No abstract

Aim:This study aims to identify the role that spiritual climate has in reducing burnout and intentions to leave amongst clinical nurses.Background: Both shortages and the high turnover of nurses are challenging problems worldwide. Enhancing the spiritual climate amongst nurses can enhance teamwork, organisational commitment and job satisfaction and can play a role in reducing burnout and turnover intention. Methods:A total of 207 clinical nurses working at a tertiary university hospital were included in this cross-sectional, single-site study. Independent-samples t test and ANOVA, Pearson correlation analysis and hierarchical regression analysis were used to explore the relationships amongst related factors. Results:Most clinical departments showed a moderate spiritual climate (60.24 ± 0.82) with high job burnout (33.62 ± 0.28) and turnover intention (2.37 ± 0.57). A good spiritual climate was correlated with high job satisfaction (r = 0.412, p < 0.01), low burnout and turnover intention (r = −0.423, p < 0.01 and r = −0.292, p < 0.01, respectively). Spiritual climate could also indirectly influence nurses' job burnout and turnover intention (R 2 = 10.31%). Conclusions: Different departments have different spiritual climates. The findings from this study indicate that spiritual climate may impact nursing burnout and turnover. Implications for nursing management: Using a spiritual climate scale provides health care decision-makers with clear information about staff spirituality wellbeing. Interventions to improve spiritual climate can benefit teamwork in clinical departments. K E Y W O R D S burnout, job satisfaction, nurses, spiritual climate, spirituality, turnover intention

Aim:To explore the relationship between spiritual climate and transformational leadership, and examine their impact on nurses perceived emotional exhaustion and intentions to quit.

Hydrogel‐based wearable epidermal sensors (HWESs) have attracted widespread attention in health monitoring, especially considering their colorimetric readout capability. However, it remains challenging for HWESs to work at extreme temperatures with long term stability due to the existence of water. Herein, a wearable transparent epidermal sensor with thermal compatibility and long term stability for smart colorimetric multi‐signals monitoring is developed, based on an anti‐freezing and anti‐drying hydrogel with high transparency (over 90% transmittance), high stretchability (up to 1500%) and desirable adhesiveness to various kinds of substrates. The hydrogel consists of polyacrylic acid, polyacrylamide, and tannic acid‐coated cellulose nanocrystals in glycerin/water binary solvents. When glycerin readily forms strong hydrogen bonds with water, the hydrogel exhibits outstanding thermal compatibility. Furthermore, the hydrogel maintains excellent adhesion, stretchability, and transparency after long term storage (45 days) or at subzero temperatures (−20 °C). For smart colorimetric multi‐signals monitoring, the freestanding smart colorimetric HWESs are utilized for simultaneously monitoring the pH, T and light, where colorimetric signals can be read and stored by artificial intelligence strategies in a real time manner. In summary, the developed wearable transparent epidermal sensor holds great potential for monitoring multi‐signals with visible readouts in long term health monitoring.

Digital PCR (dPCR) has recently attracted great interest due to its high sensitivity and accuracy. However, existing dPCR depends on multicolor fluorescence dyes and multiple fluorescent channels to achieve multiplex...