The journal of nursing research : JNR最新文献

{"title":"Diet Modification in Saudi Women Living With Cardiovascular Disease: A Qualitative Study of Barriers and Motivators.","authors":"Afnan Tunsi, Lujain Sallam, Reem Sinnari, Rahaf Alghamdi, Rahaf Alafghani, Raghad Assiri, Anwar Tammar","doi":"10.1097/jnr.0000000000000755","DOIUrl":"10.1097/jnr.0000000000000755","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular disease (CVD) is the leading cause of mortality worldwide and a major contributor to reduced quality of life. The disproportionately high risk of CVD faced by Saudi women compared with Saudi men is driven by rising rates of obesity, physical inactivity, and lifestyle-related risk factors. Despite the importance of dietary modification in secondary prevention, adherence to a heart-healthy diet remains challenging for many Saudi women due to gendered caregiving responsibilities, limited autonomy in food choices, and sociocultural expectations to prioritize family needs over their health.</p><p><strong>Purpose: </strong>This study was designed to explore the barriers and motivators related to healthy diet adherence among Saudi women living with CVD, with a particular analytical focus on how gendered household roles and sociocultural expectations shape dietary behaviors.</p><p><strong>Methods: </strong>A qualitative descriptive design was employed, involving individual semistructured interviews with 19 Saudi women. Thematic analysis was conducted in accordance with Braun and Clarke's six-phase approach.</p><p><strong>Results: </strong>The factors identified in the analysis were grouped into four themes: individual, social, institutional, and environmental. Gender roles, particularly the responsibilities of women as primary caregivers and meal preparers, consistently shaped the ability of the participants to adhere to healthy diets. Disease severity and family support were identified as key motivators, while the identified barriers included prioritizing family preferences over personal health, lack of tailored dietary counseling, and limited access to healthy food options.</p><p><strong>Conclusions: </strong>The findings underscore the multifaceted challenges Saudi women face in adhering to heart-healthy diets, particularly those rooted in gendered caregiving roles, social obligations, institutional gaps in dietary support, and environmental barriers to food access. Effective dietary interventions must go beyond individual education and be purposefully embedded within culturally sensitive, gender-responsive strategies that address these broader structural and contextual constraints.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e472"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148341518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Among Health Literacy, Decision Self-Efficacy, and Decisional Conflict in Stroke Survivor-Caregiver Dyads.","authors":"Ya-Ting Liu, Si-Xun Zhang, Mei-Sin Chong, Ying-Chen Duan, Yi-Nan Shi, Zhen-Xiang Zhang, Wen-Na Wang, Xin Li, Bei-Lei Lin, Nuo Shi, Kwan Ching Wong, Yong-Xia Mei","doi":"10.1097/jnr.0000000000000754","DOIUrl":"10.1097/jnr.0000000000000754","url":null,"abstract":"<p><strong>Background: </strong>The cognitive and physical impairments often experienced by stroke survivors make health care decisions challenging for both survivors and their caregivers. Although poststroke care decision-making involves complex factors such as health literacy and decision self-efficacy, research on the interactions among health literacy, decision self-efficacy, and decisional conflict within stroke survivor-caregiver dyads remains limited.</p><p><strong>Purpose: </strong>This study was designed to explore the inter-relationships among health literacy, decision self-efficacy, and decisional conflict in stroke survivor-caregiver dyads.</p><p><strong>Methods: </strong>This cross-sectional study, conducted from September 2023 to April 2024, included 305 pairs of Chinese stroke survivor-caregiver dyads. The All Aspects of Health Literacy Scale, Decision Self-Efficacy Scale, and Decisional Conflict Scale were used to collect data from both stroke survivors and their caregivers. A dyadic analysis was conducted using the actor-partner interdependent mediation model.</p><p><strong>Results: </strong>In terms of actor effects, decision self-efficacy was found to respectively mediate health literacy and decisional conflict in stroke survivors (β = -0.511, p < .001) and their caregivers (β = 0.212, p = .006). In terms of the partner effect, caregiver decision self-efficacy was found to relate negatively to survivor decisional conflict and to mediate the relationship between caregiver health literacy and survivor decisional conflict (β = -0.236, p = .019).</p><p><strong>Conclusions: </strong>The results of this study indicate that, in stroke survivors, higher health literacy has a direct reducing effect on perceived decisional conflict. In light of this, dyadic-based intervention strategies should be developed. Examples include joint workshops designed to improve stroke survivor-caregiver shared information interpretation and comprehension, and the development of dyadic-oriented decision aids to help both dyad partners achieve information symmetry and consensus in their health care decision-making.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e466"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148341692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Cold Compress on Pain and Vascular Complications in Patients With Percutaneous Coronary Intervention: A Systematic Review and Meta-Analysis.","authors":"Yi-Da Li, Ying-Chin Liao","doi":"10.1097/jnr.0000000000000756","DOIUrl":"10.1097/jnr.0000000000000756","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Transfemoral percutaneous coronary intervention (PCI), a widely adopted treatment for coronary artery disease, is frequently accompanied by vascular complications such as pain, bleeding, ecchymosis, and hematoma. Although cold compress application has been suggested to mitigate these complications as a simple, nonpharmacological intervention, the evidence regarding its effectiveness is inconsistent.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;The goal of this meta-analysis is to evaluate the effectiveness of cold compresses in alleviating pain and preventing vascular complications in patients undergoing transfemoral PCI.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Four significant databases (Embase, Medline, Cochrane, CINHAL database), gray literature, and the Clinical Trials Registry were searched using the following keywords: P: \"transfemoral percutaneous coronary interventions\" OR \"coronary interventions\"; I: \"cold pack\" OR \"cold compress\" OR \"ice-bag\"; and O: \"vascular complications\" OR \"adverse reactions\" OR \"pain.\" Two independent authors screened the studies based on predefined inclusion criteria, and any discrepancies were resolved through discussion. The quality of the included studies was assessed using the Joanna Briggs Institute (JBI) critical appraisal checklist. Data were synthesized using statistical methods to calculate the standardized mean difference (SMD) for pain levels and risk ratios (RR) for outcomes such as hematoma, ecchymosis, and bleeding. This research was registered in the PROSPERO database (CRD420251018936).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Ten randomized controlled trials (RCTs) involving 904 participants were included in the analysis. The results of the pooled analyses showed cold compresses significantly reduced puncture-site pain (SMD=-1.56, 95% CI [-2.86, -0.25]), bleeding (RR=0.30, 95% CI [0.18, 0.52]), and hematoma (RR=0.30, 95% CI [0.10, 0.91]) and demonstrated a detectable but nonsignificant reduction effect on ecchymosis incidence (RR=0.38, 95% CI [0.10, 1.36]). The results of the subgroup analyses revealed consistent protective effects for bleeding and hematoma, although pain and ecchymosis outcomes exhibited moderate-to-high heterogeneity based on specific intervention modality. The methodological quality of the included studies was assessed to be moderate to high (JBI scores: 9-12).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions/implications for practice: &lt;/strong&gt;The findings support cold compresses as effective in alleviating puncture-site pain and reducing bleeding and hematoma following transfemoral PCI, with a possible beneficial effect on ecchymosis. Despite protocol variability and the absence of blinding across trials, the overall evidence supports the clinical application of cold compresses as a safe, low-cost, and nonpharmacological adjunct to standard post-PCI care. To optimize outcomes, standardized intervention protocols, including timing, temperature, weight, and duration, should be adopted in future tri","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"34 4","pages":"e474"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148715017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a Web-Based Communication Education Program in Improving Knowledge and Self-Efficacy in Family Caregivers of Nursing Home Residents: A Quasi-Experimental Study.","authors":"Ching-Hui Hsiao, Yu-Ting Chen, Wann-Yun Shieh, Hsiu-Hsin Tsai","doi":"10.1097/jnr.0000000000000748","DOIUrl":"10.1097/jnr.0000000000000748","url":null,"abstract":"<p><strong>Background: </strong>Effective communication between family members and nursing home residents is vital. However, limited research has been conducted, especially in Asia, regarding the effectiveness of web-based communication programs in improving the communication efficacy of family members of nursing home residents.</p><p><strong>Purpose: </strong>In this quasi-experimental study, the effectiveness of a 4-week, nurse-led web-based communication education program (WBCEP) was evaluated in terms of improving the communication skills-related knowledge and self-efficacy of the family members of nursing home residents.</p><p><strong>Methods: </strong>A total of 68 family members of older adult residents of medium-sized facilities (30 < n < 90) were enrolled as participants. The experimental group ( n = 34) participated i n the WBCEP, while the control group ( n = 34) did not. Data were collected at baseline and at 1 and 2 months after baseline. Generalized estimating equations were used to analyze the longitudinal effectiveness of the program.</p><p><strong>Results: </strong>The experimental group improved significantly more in both communication skills knowledge and self-efficacy scores, including lagged effects, than the control group. Moreover, the experimental group reported high levels of learning satisfaction.</p><p><strong>Conclusions/implications for practice: </strong>The innovative nurse-led WBCEP implemented in this study was shown to be effective in enhancing communication skills knowledge and self-efficacy in family members of nursing home residents, contributing to overall efforts to improve family-centered care.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e455"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caregiver Burden, Social Support, and Depressive Symptoms Among Caregivers of Patients With Heart Failure.","authors":"Da-Young Kim, JiYeon Choi, Youn-Jung Son","doi":"10.1097/jnr.0000000000000747","DOIUrl":"10.1097/jnr.0000000000000747","url":null,"abstract":"<p><strong>Background: </strong>Examining caregiver burden subgroups in family caregivers of patients with heart failure may help identify individuals at elevated risk. Also, although caregiver burden is known to be associated with social support and depressive symptoms, how these factors interact to produce depressive symptoms is unclear.</p><p><strong>Purpose: </strong>This study was designed to investigate the distinct subgroups of caregiver burden using latent profile analysis as well as the mediating role of social support in the relationship between caregiver burden profiles and depressive symptoms among heart failure family caregivers.</p><p><strong>Methods: </strong>Two hundred nine family caregivers (age ≥18 years) of older adults with heart failure were enrolled as participants. Caregiver burden, social support, and depressive symptoms were measured using self-administered questionnaires. Data were collected at the outpatient cardiology clinics of two university hospitals in Seoul, South Korea, between July 2022 and May 2023. Latent profile and mediation analyses were conducted using Mplus and PROCESS macro models.</p><p><strong>Results: </strong>The caregiver burden profiles were categorized into two groups: \"lower burden\" (78.9%) and \"higher burden\" (21.1%). The caregiver burden domain \"emotional well-being\" registered the highest scores in both lower and higher burden groups. Social support was shown to significantly mediate the relationship between higher caregiver burden (reference=lower caregiver burden group) and depressive symptoms.</p><p><strong>Conclusions: </strong>The findings indicate that promoting social support can buffer the negative impact of higher caregiver burden on depressive symptoms in family caregivers of older adults with heart failure. Health care professionals should develop interventions to strengthen social support to prevent depressive symptoms of family caregivers experiencing high caregiver burden.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e456"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal Relationship of eHealth Literacy With Self-Management Via Self-efficacy in Individuals With Type 2 Diabetes: Autoregressive Cross-Lagged Modeling.","authors":"Eun-Hyun Lee, Kwan-Woo Lee, Hae Jin Kim, Eun Hee Kang, Hyun Jung Kang","doi":"10.1097/jnr.0000000000000745","DOIUrl":"10.1097/jnr.0000000000000745","url":null,"abstract":"<p><strong>Background: </strong>In the internet era, eHealth literacy has become a recognized predictor of self-management in people with diabetes. Self-efficacy as a mediator of the relationship between eHealth literacy and self-management has been explored in cross-sectional studies only, which ignores its temporal sequence. Longitudinal studies on this mediated relationship in individuals with chronic diseases have not been previously conducted.</p><p><strong>Purpose: </strong>The purpose of this study was to explore the longitudinal relationship between eHealth literacy and self-management via self-efficacy in patients with type 2 diabetes.</p><p><strong>Methods: </strong>A prospective longitudinal survey was conducted using an autoregressive cross-lagged model. Measurements were made at three time points separated by 3-month intervals in 390 adults with type 2 diabetes at an outpatient clinic in a university hospital from May 2022 to January 2024 using a questionnaire consisting of several scales (i.e., the Condition-Specific eHealth Literacy Scale, Diabetes Management Self-Efficacy Scale, and Diabetes Self-Management Scale). The data were analyzed using structural equation modeling.</p><p><strong>Results: </strong>The autoregressive paths of all study variables were found to be significant across all time points, with eHealth literacy, self-efficacy, and self-management scores at each time point influencing their respective values at the subsequent time point ( β = .95-.62, p < .001). Also, all of the cross-lagged paths were found to be significant across the investigated time points ( β = .07-.21, p < .001). At the first time point, eHealth literacy was found to have a significant indirect effect on self-management at the third time point via self-efficacy at the second time point (bootstrap estimate B = 0.010, 95% confidence interval = [0.001, 0.028]).</p><p><strong>Conclusions/implications for practice: </strong>The results support that the longitudinal relationship between eHealth literacy and self-management is completely mediated by self-efficacy in people with type 2 diabetes. Health professionals should enhance the eHealth literacy of patients to boost their self-efficacy, making them better able to perform the regular tasks and behaviors required for diabetes self-management.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e454"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empowerment: Equipping Patients and Caregivers With the Confidence to Act.","authors":"Yuan-Mei Liao","doi":"10.1097/jnr.0000000000000753","DOIUrl":"10.1097/jnr.0000000000000753","url":null,"abstract":"","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"34 3","pages":"e453"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148039034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Applying Gamified Exercise in Health Education Classes on Physical Activity Levels in School-Aged Children: A Randomized Controlled Pilot Study.","authors":"Li-Chun Hsiao, Chi-Jane Wang, Ya-Ping Yang, Jong-Ni Lin","doi":"10.1097/jnr.0000000000000746","DOIUrl":"10.1097/jnr.0000000000000746","url":null,"abstract":"<p><strong>Background: </strong>Declining physical activity (PA) among schoolchildren is a global issue. Schools play a crucial role in children's PA, as they spend most of their waking hours at school. Therefore, developing an easy-to-implement school-based physical activity program is important.</p><p><strong>Purpose: </strong>This study was designed to evaluate the effectiveness of using gamified exercise in health education classes to enhance PA levels among schoolchildren.</p><p><strong>Methods: </strong>A randomized controlled pilot design was applied. Two elementary schools were randomly assigned, respectively, to an experimental group (EG; n = 47) that received a gamified fitness program with reciprocal physical education and a control group (CG; n = 44) that received reciprocal physical education only. The gamified fitness program, developed and validated by a multidisciplinary team, was delivered during health education classes. PA levels were measured using AI-wireless wrist sensors worn during schooltime at three points, including the first week (T1), sixth week (T2), and 12th week (T3) of the program. Program feasibility was assessed using participant satisfaction and analyzed using Generalized Estimating Equations (GEE).</p><p><strong>Results: </strong>PA levels at the three time points (T3-T1) were significantly different between the two groups. The results of GEE analysis revealed that daily steps (mean difference ± SE: 4,068.4 ± 1,144.1 steps), total PA (84.4 ± 16.0 min), light PA (LPA; 72.6 ± 15.3 min), and moderate to vigorous PA (MVPA; 12.1 ± 2.9 min) increased significantly more over time in the EG than the CG. Moreover, approximately 85% of the EG identified the PA program as being satisfactory and feasible.</p><p><strong>Conclusions/implications for practice: </strong>The results of the pilot trial conducted in this study demonstrate the feasibility of integrating gamified exercise into school health education classes and the potential of this program to increase physical activity levels in schoolchildren significantly. The success of the developed program is attributable to its multidisciplinary approach, engaging design, and focus on core strength and cardiorespiratory endurance. Gamified fitness in health education may be used to promote activity, support inclusive policies, and reduce disparities among school-age students.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"34 3","pages":"e461"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148039101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Care Experiences Among LGBTQ+ Adults: A Qualitative Systematic Review and Meta-Synthesis.","authors":"Yen-Fan Lee, Te-Sheng Chang, Wan-Ru Wu, An-Chi O-Yang","doi":"10.1097/jnr.0000000000000750","DOIUrl":"10.1097/jnr.0000000000000750","url":null,"abstract":"<p><strong>Background: </strong>LGBTQ+ (lesbian, gay, bisexual, transgender, and queer) adults often face multilayered discrimination, structural barriers, and cultural exclusion in health care settings that limit their access to care and adversely affect their health outcomes. However, comprehensive syntheses of their health care experiences remain limited.</p><p><strong>Purpose: </strong>This study was designed to systematically synthesize the health care experiences of LGBTQ+ adults in formal care settings using the Joanna Briggs Institute's meta-synthesis approach, with a focus on their stressors, care-related challenges, and identity negotiations. These experiences were then interpreted through the lens of the Minority Stress Model to deepen the understanding of health care providers of the primary structural stressors and their implications in health care.</p><p><strong>Methods: </strong>A qualitative systematic review and meta-aggregation were conducted following the Joanna Briggs Institute (JBI) methodology. Chinese and English databases were searched, and studies were screened, appraised, and synthesized using standard JBI procedures and a ConQual confidence assessment.</p><p><strong>Results: </strong>Twenty-three qualitative studies were included, yielding 70 findings, 15 categories, and 7 synthesized findings. Key themes identified included heteronormative assumptions, internalized stigma, identity concealment, structural inaccessibility, health care alienation, and care withdrawal. Conversely, affirming care environments and formal/informal social support were identified as enhancing patient trust and identity empowerment.</p><p><strong>Conclusions: </strong>LGBTQ+ patient experiences reflect structural stress and intersectional inequities in the health care they receive. Structural reforms in clinical practice, health policies, and professional education are needed to promote culturally sensitive, equity-oriented care for LGBTQ+ populations.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"34 3","pages":"e463"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148039030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Perceived Management Care and Job Embeddedness on Organizational Commitment Among Registered Clinical Nurses: A Latent Profile Analysis.","authors":"Zhiqian Gong, Dan Chen, Yi Huang, Yuwei Wu, Huihui Jin","doi":"10.1097/jnr.0000000000000742","DOIUrl":"10.1097/jnr.0000000000000742","url":null,"abstract":"<p><strong>Background: </strong>Nurses are the backbone of the health care service team, and having a stable team of nurses is critical to effective team operations. Organizational commitment helps nurses remain in their current organization and facilitates the attainment of organizational goals. Understanding the organizational commitment of nurses and its influencing factors is necessary.</p><p><strong>Purpose: </strong>This study was conducted to identify the latent characteristics affecting the level of organizational commitment in nurses and explore their influencing factors to provide feasible recommendations for improving hospital nursing management measures.</p><p><strong>Methods: </strong>From November 2023 to February 2024, 1,037 nurses from hospitals in Beijing, Changsha (Hunan Province), and Jinhua (Zhejiang Province) participated in this study. The data were collected using a socio-demographic information questionnaire, Organizational Commitment Scale, Global Job Embeddedness Items, and Caring Assessment Tool-administration. Data analysis included latent profile analysis, χ 2 test, analysis of variance, and multifactorial logistic regression.</p><p><strong>Results: </strong>The level of organizational commitment may be classified into four distinct profiles, namely Observers ( n =95, 9.16%), Stabilizers ( n =319, 30.76%), Aspirants ( n =369, 35.58%), and Stalwarts ( n =254, 24.49%). The results of this study showed that higher levels of perceived management care, job embeddedness, and salary satisfaction, earning a lower monthly income, longer years of service, having children, and being employed in a permanent position were positively associated with higher organizational commitment.</p><p><strong>Conclusion/implication for future practice: </strong>The findings indicate that organizational commitment in nurses is affected by factors including self-perceived management care, job embeddedness, salary satisfaction, employment form, whether they have children, monthly income, and years of service. The results of this study provide evidence that hospital nursing managers may reference in enhancing measures to strengthen the organizational commitment of nurses, which may include improving humane management practices and the work environment as well as rationalizing income distribution and human resources allocation, thereby promoting nurses' identification with organizational goals, increasing retention, and enhancing the quality of nursing services and patient satisfaction.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e459"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}