International Nursing Review最新文献

{"title":"Green Culture, Nurses’ Climate Change Skepticism, and Eco-Capability in Hospitals: A Cross-Sectional Study","authors":"Ahmed Abdelwahab Ibrahim El-Sayed, Boshra Mostafa Younes, Samira Ahmed Alsenany, Ibrahim Alasqah, Maha Gamal Ramadan Asal","doi":"10.1111/inr.70162","DOIUrl":"10.1111/inr.70162","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine how green organizational culture and nurses’ climate change skepticism influence hospitals’ eco-capability, and whether climate skepticism moderates this relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hospitals contribute significantly to environmental degradation, highlighting the importance of eco-capability in achieving sustainable healthcare. Nurses play a central role in implementing environmental practices; however, their engagement may be hindered by skeptical beliefs about climate change.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional survey was conducted among 564 nurses from five hospitals in Egypt. Validated Arabic versions of the Eco-Capability in Healthcare Scale, the Green Organizational Culture Scale, and the Climate Change Skepticism Questionnaire were used. Multiple regression and moderation analyses were applied to test study hypotheses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Green culture was positively associated with eco-capability, while climate change skepticism had a strong negative effect. Skepticism also moderated the culture–capability link. Eco-capability was highest among nurses with low skepticism and lowest among those with high skepticism. Participation in climate training and involvement in initiatives independently predicted higher eco-capability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The findings show that eco-capability depends on the alignment between organizational culture and nurses’ beliefs. A supportive green culture encourages sustainable practice, but its influence is reduced when nurses hold skeptical views about climate change. Educational exposure and participation in environmental activities appear to strengthen engagement and help counter belief-based barriers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Eco-capability can be enhanced when hospitals strengthen green culture and reduce climate skepticism among nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing</h3>\u0000 \u0000 <p>Integrating sustainability and climate content into nursing education and professional development can reduce skepticism and promote environmentally responsible practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and Health Policy</h3>\u0000 \u0000 <p>Policymakers should integrate eco-capabili","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133664","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":"Comment on “AI Technology Acceptance, Decent Work Perception, and Job Crafting Among Nurses: A Three-Wave Cross-Lagged Study”","authors":"Yancheng Wang, Suiping Yan","doi":"10.1111/inr.70163","DOIUrl":"10.1111/inr.70163","url":null,"abstract":"","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133618","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":"Cultural Competence in Nursing Care for Migrants: An Integrative Review","authors":"Jina Mariont Velasco Arias, Aida Maris Peres, Carlos Alberto Cortés Bustamante, Jhovana Trejos Serrato, Francisco Miguel Escandell Rico","doi":"10.1111/inr.70157","DOIUrl":"10.1111/inr.70157","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To synthesize scientific evidence on the factors influencing the implementation of cultural competence by nurses in the care of migrant populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Introduction</h3>\u0000 \u0000 <p>Global migration has intensified cultural diversity in healthcare settings, highlighting the need for nurses to develop cultural competence to deliver safe and equitable care. However, evidence on factors influencing its implementation in nursing practice remains fragmented.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An integrative literature review was conducted following the Joanna Briggs Institute methodology and PRISMA guidelines. A systematic search of CINAHL, MEDLINE, Scopus, and Web of Science using the PICo framework identified peer-reviewed primary studies published between 2014 and 2024 in English, Spanish, or Portuguese. Fourteen studies met the eligibility criteria, were critically appraised using the Joanna Briggs Institute (JBI) Qualitative Checklist, and classified according to Melnyk and Fineout-Overholt's levels of evidence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All included studies were classified as Level VI evidence, with overall good methodological coherence. Facilitating factors for cultural competence included respect for cultural differences, exposure to multicultural contexts, and continuing education in cultural diversity. Persistent barriers were language difficulties, limited cultural knowledge, and a lack of structured training in cultural competence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The findings indicate that cultural competence is a dynamic and context-dependent process shaped by individual experiences, educational opportunities, and organizational support, consistent with established transcultural nursing frameworks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Effective implementation of cultural competence in nursing requires sustained education, experiential learning, and institutional commitment to address persistent barriers in migrant care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing</h3>\u0000 \u0000 <p>Identifying facilitators and barriers supports the development of strategies to enhance nurses’ cultural competence in diverse care settings.","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12881926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133641","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":"Assessment of Emergency Nurses’ Preparedness for Chemical, Biological, Radiological, and Nuclear (CBRN) Medical Responses in Saudi Arabia","authors":"Nasser Shubayr","doi":"10.1111/inr.70154","DOIUrl":"10.1111/inr.70154","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To assess emergency nurses’ knowledge-based preparedness for medical response to chemical, biological, radiological, and nuclear (CBRN) incidents in Saudi Arabia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Emergency nurses are frontline responders, and CBRN readiness affects staff safety and patient outcomes. Evidence on CBRN competence among nurses in Saudi Arabia remains limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional survey was conducted among 183 emergency nurses using a structured questionnaire. The instrument assessed five key CBRN competencies: symptom recognition, contamination detection, personal protective equipment use, patient decontamination, and triage protocols. Descriptive and inferential statistics were used to analyze the data. The Reporting of Observational Studies in Epidemiology guidelines were used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Fewer than one-quarter of emergency nurses reported prior CBRN training and showed low knowledge overall, with trained ones scoring higher than untrained, though, after demographic adjustments, the difference did not reach statistical significance after demographic adjustments. Knowledge was low across all core CBRN competencies, with the lowest in contamination detection, followed by symptom recognition, patient decontamination, personal protective equipment use, and triage protocols. Knowledge related to chemical agents was consistently the lowest, while biological- and radiological-related knowledge was relatively higher but still suboptimal.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This finding suggests that existing training initiatives, when available, may be limited in scope, intensity, or retention of clinically actionable knowledge. The low knowledge levels across all core competencies could hinder timely, safe, and effective medical response during CBRN events.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Emergency nurses demonstrated insufficient knowledge based preparedness across key CBRN competencies, with pronounced deficits in chemical-response knowledge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and Health Policy</h3>\u0000 \u0000 <p>National nursing education and professional development programs should integrate CBRN-specific content. Health policymakers must prioritize the implementation of standardized training and preparedness protoc","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088054","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":"Developing an Evaluation Framework Based on Entrustable Professional Activities for Advanced Practice Nurses in China","authors":"Shifan Han, Wenjing Dong, Xuan Duan, Feng Chen, Gege Cao, Ruifang Zhu, Qian Zhang","doi":"10.1111/inr.70151","DOIUrl":"10.1111/inr.70151","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To address conceptual ambiguity, unclear scope, and regulatory gaps hindering advanced practice nurse role implementation in China, this study developed an evaluation framework based on entrustable professional activities to facilitate the introduction, implementation, and development of the advanced practice nurses while guiding policy formulation, educational design, and credentialing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Globally, advanced practice nurses are recognized for delivering high-quality, safe, and cost-effective care. Many countries have formalized this role, often marked by prescriptive authority. However, China lacks a clearly defined advanced practice nurse role and national evaluation standards, creating barriers to effective role integration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A scoping review identified international evaluation frameworks and their core components. A two-round Delphi study with 27 experts established relevant entrustable professional activities, and structured consensus meetings refined the framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Delphi consensus was achieved on an entrustable professional activity framework consisting of 20 indicators across five domains: assisting in clinical assessment, diagnosis, and treatment; engaging in advanced nursing practice; communicating, consulting, coordinating, and collaborating; managing teaching and promoting research innovation; and preventing and managing chronic diseases. After two rounds of expert panel consultations, the final evaluation framework was established.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This framework clarifies advanced practice nurse roles and offers a coherent structure linking education, competencies, and clinical practice to promote practice-ready development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This participatory framework provides an organized approach to evaluating advanced practice nurses’ competencies and role readiness, supporting safe and effective advanced practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing</h3>\u0000 \u0000 <p>The framework supports competency-based education, workplace assessment, and continuing professional development for advanced","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12821572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013378","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":"Advancing Global Nursing Policy: AI-Driven Health Literacy Innovations for Migrant Domestic Workers","authors":"Pak Leng Cheong, Kazumi Kubota","doi":"10.1111/inr.70149","DOIUrl":"10.1111/inr.70149","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This perspective proposes evidence-informed strategies to advance health literacy equity for migrant domestic workers (MDWs) globally, integrating research findings and outlining nursing-led policy directions for sustainable change.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>MDWs face language barriers, precarious employment conditions, social isolation, and systemic discrimination that restrict healthcare access and preventive care. Digital exclusion further limits their ability to navigate health information and services effectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Sources of Evidence</h3>\u0000 \u0000 <p>The analysis synthesizes evidence from scoping reviews, mixed-methods and quasi-experimental intervention studies, chronic disease health literacy surveys, artificial intelligence guidance literature, and qualitative research on MDWs’ technology use and peer health information-sharing practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Mobile health applications, culturally tailored social media campaigns, and AI-powered chatbots can deliver accessible health education when co-designed with MDWs and supported by community health workers. Critical policy actions include bridging the digital divide, embedding health literacy in orientation programs, guaranteeing paid medical leave, ensuring professional interpretation, and establishing accountability mechanisms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Digitally supported interventions grounded in culturally responsive approaches can reduce health literacy disparities among MDWs. Sustainable impact requires coordinated cross-sector collaboration spanning health, labor, education, and technology sectors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Practice</h3>\u0000 \u0000 <p>Nurses should lead participatory co-design of digital health tools with MDWs, adopt universal health literacy precautions, and integrate teach-back methods and visual aids into routine clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Policy</h3>\u0000 \u0000 <p>Policy frameworks must mandate health literacy standards, establish language access requirements, allocate resources for multilingual materials and professional interpretation services, support digital inclusion initiat","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12821559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013339","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":"Rethinking the Delegation Framework in Nursing Through the Lens of Nursing Care Entanglement","authors":"Leodoro J. Labrague","doi":"10.1111/inr.70153","DOIUrl":"10.1111/inr.70153","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Traditional nursing delegation frameworks treat care tasks as discrete, isolated units, failing to reflect the complex realities of contemporary nursing practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The Nursing Care Entanglement Theory (NCET), complemented by complexity and human factors perspectives, posits that nursing activities are deeply interwoven, contextually shaped, and relational, challenging conventional task-based delegation models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This viewpoint article examines current delegation frameworks through the lens of NCET and related theoretical perspectives to uncover conceptual and policy-level limitations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Existing delegation models oversimplify nursing practice, leading to fragmented care processes, missed clinical cues, and increased risks to patient safety across diverse healthcare settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and or Health Policy</h3>\u0000 \u0000 <p>Policy makers, healthcare organizations, and regulatory bodies must redesign delegation frameworks to acknowledge care entanglement, ensuring comprehensive assessment of delegatee capabilities and preserving nursing care integrity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967882","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":"Comment on “The Effectiveness of Workplace Violence Prevention Education Training Programs on Healthcare Professionals’ Confidence: A Systematic Review and Meta-Analysis”","authors":"Xiu-Yan Yin,&nbsp;Long-Juan Yi","doi":"10.1111/inr.70152","DOIUrl":"10.1111/inr.70152","url":null,"abstract":"","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960728","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":"AI Technology Acceptance, Decent Work Perception, and Job Crafting Among Nurses: A Three-Wave Cross-Lagged Study","authors":"Juntong Jing,&nbsp;Yongkang Fu,&nbsp;Dongrun Liu,&nbsp;Zhengyi Ma,&nbsp;Hangna Qiu,&nbsp;Huanhuan Zhang,&nbsp;Jie Liu,&nbsp;Chaoran Chen","doi":"10.1111/inr.70150","DOIUrl":"10.1111/inr.70150","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 how nurses’ acceptance of artificial intelligence influences job crafting over time and to explore the longitudinal mediating role of decent work perception in 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;The integration of artificial intelligence into clinical settings is accelerating, yet its impact on nurses’ proactive work behaviors remains underexplored. Understanding the mechanisms through which artificial intelligence acceptance affects job crafting is critical for optimizing workforce adaptation.&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 longitudinal study employed a three-wave cross-lagged panel design. A total of 598 nurses from six tertiary hospitals in China completed surveys on artificial intelligence acceptance, decent work perception, and job crafting over a six-month period. Structural equation modeling and bootstrap analysis were used to test longitudinal mediation.&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;Artificial intelligence acceptance showed declining stability over time, while decent work perception increased, and job crafting stabilized. Cross-lagged analyses revealed that artificial intelligence acceptance positively predicted job crafting both directly and indirectly via enhanced decent work perception. The mediating effect accounted for over one-quarter of the total 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 findings challenge static views of technology adoption, suggesting that artificial intelligence implementation triggers dynamic psychological and behavioral responses among nurses.&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;Early acceptance of artificial intelligence technology significantly predicts subsequent job crafting, both directly and through the mediating role of decent work perception.&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’ early acceptance of artificial intelligence and strengthening their perception of decent work may foster more proactive job crafting behaviors.&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 and policymakers should incorporate psychological support and dignity-enhancing strategies into artificial intelligence integration plans. By adopting these approaches, nursing lea","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960784","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":"Nurses’ Sustainability Consciousness as a Catalyst for Green Creativity and Workplace Thriving","authors":"Marwa Samir Sorour,&nbsp;Mona Gamal Mohamed,&nbsp;Shimaa Abdelrahim Khalaf","doi":"10.1111/inr.70142","DOIUrl":"10.1111/inr.70142","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 examined the influence of nurses’ sustainability consciousness on workplace thriving, with green creativity assessed as a mediating factor.&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;Nurses are strategically positioned to advance sustainability in healthcare due to their continuous involvement in patient care and resource utilization. When sustainability awareness is nurtured, nurses are more likely to adopt innovative solutions that reduce waste, improve efficiency, and support environmental responsibility. Healthcare settings that prioritize sustainability often demonstrate stronger staff engagement, improved morale, and retention.&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 correlational design was used for this study conducted at Tanta International Teaching Hospital, Egypt. A stratified proportional random sample of 306 nurses participated. Data were collected using three validated instruments: the Nurses’ Sustainability Consciousness Scale, the Green Creativity Questionnaire, and the Workplace Thriving Scale, with Cronbach's α values of 0.85, 0.87, and 0.94, respectively.&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;Sustainability consciousness showed a strong significant direct effect on workplace thriving (&lt;i&gt;B&lt;/i&gt; = 1.738, &lt;i&gt;p&lt;/i&gt; &lt; 0.001). Green creativity mediated this relationship, with a significant indirect effect (&lt;i&gt;B&lt;/i&gt; = 0.067, &lt;i&gt;p&lt;/i&gt; = 0.029). Findings indicate that sustainability awareness promotes creative thinking, which strengthens workplace thriving.&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 demonstrate that nurses with higher sustainability consciousness are more likely to generate creative environmental solutions, enhancing workplace vitality and professional fulfillment.&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;Sustainability consciousness stimulates green creativity, which contributes to thriving work environments among nurses.&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 sustainability education into nursing curricula may foster environmentally responsible practice and innovation.&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;Policies should support sustainable healthcare initiatives, including green procurement, recy","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913768","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}