Nursing Management

CONCLUSION: There is group heterogeneity in the conflict types of clinical psychiatric nurses. Poor sleep quality and negative coping styles increase the likelihood of belonging to higher-risk conflict profiles, while psychological capital may not always function as a protective factor in interpersonal interactions. These findings highlight the importance of adopting person-centered conflict management approaches for psychiatric nurses.

CONCLUSION: The findings of this study indicate that many nurses are unsure if the goals of the Act can be achieved amid sustained staffing pressures. Therefore, the context should be an essential consideration when implementing legislation and organisational changes.

BackgroundThe emotional demands in resource-limited ICUs challenge nursing management. Trait emotional intelligence (trait EI) is a key competency, yet its link to nurses' valuation of caring behaviors remains underexplored.ObjectiveTo assess the relationship between trait EI and the self-reported importance of caring behaviors among ICU nurses in Palestine. This study explicitly examines nurses' perceived importance of caring behaviors rather than observed clinical performance, a distinction...

CONCLUSION: Habit strength is associated with diabetes self-management behaviors and may partially explains the relationship between self-efficacy to behavioral performance in individuals with T2DM. Interventions that support habit formation may facilitate the application of patients' self-efficacy to sustained self-management behaviors. Incorporating strategies that reduce cognitive burden and promote automatic behavioral engagement may enhance the effectiveness of diabetes self-management...

CONCLUSION: The nurse counselors can encounter great turmoil while ensuring recruitment and retention in an HIV vaccine trial. Despite the challenges, volunteer engagement and adherence to study protocol are important for maintaining the continuity of trial procedures over time. Collaboration among staff and engagement of volunteers are essential to enhancing retention until the end of the study.

CONCLUSION: This study developed a scientifically grounded quality assessment index system for palliative care services in Chinese nursing homes, which offers a preliminary framework for institutional self-evaluation and quality improvement efforts pending further empirical validation.

CONCLUSIONS: Managerial leadership may be a key, modifiable organizational factor associated with visiting nurses' intention to continue working. Strengthening managerial leadership may contribute to the retention of visiting nurses.

CONCLUSIONS: Among individuals with CAF, factors associated with anxiety and depressive symptoms were identified, including sex, educational level, and the number of comorbidities. These findings underscore the importance of incorporating systematic mental health assessment and integrative care strategies into the nursing management of individuals with CAF.

CONCLUSION: A brief nurse-led climate resilience program was associated with favorable preliminary within-group changes in climate-related emotional responses and psychological empowerment among older adults. Rigorous controlled research is needed before effectiveness can be concluded.

CONCLUSION: Decent work was positively associated with concentration and engagement at work, while sickness presenteeism was negatively associated with work-related flow.

CONCLUSIONS AND IMPLICATIONS FOR NURSING MANAGEMENT: The K-DP-SAI is a valid and reliable instrument for assessing nurses' digital professionalism in South Korea. As an organisational safeguard, it enables managers to identify vulnerable groups and implement targeted, evidence-based education beyond simple restriction. Ultimately, K-DP-SAI supports the nurses' professional integrity in digital spaces by shifting management toward practical guidance.

The digital transformation of healthcare is driving the integration of Artificial Intelligence (AI) into clinical practice. Although telelearning is widely used in digital learning strategy, empirical evidence regarding its relationship with nurses' readiness to adopt AI remains limited. This study aims to identify the level of telelearning development and nurses' readiness to adopt AI, as well as to analyze the relationship in a Ministry of Health Hospital. A quantitative cross-sectional study...

Recent research focuses on nurses' retention. The aim of this paper is to present a guide of incentives that was developed by the Hellenic Regulatory Body of Nurses (ENE) board of management. A forum addressing open ended questions and a 4-step approach was applied. Four main domains of incentives were identified and a guide was created. New technological tools may also support further this area.

CONCLUSION: The data risk perception of nursing master's students regarding generative AI-enabled nursing research presents a clear five-dimensional structure, unfolding along the chain of "input-processing-output-diffusion-attribution." This structure supports the development of a framework for defining boundaries of AI use, data governance, ethical compliance, and capacity building in nursing research settings and digital health developments.

Enteral feeding is an essential intervention for patients unable to meet their nutritional needs orally, but it carries risks that require skilled nursing recognition and management. This article provides a practical overview of the most common complications encountered across the range of enteral tube types - including refeeding syndrome, nausea and vomiting, aspiration, diarrhoea and constipation, tube blockage, and tract infection - and outlines the nursing management strategies supported by...

CONCLUSIONS: These findings partially aligned with the KAP theoretical framework, thus highlighting the significant association between AI knowledge, attitude, and clinical implementation. We recommend integrated AI education that emphasizes attitude formation, targeted training to address implementation barriers, and organizational support systems for AI integration. Future research should employ longitudinal designs to establish causal relationships and examine the contextual factors...

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CONCLUSIONS: The findings highlight the importance of emotional competence in fostering critical thinking disposition among nursing students. The observed variation in the strength of this relationship across educational stages suggests that nursing curricula should incorporate stage-specific strategies to enhance emotional intelligence, particularly during key transition periods such as the shift from classroom learning to clinical practice.

CONCLUSION: This study highlights the significant barriers patients with RD face, from diagnosis to treatment. Healthcare systems struggle with insufficient knowledge and resources, hindering effective care. It is essential for professionals to acquire specialized skills and for resource allocation to improve in order to address RD as a public health concern.

CONCLUSIONS: The findings indicate that clearly defined roles and effective teamwork are key antecedents of PSC over time, whereas workload and general leadership quality may be less influential when considered alongside other work environment factors.

CONCLUSION: The findings concerning the facilitators and barriers to implementing a designated IDC are a vital initial step in developing evidence-based interventions to enhance medication safety.

CONCLUSION: Psychological capital and job burnout represent important mechanisms linking stress to nurses' turnover intention, and well-being moderates the pathway between psychological capital and job burnout. These findings provide evidence for multidimensional interventions to reduce nurses' turnover intention, including strengthening psychological capital assessment, improving occupational well-being, and optimizing workplace support systems.

CONCLUSION: AI literacy plays a significant partial mediating role. To improve nurses' acceptance of AI technologies, nursing administrators should implement dual interventions aimed at both alleviating change fatigue (e.g., paced change management and psychological support) and systematically enhancing AI literacy (e.g., stratified training programs).

CONCLUSION: Meaningful nurse-patient relationships are structurally shaped by the practice environment. Strengthening nursing leadership, promoting professional autonomy, and redesigning organizational policies are essential to sustaining person-centered care and improving patient outcomes.

CONCLUSIONS: Essential nursing management functions, such as planning, supervision, visibility, coordination and professional development, are missed or postponed by NMs, as activities like resource management remain prioritised for daily unit functioning. Antecedents influence the phenomenon across multiple levels, indicating the need for system-wide interventions, while consequences primarily affect the microsystem, including NMs, teams, organisational performance and potentially care quality.

CONCLUSION: This case presents our clinical experience with repeated extubation failures in a patient with Alstrom syndrome following abdominal surgery, highlighting the profound complexities of postoperative airway management. It suggests that a multidisciplinary approach emphasizing vigilant infection control, personalized respiratory care, and systematic weaning planning proved essential for successful extubation in this specific complex scenario.

CONCLUSIONS: In this retrospective, single-center, uncontrolled case series, the implemented perioperative nursing protocol was feasible and associated with acceptable perioperative outcomes, with low rates of nursing-sensitive complications. Owing to the study design, causal conclusions cannot be drawn. Future prospective, controlled studies are needed to validate these findings.

CONCLUSION: Centralized nursing management based on risk prevention and control was associated with improvements in selected short-term outcomes, including treatment compliance, vital-sign stability, and healthcare resource utilization, in children undergoing bronchoscopic interventional therapy.

CONCLUSION: Newborn fathers recognize and support breastfeeding, but their low self-efficacy results in inadequate supportive behaviors. Multiple factors, such as individual knowledge and attitudes, family and workplace support, sociocultural influences, and public service systems, interact and influence each other.

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Innovation is vital for healthcare organizations to achieve their goals amid evolving demands and technological advancements. Organizational culture plays a pivotal role in promoting innovation in healthcare settings. This study conducted to investigate the relationship between organizational culture and innovative behavior among nurses working in UAE government hospitals. A descriptive, cross-sectional, correlational design was employed. Using convenience sampling, 162 nurses were recruited...

CONCLUSIONS: Ward nighttime noise management under the ERAS protocol is associated with improved postoperative sleep and mental health of patients with lower limb fractures.

CONCLUSION: Nursing management practices, including targeted HRM strategies and waste management initiatives, are crucial for enhancing sustainable practices in healthcare. It is evident that nurse managers can play a key role in adopting and successfully applying these practices, which ultimately increase SP. Although GHRM has a direct correlation with SP, it has minimal influence via EI. Conversely, SWMP significantly benefits from nurse-led EI, which ultimately improves sustainable healthcare...

CONCLUSIONS: Substantial variation exists in the content of WPV reporting forms. Future WPV reporting forms should, at minimum, include seven most commonly reported domains, particularly job characteristics of the victim, characteristics of the incident, characteristics of the injury, measures taken during the violence, characteristics of assailant, characteristics of the witness and reporting of the violence.

CONCLUSION: This study indicates that nurses' sleep-related worry and compassion fatigue may be related to their retention intention.

CONCLUSION: Change fatigue exhibits a heterogeneous tripartite structure. Minimal emotional labor engagement (Level 1) was associated with higher odds of high fatigue compared with moderate and high levels, suggesting that deficient emotional labor may represent a distinct risk configuration. Both modifiable workplace factors (ICU/internal medicine placement, night shifts, and job stress) and emotional labor patterns were associated with profile membership, supporting the potential value of...

CONCLUSION: Leadership skills were significantly associated with nurses' clinical decision-making, and leadership development may play a more substantial role in clinical decision-making than job rotation within this sample.

CONCLUSIONS: The Missed Nursing Care Scale, developed using the Delphi method, demonstrates strong content validity, which provides a solid foundation for its scientific rigor. Its reliability is intended to be further verified through large-scale surveys, thereby offering a targeted evaluation tool for investigating missed nursing care in emergency departments.

CONCLUSION: This study underscores the multifaceted drivers of nurse migration and calls for reforms to strengthen retention in Türkiye, while urging destination countries to adopt multidimensional support for integration to ensure a stable global nursing workforce.

CONCLUSION: Although nurses demonstrated strong awareness and commitment to infection prevention, structural and managerial challenges appeared to limit the consistent implementation of infection control measures. Strengthening institutional support, revising audit mechanisms, and enhancing staff engagement may help support sustainable infection control practices.

CONCLUSION: The organizational climate is positively associated with professional identity, and job satisfaction moderates this relationship. Our findings carry significant implications for future interventions to improve nurses' professional identity, suggesting a dual-strategy approach that optimizes the objective organizational climate while simultaneously enhancing nurses' subjective job satisfaction.

Background/Objectives: Community hospitals can be a valuable and cost-effective resource for elderly people, especially in rural areas. Their aim is to promote self-reliance, prevent unnecessary hospital admissions, and facilitate rapid recovery after acute illness. The widespread adoption of intermediate care facilities helps alleviate hospital overcrowding by preventing clinical deterioration through advanced and continuous nursing care. An intermediate care unit was established in a rural...

CONCLUSIONS: Drawing on the Job Demands-Resources model, this study addresses the theoretical gap by revealing the paradoxical pathways through which a single leadership style can exert both motivational and health-impairing effects, specifically in the case of responsible leadership. These findings suggest that nursing managers should foster responsible leadership to strengthen affective commitment and promote proactive behavior, while simultaneously mitigating the risk of emotional exhaustion...

CONCLUSION: Head nurses who demonstrate strong digital leadership are associated with more effective GenAI collaboration, potentially by nurturing nurses' digital confidence. However, the strength of this association appears contingent upon the structural resource of job autonomy, which may afford nurses greater freedom to experiment with and integrate AI tools into clinical practice.

Background: The legal dimensions of nursing practice have become increasingly complex, yet the concept of legal literacy in clinical nurses remains insufficiently defined. Existing studies use terms such as legal knowledge, legal awareness, legal cognition, and law-based practice capacity inconsistently, which hinders conceptual clarity, valid measurement, and targeted educational intervention. This study aimed to clarify the conceptual boundaries, defining attributes, antecedents, consequences,...

CONCLUSION: Our results revealed the relationships between resilience, work environment satisfaction, and intention to stay when the COVID-19 situation and the hospital's response mechanisms changed. The impact of these changes and the relationship between these three characteristics differed from what was expected. Work environment satisfaction may mediate the association between resilience and intention to stay.

AIM: Hospital Accreditation (HA) is defined as the systematic evaluation of hospitals against explicit standards. Accreditation is the most important external tool to assess healthcare quality. The purpose of HA is to improve quality and reduce medical errors in healthcare organizations by determining appropriate policies. Nursing staff play a key role in formulating and implementing policies. However, nurses face challenges in holistic nursing (HN). This study was conducted to investigate the...

Providing compassionate care continually can result in nurses developing compassion fatigue - a state of physical, emotional and psychological exhaustion. Critical care nurses are particularly at risk of compassion fatigue, in part due to their constant exposure to patients with life-threatening conditions and patient deaths. This article details a literature review that aimed to explore compassion fatigue among critical care nurses, with a view to identifying interventions and coping strategies...

Healthcare organisations increasingly require nurses to enact leadership within everyday clinical practice to sustain care quality in complex and resource-constrained environments. This study aimed to explore how self-leadership grounded in caring is enacted by primary nurses and to examine organisational and relational factors shaping this process. A qualitative descriptive design was employed, involving semistructured interviews with ten primary nurses working across inpatient wards, intensive...

CONCLUSIONS: The findings provide cross-sectional support for the spillover hypothesis: OD is associated with psychological strain which in turn is associated with depersonalized attitudes toward patients. These findings suggest that OD may be part of a stressful work climate in which depersonalization is more likely to be observed, although causal interpretations cannot be drawn.