International Nursing Review最新文献

{"title":"The Mediating Role of Resilience Between Empathy and Professional Competence Among Emergency Nurses in the West Bank, Palestine: Partial Least Squares Structural Equation Modeling","authors":"Anas Shehadeh, Ahmad Shuhaiber, Malakeh Z. Malak, Ahmad Ayed, Hisham Zahran","doi":"10.1111/inr.70144","DOIUrl":"10.1111/inr.70144","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study examined the levels of and relationship between resilience, empathy, and professional competence among emergency nurses in Palestine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Emergency nurses working in conflict-affected regions such as Palestine encounter extreme stressors that may adversely impact their resilience, empathy, and professional competence. These factors are vital for sustaining high-quality nursing care, yet their interrelationships remain insufficiently understood.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional design was employed, recruiting 236 emergency nurses from governmental hospitals across the West Bank, Palestine. Data were collected using the Connor–Davidson Resilience Scale, Toronto Empathy Questionnaire, and the short Nurse Professional Competence Scale. Data analysis involved IBM SPSS Statistics 26.0 and SmartPLS 4.0, applying structural equation modeling to assess relationships among variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants had low resilience (<i>M</i> = 72.8, <i>SD</i> = 26.7), above-average empathy (<i>M</i> = 46.3, <i>SD</i> = 13.1), and high professional competence (<i>M</i> = 78.0, <i>SD</i> = 10.7). Empathy did not directly predict professional competence (β = 0.11, <i>p</i> = 0.13) but significantly predicted resilience (β = 0.96, <i>p</i> < 0.01). Resilience strongly predicted professional competence (β = 0.86, <i>p</i> < 0.01) and fully mediated the empathy–competence relationship (indirect effect = 0.81, <i>p</i> < 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The mediation effect underscores resilience as a pivotal mechanism through which empathy influences professional competence in high-stress, conflict-affected settings. Enhancing resilience is essential to translate empathy into effective professional performance among emergency nurses in Palestine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing</h3>\u0000 \u0000 <p>Interventions focusing on resilience-building and emotional regulation can improve nurses’ competence, reduce burnout, and support sustainable quality nursing care delivery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Policy</h3>\u0000 \u0000 <p>Policymakers should prioritize resilience enhancement strategies in nursing education and workplace policies, especially in conflict-affected healthcare environments.</p>\u0000 </s","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":"145913689","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’ Career Growth and Job Embeddedness: A Moderated Mediation Model of Basic Psychological Needs and Perceived Organizational Support","authors":"Yun-Xia Ni,&nbsp;Gui-Ying You,&nbsp;Ji-Ping Li","doi":"10.1111/inr.70147","DOIUrl":"10.1111/inr.70147","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate the mediating effects of basic psychological needs and the moderated mediating effect of perceived organizational support on the relationship between career growth and job embeddedness among nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Job embeddedness is an important predictor of nurse retention. However, little is known about the underlying mechanism of when and why career growth affects nurses’ job embeddedness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional online survey enrolled 858 nurses who worked at hospitals from 12 hospitals across 6 cities in China. Participants completed an online questionnaire that included the Nurse Career Growth Scale, Basic Needs Satisfaction in General Scale, Chinese version of the Survey of Perceived Organizational Support, and Job Embeddedness Scale. Data were analyzed using Hayes's PROCESS macro. The Reporting of Observational Studies in Epidemiology (STROBE) guidelines were used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Career growth was positively associated with job embeddedness, and this positive relationship was mediated by basic psychological needs. The indirect effect of career growth on job embeddedness via basic psychological needs was stronger among nurses with higher perceived organizational support than among nurses with lower perceived organizational support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Career growth is a valuable factor for predicting nurses’ job embeddedness. Basic psychological needs and perceived organizational support further explain how career growth facilitates job embeddedness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The indirect effect of career growth on job embeddedness via basic psychological needs was strengthened as the level of perceived organizational support increased.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and Health Policy</h3>\u0000 \u0000 <p>Policymakers and nurse managers should put effort into promoting nurses’ career growth, satisfying their basic psychological needs, and establishing supportive work conditions to embed nurses in their present jobs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913641","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":"Caring for Vulnerable Patients: Examining Job Satisfaction as a Mediator Between Perceived Stigma and Organizational Commitment","authors":"Eman Abdeen Ali,&nbsp;Mona Metwally El-Sayed,&nbsp;Mohamed Ali Zoromba,&nbsp;Shaimaa Mohamed Amin,&nbsp;Shaimaa Samir Dawood,&nbsp;Asmaa Mahmoud Ali Ibrahim,&nbsp;Huda Gaber Hamzaa,&nbsp;Samar Atiya Abo-Saleh Gabal,&nbsp;Mahmoud Abdelwahab Khedr","doi":"10.1111/inr.70143","DOIUrl":"10.1111/inr.70143","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study investigated the role of perceived stigma in predicting organizational commitment among nurses, examining job satisfaction as a potential mediating variable.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Perceived stigma in the healthcare environment is increasingly recognized. However, the mechanisms linking stigma to organizational commitment, such as job satisfaction, remain underexplored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted from March to June 2025 among 313 nurses from various healthcare settings in Egypt. Data were collected using validated instruments measuring perceived stigma, job satisfaction, and organizational commitment. Pearson correlation analyses were used, and a mediation analysis was performed using the PROCESS macro to determine the significance of indirect effects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Perceived stigma was negatively correlated with job satisfaction (<i>r</i> = –0.140, <i>p</i> &lt; 0.05) and its subscales and showed a weak correlation with the organizational commitment subdomains. Mediation analysis indicated that stigma significantly predicted lower job satisfaction (β = –0.312, <i>p</i> = .013), which in turn was positively associated with organizational commitment (β = 0.227, <i>p</i> &lt; .001). The direct effect of stigma on commitment was positive and significant (β = 0.213, <i>p</i> = .028). In contrast, the indirect effect through job satisfaction was negative and significant (β = –0.071, 95% CI [–0.141, –0.015]), supporting a partial mediation model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>These findings underscore that while stigma may have a complex direct influence, its negative effect on commitment operates significantly through the reduction of job satisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Job satisfaction partially mediates the relationship between perceived stigma and organizational commitment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and health policy</h3>\u0000 \u0000 <p>Healthcare policies and managerial interventions designed to reduce workplace stigma and proactively enhance job satisfaction are essential strategies for strengthening organizational commitment and improving nurse retention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901702","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 Moderating Role of Cultural Intelligence in the Relationship Between the Caring Culture and Caring Behaviours of Nurses in Internal Medicine Clinical","authors":"Ayşe Soylu,&nbsp;Zehra Cihan","doi":"10.1111/inr.70146","DOIUrl":"10.1111/inr.70146","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study aimed to examine the moderator role of cultural intelligence in the relationship between the caring culture and caring behaviours of 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 working in internal medicine units usually care for patients with chronic diseases. The caring culture of nurses and the development of cultural intelligence are extremely important because of the difficulties in the chronic disease process.&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;This was a descriptive, cross-sectional, correlational study.&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;The study was conducted with 306 nurses between July 10, 2024, and March 10, 2025. Data were collected using a personal information form, the caring behaviours inventory-24, the caring culture scale, and the cultural intelligence scale. The data were analysed with IBM SPSS vn. 23 and PROCESS vn4.2 by Andrew F. Hayes, model 1 software. STROBE was used in the reporting of results.&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;Caring behaviour (115.07 ± 24.2), caring culture (77.11 ± 14.18), and cultural intelligence (101.17 ± 22.09) points of nurses were at a moderate level. A statistically significant positive correlation was found between caring culture and caring behaviour (&lt;i&gt;r&lt;/i&gt; = 0.594, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), between cultural intelligence and caring behaviour (&lt;i&gt;r&lt;/i&gt; = 0.351, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), and between caring culture and cultural intelligence (&lt;i&gt;r&lt;/i&gt; = 0.460, &lt;i&gt;p&lt;/i&gt; &lt; 0.001). Cultural intelligence was not found to have a moderator role in the relationship between caring culture and caring behaviour (β1 = 0.08, &lt;i&gt;p&lt;/i&gt; &gt; 0.05).&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;A high level of cultural intelligence may contribute to increasing the perceptions of caring culture and caring behaviours of nurses.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for Nursing Policy, Health Policy, and/or Social Policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To further improve nurses’ perception of the culture of care, in-house cultural care training should be organized. Nurses should be encouraged and rewarded for examples of good cultural practices. Communication between employees should be strengthened, and effective communication seminars should be organized. Cultural committees should be established for work welfare. Managers should care about nurses, pay attention to their working hour","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901648","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":"Public Perceptions and Career Intentions Regarding Clinical Nurse Specialist and Physician Associate Roles: A Cross-Sectional Survey","authors":"Merav Ben Natan,&nbsp;Yuval Ben Zeev,&nbsp;Nicole Bezelanski","doi":"10.1111/inr.70145","DOIUrl":"10.1111/inr.70145","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 assess public awareness, perceptions, and educational intentions regarding Clinical Nurse Specialist (CNS) and Physician Associate (PA) roles in Israel, and to identify predictors of interest in these career pathways.&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;Amid physician shortages, countries are promoting advanced roles such as CNSs and PAs to strengthen healthcare capacity. In Israel, both roles are relatively new and underrecognized.&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 survey of 200 adults in Israel used descriptive statistics to assess familiarity and interest in CNS and PA roles. Two multiple linear regression models identified predictors of interest in pursuing each role's educational pathway.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Findings&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Awareness of advanced roles was limited: 25.5% and 21% reported familiarity with CNSs and PAs, respectively. Despite this, 26.5% expressed interest in the CNS pathway and 17% in the PA pathway. Women were more likely to favor the CNS role; men showed greater interest in the PA role. Self-efficacy, career motivation, and gender predicted CNS interest (&lt;i&gt;R&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 0.332). PA interest was predicted by academic background and gender (&lt;i&gt;R&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 0.256), but not by self-efficacy or motivation.&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 highlight the need to clarify role definitions, address gendered perceptions, and implement targeted outreach. Differences in predictors suggest that CNS and PA roles appeal to distinct motivational and cognitive profiles.&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;Despite low awareness, there is substantial public interest in CNS and PA roles. Tailored educational and communication strategies are needed to increase understanding and engagement.&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;Nurses should use clinical encounters to explain CNS and PA roles and build trust.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for Health Policy&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Policymakers should support awareness campaigns, training incentives, and curricular integration to promot","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12755060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866208","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":"Digital Ethics in Nursing: A Scoping Review","authors":"Aysun Bayram,&nbsp;Betül Bal,&nbsp;Stefania Chiappinotto,&nbsp;Alvisa Palese","doi":"10.1111/inr.70141","DOIUrl":"10.1111/inr.70141","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To map the digital ethics studies published to date in the field of nursing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The integration of digitalization in the healthcare sector, especially in nursing care, is increasing. However, digitalization in nursing can raise professional, personal, and ethical concerns among nurses. A thorough discussion of digital ethics in nursing is still lacking in the literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A scoping review was registered in the Open Science Framework and reported here according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews guidelines. The PubMed, CINAHL, and Scopus databases were searched. The reference lists of included studies were also screened. The results were summarized and discussed using the patterns, advances, gaps, evidence, and recommendations methodology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 394 studies were identified, of which seven met the inclusion criteria and were included. Digital ethics have been investigated in the nursing field around three main themes: (i) knowledge and awareness of digital ethics; (ii) digital ethical violations in nursing care; and (iii) digital ethical violations regarding ethical principles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion/Conclusion</h3>\u0000 \u0000 <p>Overall, the concept of digital ethics in nursing is still in its early stages. It should be further developed and harmonized to help researchers search the literature and clinicians find available evidence. Additionally, the patterns identified in studies can serve as the basis for a digital ethics framework, which should be further refined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and Health Policy</h3>\u0000 \u0000 <p>Digital technologies present several potential ethical implications at the (a) individual levels, affecting nurses and patients, and (b) collective levels, impacting all nurses, health systems, and citizens. Increasing awareness and knowledge, and developing guidelines specific to nursing, should be a priority to prevent and minimize risks. Codes of conduct should address these emerging issues and promote the ethical use of digital tools. Audits and monitoring systems should be established to detect additional risks and address them appropriately.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"73 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145859343","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":"Explanation of the Concept of Professional Engagement in Clinical Nurses in Iran: A Conventional Qualitative Content Analysis","authors":"Somayeh Rezaie,&nbsp;Fazlollah Ahmadi,&nbsp;Mitra Khoobi,&nbsp;Anoshirvan Kazemnejad,&nbsp;Mojtaba Vaismoradi","doi":"10.1111/inr.70138","DOIUrl":"10.1111/inr.70138","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to explore and clarify the concept of professional engagement among clinical nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurses are central to shaping healthcare systems through direct interactions with patients and communities. Despite their potential to influence health policy, their involvement in policy development remains limited, especially in culturally specific contexts like Iran. Understanding the nature of professional engagement is essential for strengthening nursing practice and informing policy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This qualitative descriptive study employed a conventional content analysis approach. Data were collected through semi-structured interviews with 16 clinical nurses selected via purposive sampling to ensure diversity in hospital type, ward specialty, and geographic location across Iran.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis yielded four main categories: benevolence, vigor, professional emotional belonging, and meaningful care. They reflect the humanistic, energetic, emotionally connected, and purpose-driven nature of nursing practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Professional engagement in nursing is shaped by intrinsic motivation, emotional connection, and a strong sense of purpose. These factors contribute to nurses’ commitment and the quality of care they provide.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Professional engagement in nursing is defined by intrinsic satisfaction in helping others, emotional attachment to the profession, and a strong sense of purpose. These are features that distinctly set nursing apart from other professions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing</h3>\u0000 \u0000 <p>Supporting nurses’ emotional connection, teamwork, and sense of purpose can strengthen professional engagement. Nurse managers should foster reflective practice and meaningful caregiving to improve work motivation and care quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing Policy</h3>\u0000 \u0000 <p>Policymakers should implement strategies that reinforce engagement across workshifts. Policy-driven efforts can enhance patient safety, care quality, and nurse retention at various caring levels.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 4","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851418","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":"Worsening Shortages, Mass Departures, Intolerable Working Conditions: A Media Analysis of Canada's Nursing Workforce Crisis","authors":"Candice McTavish,&nbsp;Linda McGillis Hall,&nbsp;Sheri Price,&nbsp;Sanja Visekruna,&nbsp;Andrea Blain","doi":"10.1111/inr.70140","DOIUrl":"10.1111/inr.70140","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore the nature and content of Canadian media coverage surrounding the COVID-19 pandemic by wave – spanning from 2020 to 2024, identifying health policy and system responses that emerged as strategies in retaining the nursing workforce.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>COVID-19 was an unprecedented health crisis impacting healthcare delivery and the healthcare workforce globally. It caused tremendous turbulence and strain, testing system capacity due to staff shortages, resource limitations and issues accommodating high volumes and acuity levels of patients. Across Canada, the pandemic resulted in mobilization of policy and system responses to address workforce challenges that emerged.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative content analysis was conducted of online media coverage from nursing organizations and government websites published from January 2020 to March 2024, as well as newspaper articles from the Canadian Newsstream database.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Synthesized findings were categorized according to waves of the pandemic, highlighting key themes surrounding system and policy responses that emerged. Government investments to increase wages, educate additional staff and enhance protection for workers were among the measures employed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This review captures the evolution and progression of the health crisis, its impact on the nursing workforce and associated responses. Workforce development and retention were emphasized through measures to enhance mental health and wellness, improve protection for workers and address safe staffing practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nurses played a pivotal role throughout the global pandemic. Multiple system and policy responses were identified as key facets in strengthening, supporting and sustaining the nursing workforce.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and Nursing Policy</h3>\u0000 \u0000 <p>Measures implemented illustrate the instrumental role that stakeholders, including the government and nursing organizations, play in building capacity and prioritizing efforts to protect nurses and enhance preparedness for future outbreaks.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 4","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769747","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 “Exploring Spiritual Care Competence Among Nursing Assistants in Chinese Nursing Homes: A Cross-Sectional Study Based on the Knowledge–Attitude–Practice Theory”","authors":"Wei-Ping Zhao,&nbsp;Ai-Ping Huang","doi":"10.1111/inr.70139","DOIUrl":"10.1111/inr.70139","url":null,"abstract":"","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 4","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145679606","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":"Free Will Belief and Nurses’ Job Performance: The Mediating Roles of Grit and Positive Affect","authors":"Wei Liu,&nbsp;Song Wang","doi":"10.1111/inr.70136","DOIUrl":"https://doi.org/10.1111/inr.70136","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study examined the relationship between belief in free will (BFW) and job performance among nurses during the COVID-19 pandemic, with a particular focus on the mediating roles of grit and positive affect in this relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Job performance is a critical aspect of nursing management, influencing patient care, nurses’ career trajectories, and organizational effectiveness, especially during pandemics like COVID-19. Understanding the individual-level psychosocial factors contributing to nurses’ job performance is therefore essential.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used a cross-sectional, descriptive survey design and adhered to the STROBE reporting guidelines. From January 2021 to May 2022, 709 Chinese nurses in Chengdu and Kunming completed a web-based questionnaire survey that included validated measures of BFW, grit, positive affect, job performance, and Big Five personality traits. Descriptive statistics, bivariate correlations, and common method bias analyses were first conducted using IBM SPSS 25.0 software. Multiple mediation analyses were then conducted using the SPSS PROCESS macro.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We found a moderate to large positive relationship between nurses’ BFW and their job performance (<i>r</i> = 0.44, <i>p</i> &lt; 0.001). Furthermore, this relationship was mediated by both grit and positive affect, with a significant serial mediation effect observed (<i>p</i> &lt; 0.05 for all). Importantly, our findings remained significant after controlling for Big Five personality traits.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our study reveals a robust link between BFW and job performance in nurses and identifies grit and positive affect as key mediators of this relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and health policy</h3>\u0000 \u0000 <p>Nursing leaders can improve their nurses’ job performance by cultivating BFW and developing a supportive and empowering work environment to increase nurses’ grit and positive affect.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 4","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145626700","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}