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ObjectivesSpecialty nurses play a significant role in improving patient care; however, little is known about the factors affecting their work engagement. This study aimed to explore the relationship between role stress and work engagement among specialty nurses in China.DesignA descriptive, cross-sectional study was applied in this study.SettingThe study was conducted in the Henan Provincial People’s Hospital in China.ParticipantsFrom March to April 2023, we conducted a cross-sectional descriptive study, using convenience sampling to recruit 972 specialty nurses from 42 specialised fields in China.MethodsAn online questionnaire survey was conducted using the Basic Information Questionnaire, Role Stress Scale and Specialty Nurse Work Engagement Scale. The collected data were analysed by using SPSS 21.0 software. The differences in total work engagement scores between subgroups were investigated using a single-factor analysis of variance. A Spearman’s rank correlation and a Pearson’s correlation were used to determine the relationship between general information, role stress and work engagement. A ridge regression analysis explored the impact of role stress on work engagement.ResultsThe total score of role stress was (52.44±19.92) and the total score of work engagement was (140.27±17.76). Among the scores of various dimensions of specialty nurses’ work engagement, the standardised score for work attitude was the highest (4.54±0.56), followed by work values (4.46±0.64); the standardised score of work enthusiasm and focus was the lowest (4.22±0.64). Additionally, role ambiguity (r=−0.352, p<0.001), role conflict (r=−0.367, p<0.001), role overload (r=−0.313, p<0.001) and role stress (r=−0.380, p<0.001) were negatively correlated with work engagement. The total score of role stress was negatively correlated with the total score of work engagement; the results of ridge regression analysis showed that age, professional title and role stress explain 14.6% of the variance in work engagement.ConclusionOur study found that specialty nurses’ work engagement was mid-level or above. Role stress was significantly and negatively correlated with specialty nurses’ work engagement, which was an important predictor of their work engagement. Nursing managers should instate effective measures to reduce role stress, thereby increasing work engagement.
ObjectivesSpecialty nurses play a significant role in improving patient care; however, little is known about the factors affecting their work engagement. This study aimed to explore the relationship between role stress and work engagement among specialty nurses in China.DesignA descriptive, cross-sectional study was applied in this study.SettingThe study was conducted in the Henan Provincial People’s Hospital in China.ParticipantsFrom March to April 2023, we conducted a cross-sectional descriptive study, using convenience sampling to recruit 972 specialty nurses from 42 specialised fields in China.MethodsAn online questionnaire survey was conducted using the Basic Information Questionnaire, Role Stress Scale and Specialty Nurse Work Engagement Scale. The collected data were analysed by using SPSS 21.0 software. The differences in total work engagement scores between subgroups were investigated using a single-factor analysis of variance. A Spearman’s rank correlation and a Pearson’s correlation were used to determine the relationship between general information, role stress and work engagement. A ridge regression analysis explored the impact of role stress on work engagement.ResultsThe total score of role stress was (52.44±19.92) and the total score of work engagement was (140.27±17.76). Among the scores of various dimensions of specialty nurses’ work engagement, the standardised score for work attitude was the highest (4.54±0.56), followed by work values (4.46±0.64); the standardised score of work enthusiasm and focus was the lowest (4.22±0.64). Additionally, role ambiguity (r=−0.352, p<0.001), role conflict (r=−0.367, p<0.001), role overload (r=−0.313, p<0.001) and role stress (r=−0.380, p<0.001) were negatively correlated with work engagement. The total score of role stress was negatively correlated with the total score of work engagement; the results of ridge regression analysis showed that age, professional title and role stress explain 14.6% of the variance in work engagement.ConclusionOur study found that specialty nurses’ work engagement was mid-level or above. Role stress was significantly and negatively correlated with specialty nurses’ work engagement, which was an important predictor of their work engagement. Nursing managers should instate effective measures to reduce role stress, thereby increasing work engagement.
Background: Thriving at work positively impacts nurses’ work performance, and it reduces their burnout and turnover intention. However, the relationship between occupational future time perspective (OFTP) and thriving at work has not been examined among nurses. The aim of this study was to explore the relationship between occupational future time perspective and thriving at work, and to examine the chain mediating role of job crafting and work engagement in this relationship. Methods: This cross-sectional study involving 233 nurses was conducted via an online survey in a tertiary teaching hospital in China. Thriving at work, OFTP, job crafting, and work engagement were measured by the Thriving at Work Scale, the Occupational Future Time Perspective Scale, the Job Crafting Questionnaire, and the Utrecht Work Engagement Scale-9, respectively. The Process (version 3.5) plug-in of SPSS was used to analyze the mediation effects. Results: The results showed that OFTP was positively associated with thriving at work (β=0.654, p<0.001) among nurses. Job crafting(effect value=0.258, Bootstrap 95% CI: 0.116, 0.427) and work engagement (effect value=0.117, Bootstrap 95% CI: 0.044, 0.208) medicated the relationship between OFTP and thriving at work, respectively. Job crafting and work engagement played a chain mediating role in the correlation between OFTP and thriving at work (effect value=0.180, Bootstrap 95% CI: 0.099, 0.275). Conclusion: This study found that OFTP directly and indirectly affects thriving at work through job crafting and work engagement. Organizations should provide nurses with more opportunities for career development to develop their OFTP in order to motivate job crafting and work engagement, ultimately fostering thriving at work.
Background: Assessing the elements of nursing practice environments is crucial, as investing in their improvement will enhance outcomes for nurses, patients, and organizations. Moreover, comparing practice environments from different countries improves the definition of cross-cutting guidelines that can be applied in various contexts. Thus, this study aims to evaluate nursing practice environments in hospitals in Portugal and Brazil. Methods: A multicenter and cross-sectional study was conducted in eight Portuguese and eight Brazilian hospitals. Five hundred eighty-two nurses completed a survey regarding their sociodemographic and professional attributes, as well as the Scale for the Environments Evaluation of Professional Nursing Practice. The data were subjected to comparative analyses between the two countries. We adhered to ethical requirements in both participating countries. Results: In Brazil, the Structure, Process, and Outcome components were considered favorable to the quality of care and well-being of nurses. In Portugal, nurses considered the Structure and Outcome components favorable and the Process component very favorable. Statistically significant differences were found between the two countries in several dimensions of the three subscales. The Structure and Outcome components scored significantly better in hospitals in Brazil, and the Process component scored better in Portuguese hospitals. Conclusions: These conclusions underscore the urgent need for investment in continuous training and a culture of evaluation that promotes continuous improvement. Additionally, promoting the involvement and participation of nurses could simultaneously contribute to the development of more sustainable health systems.
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