To systematically evaluate the available literature on the overall levels of flow at work among nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurses are the core members of the medical team, who are confronted with considerable pressure, job burnout, and a high level of intention to leave. As flow refers to the optimal experiences that are the most enjoyable in human life when engaged in an activity with full involvement, a higher level of flow at work can help reduce work pressure, alleviate burnout, promote personal growth, and further improve the quality of nursing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A search was conducted on the Cochrane, EMBASE, PsycINFO, PubMed, Scopus, WOS, CINAHL, and Chinese databases, including the China Biomedical Literature (SinoMed), China National Knowledge Infrastructure (CNKI), WanFang, and Weipu databases, from the inception of the databases until October 2024. Two researchers independently conducted the literature screens, quality assessments, and data extraction on the basis of the inclusion and exclusion criteria and evaluated the risk of bias. A random-effects model was employed to achieve pooled estimates of work-related flow scales via Stata18.0 software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The pooled mean score of the work-related flow scale was 3.44 (95% CI, 3.28–3.60). Eleven studies reported scores for the subdimensions of absorption, work enjoyment, and intrinsic motivation, with scores of 3.38 (95% CI, 3.09–3.68), 3.12 (95% CI, 2.88–3.36), and 3.28 (95% CI, 3.00–3.56), respectively. Subgroup analysis suggested that nurses in China, nurses in general departments (internal medicine and surgery), and nurses ≤35 years of age might have experienced lower levels of flow at work. Additionally, studies with large sample sizes tended to report high levels of flow at work; studies published from 2019 to 2022 reported slightly higher levels of flow at work scores. Meta-regression further revealed that the country, mean age, and department of the participants might be the sources of heterogeneity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This review is the first to synthesize published research and calculate a pooled score of flow at work among nurses. The results indicated that nurses reported a medium level of flow at work, with significant heterogeneity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing policy</h3>\u0000 \u0000 <p>Policy makers and managers should dynamica","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144832797","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":"Fostering International Collaborations to Inform Nursing and Midwifery Policy: A Caribbean Initiative","authors":"Eileen T. Lake,&nbsp;Adelais Markaki,&nbsp;Oscar Ocho,&nbsp;Tina J. Kavukattu,&nbsp;Denise Bryant-Lukosius,&nbsp;Jody R. Lori,&nbsp;Dawn Munroe,&nbsp;Susan M. Walsh,&nbsp;Edwin Bolastig,&nbsp;Bruna Moreno Dias,&nbsp;Vishwanath Partapsingh,&nbsp;Carmen Alvarez,&nbsp;Pauline Anderson-Johnson,&nbsp;Monique Lynch,&nbsp;Jaime Wynter-Hewitt","doi":"10.1111/inr.70081","DOIUrl":"https://doi.org/10.1111/inr.70081","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 initiative aimed to contribute to the Pan American Health Organization/World Health Organization's (PAHO/WHO) strategic goals for nursing and midwifery workforce development in the Caribbean by establishing a collaboration to streamline processes to collect comprehensive region-wide data and reduce respondent burden.&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;The Caribbean region faces persistent challenges in nursing and midwifery workforce development due to high migration rates, workforce shortages, and limited regional data collection. Seven PAHO/WHO Collaborating Centers (CCs) for Nursing and Midwifery were tasked separately with Terms of Reference to support the human resources for health (HRH)-related Sustainable Development Goals of Caribbean countries.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Sources of evidence&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;PAHO-tasked Terms of Reference for CC activities and strategic priorities in the Caribbean.&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;Using Donabedian's structure–process–outcome model, we described the development, implementation, and impact of this initiative. Structural components included the Pan American Collaborating Centers for Nursing and Midwifery (PANMCC) network, formal leadership, PAHO support, team commitment and expertise, and resources. The process emphasized regular communication, stakeholder engagement, and a collaborative approach to survey design and distribution. Outcomes included the successful development and implementation of a comprehensive survey, improved data quality, reduced respondent burden, and shared learning. Unexpected benefits were the strengthening of the PANMCC network and further opportunities for collaboration.&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 success of this initiative was attributed to structures and processes that set the foundation for effective communication, collaboration, and synergies among the CCs to achieve project goals.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for nursing policy and practice&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This international collaboration showcased the importance of strong leadership, mutual commitment, and unwavering support from the PANMCC network. The findings demonstrate the potential of coordinated efforts to inform nursing and midwifery HRH policy and practice in resource-constrained regions.&lt;/p&gt;\u0000 &lt;/","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70081","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144832701","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 International Advanced Practice Nurse Integration Policy Intervention Taxonomy: A 10-Country Nominal Group Consensus Technique Study","authors":"Joshua Porat-Dahlerbruch,&nbsp;Tatyana Miller,&nbsp;Jocelyn Boyd,&nbsp;Moriah E. Ellen,&nbsp;Rebecca R. S. Clark","doi":"10.1111/inr.70096","DOIUrl":"https://doi.org/10.1111/inr.70096","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 develop an international taxonomy of policy interventions for integrating advanced practice nurses into health systems.&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;Advanced practice nurse integration is the extent to which advanced practice nurses can function to the full extent of their education and scope of practice and contribute to better outcomes. Several barriers to integration are common across countries, such as an ill-defined scope of practice, lacking leadership engagement, and insufficient knowledge of the role. Barriers are attributed to a dearth of knowledge on evidence-based policy interventions guiding integration.&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 was a nominal group expert consensus study with participants from multiple countries. Participants were divided into three meetings consisting of silent review of a preliminary taxonomy developed from a literature review and single-country testing, round-robin feedback, live revisions, and consensus voting. Each meeting resulted in a unique taxonomy, which researchers synthesized into one version. The synthesized taxonomy was sent for member checking and final consensus voting. The Accurate Consensus Reporting Document was used.&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;There were 12 experts representing 10 countries. Fifty-nine policy interventions were mapped to 14 categories. National-level categories included regulation, economic incentives, stakeholder cooperation, education and workforce development, marketing, and research. Organizational interventions included organizational guidelines, infrastructure development and resource allocation, interprofessional leadership engagement, and organizational messaging. Care team–level interventions included interprofessional experience/exposure, team communication, work environment, and research opportunities.&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;This taxonomy builds on prior research by including participants across countries with varying health system governance, wealth, and advanced practice development.&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;Applying this taxonomy may contribute to more efficacious advanced practice nursing integration and potentially improve outcomes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70096","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144832796","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":"Unpacking Policy Implementation Science: What Is It and Why Does It Matter in Nursing?","authors":"Ahtisham Younas","doi":"10.1111/inr.70101","DOIUrl":"https://doi.org/10.1111/inr.70101","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Implementation science is concerned with identifying, applying, and evaluating the most pertinent approaches to translate evidence and innovation into practice. Innovation or evidence that needs to be translated into practice may include new programs, practices, principles, procedures, products, pills, and policies (7Ps). Literature about implementation science in nursing has focused mainly on implementation and uptake of practices, programs, products, and principles, but limited attention has been given to policy. Policy implementation is an emerging topic of discussion in implementation research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The purpose of this paper is to provide a comprehensive overview of policy implementation science, how policy can be conceptualized in implementation research, and why it is essential to advance policy implementation science in nursing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Policy implementation work carried out in a timely and sustainable manner can pave the way for more effective translation of evidence into impactful policy changes, thereby enhancing patient outcomes, optimizing nursing practice, and strengthening the healthcare system as a whole.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>With the ongoing evolution of the policy work in the nursing profession, it is imperative that policy implementation work is prioritized through focused attention to understanding the distinct processes, interest holders’ dynamics, and contextual factors that influence policy uptake in nursing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing policy</h3>\u0000 \u0000 <p>Nurses need to proactively engage in policy implementation research to empower themselves to become active agents of change through shaping and implementing policies that genuinely serve the needs of patients and the profession.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144832793","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":"Cohesion Challenges in a Multicultural Nursing Team","authors":"Kaminie Govender,&nbsp;Neltjie van Wyk,&nbsp;Moselene du Plessis","doi":"10.1111/inr.70089","DOIUrl":"https://doi.org/10.1111/inr.70089","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to explore and describe the cohesion challenges that the multicultural nursing team of a cardiac centre in a designated hospital in Saudi Arabia experienced.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The World Health Organization predicts a huge global shortage of nurses by 2030. Healthcare services will have to recruit nurses from other countries. Internationally recruited nurses’ poor understanding of their colleagues’ and patients’ cultural backgrounds may lead to cohesive challenges in teams to the detriment of quality patient care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive qualitative design was applied. Face-to-face interviews were done with 15 participants (five nurse managers and ten nurses), their ages ranging between 30 and 50 years. They were from different countries and cultural backgrounds. One open-ended question was used ‘What cohesion challenges does the multicultural nursing team of the cardiac centre experience, and what support should they get from management to overcome these challenges?’ A thematic data analysis was done.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Cohesion challenges were experienced due to poor communication, the exclusion of members in decision making, a lack of meaningful team-building events and limited introduction of newly appointed members. The diversity of the team led to the alienation of some members, and the internationally recruited nurses felt that they were expected to conform to the expectations of the Saudi members.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The participants did not appreciate the benefits of multicultural teams and only focussed on the challenges that they experienced to function as a cohesive unit. The participants wanted to be respected, acknowledged and valued as team members.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and health policy</h3>\u0000 \u0000 <p>Managers should invest in cultural competence training, the enhancement of communication practices and the encouragement of trust among members to ultimately improve team cohesion.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70089","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144782570","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 Delineation of Advanced-Level Practice Within UK District Nursing: A Cross-Sectional Comparative Study Before and After Policy Implementation","authors":"John Unsworth,&nbsp;Crystal Oldman,&nbsp;Joanne Atkinson,&nbsp;Dania Comparcini,&nbsp;Valentina Simonetti,&nbsp;Giancarlo Cicolini,&nbsp;Kristina Mikkonen,&nbsp;Marco Tomietto","doi":"10.1111/inr.70091","DOIUrl":"https://doi.org/10.1111/inr.70091","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Advanced practice nursing is key in response to increasing healthcare demands and the need for Universal Health Coverage. District nursing, which involves care for people in their own homes, has undergone a significant transformation to manage complex long-term conditions and reduce hospital admissions.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study aims to identify the advanced practice domains of UK district nurse team leaders, before and after policy reforms designed to prevent unnecessary admission to hospital. A secondary aim is to compare the advanced practice domains of district nurse team leaders with those of advanced practice nurses working in family and community nursing.&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 cross-sectional study was conducted. Data were collected via an online survey using the Family and Community Nursing Advanced Practice Scale, assessing five key domains of advanced practice. The study employed ANOVA and &lt;i&gt;t&lt;/i&gt;-tests to compare groups.&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;A total of 448 district nurse team leaders participated in this study, and secondary data from 548 family and community nurses were retrieved. No significant differences were found across qualification groups for most advanced practice domains, except for medication prescribing. Comparisons with advanced practice nurses in family and community settings revealed significantly higher scores in all domains and similar scores in leadership competencies.&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;Experiential learning plays a crucial role in developing advanced practice competencies beyond formal qualifications. The results align with Kolb's theory, highlighting the importance of clinical exposure and mentorship in shaping advanced nursing skills.&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;District nurse team leaders exhibit key advanced practice competencies. Credentialing frameworks may help formally recognise the expertise developed through clinical experience.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for nursing and health policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Policymakers should consider enhancing experiential learning opportunities and credentialing systems to support district nurses in th","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70091","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144782571","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":"How Humor Use by Nurse Supervisors, Reduced Time Pressure, and Years in the Profession Jointly Reduce Nurse Turnover Intention","authors":"I-Chen Lee,&nbsp;Shih-I Tai,&nbsp;Yi-An Lin,&nbsp;Wen-Pin Yu,&nbsp;Ching-I Teng,&nbsp;Hao-Yuan Chang","doi":"10.1111/inr.70078","DOIUrl":"https://doi.org/10.1111/inr.70078","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate how humor use by nurse supervisors, reduced time pressure, and years in the profession jointly reduce nurse turnover intention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurses encounter various workplace stressors that cause negative outcomes. Humor use among nurse supervisors is known to help form cohesive relationships and reduce job burnout. However, it is unclear how this humor use by nurse supervisors can help reduce nurse turnover intention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This research employed a cross-sectional design and collected a sample representative of a medical center. Our research was conducted in a Taiwanese medical center from October to November 2023. Proportionate random sampling was used to survey and obtain valid responses from 534 registered nurses. Regression analyses were performed to test the model. The STROBE statement was chosen as the EQUATOR checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Humor use by nurse supervisors was negatively related to nurses’ turnover intention, and such humor use mitigated the relationship between years in the profession and reduced turnover intention among nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our study took the lead in examining when and how cautious humor use by nurse supervisors can help reduce nurse turnover intention. Such humor use helps reduce turnover intention among novice nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Policy</h3>\u0000 \u0000 <p>Nursing policymakers could consider enhancing nurse supervisors’ skills in using humor to help maintain a competent nursing workforce.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144782692","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":"Deployed in Disaster: Perspectives of Personnel Deployed in Ontario Long-Term Care During the Pandemic","authors":"David Oldenburger,&nbsp;Andrea Baumann,&nbsp;Mary Crea-Arsenio,&nbsp;Raisa Deber,&nbsp;Vishwanath Baba","doi":"10.1111/inr.70083","DOIUrl":"https://doi.org/10.1111/inr.70083","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of the study is to explore the experience and perspectives of healthcare personnel deployed from the hospitals and military into long-term care (LTC) in Ontario during the pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Personnel from acute care hospitals, community care, the Canadian Armed Forces (CAF), and the Canadian Red Cross were deployed in support of LTC homes across Ontario.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This article reports on the study of personnel deployed into LTC during the COVID-19 pandemic. Understanding the experiences and lessons learned will be useful to improve planning and responses to future pandemics and disasters.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive, exploratory research study design with a demographic questionnaire and semi-structured interviews was used. Data analysis used a combination of open and process coding to identify thematic categories. The COREQ checklist was used for reporting on the study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Interviews were conducted with 30 participants who described common challenges of navigating the unknown, defining one's role, and establishing order. Lessons included the importance of adaptability, flexibility, and pragmatism and emphasized the role of leadership.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The findings highlight challenges that personnel from civilian and military backgrounds experience when responding to disaster, and underscore the importance of communication, effective leadership, and cohesive teams. These findings are consistent with existing literature, contribute to the understanding of how personnel in disasters address challenges, and inform how to better prepare and train personnel for future disasters.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and Health Policy</h3>\u0000 \u0000 <p>These findings can be used to inform disaster theory and practice, including disaster competencies such as the International Council of Nurses Disaster Nursing Competencies, and provide a framework to improve disaster planning and responder training.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70083","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144782691","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":"How Shift Schedules Shape Nurses’ Sleep and Compassion: A Comparative Study","authors":"Munther Al-Hammouri,&nbsp;Jehad Rababah,&nbsp;Nid'a A. AL-Jdeetawey","doi":"10.1111/inr.70085","DOIUrl":"https://doi.org/10.1111/inr.70085","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 examines the associations between fixed and rotating shifts on nurses’ sleep quality and compassion fatigue, aiming to address a critical gap in understanding how work schedules are associated with nurses’ well-being and patient care.&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 vital role in healthcare; however, irregular work schedules are often associated with compromised well-being. Rotating shifts are associated with poor sleep quality and emotional exhaustion, impairing their ability to provide compassionate care.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design and methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A cross-sectional design was used to recruit 288 nurses from public hospitals through simple random sampling, with equal numbers in fixed and rotating shift groups (&lt;i&gt;n&lt;/i&gt; = 144 each). Sleep quality and compassion fatigue were assessed using the Pittsburgh Sleep Quality Index (PSQI) and the Professional Quality of Life Scale (ProQOL), respectively, both of which are valid and reliable measures. Independent samples &lt;i&gt;t&lt;/i&gt; tests and Mann–Whitney &lt;i&gt;U&lt;/i&gt; tests were performed to analyze group differences. The reporting method used was STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) for observational studies.&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;Nurses working rotating shifts reported significantly poorer sleep quality (&lt;i&gt;p&lt;/i&gt; &lt; 0.001) and higher levels of burnout and secondary traumatic stress, components of compassion fatigue, compared with those on fixed shifts (&lt;i&gt;p&lt;/i&gt; &lt; 0.001). Compassion satisfaction was significantly lower among rotating shift nurses (&lt;i&gt;p&lt;/i&gt; &lt; 0.001). Effect sizes were large for all comparisons, highlighting the substantial associations of rotating shifts on these outcomes.&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 highlights the significant differences associated with rotating shifts on nurses’ sleep and emotional well-being. Rotating schedules are associated with a higher likelihood of compassion fatigue and reduced compassion satisfaction, suggesting the need for organizational interventions based on observed associations. Transitioning to fixed shifts, coupled with resilience-building programs, may be associated with better nurses’ well-being and safeguarding patient care quality.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for nursing and health policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Policymakers and healthcare administrators should prioritize fixed schedules and in","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144782568","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 Relationship Between Moral Sensitivity, Moral Distress, Perceived Organizational Support, and Self-Esteem in Iranian Nurses: A Cross-Sectional Analytical Study","authors":"Zahra Ebrahimi Rigi,&nbsp;Samaneh Behzadi Fard,&nbsp;Benyamin Saadatifar,&nbsp;Mehrnaz Miri,&nbsp;Omolbanin Akbari","doi":"10.1111/inr.70058","DOIUrl":"https://doi.org/10.1111/inr.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study examined the relationship between moral sensitivity, moral distress, perceived organizational support, and self-esteem among nurses in teaching hospitals affiliated with Zahedan University of Medical Sciences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Nurses with moral sensitivity enhance patient rights, moral decision-making, and medical care quality. This fundamental attribute plays a crucial role in fostering patient trust and enhancing the treatment course.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional analytical study involved 290 nurses affiliated with Zahedan University of Medical Sciences, Southeastern Iran. The participants were selected using a convenience sampling method. Data were collected from May to August 2020. The research tools included a demographic information questionnaire, Lutzen's Moral Sensitivity Questionnaire, Corley's Moral Distress Scale, Survey of Perceived Organizational Support, and Rosenberg's Self-Esteem Scale. Data analysis was done in SPSS software version 21.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 290 nurses surveyed, 61.7% of the participants demonstrated moderate moral sensitivity, while 26.1% exhibited high moral sensitivity, and only 12.1% displayed low moral sensitivity. Additionally, a small positive impact and significant correlation were found between moral sensitivity and variables of self-esteem (<i>r</i> = 0.12, <i>p</i> = 0.034) and self-satisfaction (<i>r</i> = 0.18, <i>p</i> = 0.003).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and Implications for Nursing and/or Health Policy</h3>\u0000 \u0000 <p>Health policymakers and managers of the health care system should think about effective interventions to promote moral sensitivity among nurses. It seems that enhancing moral sensitivity could potentially improve nurses’ self-esteem and job satisfaction.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144758648","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}