Nurses' sense of organizational support, Self-esteem and perceived professional benefits: A mediating model

Effect of clinical learning environment on professional identity in intern nursing students: A parallel multivariable mediation model

BACKGROUND

The significance of the clinical learning environment for professional identity is increasingly acknowledged. However, few studies have explored the bidirectional effects of the clinical learning environment on professional identity.

OBJECTIVE

This study aimed to examine the relationship between the clinical learning environment and the professional identity of nursing interns, particularly the parallel mediating roles of perceived professional benefit and role stress.

METHODS

The study was conducted in three first-class general hospitals in China. A total of 377 nursing interns participated. A questionnaire was administered, which included socio-demographic information, the Clinical Learning Environment Scale, the Nurses' Perceived Professional Benefit Scale, the Role Stress Scale, and the Professional Identity Questionnaire. T-tests, analysis of variance, and multiple linear regression were used to analyze the influencing factors of professional identity. And correlation analysis and mediation tests were performed to explore the factors influencing professional identity and potential mediating roles of perceived professional benefit and role stress.

RESULT

Professional identity was positively related to the clinical learning environment (r = 0.533, p < 0.01), perceived professional benefit (r = 0.643, p < 0.01) and negatively related to role stress (r = -0.348, p < 0.01). Furthermore, perceived professional benefit and role stress played parallel mediators between the clinical learning environment and professional identity.

CONCLUSION

This study emphasized the importance of focusing more on enhancing nursing students' sense of professional benefit and reducing role stress in the clinical learning environment to promote their professional identity.

Job Satisfaction Among Nurses Employed in Supplementary Healthcare Models, a Qualitative Descriptive Study

AIM

This study explored workplace satisfaction for nurses employed in the supplementary employment models.

DESIGN

A qualitative descriptive methodology was used.

METHODS

Data were collected using individual semi-structured interviews with 10 nurses employed in supplementary employment models. A thematic analysis was used.

FINDINGS

Analysis revealed four key themes related to job satisfaction: (1) Professional development, education, and training shape job satisfaction; (2) The influence of variability in work practice environments; (3) Distant work relationships affect communication and organisational support and (4) Work flexibility. These themes collectively illustrate the complex interplay of factors impacting nurses' experiences and job satisfaction in supplementary employment.

CONCLUSIONS

Supplementary employment models provide nurses with valuable flexibility and employment opportunities. However, there are barriers for nurses in communicating with organisational leadership through formal channels and in their contribution to improve the work environment and team culture with wards and departments. To improve job satisfaction for nurses employed in supplementary roles, strategies are needed to enhance access to education and training, strengthen communication and connection with clinical teams and leadership, and establish effective feedback mechanisms.

Professional benefits perception among pediatric nurses: a cross-sectional survey

Background

The perception of professional benefits is a critical determinant of job stability and work efficacy among healthcare professionals. This perception can directly influence patient care quality, nurse job satisfaction and retention, as well as overall organizational efficiency. The current understanding of how pediatric nurses perceive their professional benefits is limited. This study aimed to elucidate the status and determinants of professional benefit perception among pediatric nurses to inform evidence-based clinical care.

Methods

We conducted a survey of pediatric nurses at our hospital from September 1, 2024, to November 26, 2024. Participants were selected using a convenience sampling method. The Nurses' Professional benefit perception Scale was employed to assess professional benefit perception. Pearson correlation and multiple linear regression analyses were utilized to identify factors influencing professional benefit perception. These statistical methods were chosen due to their suitability for examining relationships between continuous variables and for controlling potential confounding factors in the regression model.

Results

A total of 366 pediatric nurses participated in the study. The mean score of professional benefit perception was (108.26 ± 17.32). Pearson correlation analysis revealed significant positive associations between professional benefit perception scores and several demographic and professional variables. Specifically, age (r = 0.517), years of experience in pediatric nursing (r = 0.604), educational level (r = 0.564), professional title (r = 0.559), marital status (r = 0.623), and average monthly income (r = 0.647) were all significantly correlated with professional benefit perception scores. Further analysis using multiple linear regression identified these variables as significant predictors of professional benefit perception scores, collectively accounting for 57.20% of the variance (R² = 0.572). This indicates that a substantial portion of the variation in professional benefit perception can be explained by these demographic and professional factors.

Conclusion

The perceived level of professional benefits among pediatric nurses is found to be moderate. It is recommended that nursing administrators develop targeted intervention strategies based on the identified influencing factors. Such strategies may include enhancing professional development opportunities, improving financial compensation, and fostering a supportive work environment.

Relationship Between Perceived Organizational Support, Work Well-Being, and Medical Narrative Ability Among Nurses: A Cross-Sectional Multicenter Study

Aims: The purpose of this study was to investigate the relationship between nurses' perceived organizational support, work well-being, and medical narrative ability. Background: With the proposed bio-psycho-social medical model, nurses' medical narrative ability is closely related to patients' health problems and quality of life. Nurses' perceived organizational support and work well-being can improve nurses' empathy and reflection ability to a certain extent and promote patients' rehabilitation. However, the relationship between nurses' perceived organizational support, work well-being, and medical narrative ability is unclear. Methods: A total of 1831 nurses from 8 hospitals in China were surveyed using an online questionnaire that included nurses' sociodemographic, perceived organizational support, work well-being, and medical narrative ability. IBM SPSS 27.0 was used for Pearson's correlation analysis, one-way ANOVA, t-test, and mediation effect analysis using Model 4 in PROCESS (5000 resamples). Results: The total mean score of perceived organizational support (46.68 ± 11.00), work well-being (53.09 ± 10.81), and medical narrative ability (154.48 ± 22.93) among nurses was found to be moderate. The relationship between perceived organizational support, work well-being, and medical narrative ability was significant, with correlation coefficients ranging from 0.348 to 0.685 (p < 0.01). The relationship between perceived organizational support and medical narrative ability is partially mediated by work well-being. The intermediate effect accounted for 52.36% of the total effect. Conclusion: This study found that nurses' work well-being mediated the relationship between perceived organizational support and medical narrative ability. Implications for Nursing Management: This study evaluated nurses' medical narrative ability and explored the relationship between nurses' perceived organizational support, work well-being, and medical narrative ability. The results of this study can help nursing managers and educators to take appropriate measures to intervene nurses' perceived organizational support and work well-being, so as to improve nurses' medical narrative ability and optimize nursing quality.

The mediating role of compassion fatigue between perceived organization support and caring behavior among outpatient nurses in China: a cross-sectional study

BACKGROUND

The caring behaviors of outpatient nurses play a crucial role in improving the quality of care in hospitals. Work resources and personal psychological resources have a significant impact on nurses' caring behavior. Previous research has shown that perceived organizational support and compassion fatigue are linked to nurses' caring behaviors. However, the specific relationship among these variables is less clear in the context of outpatient nurses working in high-stress environments.

METHODS

A convenience sampling method was utilized to recruit 413 outpatient nurses from six tertiary hospitals in Xi'an, China, as research subjects between November 2023 and January 2024. The questionnaires used in the study included a sociodemographic questionnaire, the Perceived Organizational Support Scale, the Chinese version of the Compassion Fatigue Brief Scale, and the Chinese version of the Caring Behavior Scale. Data analysis involved descriptive statistics, Mann-Whitney U test, Kruskal-Wallis H rank-sum test, Spearman correlation analysis, and the PROCESS macro model 4.

RESULTS

A significant negative correlation was observed between the sense of organizational support and compassion fatigue (ρ=-0.547, P < 0.01). Conversely, a significant positive correlation was found between the sense of organizational support and caring behavior (ρ = 0.469, P < 0.01). Moreover, there was a significant negative correlation between compassion fatigue and caring behavior (ρ=-0.641, P < 0.01). Subsequent mediation analysis demonstrated that compassion fatigue partially mediated the relationship between perceived organizational support and caring behaviors. The overall impact of perceived organizational support on caring behavior (β = 0.363) encompasses both its direct influence (β = 0.131) and the indirect impact mediated by compassion fatigue (β = 0.232). The mediating effect accounts for 63.9% of the total effect.

CONCLUSION

Compassion fatigue acts as a partial mediator in the relationship between perceived organizational support and the caring behavior of outpatient nurses. It is essential for nursing managers to effectively manage both the work resources and personal psychological resources of outpatient nurses to improve their caring behaviors in high-stress settings. By improving nurses' organizational support resources, we can reduce the depletion of their personal psychological resources and alleviate negative emotions such as compassion fatigue. This, in turn, can improve nurses' caring behavior and ultimately enhance the overall quality of nursing services in the hospital.

Role of emotional intelligence in shaping self-esteem among Indian nurses at Trichy, Tamilnadu

Nursing is a multifaceted profession that requires a blend of technical skills and emotional intelligence (EI) to manage various responsibilities, from patient care to team supervision. EI is closely connected to self-esteem, a psychological construct representing an individual's self-worth and competence. Self-esteem significantly influences how nurses perceive their abilities and engage with their work environment. The current study adopted the non-experimental descriptive correlational survey design to assess the emotional intelligence and self-esteem among the nurses. The study was conducted for a period of two months, among 301 Nurses working in various departments of the hospital, Trichy, Tamilnadu. The assessment of the samples was done using the background variables, TEIQue-SF- (Trait Emotional Intelligence questionnaire- short form) and Rosenberg's self-esteem scale. The data was collected through the Google Form for 4 weeks. The study results show that 81.1% of the nurses had average emotional intelligence only, 18.9% of the nurses had a high level of emotional intelligence and none of the nurses had a low level of emotional intelligence. In the aspects of self-esteem 76.4% of nurses had moderate level of self-esteem, 21.3% had high level of self-esteem and 2.3% had low level of self-esteem, there was a weak positive correlation between the level of Emotional intelligence and the level of Self- esteem with "r" value 0.321 & "p" value 0.01. Nurses render care to those who are emotionally heightened for patients and families. The persons exhibit confidence when they are emotionally intelligent, capable of understanding and stabilize their emotions. Self-esteem can be shaped by individuals' relationships with others, experiences and accomplishments in life.

Analysis of the current situation and influencing factors of night shift nurses' sense of occupational benefit

The purpose of this study was to investigate the current status and influencing factors of night shift nurses' sense of occupational benefit, and to explore the influence of psychological resilience on the sense of occupational benefit. 2022 from August to October, a cross-sectional survey was conducted on 719 night shift nurses using a general information questionnaire, psychological resilience scale, and sense of occupational benefit scale. A total of 719 valid questionnaires were collected. The score of night shift nurses' sense of occupational benefit was (137.40 ± 21.10) and psychological resilience score was (65.63 ± 17.75). Age (β = 3.359, P < .05) was significantly correlated with sense of occupational benefit. Education (β = 3.586, P < .05) was significantly correlated with the sense of occupational benefit, and whether or not they had participated in outbreak prevention and control (β = -2.321, P < .05) was significantly correlated with the sense of occupational benefit. Similarly, psychological resilience (β = 0.859, P < .05) was significantly associated with the sense of occupational benefit. Night shift nurses' sense of occupational benefit was moderate to high, and interventions should be taken to enhance the sense of occupational benefit based on nurses' age, education, whether they have participated in epidemic prevention and control, and psychological resilience.

The influence of effort-reward imbalance and perceived organizational support on perceived stress in Chinese nurses: a cross-sectional study

BACKGROUND

The nursing profession is characterized by high intensity and significant stress. Nurses must not only manage heavy workloads but also address diverse patient needs, engage in emotional labor, and cope with occupational exposure risks. These factors collectively contribute to substantial work-related stress for nurses. Currently, there is limited research on identifying distinct categories of nurse stress profiles and their influencing factors.

OBJECTIVES

This study aimed to explore the potential categories of perceived stress among nurses using Latent profile analysis (LPA) and to analyze the influence of sociodemographic factors, effort-reward imbalance, and perceived organizational support on perceived stress categories.

DESIGN

Cross-sectional study METHODS: Data were collected via electronic surveys from 696 nurses in Shanxi Province, China, from February 18 to 28, 2023. The survey parameters included sociodemographic characteristics, nurse job stressors scale, effort-reward imbalance scale, and perceived organizational support scale. Latent profile analysis (LPA) was used to classify the perceived stress levels of nurses, and disordered multi-classification logistic regression was used to identify the influencing factors.

RESULTS

The most suitable model was a three-profile model, comprising the "low perceived stress" group (10.5%), "moderate perceived stress" group (66.7%), and "high perceived stress" group (22.8%). Multi-classification logistic regression analysis showed that average working hours per day (OR = 3.022, p = 0.026), extrinsic effort (C2 vs. C1, OR = 1.589, p < 0.001; C3 vs. C1, OR = 2.515, p < 0.001), and perceived organizational support (C2 vs. C1, OR = 0.853, p < 0.001; C3 vs. C1, OR = 0.753, p < 0.001) were the factors influencing the classification of nurses' perceived stress.

CONCLUSIONS

Latent profile analysis revealed that nurses' perceived stress exhibits distinct characteristics. It is recommended that clinical administrators should identify these characteristics and the influencing factors of different nurse categories, and adopt targeted intervention strategies to reduce the levels of perceived stress.

The impact of job stress on perceived professional benefits among Chinese nurses caring for patients with gynecological cancer: mediating effects of perceived social support and self-efficacy

Introduction

Nurses caring for patients with gynecological cancer experience significant job stress, which adversely impacts their mental health. Previous studies have indicated that perceived professional benefits serves as a protective factor for nurses' mental health, and factors such as job stress, perceived social support and self-efficacy influence their perceived professional benefits. However, the relationships between these factors and the associated mechanisms have remained incompletely understood. This study explored the role of perceived social support and self-efficacy in job stress and perceived professional benefits among nurses caring for patients with gynecological cancer.

Methods

During June and July 2023, an investigation was conducted in Anhui Province. The Nurse Job Stressors Scale, Perceived Social Support Scale, Nurses' Perceived Professional Benefits Questionnaire and General Self-Efficacy Scale were administered to 311 nurses caring for patients with gynecological cancer. A chained-mediated effect model was constructed and validated.

Results

Job stress negatively affected nurses' perceived professional benefits. Perceived social support was a mediator in job stress and nurses' perceived professional benefits, with a mediating effect value of -0.093. Additionally, perceived social support and self-efficacy functioned as sequential mediators in this relationship, with a mediating effect value of -0.032.

Conclusion

This study unveils the influencing mechanisms of job stress on perceived professional benefits of nurses caring for patients with gynecological cancer. It is essential for nursing managers to alleviate nurses' job stress, provide sufficient and effective social support and improve their self-efficacy, ultimately enhancing their perceived professional benefits.

Application effect study of a combination of TeamSTEPPS with modularization teaching in the context of clinical instruction in trauma care

To explore the effect of a combination of Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) with modularization teaching in the context of clinical instruction in trauma care. A total of 244 nursing students who participated in clinical practice in orthopaedic wards from March 2020 to April 2022 were divided into two groups that received the same trauma care teaching content. The control group (n = 119) used the traditional teaching approach, and the experimental group (n = 125) utilized a combination of TeamSTEPPS with a modularization teaching model. A questionnaire was used to assess students' theoretical knowledge, practical skills, self-concepts and professional benefits after one month with the goal of determining their end-of-course performance. The theoretical knowledge scores obtained by the control group and the experimental group were 89.56 ± 4.06 and 91.62 ± 2.84, respectively, and these results were statistically significant (P < 0.05). Students preferred the combination of TeamSTEPPS with the modularization teaching model to the traditional instructional method in terms of practical skills, professional self-concepts and professional benefits (P < 0.05). The application of the combination of TeamSTEPPS with modularization teaching in the context of clinical instruction in trauma care made significant contributions to nursing students' mastery of theoretical knowledge and practical skills, enhanced their sense level of professional identity, instilled a correct occupational ideology in such students, and enhanced the professional benefits they were able to obtain.

Relationship between Spiritual Care Competence, Perceived Professional Benefit, and Retention Intention among Intern Nursing Students: A Correlational Study

Aims

We aimed to investigate nursing students' spiritual care competence, perceived professional benefit, and retention intention and to analyze the relationship among these variables.

Background

Nurse shortages are a global issue, and intern nursing students' willingness to remain in the nursing profession is important. Spiritual care can reduce patients' depression and improve their quality of life. Implementing spiritual care can help individuals have satisfying experiences. Perceived professional benefit is a positive emotional experience that is important in retention intention. However, the relationship among spiritual care competence, perceived professional benefit, and retention intention remains unclear.

Methods

In this cross-sectional and correlational study, convenience sampling was used to recruit 266 intern nursing students in 10 hospitals throughout China. An online questionnaire was used to assess their sociodemographic characteristics, spiritual care competence, perceived professional benefit, and retention intention. Statistical analyses included the t-test, analysis of variance, Pearson's correlation analysis, and bootstrap analysis.

Results

Intern nursing students' mean scores were 103.35 ± 19.00 for spiritual care competence, 72.88 ± 10.40 for perceived professional benefit, and 19.58 ± 3.37 for retention intention. Spiritual care competence was positively correlated with perceived professional benefit (r = 0.545; p < 0.01) and retention intention (r = 0.149; p < 0.05). Perceived professional benefit was also positively correlated with retention intention (r = 0.320; p < 0.01). Bootstrap analysis showed that perceived professional benefit completely mediates the relationship between spiritual care competence and retention intention.

Conclusions

We found that nursing interns had a moderate level of retention intention, and perceived professional benefit was the mediating variable between spiritual care competence and retention intention. Implications. Our study results suggest that nursing administrators and educators should improve nursing interns' spiritual care competence and perceived professional benefit to enhance their willingness to remain in the nursing profession and alleviate nurse shortages.

The mediating effect of personality on mental workload and perceived professional benefits of nurses in East China

BACKGROUND

Nursing work is a work with high-stress load, and nurses with different personality may have different subjective feelings about their workload. Therefore, it is particularly necessary to comprehend the perceived professional benefits of nurses engaged in nursing work under high-pressure background, especially during the epidemic period. This study explored the relationship between mental workload, personality, and perceived professional benefits of nurses, and offer advices for the intervention of nurses with different personality to improve their perceived professional benefits.

MATERIALS AND METHODS

In this study, we used a cross-sectional study with a convenient sampling. 473 in-service nurses in Class A tertiary hospitals of Zhejiang Province were recruited by using the NASA Mission Load Index scale of nurses, the brief version of China's Big Five Personality Questionnaire, and the Nurses' perceived professional benefits questionnaire from July 2020 to March 2021. Sample size is 54.91%, and the response rate is 100%. Cronbach's alpha method was used to evaluate the reliability of the instruments. Descriptive statistical analysis was used to describe the socio-demographic data of the subject, and scores for research variables. The Mann-Whitney U-test, and Kruskal-Wallis H rank-sum test were used to compare the scores of perceived professional benefits with different demographic characteristics. Correlation analysis results were presented as the Spearman correlation coefficient. The plug-in v2.16.3 provided by SPSS software was used for linear regression analysis, and the deviation-corrected percentile Bootstrap method was used to examine the mediating role of personality (neuroticism, conscientiousness, agreeableness, openness and extroversion).

RESULTS

Age, length of service in nursing, and record of formal schooling can affect nurses' perceived professional benefits. Mental workload, and perceived professional benefits were all above the median value. The mental workload was negatively correlated with perceived professional benefits (r= -0.129, P < 0.01), positively correlated with neuroticism (r = 0.242, P < 0.01), negatively correlated with agreeableness, openness, extroversion (r=-0.229~-0.221, P < 0.01), and negatively correlated with conscientiousness, but the differences were not significant. Nurses' perceived professional benefits were negatively correlated neuroticism (r=-0.109, P < 0.05), but positively associated with conscientiousness, agreeableness, openness, and extroversion (r = 0.098 ~ 0.326, P < 0.05). The mental workload can directly affect the perceived professional benefits in the direct effects, and can also affect the it through the mediating effect of agreeableness, extroversion, neuroticism, and openness.

CONCLUSIONS

Age, length of service in nursing, and record of formal schooling could affect nurses' perceived professional benefits, and personality played a partial mediating role in the influence of mental workload on the perceived professional benefits. The results of this study can provide strategies for nurses' human resource management. According to different demographic factors, and personality, various measures should be taken to guide nurses to evaluate the mental workload correctly, reduce their emotional pressure, increase job resources, and improve their perceived professional benefits.

The Mediating Effect of the Perceived Professional Benefit of New Nurses in Cancer Hospitals on the Nursing Work Environment, Psychological Resilience, and Transition Shock: A Cross-Sectional Questionnaire Survey

Aim

The aim of this study was to determine whether the relationship among the nursing work environment, psychological resilience, and transition shock was mediated by nurses' perceived professional benefits and to explore the associations among these variables.

Background

Nurses' transition shock is an important factor in reducing the nursing staff turnover rate. Thus, clarifying the factors influencing nurses' transition shock has become a priority.

Methods

Cross-sectional research was used in this study. A total of 200 newly graduated Chinese nurses were recruited by convenience sampling in 2022 from three tertiary hospitals in Beijing, Tianjin, and Hebei. Data were collected through questionnaires and included demographic data in addition to the perceived professional benefit scale of nurses, the nursing work environment scale, the brief resilience scale, and the transition shock scale. The data were analysed using SPSS 25.0 and the SPSS PROCESS macro programme, Model 6.

Results

The perceived professional benefit of new nurses, the nursing work environment, and psychological resilience directly influenced transition shock (p < 0.01). The perceived professional benefit of new nurses mediated the relationship among the nursing work environment, psychological resilience, and transition shock (p < 0.01). The final model's mediating influence contributed 21.53% and 6.85% to the total influence.

Conclusion

Nursing managers can improve nurses' perceptions of professional benefits from psychological resilience and the nursing work environment to reduce the impact of transition from school to work for new nurses. Implications for Nursing Management. This study provides a reference for the development of intervention strategies and training programmes to assist new nurses in cancer hospitals in effectively navigating the transition into their careers. In the future, appropriate training methods should be used at the individual cognitive, psychological, and organizational levels to improve the physical and mental health of new nurses and their ability to provide high-quality patient care.