Nursing Management

CONCLUSION: Moral injury and burnout were associated with professional communication among OR nurses. While burnout was negatively associated with communication, the unexpected positive adjusted association between moral injury and professional communication should be interpreted cautiously and may reflect ethically motivated communication, moral sensitivity, or professional advocacy rather than a beneficial effect of moral injury itself.

CONCLUSION: Infection control performance among ED nurses was associated with individual, organizational, and environmental factors. Ecological systems theory provided an effective framework for identifying these multilevel influences.

CONCLUSION: Achieving sustainable SBE integration requires a whole-of-organisation approach that aligns governance, pedagogy and operational capacity, ensuring that simulation becomes a core, enduring component of health professional education.

CONCLUSION: Findings highlight gaps in sexual safety knowledge, reporting practices and workforce preparation within residential aged care, with cultural and personal backgrounds influencing perceptions and responses to sexual safety incidents. Strengthening leadership, tailored mandatory sexual safety education and clear reporting pathways are essential to support a sexually safe environment while upholding residents' sexual autonomy and rights.

CONCLUSIONS: The CV-INLS showed strong psychometric properties and can be used to assess perceived integral nursing leadership among nurse managers. Perceived integral nursing leadership was moderately high among nurses in the surveyed tertiary hospitals.

Background: Research on nursing interventions for breast cancer patients undergoing radiotherapy is increasing. However, comprehensive mapping and synthesis regarding the field's overall knowledge structure and development remain limited. This study aims to utilize bibliometric methods to analyze the current status, research hotspots, and emerging trends in this field. Methods: We conducted a bibliometric analysis of 256 publications from the Web of Science Core Collection and PubMed. Results:...

Background/Objectives: As the frequency and impact of global disasters intensify, the role of nursing in disaster management has become increasingly vital. Analyzing the evolution of disaster nursing research can inform preparedness strategies and enhance clinical responses. The aim of the study was to explore and visualize trends in research on disaster, disaster management, disaster nursing, and disaster preparedness from 1980 to 2024. Methods: A scientific mapping and performance analysis...

CONCLUSIONS: Instructional experience and higher educational attainment are key determinants of core competencies among clinical instructors. Structured mentoring, continuing education, and strengthened academic-clinical collaboration are recommended to enhance instructional capacity and standardize nursing management practicum education.

CONCLUSIONS: The findings indicated that cyberbullying was generally low and showed significant statistical associations with compassion fatigue in the analyses. Targeted interventions to enhance nurses' professional quality of life should be prioritized in healthcare settings. Furthermore, longitudinal and interventional studies are needed to better elucidate the temporal and causal relationships among these variables.

CONCLUSION: PCC is predicted by both critical reflection and a HWE. Improving PCC likely depends on strengthening reflective abilities alongside organizational changes, rather than focusing solely on individual training.

CONCLUSION: Participation in the spiritual care empowerment programme was associated with improved midwives' adherence scores for the Maternal Rights Charter across evaluator perspectives.

Fluid and electrolyte management is a crucial component of care in critically ill patients with severe infections. Patients with sepsis, septic shock, or multiorgan dysfunction syndrome struggle to maintain fluid balance due to increased capillary permeability, inflammation, vasodilation, and organ dysfunction. Inadequate fluid balance can increase complications, morbidity, and mortality. Fluid management is complex because sepsis disrupts vascular permeability, tissue perfusion, and cellular...

CONCLUSION: Leadership in nursing management is shaped by the interaction between emotional competencies and organisational structure. Emotional intelligence operates as a context-dependent capacity, whose development and expression are conditioned by hierarchical position and organisational environment.

CONCLUSION: Nursing students' AI technology attitudes and AI ethics awareness were positively associated with AI utilization, whereas AI ethics mediated between AI technology attitudes and AI utilization. Policymakers, nursing educational institutions, and educators could integrate AI ethics into nursing curricula to cultivate positive AI attitudes and responsible AI usage, preparing future nurses for an AI-integrated healthcare environment.

CONCLUSION: BEV-related bleeding has distinct features, associated with concomitant drugs, inadequate vascular protection and abnormal coagulation/inflammation markers. Integrating pharmacovigilance and multispecialty vascular protection strategies can effectively mitigate bleeding risk and reduce treatment disruptions.

CONCLUSION: For healthcare administrators, cultivating a strong teamwork culture is a strategic priority to combat burnout, enhance staff retention and secure high-quality neonatal care.

Central nervous system (CNS) infections and clinically overlapping neuroinflammatory conditions in the neurocritical care unit (neuro-ICU) are associated with profound mortality and prolonged clinical burdens. Invasive neuromonitoring devices, particularly external ventricular drains (EVDs), significantly increase the risk of infection, while delayed clinical manifestations often hinder early recognition and intervention. This scoping review aimed to systematically map the current landscape of...

CONCLUSION: Knowledge management significantly reduces barriers to error reporting, offering a scalable strategy for health policy to the enhance patient safety.

CONCLUSION: The findings demonstrate the positive effect of the nurse-led follow-up program on the quality of life for patients with heart failure. Further multicenter studies with larger sample sizes are recommended to validate these results and provide stronger evidence.

CONCLUSION: The findings support the health-impairment process of the JD-R model and underscore the buffering role of transformational leadership in mitigating the adverse association between job demands and nurses' performance through emotional exhaustion.

CONCLUSIONS: Work-family conflict was directly and indirectly associated with nurses' turnover intention. This study extends Job Demands-Resources theory (JD-R) by identifying career identity as a potential upstream professional resource and work engagement as a downstream motivational state in the association between work-family conflict and turnover intention. Given the cross-sectional design, the findings should be interpreted as evidence of theoretically grounded associations rather than...

CONCLUSION: Further prospective studies are needed to validate the model and refine precision nursing strategies.

CONCLUSIONS: The XGBoost model showed good internal and external performance in identifying FT among stroke patients. The web-based XGBoost tool may support nurse-led contemporaneous FT assessment in routine practice. Longitudinal validation is warranted to establish its clinical utility.

CONCLUSIONS: Limiting consecutive night duties, avoiding quick returns, and supporting tailored sleep routines may reduce fatigue among rotating night-shift nurses.

CONCLUSION: According to nurse managers, professional autonomy emerged as a dynamic process shaped by managerial practices, organizational conditions, and interprofessional relationships rather than solely an individual competence. Nurse managers play a critical role in fostering work environments that support nurses' autonomous clinical judgment while maintaining safe and collaborative care.

CONCLUSION: Demands of dual roles often cause role ambiguity, conflict and overload, contributing to stress and job dissatisfaction amongst NMs. How they integrate clinical and managerial responsibilities remains underexplored, leaving a gap in understanding processes that guide their prioritisation and decision-making. Understanding their challenges will help better prepare nurses for their roles.

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CONCLUSIONS: COVID-19-related stress adversely affected family relationships among FHCW parents, with depressive symptoms playing a key mediating role. Targeted interventions addressing mental health may help mitigate family strain and support workforce well-being during public health crises.

CONCLUSIONS: Sustainable mobile staffing is not secured by individual adaptability alone. It depends on organisational governance that reduces uncertainty, standardises induction and role clarity and embeds supportive leadership and reflective structures across receiving units. Float pool practice, therefore, requires organisational rather than purely individual solutions.

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CONCLUSIONS: The standardized RIGHT nurse-patient communication technique was effective in enhancing patient and nurse satisfaction and improving perceptions of nursing care quality.

A 341-bed Magnet® hospital established a clinician wellness committee in response to high levels of nurse burnout and workforce challenges. Using staff survey data to guide priorities, the committee implemented evidence-based initiatives targeting physical health, mental health, safety, and leadership engagement. Interventions included hydration stations, wellness challenges, therapy dog visits, serenity spaces, stress management training, and enhanced security measures. Strong leadership...

CONCLUSIONS: More than half of direct care surgical nursing staff report leaving their shifts in moderate to severe pain, and almost 65% of surveyed staff consider leaving their position due to this pain. Back pain, the most prevalent pain reported, may link to frequent risky bending, as measured by a purpose-built observation tool.

Intimate partner violence (IPV) during pregnancy includes physical, sexual, and emotional abuse, as well as controlling behaviors. However, there is limited information on how emotional, financial, and controlling behaviors affect the occurrence of physical and sexual violence during pregnancy. This study aimed to establish the associations between these types of violence and the occurrence of physical and sexual violence during pregnancy. The study used a secondary analysis of data derived from...

BackgroundNurses may experience career plateau, a phenomenon that can negatively impact motivation, job satisfaction and intentions to remain in the profession. As a personal resource, psychological resilience may be particularly important in helping nurses cope with the challenges associated with career plateau.ObjectiveTo examine the relationship between psychological resilience and career plateau among nurses.MethodA cross-sectional, descriptive study was conducted with 784 nurses employed at...

CONCLUSION: This study translated dispersed wound-care evidence into an operational nursing decision pathway and five supporting tools for drainage-associated open surgical wounds following minimally invasive treatment for severe acute pancreatitis. The pathway may support more standardised and consistent nursing decision-making; however, because the evidence was largely indirect and partly practice-oriented, local adaptation and prospective clinical validation are required before routine...

CONCLUSIONS: A high prevalence of geriatric syndromes and medical comorbidities was observed among older PLH in Tanzania, several of which were negatively associated with QOL. These findings underscore the need to integrate holistic care models in HIV programmes for older PLH.

CONCLUSION: The dual-prevention system was associated with broad competence gains, fewer adverse events, and higher satisfaction. Given the non-randomised design, these findings should be regarded as preliminary. Further confirmation through multicentre cluster-randomised confirmation is warranted.

CONCLUSION: Nurses' professional quality of life demonstrates group heterogeneity, which is associated with individual and work-related characteristics, and professional quality of life profiles are significantly associated with posttraumatic growth.

CONCLUSION: Artificial intelligence readiness among nurses is heterogeneous, and approximately one-third of nurses were classified into a high-readiness profile. The level of thriving at work varies among nurses in different latent categories of artificial intelligence readiness. Nursing managers and public health administrators should consider profile-specific strategies that combine targeted artificial intelligence training, clinical practice support, and career development for nurses.

CONCLUSION: The same mediation model operated through qualitatively different pathways depending on the device type. These findings suggest that a one-size-fits-all approach may be insufficient to improve device-related IPC practices in LTCHs.

Background and Aim: While the proliferation of digital health technologies and wearable devices provides nursing professionals with constant access to biometric data, the pathological reliance on these metrics represents an emerging, yet empirically unexamined, digital anxiety framework. This study aims to theoretically define and systematically analyze this theorized phenomenon-termed "Technohypochondria"-within the context of nursing management and clinical practice. Methods: Utilizing Walker...

CONCLUSION: This review highlights that IPC acts as a dualistic mechanism, functioning either as a catalyst for systemic stress or a vital buffer against burnout among nurses in acute care settings. To safeguard nurses and optimize patient outcomes, management must decisively pivot from individual-focused resilience training toward systemic organizational restructuring.

CONCLUSION: The indicator system developed in this study integrates full-process clinical work links with multidimensional risk sources, providing a structured and quantifiable framework for early identification, prioritization, and targeted management of occupational exposure risks related to cytotoxic drugs among clinical nurses. It may serve as a practical decision-support reference for developing graded and precise occupational protection strategies, particularly in institutions without...

CONCLUSIONS: The Chinese version of the NSSS is a reliable and valid instrument for assessing the spiritual sensitivity of Chinese nurses.

CONCLUSION: This study identifies key factors to enhance end-of-life care competency among nurses in high-mortality departments. The findings provide specific evidence to improve care quality and optimize nurse deployment in high-demand settings.

CONCLUSION: Feedback-seeking behavior mediates the relationship between perceived managerial care and reflective ability in newly graduated nurses. Strengthening managerial care and encouraging feedback-seeking behaviors may effectively promote reflective ability and support early career development.

CONCLUSION: For nursing management of post‑intervention forearm swelling, a raw potato‑puree compress appears to be a safe, low‑cost, and promising alternative to the standard pharmaceutical compress, showing superior effects on pain and comfort as well as greater reduction in swelling from baseline to post‑intervention.