Objectives:Nurses working in critical care units may encounter substantial work-related strain,and elevated levels of stress can lead to burnout,ultimately impacting both the quality of nursing care and their overall ...Objectives:Nurses working in critical care units may encounter substantial work-related strain,and elevated levels of stress can lead to burnout,ultimately impacting both the quality of nursing care and their overall working experience.This study aimed to assess job burnout and determine the factors that contribute to it among critical care nurses in the Eastern Province of Saudi Arabia.Methods:This study employed a descriptive,exploratory,cross-sectional research design.A total of 220 nurses employed in the critical care units of 5 private hospitals in the eastern region were selected for participation in this study using a convenience sample method.An electronic survey was distributed to critical care nurses in the Eastern Province who satisfied the specified inclusion criteria.The job burnout questionnaire utilized in this study was derived from previously conducted research,which has been established as a reliable and valid survey instrument.The process of data analysis was conducted utilizing the SPSS program.The scientific research conducted on human subjects adhered rigorously to all ethical considerations.Results:The highest percentage of nurses at the critical care units reported experiencing moderate levels of job burnout.Nurses exhibiting greater levels of professional experience demonstrated a statistically significant reduction in overall burnout scores when compared to their less experienced counterparts.Furthermore,within the realm of sociodemographic factors,it was found that the only significant independent predictor for job burnout was the level of experience among critical care nurses.Conclusions:The prevalence of burnout among nurses in critical care settings was found to be significant,with most participants reporting moderate levels of burnout which can yield significant ramifications for nurses and healthcare professionals.Consequently,healthcare organizations must accord primacy to the welfare of their staff and adopt proactive strategies to mitigate job burnout.展开更多
Emergency department nurses face severe occupational stress leading to anxiety,depression,and burnout,which significantly impair their well-being and patientcare quality.This narrative review examined the role of mind...Emergency department nurses face severe occupational stress leading to anxiety,depression,and burnout,which significantly impair their well-being and patientcare quality.This narrative review examined the role of mindfulness-based stress reduction(MBSR)in addressing these challenges.Rooted in nonjudgmental present-moment awareness,MBSR enhances emotional regulation and reduces psychological distress by fostering adaptive coping strategies.Studies have demonstrated its efficacy in lowering anxiety,depressive symptoms,and emotional exhaustion,while improving workplace well-being,empathy,and job satisfaction.Mechanistically,MBSR improves interoceptive awareness and autonomic balance,as evidenced by physiological markers such as heart rate variability.However,gaps remain in long-term efficacy assessments,personalized interventions,and integration with multidisciplinary approaches.Future research should prioritize tailored biomarker-driven programs,longitudinal studies,and scalable implementation strategies in high-stress clinical settings.This review underscores MBSR’s potential as a sustainable,evidence-based tool to enhance emergency department nurses’mental health and professional performance,advocating for broader adoption and further refinement of its practical applications.展开更多
Objective: Physical assessment is an indispensable and pivotal skill that nurses must aptly monitor, evaluate, and deliver timely care, particularly in the context of critically ill patients. However, studies have rev...Objective: Physical assessment is an indispensable and pivotal skill that nurses must aptly monitor, evaluate, and deliver timely care, particularly in the context of critically ill patients. However, studies have revealed instances where nurses demonstrate inaccurate practices. This study is aimed to measure the physical assessment skills of critical care nurses and the differences between levels of nursing education. Methods: A descriptive cross-sectional study was conducted involving a simple random sample of 101 nurses employed in critical care units. Results: Of the 101 participants, 56.4% were identified as female and 43.6% were male. In the sample, 71.0% held a diploma in nursing, while 29.0% held a Bachelor of Science in Nursing (BSN). Vital signs, orientation, and skin assessments were performed correctly in ≥90% of cases, whereas the majority (≥60%) did not correctly assess neck veins, Homan’s signs, breath sounds, heart sounds, and bowel sounds. Only ≤10% of participants accurately executed these assessments. Significant associations were found between sex and pain (P=0.034), as well as between the type of education and closure of the health assessment (P=0.041). Further, female nurses scored 10.0 ± 2.3, and male nurses 8.5 ± 2.5, diploma holders scored 9.4 ± 1.8, and BSN holders scored 9.3 ± 2.7 at the global rating. Conclusions: The presence of an existing gap in the accurate assessment of patients poses a potential risk to patient care. It is essential to investigate the factors contributing to this gap and to develop strategies to address it, thereby enhancing the quality of physical assessment and ultimately improving patient care.展开更多
Objective:Patient falls in the healthcare settings are unwanted events that can have severe consequences for both inpatients and outpatients;however,falls are preventable and nurses play an important role in this prev...Objective:Patient falls in the healthcare settings are unwanted events that can have severe consequences for both inpatients and outpatients;however,falls are preventable and nurses play an important role in this prevention.The purpose of this study was to investigate nurse activities in fall prevention and its relevant factors.Methods:This descriptive cross-sectional study was conducted at Can Tho Central General Hospital,with the participation of 90 nurses.Data were collected using a structured questionnaire consisting of five parts,including personal characteristics,knowledge about fall prevention,self-efficacy in fall prevention,nursing practice environment,and fall prevention activities.The data were entered and analyzed using SPSS 18.0 software with descriptive statistics,independent t-test,one-way ANOVA,and Pearson’s correlation coefficients.Results:The mean score of participants’knowledge in fall prevention was 4.67(SD=2.50)out of 11 scores;the self-efficacy score was 49.43(SD=8.55)out of 66 scores;nursing practice environment score was 29.69(SD=4.00)out of 40 scores;and the fall prevention activity scores were 75.58(SD=9.96)out of 100 scores.Factors related to fall prevention activities included gender(p=0.03),place of work(p=0.02),number of fall prevention training sessions(p=0.03),self-efficacy in fall prevention(r=0.61,p<0.001),and the nursing practice environment(r=0.25,p<0.05).Conclusions:An intervention program for fall prevention can be implemented to enhance the knowledge about fall prevention among nurses and improve the nursing practice environment to enhance patient safety.展开更多
Objectives:This study aimed to explore the voices of Indonesian migrant nurses on their retention in Japanese healthcare facilities.Methods:A descriptive qualitative study was conducted between June and September 2023...Objectives:This study aimed to explore the voices of Indonesian migrant nurses on their retention in Japanese healthcare facilities.Methods:A descriptive qualitative study was conducted between June and September 2023.The snowball sampling method was utilized to recruit 22 Indonesian nurses working in healthcare facilities in seven prefectures of Japan.Semi-structured interviews were conducted based on their shared experiences.All interview data were audio-recorded,transcribed verbatim,and analyzed using thematic analysis.Results:Six prominent themes and 15 subthemes emerged:1)organizational factors(caring leader,involvement in decision making,career development,and participation in training);2)social support systems(group support,colleagues support and friend support);3)individual drive(lifelong learning and persistent);4)national policies(government support in public service and flexibility in finding a comfortable placement);5)family factors(positive support of child education and development and maintaining relationship with spouse);and 6)economic factors(staying due to high salary and increasing income streams).Conclusions:Retention of Indonesian migrant nurses in Japan is a multifaceted challenge that hinges on various interconnected factors.This study has gone some way toward enhancing our understanding of international nurse retention in the receiving countries.Corresponding supports at the individual,family,organizational,economic,social,and national policy levels should be considered to keep them in their destination countries.展开更多
Objective: To investigate the current beliefs and attitudes of nurses in Yunnan Province toward prescriptive authority, analyze the influencing factors, and provide evidence for future research and policy formulation ...Objective: To investigate the current beliefs and attitudes of nurses in Yunnan Province toward prescriptive authority, analyze the influencing factors, and provide evidence for future research and policy formulation to support the establishment of nurses’ prescriptive authority in China. Method: A cross-sectional survey was conducted among 937 nurses in Yunnan Province using the Beliefs and Attitudes Scale on Nurses’ Prescriptive Authority. The scale assessed four dimensions: perceived need, self-efficacy, perceived benefits, and perceived barriers. Multiple linear regression analysis was used to identify factors influencing the overall score and each dimension. Results: The total score of the Beliefs and Attitudes Scale was 89.17 ± 17.69, indicating a moderate level of awareness and positive attitude among nurses. The highest-scoring dimension was perceived benefits (34.94 ± 8.04), while the lowest was perceived barriers (15.23 ± 3.5). Age was identified as a significant factor influencing the overall score and self-efficacy dimension (P < 0.05). Years of practice influenced the perceived benefits dimension (P = 0.051), while gender, age, and professional title were key factors affecting the perceived barriers dimension (P < 0.05). Male nurses and senior nurses demonstrated more caution toward potential risks associated with prescriptive authority. Conclusion: Nurses in Yunnan Province exhibit moderate levels of belief in and attitudes toward prescriptive authority, with age being the most significant influencing factor. Tailored training programs, policy promotion, and practical guidance are recommended to enhance nurses’ understanding and support for prescriptive authority, thereby improving nursing practices and addressing regional healthcare challenges.展开更多
Objective:This article employs a scoping review methodology,integrates knowledge and information about current pediatric nurses'practices and perceptions regarding family-centered care in pediatric settings.Method...Objective:This article employs a scoping review methodology,integrates knowledge and information about current pediatric nurses'practices and perceptions regarding family-centered care in pediatric settings.Methods:Published articles were retrieved from databases including EBSCO host,PubMed,Springer,Science Direct,Ovid,and CINAHL between 2013 and 2023.Results:The finding shows a better understanding of pediatric nurses'perceptions of family-centered care in association with their clinical settings.However,the evidence indicates that integrating family-centered care components into health care services is difficult and confusing to nurses and is often not implemented in a clinical setting.As evidenced by this review,studies have consistently reported similar results;family-centered care was a good perception and understood by pediatric nurses as a concept but inconsistently used in a daily practice setting.Conclusions:This scoping review is the first phase in promoting a strategic plan to provide educational interventions for pediatric nurses to implement family-centered care in their daily practice settings.It's necessary to recognize pediatric nurses'perceptions and practices concerning family-centered care to provide optimal healthcare services in pediatric settings.展开更多
Objectives:This study aimed to investigate the dual mediating roles of psychological safety and reporting attitudes in the association between ethics-centered leadership and internal whistleblowing among nurses.Method...Objectives:This study aimed to investigate the dual mediating roles of psychological safety and reporting attitudes in the association between ethics-centered leadership and internal whistleblowing among nurses.Methods:A multicenter,cross-sectional study design was employed,involving a convenience sample of 273 nurses among five university hospitals from August to October 2024.Data were collected using a demographic questionnaire,Ethical Leadership Scale,Psychological Safety Scale,Positive Attitudes Toward Whistleblowing Scale,and Internal Whistleblowing Scale.Pearson correlation and structural equation model were conducted to test the hypothesized dual mediation model.Results:The average score of nurses for ethical leadership was 4.14±0.57,psychological safety was 3.80±0.64,reporting attitudes was 4.12±0.67,internal whistleblowing was 3.93±0.52.Ethical leadership had a significant effect on psychological safety(β=0.38,P<0.001),reporting attitudes(β=0.44,P<0.001),and internal whistleblowing(β=0.21,P=0.009).Furthermore,psychological safety(β=0.26,P<0.001)and reporting attitudes(β=0.27,P<0.001)significantly influenced internal whistleblowing among the nurses.The indirect effect of ethics-centered leadership on internal whistleblowing intermediated by psychological safety was significant(β=0.10,P<0.001).Similarly,reporting attitudes demonstrated a significant mediating effect(β=0.12,P=0.003).Conclusions:Ethical leadership encourages internal whistleblowing among nurses by fostering psychological safety and positive reporting attitudes.Therefore,healthcare managers should prioritize ethical leadership development,enhance psychological safety,and foster constructive reporting attitudes that enable nurses to report ethical violations confidently,without apprehension.展开更多
Objectives:To evaluate the occurrence of depression and its related factors among public health nurses(PHNs)engaged in child neglect-related abuse cases.Methods:A cross-sectional study of PHNs involved in maternal and...Objectives:To evaluate the occurrence of depression and its related factors among public health nurses(PHNs)engaged in child neglect-related abuse cases.Methods:A cross-sectional study of PHNs involved in maternal and child health or child and family welfare,and engaged in cases of child neglect-related abuse was conducted from January to March 2023 in all municipalities of 13 prefectures selected from Japan's seven regions,considering geographic diversity and major urban areas.The Patient Health Questionnaire-2 was used to screen for depression.Statistical analyses included the Chi-square test,Mann-Whitney U test,and logistic regression analysis.Results:A total of 359 provided valid responses.Among them,11.4%screened positive for depression.Significant individual factors related depression were management-stage nurses(OR=6.27,95%CI:1.63-24.18),no disability welfare experience(OR=3.49,95%CI:1.05-11.55),being assignment of highrisk cases within the past year(OR=8.28,95%CI:2.07-33.08),and lower work control(OR=0.53,95%CI:0.32-0.86).Workplace environment factors were lower perceptions and relationships within the workplace(OR=0.43,95%CI:0.29-0.65)and perceiving manpower as not secured(OR=9.07,95%CI:1.17-70.40),Conclusions:Mental health measures for PHNs should include workload management and reduced burdens through workforce enhancement,attention to burdens on managerial PHNs,promoting communication and mutual support,and opportunities to engage in disability welfare work.展开更多
Purpose:This study aimed to determine the nurses’profile characteristics that are associated with moral distress among nurses in selected government hospitals in Shangdong,China.Methods:This is a descriptive-correlat...Purpose:This study aimed to determine the nurses’profile characteristics that are associated with moral distress among nurses in selected government hospitals in Shangdong,China.Methods:This is a descriptive-correlational study.A total of 185 clinical registered nurses who met the eligibility criteria from different departments in two tertiary governmental hospitals in Jinan city were purposively selected to participate in this study.The instruments included the general demographic characteristics and Chinese version of Moral Distress Scale-Revised(MDS-R).Correlation technique,specifically Spearman’s rho,was utilized to determine the significant correlation between the selected nurse’s characteristics and moral distress.Ethical considerations were given by the Far Eastern University ethics review committee(FEU-ERC Code:2020-2021-079).Results:The number of patients nurses handled per shift(rs=0.650,p=0.032)and the type of patients that nurses handled(rs=0.718,p=0.020)are the nurses’profile factors that are significantly correlated with nurses’moral distress(p-value<0.05).As there is an increase in the number of patients handled every shift and the patients are becoming unstable,requiring complex care,the frequency and intensity of moral distress increase as well.Conclusion:The nurses’moral distress was registered at a low level in this study.Characteristics related to patients,such as the number and type assigned to nurses,are correlated to moral distress.The main source of the high frequency and intensity of moral distress among nurses is“futile care”and“false hope”.Educational learning program is recommended to manage and alleviate the moral distress of nurses.展开更多
Objective:The objective of this study is to develop and evaluate a structured clinical rotation-based emergency response training program to enhance nurses’emergency competence,theoretical knowledge,and technical ski...Objective:The objective of this study is to develop and evaluate a structured clinical rotation-based emergency response training program to enhance nurses’emergency competence,theoretical knowledge,and technical skills.Methods:A comprehensive emergency training program was developed,and a randomized controlled trial was implemented from June 2022 to May 2023 at a tertiary general hospital in Chongqing,China.The study involved 214 nurses,with 106 participants in the intervention group receiving a 3-month innovative emergency response competence training and 108 in the control group undergoing conventional training.Postintervention assessments evaluated emergency response capabilities using the Emergency Response Ability Assessment Scale for Nurses in Public Health Emergencies,theoretical knowledge through a self-designed comprehensive theoretical assessment instrument,technical skills using a standardized skill assessment form,and training satisfaction through two distinct feedback instruments.Results:The emergency response ability scores were significantly higher in the intervention group compared to controls(3.99±0.18 vs.2.53±0.25,P<0.05).Theoretical assessment scores showed marked improvement in the intervention group versus the control group(85.31±4.40 vs.52.45±6.19,P<0.05).Technical skill performance was significantly better in the intervention group than that in controls(94.47±1.64 vs.86.39±2.36,P<0.05).Training satisfaction was higher among intervention group nurses compared to controls(4.53±0.23 vs.4.00±0.38,P<0.05),with nursing managers also reporting greater satisfaction with the intervention program versus conventional training(4.57±0.49 vs.3.92±0.79,P<0.05).Conclusion:The clinical rotation-based structured emergency response training program effectively enhances nurses’emergency competencies,theoretical knowledge,and technical skills.These findings provide both theoretical foundations and practical guidelines for developing emergency response and specialized nursing competence training programs.展开更多
BACKGROUND Work-family conflicts and daytime sleepiness are related to the risk of suicide.At present,no study has investigated the relationship between nurses’work-family behavioral role conflict and suicide risk.Mo...BACKGROUND Work-family conflicts and daytime sleepiness are related to the risk of suicide.At present,no study has investigated the relationship between nurses’work-family behavioral role conflict and suicide risk.Moreover,it has not been confirmed whether,considering the effect of daytime sleepiness on suicide risk,daytime sleepiness mediates the effect of work-family behavioral role conflict and suicide risk.AIM To explore the pathway relationships among nurses'work-family behavioral role conflict,daytime sleepiness,and suicide risk.METHODS Convenience and purposive sampling methods were used to select 750 nurses from six provinces,including Jiangxi,Sichuan,and Shanxi.The work-family behavioral role conflict scale,the Chinese adult daytime sleepiness scale,and the suicide behavior questionnaire were used for the survey.The data were statistically analyzed via SPSS 25.0 software,Pearson correlation analysis was used to explore the correlations between the variables,the PROCESS 4.0 program was used for the mediation effect analysis,and the mediation effect model was tested via the bootstrap method.RESULTS Nurses'work-family behavioral role conflict and daytime sleepiness were positively correlated with suicide risk(r=734,0.717).Work-family behavioral role conflict positively predicted suicide risk(β=0.118),and daytime sleepiness positively predicted suicide risk(β=0.152).Daytime sleepiness partially mediated the role of nurses'work-family behavioral role conflict and suicide risk,with a mediation effect value of 0.046 and a mediation effect accounting for 38.98%.CONCLUSION The results of the Pearson correlation analysis and mediation effect analysis revealed that nurses'work-family behavioral role conflict has a direct effect on suicide risk and indirectly affects suicide risk through daytime drowsiness symptoms.展开更多
BACKGROUND Death anxiety(DA)is a prevalent psychological challenge among oncology nurses that affects their emotional well-being and professional competence in coping with death-related situations.Death-related attitu...BACKGROUND Death anxiety(DA)is a prevalent psychological challenge among oncology nurses that affects their emotional well-being and professional competence in coping with death-related situations.Death-related attitudes and resilience are critical factors that may mediate the relationship between DA and coping with death competence(CDC).However,few studies have examined the chain-mediating effect of these factors among Chinese oncology nurses.This study aimed to investigate the association between DA and CDC among Chinese oncology nurses,with a focus on the mediating roles of death attitude and resilience.AIM To investigate the association between DA and CDC among Chinese oncology nurses.using an electronic questionnaire distributed in Wenjuanxing,China.In total,615 valid responses were obtained.The participants completed the Templer death anxiety scale,death attitude profile-revised,Connor-Davidson resilience scale,and coping with death scale.A chain mediation analysis was performed using the PROCESS macro in SPSS to examine the relationships between these variables.RESULTS The findings indicated that DA had a significant direct effect on CDC[effect=0.201,95%confidence interval(CI):0.112-0.322].In addition to this direct effect,three significant indirect pathways were observed:(1)Death attitude(effect=0.118,95%CI:0.056-0.163);(2)Resilience(effect=0.108,95%CI:0.032-0.176);and(3)A sequential mediation pathway involving both death attitude and resilience(effect=0.071,95%CI:0.042-0.123).The total indirect effects of the three mediation paths accounted for 29.7%of the relationship between DA and CDC.CONCLUSION Using a chain mediation model,this study explored the mechanisms linking DA,death attitude,resilience,and CDC among Chinese oncology nurses.These findings highlighted the crucial role of death attitude and resilience in mediating the relationship between DA and CDC.Interventions aimed at fostering adaptive attitudes toward death and enhancing resilience may improve nurses’ability to cope with death-related stressors,ultimately benefiting their psychological well-being and professional competence.展开更多
Dear Editor,I am writing in response to the article“Assessment of nurses’workplace silence behavior motives:A cross-sectional study”by Alhojairi et al.published in the September 2024 issue of the International Jour...Dear Editor,I am writing in response to the article“Assessment of nurses’workplace silence behavior motives:A cross-sectional study”by Alhojairi et al.published in the September 2024 issue of the International Journal of Nursing Sciences[1].This is a letter written by a nurse with 10 years of clinical work experience and a personal interest in team dynamics.I appreciate the authors'recommendations on mitigating workplace silence among nurses to enhance clinical work development,and I believe their proposals could be expanded further.展开更多
Objective:The evolving landscape of healthcare delivery emphasizes the importance of collaborative relationships between healthcare professionals.Community pharmacists and nurses,though traditionally occupying distinc...Objective:The evolving landscape of healthcare delivery emphasizes the importance of collaborative relationships between healthcare professionals.Community pharmacists and nurses,though traditionally occupying distinct roles,are increasingly working together to provide comprehensive,patient-centered care.Methods:This review explores the collaborative relationship between community pharmacists and nurses,focusing on their unique contributions to chronic disease management,patient education,and medication adherence.The article analyzes existing literature and highlights key interdisciplinary strategies that enhance patient outcomes.Results:By integrating their expertise,pharmacists and nurses can improve health outcomes by addressing both the physical and psychosocial needs of patients.Their collaboration enhances the effectiveness of chronic disease management,promotes early interventions,minimizes medication errors,and fosters improved patient adherence to treatment plans.Conclusions:The findings underscore the need for structured,proactive collaboration models that go beyond independent roles to foster a truly synergistic healthcare environment.Strengthening these interdisciplinary partnerships is crucial for achieving more efficient,holistic,and timely healthcare delivery.展开更多
This study focuses on the relationship between job stress and intention to leave among obstetric(OB)nurses in the context of China's birth policy adjustment,and provides a scientific basis for policymakers and hea...This study focuses on the relationship between job stress and intention to leave among obstetric(OB)nurses in the context of China's birth policy adjustment,and provides a scientific basis for policymakers and healthcare administrators.This study used a non-experimental descriptive correlation design with a purposive sampling of 230 OB nurses from three tertiary hospitals in Jinan,Shandong Province.Participants were surveyed using three questionnaires and descriptive analysis;ANOVA and correlation analyses were used to analyze the relationship between participants'stressor levels and turnover intention.Pearson's correlation coefficient analysis showed that there was a positive correlation between nurses‘work stressors and turnover intention,with a correlation coefficient of r=0.53,a moderate positive correlation(P<0.001).Based on the survey data from three tertiary hospitals in Shandong Province,the obstetric nurses group has a medium level of work stressors,but a high turnover intention,highlighting the professional identity crisis.展开更多
This paper analyzes the current research status of job satisfaction among obstetric nurses at home and abroad,including research methods,influencing factors,correlation relationships,and countermeasures to improve job...This paper analyzes the current research status of job satisfaction among obstetric nurses at home and abroad,including research methods,influencing factors,correlation relationships,and countermeasures to improve job satisfaction of obstetric nurses.It aims to provide a reference for subsequent studies on job satisfaction of obstetric nurses.展开更多
Objective:Through interviews with oral specialist nurses,to explore the influencing factors of training transfer for oral specialist nurses,and provide references for scientifically improving the effect of specialist ...Objective:Through interviews with oral specialist nurses,to explore the influencing factors of training transfer for oral specialist nurses,and provide references for scientifically improving the effect of specialist nurse training transfer.Methods:Using purposive sampling and descriptive qualitative research,15 oral specialist nurses from two tertiary hospitals in Guangdong Province were selected for semi-structured interviews,and data analysis was performed.Results:After collating and analyzing the interview data,three types of factors affecting the training transfer of oral specialist nurses were proposed,including personal characteristics,training management,and training transfer atmosphere.Conclusion:Managers should formulate a comprehensive and systematic plan based on the influencing factors of oral specialist nurse training transfer to effectively promote training transfer behavior and enhance training transfer effects.展开更多
This paper focuses on the issue of nurses’job burnout and conducts an in-depth analysis of its contributing factors from multiple dimensions,including organizational management,job characteristics,and individual attr...This paper focuses on the issue of nurses’job burnout and conducts an in-depth analysis of its contributing factors from multiple dimensions,including organizational management,job characteristics,and individual attributes.These factors include shortages in nursing human resources,lack of management support,excessive workload,and differences in coping strategies.Based on this analysis,targeted human resource management strategies are proposed,covering aspects such as optimizing human resource allocation,leadership development and organizational support,humanized management practices,and competency development with supporting systems.The aim is to alleviate nurses’job burnout,improve the quality of nursing work and nurses’professional well-being,and provide theoretical reference and practical guidance for human resource management in the nursing industry.展开更多
Objective Systematically integrate nurses’experience with“Internet Nursing Service”to analysis the nurses’experiences with“Internet Nursing Service”,and to provide a theoretical reference for formulating a more ...Objective Systematically integrate nurses’experience with“Internet Nursing Service”to analysis the nurses’experiences with“Internet Nursing Service”,and to provide a theoretical reference for formulating a more rational“Internet Nursing Service”model.Methods A systematic search in PubMed,Embase,Web of Science,the Cochrane Library,CINAHL,China National Knowledge Infrastructure(CNKI),Wanfang Database,and Chinese Biomedical Literature Database was conducted to collect qualitative research on nurses’experiences with“Internet Nursing Service,”with a retrieval time limit from December 2019 to June 2024.Qualitative meta-synthesis was performed through line-by-line coding of relevant quotes,organization of codes into descriptive themes,and development of analytical themes.Results A total of 19 studies were included,one study was rated as Grade A in quality evaluation,and the remaining studies were rated as Grade B.Collectively synthesized into three integrated results:Harvest and growth,Difficulties and challenges,and Expectations and support.Harvest and growth,include 1)manifestation of self-value,2)enhancing nursing capabilities,3)optimizing nursing resources;Difficulties and challenges,include 1)lack of safety guarantee,2)role conflict;Expectations and support include,1)expectation for professional knowledge and skill training,2)expectations for service platform optimization,3)expectation for reasonable charges,4)expectation for related policy support.Conclusion“Internet Nursing Service”model benefits both nurses and patients,but still full of challenges.It aids in the decentralization of medical resources.Management departments still need to encourage nurses to actively invest in“Internet Nursing Service”while ensuring their safety and interests.展开更多
文摘Objectives:Nurses working in critical care units may encounter substantial work-related strain,and elevated levels of stress can lead to burnout,ultimately impacting both the quality of nursing care and their overall working experience.This study aimed to assess job burnout and determine the factors that contribute to it among critical care nurses in the Eastern Province of Saudi Arabia.Methods:This study employed a descriptive,exploratory,cross-sectional research design.A total of 220 nurses employed in the critical care units of 5 private hospitals in the eastern region were selected for participation in this study using a convenience sample method.An electronic survey was distributed to critical care nurses in the Eastern Province who satisfied the specified inclusion criteria.The job burnout questionnaire utilized in this study was derived from previously conducted research,which has been established as a reliable and valid survey instrument.The process of data analysis was conducted utilizing the SPSS program.The scientific research conducted on human subjects adhered rigorously to all ethical considerations.Results:The highest percentage of nurses at the critical care units reported experiencing moderate levels of job burnout.Nurses exhibiting greater levels of professional experience demonstrated a statistically significant reduction in overall burnout scores when compared to their less experienced counterparts.Furthermore,within the realm of sociodemographic factors,it was found that the only significant independent predictor for job burnout was the level of experience among critical care nurses.Conclusions:The prevalence of burnout among nurses in critical care settings was found to be significant,with most participants reporting moderate levels of burnout which can yield significant ramifications for nurses and healthcare professionals.Consequently,healthcare organizations must accord primacy to the welfare of their staff and adopt proactive strategies to mitigate job burnout.
文摘Emergency department nurses face severe occupational stress leading to anxiety,depression,and burnout,which significantly impair their well-being and patientcare quality.This narrative review examined the role of mindfulness-based stress reduction(MBSR)in addressing these challenges.Rooted in nonjudgmental present-moment awareness,MBSR enhances emotional regulation and reduces psychological distress by fostering adaptive coping strategies.Studies have demonstrated its efficacy in lowering anxiety,depressive symptoms,and emotional exhaustion,while improving workplace well-being,empathy,and job satisfaction.Mechanistically,MBSR improves interoceptive awareness and autonomic balance,as evidenced by physiological markers such as heart rate variability.However,gaps remain in long-term efficacy assessments,personalized interventions,and integration with multidisciplinary approaches.Future research should prioritize tailored biomarker-driven programs,longitudinal studies,and scalable implementation strategies in high-stress clinical settings.This review underscores MBSR’s potential as a sustainable,evidence-based tool to enhance emergency department nurses’mental health and professional performance,advocating for broader adoption and further refinement of its practical applications.
文摘Objective: Physical assessment is an indispensable and pivotal skill that nurses must aptly monitor, evaluate, and deliver timely care, particularly in the context of critically ill patients. However, studies have revealed instances where nurses demonstrate inaccurate practices. This study is aimed to measure the physical assessment skills of critical care nurses and the differences between levels of nursing education. Methods: A descriptive cross-sectional study was conducted involving a simple random sample of 101 nurses employed in critical care units. Results: Of the 101 participants, 56.4% were identified as female and 43.6% were male. In the sample, 71.0% held a diploma in nursing, while 29.0% held a Bachelor of Science in Nursing (BSN). Vital signs, orientation, and skin assessments were performed correctly in ≥90% of cases, whereas the majority (≥60%) did not correctly assess neck veins, Homan’s signs, breath sounds, heart sounds, and bowel sounds. Only ≤10% of participants accurately executed these assessments. Significant associations were found between sex and pain (P=0.034), as well as between the type of education and closure of the health assessment (P=0.041). Further, female nurses scored 10.0 ± 2.3, and male nurses 8.5 ± 2.5, diploma holders scored 9.4 ± 1.8, and BSN holders scored 9.3 ± 2.7 at the global rating. Conclusions: The presence of an existing gap in the accurate assessment of patients poses a potential risk to patient care. It is essential to investigate the factors contributing to this gap and to develop strategies to address it, thereby enhancing the quality of physical assessment and ultimately improving patient care.
文摘Objective:Patient falls in the healthcare settings are unwanted events that can have severe consequences for both inpatients and outpatients;however,falls are preventable and nurses play an important role in this prevention.The purpose of this study was to investigate nurse activities in fall prevention and its relevant factors.Methods:This descriptive cross-sectional study was conducted at Can Tho Central General Hospital,with the participation of 90 nurses.Data were collected using a structured questionnaire consisting of five parts,including personal characteristics,knowledge about fall prevention,self-efficacy in fall prevention,nursing practice environment,and fall prevention activities.The data were entered and analyzed using SPSS 18.0 software with descriptive statistics,independent t-test,one-way ANOVA,and Pearson’s correlation coefficients.Results:The mean score of participants’knowledge in fall prevention was 4.67(SD=2.50)out of 11 scores;the self-efficacy score was 49.43(SD=8.55)out of 66 scores;nursing practice environment score was 29.69(SD=4.00)out of 40 scores;and the fall prevention activity scores were 75.58(SD=9.96)out of 100 scores.Factors related to fall prevention activities included gender(p=0.03),place of work(p=0.02),number of fall prevention training sessions(p=0.03),self-efficacy in fall prevention(r=0.61,p<0.001),and the nursing practice environment(r=0.25,p<0.05).Conclusions:An intervention program for fall prevention can be implemented to enhance the knowledge about fall prevention among nurses and improve the nursing practice environment to enhance patient safety.
基金funded by Directorate General of Higher Education,Reserach,and Technology,Ministry of Education,Culture,Reserach,and Technology of Indonesia(Grant number:1325/UN3.LPPM/PT.01.03/2023).
文摘Objectives:This study aimed to explore the voices of Indonesian migrant nurses on their retention in Japanese healthcare facilities.Methods:A descriptive qualitative study was conducted between June and September 2023.The snowball sampling method was utilized to recruit 22 Indonesian nurses working in healthcare facilities in seven prefectures of Japan.Semi-structured interviews were conducted based on their shared experiences.All interview data were audio-recorded,transcribed verbatim,and analyzed using thematic analysis.Results:Six prominent themes and 15 subthemes emerged:1)organizational factors(caring leader,involvement in decision making,career development,and participation in training);2)social support systems(group support,colleagues support and friend support);3)individual drive(lifelong learning and persistent);4)national policies(government support in public service and flexibility in finding a comfortable placement);5)family factors(positive support of child education and development and maintaining relationship with spouse);and 6)economic factors(staying due to high salary and increasing income streams).Conclusions:Retention of Indonesian migrant nurses in Japan is a multifaceted challenge that hinges on various interconnected factors.This study has gone some way toward enhancing our understanding of international nurse retention in the receiving countries.Corresponding supports at the individual,family,organizational,economic,social,and national policy levels should be considered to keep them in their destination countries.
文摘Objective: To investigate the current beliefs and attitudes of nurses in Yunnan Province toward prescriptive authority, analyze the influencing factors, and provide evidence for future research and policy formulation to support the establishment of nurses’ prescriptive authority in China. Method: A cross-sectional survey was conducted among 937 nurses in Yunnan Province using the Beliefs and Attitudes Scale on Nurses’ Prescriptive Authority. The scale assessed four dimensions: perceived need, self-efficacy, perceived benefits, and perceived barriers. Multiple linear regression analysis was used to identify factors influencing the overall score and each dimension. Results: The total score of the Beliefs and Attitudes Scale was 89.17 ± 17.69, indicating a moderate level of awareness and positive attitude among nurses. The highest-scoring dimension was perceived benefits (34.94 ± 8.04), while the lowest was perceived barriers (15.23 ± 3.5). Age was identified as a significant factor influencing the overall score and self-efficacy dimension (P < 0.05). Years of practice influenced the perceived benefits dimension (P = 0.051), while gender, age, and professional title were key factors affecting the perceived barriers dimension (P < 0.05). Male nurses and senior nurses demonstrated more caution toward potential risks associated with prescriptive authority. Conclusion: Nurses in Yunnan Province exhibit moderate levels of belief in and attitudes toward prescriptive authority, with age being the most significant influencing factor. Tailored training programs, policy promotion, and practical guidance are recommended to enhance nurses’ understanding and support for prescriptive authority, thereby improving nursing practices and addressing regional healthcare challenges.
文摘Objective:This article employs a scoping review methodology,integrates knowledge and information about current pediatric nurses'practices and perceptions regarding family-centered care in pediatric settings.Methods:Published articles were retrieved from databases including EBSCO host,PubMed,Springer,Science Direct,Ovid,and CINAHL between 2013 and 2023.Results:The finding shows a better understanding of pediatric nurses'perceptions of family-centered care in association with their clinical settings.However,the evidence indicates that integrating family-centered care components into health care services is difficult and confusing to nurses and is often not implemented in a clinical setting.As evidenced by this review,studies have consistently reported similar results;family-centered care was a good perception and understood by pediatric nurses as a concept but inconsistently used in a daily practice setting.Conclusions:This scoping review is the first phase in promoting a strategic plan to provide educational interventions for pediatric nurses to implement family-centered care in their daily practice settings.It's necessary to recognize pediatric nurses'perceptions and practices concerning family-centered care to provide optimal healthcare services in pediatric settings.
文摘Objectives:This study aimed to investigate the dual mediating roles of psychological safety and reporting attitudes in the association between ethics-centered leadership and internal whistleblowing among nurses.Methods:A multicenter,cross-sectional study design was employed,involving a convenience sample of 273 nurses among five university hospitals from August to October 2024.Data were collected using a demographic questionnaire,Ethical Leadership Scale,Psychological Safety Scale,Positive Attitudes Toward Whistleblowing Scale,and Internal Whistleblowing Scale.Pearson correlation and structural equation model were conducted to test the hypothesized dual mediation model.Results:The average score of nurses for ethical leadership was 4.14±0.57,psychological safety was 3.80±0.64,reporting attitudes was 4.12±0.67,internal whistleblowing was 3.93±0.52.Ethical leadership had a significant effect on psychological safety(β=0.38,P<0.001),reporting attitudes(β=0.44,P<0.001),and internal whistleblowing(β=0.21,P=0.009).Furthermore,psychological safety(β=0.26,P<0.001)and reporting attitudes(β=0.27,P<0.001)significantly influenced internal whistleblowing among the nurses.The indirect effect of ethics-centered leadership on internal whistleblowing intermediated by psychological safety was significant(β=0.10,P<0.001).Similarly,reporting attitudes demonstrated a significant mediating effect(β=0.12,P=0.003).Conclusions:Ethical leadership encourages internal whistleblowing among nurses by fostering psychological safety and positive reporting attitudes.Therefore,healthcare managers should prioritize ethical leadership development,enhance psychological safety,and foster constructive reporting attitudes that enable nurses to report ethical violations confidently,without apprehension.
基金funded by a Grant-in-Aid for Scientific Research(JP19K19762,JP 23K10258)from the Japan Society for the Promotion of Science,Japan.
文摘Objectives:To evaluate the occurrence of depression and its related factors among public health nurses(PHNs)engaged in child neglect-related abuse cases.Methods:A cross-sectional study of PHNs involved in maternal and child health or child and family welfare,and engaged in cases of child neglect-related abuse was conducted from January to March 2023 in all municipalities of 13 prefectures selected from Japan's seven regions,considering geographic diversity and major urban areas.The Patient Health Questionnaire-2 was used to screen for depression.Statistical analyses included the Chi-square test,Mann-Whitney U test,and logistic regression analysis.Results:A total of 359 provided valid responses.Among them,11.4%screened positive for depression.Significant individual factors related depression were management-stage nurses(OR=6.27,95%CI:1.63-24.18),no disability welfare experience(OR=3.49,95%CI:1.05-11.55),being assignment of highrisk cases within the past year(OR=8.28,95%CI:2.07-33.08),and lower work control(OR=0.53,95%CI:0.32-0.86).Workplace environment factors were lower perceptions and relationships within the workplace(OR=0.43,95%CI:0.29-0.65)and perceiving manpower as not secured(OR=9.07,95%CI:1.17-70.40),Conclusions:Mental health measures for PHNs should include workload management and reduced burdens through workforce enhancement,attention to burdens on managerial PHNs,promoting communication and mutual support,and opportunities to engage in disability welfare work.
文摘Purpose:This study aimed to determine the nurses’profile characteristics that are associated with moral distress among nurses in selected government hospitals in Shangdong,China.Methods:This is a descriptive-correlational study.A total of 185 clinical registered nurses who met the eligibility criteria from different departments in two tertiary governmental hospitals in Jinan city were purposively selected to participate in this study.The instruments included the general demographic characteristics and Chinese version of Moral Distress Scale-Revised(MDS-R).Correlation technique,specifically Spearman’s rho,was utilized to determine the significant correlation between the selected nurse’s characteristics and moral distress.Ethical considerations were given by the Far Eastern University ethics review committee(FEU-ERC Code:2020-2021-079).Results:The number of patients nurses handled per shift(rs=0.650,p=0.032)and the type of patients that nurses handled(rs=0.718,p=0.020)are the nurses’profile factors that are significantly correlated with nurses’moral distress(p-value<0.05).As there is an increase in the number of patients handled every shift and the patients are becoming unstable,requiring complex care,the frequency and intensity of moral distress increase as well.Conclusion:The nurses’moral distress was registered at a low level in this study.Characteristics related to patients,such as the number and type assigned to nurses,are correlated to moral distress.The main source of the high frequency and intensity of moral distress among nurses is“futile care”and“false hope”.Educational learning program is recommended to manage and alleviate the moral distress of nurses.
基金supported by a research grant from the Medical Research Program of Chongqing University Three Gorges Hospital(No.2022YJKYXM-017).
文摘Objective:The objective of this study is to develop and evaluate a structured clinical rotation-based emergency response training program to enhance nurses’emergency competence,theoretical knowledge,and technical skills.Methods:A comprehensive emergency training program was developed,and a randomized controlled trial was implemented from June 2022 to May 2023 at a tertiary general hospital in Chongqing,China.The study involved 214 nurses,with 106 participants in the intervention group receiving a 3-month innovative emergency response competence training and 108 in the control group undergoing conventional training.Postintervention assessments evaluated emergency response capabilities using the Emergency Response Ability Assessment Scale for Nurses in Public Health Emergencies,theoretical knowledge through a self-designed comprehensive theoretical assessment instrument,technical skills using a standardized skill assessment form,and training satisfaction through two distinct feedback instruments.Results:The emergency response ability scores were significantly higher in the intervention group compared to controls(3.99±0.18 vs.2.53±0.25,P<0.05).Theoretical assessment scores showed marked improvement in the intervention group versus the control group(85.31±4.40 vs.52.45±6.19,P<0.05).Technical skill performance was significantly better in the intervention group than that in controls(94.47±1.64 vs.86.39±2.36,P<0.05).Training satisfaction was higher among intervention group nurses compared to controls(4.53±0.23 vs.4.00±0.38,P<0.05),with nursing managers also reporting greater satisfaction with the intervention program versus conventional training(4.57±0.49 vs.3.92±0.79,P<0.05).Conclusion:The clinical rotation-based structured emergency response training program effectively enhances nurses’emergency competencies,theoretical knowledge,and technical skills.These findings provide both theoretical foundations and practical guidelines for developing emergency response and specialized nursing competence training programs.
文摘BACKGROUND Work-family conflicts and daytime sleepiness are related to the risk of suicide.At present,no study has investigated the relationship between nurses’work-family behavioral role conflict and suicide risk.Moreover,it has not been confirmed whether,considering the effect of daytime sleepiness on suicide risk,daytime sleepiness mediates the effect of work-family behavioral role conflict and suicide risk.AIM To explore the pathway relationships among nurses'work-family behavioral role conflict,daytime sleepiness,and suicide risk.METHODS Convenience and purposive sampling methods were used to select 750 nurses from six provinces,including Jiangxi,Sichuan,and Shanxi.The work-family behavioral role conflict scale,the Chinese adult daytime sleepiness scale,and the suicide behavior questionnaire were used for the survey.The data were statistically analyzed via SPSS 25.0 software,Pearson correlation analysis was used to explore the correlations between the variables,the PROCESS 4.0 program was used for the mediation effect analysis,and the mediation effect model was tested via the bootstrap method.RESULTS Nurses'work-family behavioral role conflict and daytime sleepiness were positively correlated with suicide risk(r=734,0.717).Work-family behavioral role conflict positively predicted suicide risk(β=0.118),and daytime sleepiness positively predicted suicide risk(β=0.152).Daytime sleepiness partially mediated the role of nurses'work-family behavioral role conflict and suicide risk,with a mediation effect value of 0.046 and a mediation effect accounting for 38.98%.CONCLUSION The results of the Pearson correlation analysis and mediation effect analysis revealed that nurses'work-family behavioral role conflict has a direct effect on suicide risk and indirectly affects suicide risk through daytime drowsiness symptoms.
基金Supported by the Hunan Provincial Natural Science Foundation of China,No.2025JJ80410.
文摘BACKGROUND Death anxiety(DA)is a prevalent psychological challenge among oncology nurses that affects their emotional well-being and professional competence in coping with death-related situations.Death-related attitudes and resilience are critical factors that may mediate the relationship between DA and coping with death competence(CDC).However,few studies have examined the chain-mediating effect of these factors among Chinese oncology nurses.This study aimed to investigate the association between DA and CDC among Chinese oncology nurses,with a focus on the mediating roles of death attitude and resilience.AIM To investigate the association between DA and CDC among Chinese oncology nurses.using an electronic questionnaire distributed in Wenjuanxing,China.In total,615 valid responses were obtained.The participants completed the Templer death anxiety scale,death attitude profile-revised,Connor-Davidson resilience scale,and coping with death scale.A chain mediation analysis was performed using the PROCESS macro in SPSS to examine the relationships between these variables.RESULTS The findings indicated that DA had a significant direct effect on CDC[effect=0.201,95%confidence interval(CI):0.112-0.322].In addition to this direct effect,three significant indirect pathways were observed:(1)Death attitude(effect=0.118,95%CI:0.056-0.163);(2)Resilience(effect=0.108,95%CI:0.032-0.176);and(3)A sequential mediation pathway involving both death attitude and resilience(effect=0.071,95%CI:0.042-0.123).The total indirect effects of the three mediation paths accounted for 29.7%of the relationship between DA and CDC.CONCLUSION Using a chain mediation model,this study explored the mechanisms linking DA,death attitude,resilience,and CDC among Chinese oncology nurses.These findings highlighted the crucial role of death attitude and resilience in mediating the relationship between DA and CDC.Interventions aimed at fostering adaptive attitudes toward death and enhancing resilience may improve nurses’ability to cope with death-related stressors,ultimately benefiting their psychological well-being and professional competence.
文摘Dear Editor,I am writing in response to the article“Assessment of nurses’workplace silence behavior motives:A cross-sectional study”by Alhojairi et al.published in the September 2024 issue of the International Journal of Nursing Sciences[1].This is a letter written by a nurse with 10 years of clinical work experience and a personal interest in team dynamics.I appreciate the authors'recommendations on mitigating workplace silence among nurses to enhance clinical work development,and I believe their proposals could be expanded further.
文摘Objective:The evolving landscape of healthcare delivery emphasizes the importance of collaborative relationships between healthcare professionals.Community pharmacists and nurses,though traditionally occupying distinct roles,are increasingly working together to provide comprehensive,patient-centered care.Methods:This review explores the collaborative relationship between community pharmacists and nurses,focusing on their unique contributions to chronic disease management,patient education,and medication adherence.The article analyzes existing literature and highlights key interdisciplinary strategies that enhance patient outcomes.Results:By integrating their expertise,pharmacists and nurses can improve health outcomes by addressing both the physical and psychosocial needs of patients.Their collaboration enhances the effectiveness of chronic disease management,promotes early interventions,minimizes medication errors,and fosters improved patient adherence to treatment plans.Conclusions:The findings underscore the need for structured,proactive collaboration models that go beyond independent roles to foster a truly synergistic healthcare environment.Strengthening these interdisciplinary partnerships is crucial for achieving more efficient,holistic,and timely healthcare delivery.
文摘This study focuses on the relationship between job stress and intention to leave among obstetric(OB)nurses in the context of China's birth policy adjustment,and provides a scientific basis for policymakers and healthcare administrators.This study used a non-experimental descriptive correlation design with a purposive sampling of 230 OB nurses from three tertiary hospitals in Jinan,Shandong Province.Participants were surveyed using three questionnaires and descriptive analysis;ANOVA and correlation analyses were used to analyze the relationship between participants'stressor levels and turnover intention.Pearson's correlation coefficient analysis showed that there was a positive correlation between nurses‘work stressors and turnover intention,with a correlation coefficient of r=0.53,a moderate positive correlation(P<0.001).Based on the survey data from three tertiary hospitals in Shandong Province,the obstetric nurses group has a medium level of work stressors,but a high turnover intention,highlighting the professional identity crisis.
文摘This paper analyzes the current research status of job satisfaction among obstetric nurses at home and abroad,including research methods,influencing factors,correlation relationships,and countermeasures to improve job satisfaction of obstetric nurses.It aims to provide a reference for subsequent studies on job satisfaction of obstetric nurses.
文摘Objective:Through interviews with oral specialist nurses,to explore the influencing factors of training transfer for oral specialist nurses,and provide references for scientifically improving the effect of specialist nurse training transfer.Methods:Using purposive sampling and descriptive qualitative research,15 oral specialist nurses from two tertiary hospitals in Guangdong Province were selected for semi-structured interviews,and data analysis was performed.Results:After collating and analyzing the interview data,three types of factors affecting the training transfer of oral specialist nurses were proposed,including personal characteristics,training management,and training transfer atmosphere.Conclusion:Managers should formulate a comprehensive and systematic plan based on the influencing factors of oral specialist nurse training transfer to effectively promote training transfer behavior and enhance training transfer effects.
基金Zhejiang Provincial Medical and Health Science and Technology Projects(Project No:2024KY1339)。
文摘This paper focuses on the issue of nurses’job burnout and conducts an in-depth analysis of its contributing factors from multiple dimensions,including organizational management,job characteristics,and individual attributes.These factors include shortages in nursing human resources,lack of management support,excessive workload,and differences in coping strategies.Based on this analysis,targeted human resource management strategies are proposed,covering aspects such as optimizing human resource allocation,leadership development and organizational support,humanized management practices,and competency development with supporting systems.The aim is to alleviate nurses’job burnout,improve the quality of nursing work and nurses’professional well-being,and provide theoretical reference and practical guidance for human resource management in the nursing industry.
基金supported by the General Project of the Cultivation Project of the Chinese Hospital Reform and Development Research Institute of Nanjing University(NDYG2022072)。
文摘Objective Systematically integrate nurses’experience with“Internet Nursing Service”to analysis the nurses’experiences with“Internet Nursing Service”,and to provide a theoretical reference for formulating a more rational“Internet Nursing Service”model.Methods A systematic search in PubMed,Embase,Web of Science,the Cochrane Library,CINAHL,China National Knowledge Infrastructure(CNKI),Wanfang Database,and Chinese Biomedical Literature Database was conducted to collect qualitative research on nurses’experiences with“Internet Nursing Service,”with a retrieval time limit from December 2019 to June 2024.Qualitative meta-synthesis was performed through line-by-line coding of relevant quotes,organization of codes into descriptive themes,and development of analytical themes.Results A total of 19 studies were included,one study was rated as Grade A in quality evaluation,and the remaining studies were rated as Grade B.Collectively synthesized into three integrated results:Harvest and growth,Difficulties and challenges,and Expectations and support.Harvest and growth,include 1)manifestation of self-value,2)enhancing nursing capabilities,3)optimizing nursing resources;Difficulties and challenges,include 1)lack of safety guarantee,2)role conflict;Expectations and support include,1)expectation for professional knowledge and skill training,2)expectations for service platform optimization,3)expectation for reasonable charges,4)expectation for related policy support.Conclusion“Internet Nursing Service”model benefits both nurses and patients,but still full of challenges.It aids in the decentralization of medical resources.Management departments still need to encourage nurses to actively invest in“Internet Nursing Service”while ensuring their safety and interests.
