International Nursing Review最新文献

{"title":"Linking nursing students' professional identity, clinical learning environment, financial incentives, and career opportunities with migration intent: Structural equation modeling.","authors":"Maria Isable E Valencia, Reichelle C Urquico, Ma Martina C Taguinod, Carmelle Grace T Umali, Maeveen A Usana, Jean Marcus C Uy, Valeene Carmela F Valledor, Ramon T Vecina, Daniel Joseph E Berdida","doi":"10.1111/inr.13009","DOIUrl":"10.1111/inr.13009","url":null,"abstract":"<p><strong>Aims: </strong>To investigate how nursing students' professional identity, clinical learning environment, financial incentives, and career opportunities influence their intention to migrate.</p><p><strong>Background: </strong>There is a preponderance of studies about nurse migration and its impact on the global nursing workforce. However, a critical gap remains about nursing students' intentions to migrate, particularly among developing countries like the Philippines.</p><p><strong>Methods: </strong>Using a cross-sectional design, third- and fourth-year nursing students (n = 316) from the largest comprehensive university in Manila were conveniently recruited. Data were collected from November to December 2023 using five validated self-report scales. Descriptive (e.g., mean, standard deviation) and inferential statistics (e.g., Spearman rho, covariance-based structural equation modeling) were used to analyze data.</p><p><strong>Results: </strong>The emerging model demonstrated acceptable model fit indices. Nursing students' professional identity (β = 0.18, p = 0.043) and financial incentives (β = 0.10, p = 0.046) significantly and positively influence the intention to migrate. The satisfaction with future career opportunities (β = -0.12, p = 0.038) and clinical learning environment perception (β = -0.15, p = 0.048) negatively influence the intention to migrate. These four predictors accounted for 4.60% of the total variance of intention to migrate.</p><p><strong>Conclusion: </strong>Nursing students' professional identity and financial incentives directly impact intent to migrate, whereas future career opportunities satisfaction and clinical learning environment inversely affect intent to migrate.</p><p><strong>Implications for nursing practice and policy: </strong>This study underscores the imperative for nursing colleges and faculty to promote positive professional identity and provide a conducive clinical learning environment to develop sustainable nurses' migration policies.</p>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":" ","pages":"e13009"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494267","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":"Nursing students' self-esteem levels and attitudes toward the nursing profession.","authors":"Sude Yeşilyurt, Gülcan Kendirkiran","doi":"10.1111/inr.12986","DOIUrl":"10.1111/inr.12986","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to examine nursing students' self-esteem levels and attitudes toward the nursing profession.</p><p><strong>Background: </strong>Although it is important to choose a profession that will make the person happy in many aspects such as one's abilities, interests, values, attitudes, personal goals, and social expectations, it has an important place, especially in a profession such as nursing, which involves intense emotional and physical load.</p><p><strong>Methods: </strong>The study population was 390 nursing students at a foundation university in Istanbul, while the sample included 202 students. Data were collected between January 16, 2023, and February 15, 2023, with the Demographic Data Collection Tool, Coopersmith Self-Esteem Inventory, and the Attitude Scale for Nursing Profession. The data were analyzed using the SPSS 27.0 program. The STROBE checklist was used to report the study.</p><p><strong>Results: </strong>The mean age of the participants was 20.79 ± 1.72 (years), among which 65.3% were in the 20-22 age range, 76.7% were female, and 29.7% were in the first grade. A positive but very weak relationship was found between the Coopersmith Self-Esteem Inventory and the Attitude Scale for Nursing Profession scores (p < 0.05).</p><p><strong>Conclusion: </strong>The results show that professionalization and socialization processes greatly affect nursing students' self-esteem. Considering the extended period that students spend in academic institutions under the guidance of faculty members, this matter deserves greater attention.</p><p><strong>Implications for nursing: </strong>While developing the curriculum and education process, factors that support the development of self-esteem in nursing students should be taken into account and initiatives should be planned to increase positive attitudes toward the profession. Nursing students can gain different perspectives by spending more time with nurses in hospitals.</p>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":" ","pages":"e12986"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162927","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":"Taiwanese nurse educators' behaviour or intention to teach LGBT health content: A qualitative study.","authors":"Ya-Ching Wang, Nae-Fang Miao, Mei-Hui You","doi":"10.1111/inr.13014","DOIUrl":"10.1111/inr.13014","url":null,"abstract":"<p><strong>Aim: </strong>To explore factors associated with Taiwanese nurse educators' behaviour or intention to teach lesbian, gay, bisexual and transgender (LGBT) health content.</p><p><strong>Background: </strong>Nurse educators were found to have limited experiences and readiness to teach LGBT health content. However, limited evidence exists to comprehensively understand factors associated with nurse educators' behaviour and intentions to teach LGBT health content.</p><p><strong>Methods: </strong>A qualitative descriptive study design was adopted. A total of 24 nurse educators were interviewed. One-on-one interviews were conducted employing a semi-structured topic guide and were audio-recorded. Interview data were analysed using the socio-ecological model and constant comparative technique. This article was reported according to the Consolidated Criteria for Reporting Qualitative Research checklist.</p><p><strong>Findings: </strong>Most nurse educators had no experience of teaching LGBT health content and expressed their low or no intention to teach it. Factors associated with nurse educators' behaviour and intention to teach LGBT content were categorised by the socio-ecological model level: intrapersonal factors, interpersonal factors, community factors and societal and policy factors.</p><p><strong>Conclusion: </strong>This study identified multilevel factors associated with Taiwanese nurse educators' behaviour and intention to teach LGBT health content. Recommendations were provided to address multilevel barriers to diminish nurse educators' challenges in teaching LGBT health content.</p><p><strong>Implications for nursing and nursing policy: </strong>Supervisors of nurse educators should assess and discuss nurse educators' concerns and competencies regarding teaching LGBT health content. To address schools' or organisations' adverse climates and conventional societal atmosphere, related policies and regulations should be developed and implemented.</p>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":" ","pages":"e13014"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing work engagement of nurses in general hospitals: A cross-sectional study.","authors":"May Zin Maung Maung, Orn-Anong Wichaikhum, Kulwadee Abhicharttibutra","doi":"10.1111/inr.12998","DOIUrl":"10.1111/inr.12998","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to examine the level of work engagement and to identify the factors influencing the work engagement of nurses.</p><p><strong>Background: </strong>Work engagement plays a crucial role in enhancing the efficiency of outcomes and the standard of care in nursing and healthcare services.</p><p><strong>Methods: </strong>A descriptive predictive design and stratified random sampling was used to select 206 nurses from three general hospitals in Naypyitaw, Myanmar.. Research instruments consisted of the demographic data form, the Utrecht Work Engagement Scale, the Global Transformational Leadership Scale, the Survey of Perceived Organizational Support, and the Psychological Capital Questionnaire. The results were explored by applying descriptive statistics and stepwise multiple regression.</p><p><strong>Results: </strong>Overall work engagement was at an average level. Transformational leadership and psychological capital could affect work engagement, explaining 19.34% of the total variance; however, perceived organizational support, age, and work experience did not show any impact on it.</p><p><strong>Conclusions: </strong>The findings recommend that nurse administrators should focus on transformational leadership and psychological capital in formulating strategies to increase nurses' work engagement.</p><p><strong>Implications for nursing and health policy: </strong>The outcomes might provide baseline information for nurse administrators and policymakers by formulating management strategies to enhance nursing leaders' awareness, knowledge, and skills about transformational leadership behaviors and to keep nurses holding self-efficacy, hope, optimism, and resilience of psychological capital in healthcare organizations, which ultimately increase nurses' engagement at work.</p>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":" ","pages":"e12998"},"PeriodicalIF":3.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428367","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":"Influence of nurses’ narrative competence on communication ability with angry patients: The mediating effect of reflection","authors":"Ya-Ning Zhao RN, MSN,&nbsp;Xiao-Kai Wang MM, Prof,&nbsp;Qiu-Jun Zhang MSN,&nbsp;Hong-Feng Li PhD, Prof,&nbsp;Si-Yan Guo RN, MSN,&nbsp;Shao-Ping Yang RN, MSN,&nbsp;Yu-Ye Zhang RN, MSN,&nbsp;Dan-Dan Ke RN, MSN","doi":"10.1111/inr.13067","DOIUrl":"10.1111/inr.13067","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine if reflection mediates the relationship between narrative competence and nurses’ communication ability with angry patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Workplace violence is a significant hazard in clinical settings and leads to deleterious effects on health workers. Anger is a key contributing factor to aggressive behavior, and effectively managing patients’ anger can help mitigate the risk of workplace violence. Narrative competence and reflection are important factors that enhance communication ability. Therefore, this study aims to explore the mediating role of reflection in the influence of narrative competence on nurses’ ability to communicate with angry patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected in China, where 647 nurses completed assessments on narrative competence, reflection, and communication ability with angry patients. Structural equation modeling was used to test the study's hypothesis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The relationship between narrative ability and communication with angry patients is mediated by reflection, and it is statistically significant at the alpha = 0.05 level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Nurses’ narrative ability has a crucial influence on their communication ability when interacting with angry patients, whereby narrative competence directly affects reflection and indirectly influences communication ability. This study offers a new narrative perspective to reduce nurse–patient conflicts and alleviate hospital violence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and nursing policy</h3>\u0000 \u0000 <p>By integrating narrative techniques into healthcare education, nursing managers can prioritize the development of nurses’ narrative competence and reflective abilities. This will not only improve the nurse–patient relationship and reduce conflicts but will also foster a positive healthcare environment, contributing to the overall development of the healthcare industry and the enhancement of human health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840358","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":"Sleep-enhancing nursing interventions in hospital wards: A systematic review","authors":"Sílvia Caldeira Mendonça Degree in Nursing,&nbsp;Diogo Máximo Sabino Martins Master's Degree in Nursing,&nbsp;Cândida Durão Master's Degree in Nursing,&nbsp;Joana Moreira Ferreira Teixeira Master's Degree in Nursing,&nbsp;Helga Marília da Silva Rafael Henriques PhD in Nursing","doi":"10.1111/inr.13062","DOIUrl":"10.1111/inr.13062","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To identify sleep-promoting nursing interventions in hospitalized adults and older people.&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;Sleep is necessary for maintaining good physical and mental health, as well as a high quality of life. Hospitalization can significantly disrupt sleep patterns, which is an often-overlooked issue. Nurses are the main participants in promoting sleep in hospitalized patients.&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;Systematic literature review based on the question: “What interventions can nurses implement to promote sleep in hospitalized adults and older people?”. The research was conducted on April 4, 2023, in CINAHL Complete, MEDLINE, Cochrane, Scopus, and Web of Science, filtering the articles published in the last 10 years. For a study to be included, it must feature adult or older participants, an intervention that aims to enhance sleep, and the research should have been conducted within a hospital setting. We followed the PRISMA flow diagram and analyzed the quality of the articles according to the Joanna Briggs Institute criteria for quality assessment. The results were subjected to a narrative synthesis.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results or findings&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Of the 712 articles found, 13 were selected. The sample encompasses 1975 participants. These selected articles emphasize educational and communicative interventions, dietary and sensory interventions, symptomatic and environmental control, daily activity planning, sleep assessment and documentation, and individualized nursing care.&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;There is a need for a systematic approach incorporating physical, psychosocial, and relational dimensions within the care context.&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;It is necessary to raise the nurses’ awareness of the factors that affect sleep experience and empower them to promote sleep in partnership with hospitalized patients.&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;Sleep interventions can be promoted by implementing hospital policies, including environmental modifications in the design and refurbishment of facilities and restricting nighttime patient transfers to reduce noi","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.13062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848414","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":"Factors associated with burnout among internationally educated nurses: A scoping review","authors":"Guanhua Chen RN, MSN,&nbsp;Yasuko Ogata RN, MM, PhD,&nbsp;Miki Sasaki RN, MA, PhD","doi":"10.1111/inr.13073","DOIUrl":"10.1111/inr.13073","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The increasing nursing shortage in the healthcare industry has become a concern in many countries. Recruiting certified nurses from outside a country is one strategy to address this shortage. While the hiring of internationally educated nurses (IENs) fills the labor gap, a supportive work environment is necessary to retain IENs in the field.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted this scoping review based on the Joanna Briggs Institute (JBI) and PRISMA-ScR guidelines. It is reported along with the PRISMA-ScR checklist. A literature search was conducted across six electronic databases (PubMed, Web of Science, CINAHL, PsycINFO, Ichushi, and CNKI) on September 8, 2023, from which 722 articles were identified. Titles and abstracts were initially screened based on inclusion and exclusion criteria, followed by a full-text review of the selected articles. Eight articles satisfied the search criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>From the characteristics of the factors related to nurses’ burnout, all the components were categorized into organizational and individual factors. Organizational factors that contribute to higher burnout include poor professional-practice environment, high patient-to-nurse ratios, lower job satisfaction, and working in hospital wards and private hospitals. Individual factors include being younger IENs, being single (not married), being female, possessing higher educational degrees, short duration of employment, religion (Muslim), job title as a staff nurse, high stress, poor local-language capability, and first-time employment in a host country.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Individual factors are more specific to IENs’ backgrounds, whereas organizational factors are common to both internationally educated and host-country nurses. Both factors should be considered to reduce burnout among IENs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing</h3>\u0000 \u0000 <p>Healthcare organizations and administrators can develop targeted strategies to prevent and address the burnout experienced by IENs. Also providing understanding and support for religious backgrounds and language proficiency is crucial for alleviating intercultural stress. Through these measures, it is essential to create a work environment where internationally educated nurses can feel secure and comfortable.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848402","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 mediating role of nurses' spiritual well-being between moral resilience and compassion fatigue: A multicenter structural equation model study","authors":"Mohammed Hamdan Alshammari PhD, RN,&nbsp;Mohammad Alboliteeh PhD, RN","doi":"10.1111/inr.13082","DOIUrl":"10.1111/inr.13082","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aims&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To investigate the mediating role of spiritual well-being in the association between compassion fatigue and moral resilience 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 are inevitably placed in situations of compassion fatigue. Their moral resilience and spiritual well-being may play a crucial role in mitigating the impacts of compassion fatigue. Nonetheless, spiritual well-being, which mediates the influence between compassion fatigue and moral resilience, remains scarce among nurses.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Cross-sectional and correlational 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;Nurses (&lt;i&gt;n&lt;/i&gt; = 465) from four government-owned tertiary hospitals in Saudi Arabia were recruited and completed three self-report scales from July to December 2023. Descriptive statistics (e.g., mean, standard deviation, frequency, and proportions) and inferential statistics (Spearman rho and structural equation modeling) were used for data analysis.&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;The emerging model afforded acceptable model fit parameters. Moral resilience had a negative effect on compassion fatigue (&lt;i&gt;β &lt;/i&gt;= –0.05, &lt;i&gt;p &lt;/i&gt;= 0.003) and a positive influence on spiritual well-being (&lt;i&gt;β &lt;/i&gt;= 0.51, &lt;i&gt;p &lt;/i&gt;= 0.003). Spiritual well-being negatively influenced compassion fatigue (&lt;i&gt;β &lt;/i&gt;= –0.90, &lt;i&gt;p &lt;/i&gt;= 0.003). Moral resilience had a moderate, negative, indirect effect on compassion fatigue through the mediation of spiritual well-being (&lt;i&gt;β &lt;/i&gt;= –0.47, &lt;i&gt;p &lt;/i&gt;= 0.002).&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;Our study offered a model that validated the mediating role of spiritual well-being in the association between moral resilience and compassion fatigue. Moral resilience directly and indirectly influences spiritual well-being and compassion fatigue, respectively.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for nursing practice and policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Healthcare institutions that employ nurses must continually assess compassion fatigue levels and provide necessary interventions. Nurses, nurse managers, and healthcare institutions may leverage moral resilience to improve nurses’ spiritual well-being while averting the negative effects of compassion fatigue. Healthcare institutions may incorporate spiritual care into their mainstream support interventions to enhance their compassion, reduc","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848420","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":"Second-victim distress, organizational support, and interprofessional collaboration and posttraumatic growth in nurses","authors":"Hyerine Shin PhD Student, RN,&nbsp;Ji-Su Kim PhD, RN,&nbsp;Yoongi Chung MS, RN","doi":"10.1111/inr.13081","DOIUrl":"10.1111/inr.13081","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine the prevalence of second-victim distress among nurses and the association of second-victim distress, organizational support, and interprofessional collaboration with posttraumatic growth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Medical errors are unavoidable in healthcare; however, when acknowledged and shared, they offer healthcare professionals an opportunity to learn and grow. Second-victim distress arises from learning from mistakes but can be stressful for nurses, prompting some to leave the profession. Furthermore, poor management may foster a culture of reluctance to admit errors. Therefore, addressing nurses’ distress is crucial for posttraumatic growth and, ultimately, patient safety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The participants were 435 nurses working in general or tertiary hospitals who completed an online survey. This cross-sectional study followed the guidelines of the STROBE checklist. The collected data were analyzed using multiple regression analysis to determine significant factors influencing posttraumatic growth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Physical distress, interprofessional collaboration, colleague support, institutional support, nonwork-related support, professional self-efficacy, and the position of charge nurse significantly influenced posttraumatic growth. The regression model explained 32.2% of posttraumatic growth with isolation emerging as the most influential factor.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Encouraging cooperation among healthcare professionals, mitigating physical distress, and providing organizational support are necessary to galvanize posttraumatic growth. Interprofessional medical collaboration and prevention of nurse isolation may be crucial for converting second-victim distress into posttraumatic growth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and health policy</h3>\u0000 \u0000 <p>Careful consideration of factors influencing posttraumatic growth is necessary to develop interventions that can enable nurses to overcome second-victim distress and achieve higher-level growth. If nurses can successfully transform second-victim distress into posttraumatic growth, it will ultimately have a positive impact on patient safety and the quality of nursing care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848410","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":"Defining nurse-led models of care: Contemporary approaches to nursing","authors":"Jarrod Clarke BSc (Psych),&nbsp;Dr Kate Davis RN, PhD,&nbsp;Dr Jane Douglas RN, PhD,&nbsp;Dr Micah D. J. Peters PhD, MA(Q), BHSc","doi":"10.1111/inr.13076","DOIUrl":"10.1111/inr.13076","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The evolving nature of nursing practice necessitates the development and implementation of contemporary models of care; however, inconsistent definitions hinder this. With the increasing demand for nurse-led models of care, it is crucial to establish a consistent understanding to ensure the efficacy of implemented models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>We aim to provide a working definition for nursing models of care, then using this, present the key features that nurse-led models of care should consider.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Sources of Evidence</h3>\u0000 \u0000 <p>An unstructured literature review was used to explore the research aim.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>We propose that nursing models of care be defined as involving three interrelated domains: (1) a theoretical basis that underpins conceptualisation of care, (2) organisational work methods that direct task delegation, organisational governance, and care responsibility and (3) practical methods for care delivery that describes practical care methodologies. Extrapolating from this framework, nurse-led models of care are defined as having an evidence-based and person-centred theoretical basis, an organisational work method driven by nurses, and practical methods of care delivery supported by the creation of holistic care plans.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>As the design and implementation of a model of care is influenced by unique contextual considerations, the definitions provided in this paper should be considered as a starting point for further refinement, consideration and discussion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Policy</h3>\u0000 \u0000 <p>Standardisation in how models of care are defined enables greater understanding and improved comparability between disparate sources of evidence and can aid stakeholders by providing a common language. Creating standardisation in the terminology of nurse-led models of care specifically supports the continued advocacy efforts for these models of care and assists policymakers and health providers in their design and implementation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840356","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}