Nursing Work Research Articles

Application of PDCA cycle management to improve the nursing quality and work enthusiasm of nursing staff in the Geriatric Department

Application of PDCA cycle management to improve the nursing quality and work enthusiasm of nursing staff in the Geriatric Department

Work Engagement Relationship With Nurse Intention Turnover At Porsea Hospital

Work engagement can be one of many predictors of turnover intention in nurses. Turnover intention can be minimized, so that it can reduce the nurse turnover rate in a company. The purpose of this study was to determine the relationship between work engagement and nurse turnover intention. This study used a cross-sectional design with chi-square test. This research was conducted in September – December 2023, with 140 nurses as the sample. The sampling technique used in this study was stratified random sampling. Based on the results of the analysis between turnover intention and work engagement has got p-value = 0.001 (p <0.05) was obtained and the results of the analysis between the characteristics of nurses and turnover intention showed has got p-value = 0.244 -0.831 (p <0.05). The conclusion of this study is that there is a significant relationship between turnover intention and work engagement at Porsea Hospital and there is no relationship between nurse characteristics and the incidence of nurse turnover intention at Porsea Hospital. It is expected that the hospital management can maintain a good level of work engagement in hope it can reduce nurse turnover rates. Hospitals can facilitate various things that support work engagement, such as a good environment, adequate compensation, and feedback the work of nurses.

Nurses' Knowledge, Attitude, and Work Fatigue with Needle Sticks

Nurses' Knowledge, Attitude, and Work Fatigue with Needle Sticks

Pengembangan Dokumentasi Intervensi Keperawatan OTEK Berbasis EMR untuk Peningkatan Kinerja Perawat

This study aims to describe to utilize electronic medical records (EMR) for clinical practice, research, education and surveillance. The research method uses systematic review was prepared based on Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). This study used 8 articles that met the inclusion criteria. The results showed that literature search yielded 12,678 articles (337 from Scopus, 3,414 from Science Direct, 8,880 from Proquest and 47 from Pubmed). The research above explains that digitization in hospital nursing holds promise for changing the organization of care processes and, therefore, providing relief for nursing staff shortages. While advanced technology solutions and many application fields, comprehensive implementation remains challenging. Many publications show that electronic medical records (EMR) can make an important contribution to improving service quality. In conclusion, the results of this systematic review provide evidence for policy makers to be able to consider the development of EMR-based OTEK nursing intervention documentation for improving performance. Keywords: Nursing documentation, EMR, Nurse Performance, Nurse working time.

Relationship between nurses' resilience and quality of professional life.

This study aimed to investigate the correlation between the resilience levels of nurses and qualit of their professional life. Nurses' resilience level can affect their professional qualityof life. A higher resilience level enables them to manage stress and overcome challanges more effectively leading to enhanced patient care and satisfaction. Coversly, lower resiliance can lead to burnout, negatievly impacting both the nurses' wellbeing and the quality of service delivered to patients. It is crucial to understand the correlation between the professional life quality and resilience of nurses working in difficult conditions. This correlational study was conducted between September 2021 and February 2022. A total of 276 nurses were included in the study. Data were collected using the Demographic Data Form consisting of sociodemographic characteristics, the Professional Quality-of-Life Scale, and the Resilience Scale for Adults. The resilience score was above average, and the professional quality of life was high. Compassion satisfaction and compassion fatigue, which are components of professional quality of life, were moderate, and the burnout level was low. A robust positive correlation was observed between resilience and the professional quality of life. The linear regression model showed that choosing the profession unwillingly, dissatisfaction with the unit in which one works, and the level of psychological resilience are independent factors of professional quality of life. According to the findings, high psychological resilience increases the quality of professional life. Resilience, choosing nursing willingly, and liking the unit in which one works are determinants of professional quality of life. Enhancing the professional quality of life of nurses has important individual, institutional, and social consequences. Enhancing resilience has the potential to elevate the quality of professional life. Hence, it is important to develop national and international policies and models. Additionally, managers bear significant responsibilities in ensuring a positive work environment. Undoubtedly, having nurses work in units they like, feel happy in, and prefer will increase their professional quality of life and make positive contributions to patient care, the institution, and society.

A Study to Assess the Effectiveness of Extension Exercise on Low Back Pain among Staff Nurses Working in Shri Vinoba Bhave Civil Hospital, Silvassa

Introduction: Pain is an unpleasant sensory and emotional experience associated with actual and potential tissue damage. Its stimulus is physical and/or mental in nature. Globally, about 40% of people have LBP at some point in their lives, with estimates as high as 80% of people in the developed world. Approximately 9 to 12% of people (632 million) have LBP at any given point in time, and nearly 25% report having it at some point over any one-month period. Exercise appears to be useful for preventing low back pain. Exercise is also probably effective in preventing recurrences in those with pain. Aim: The main aim of the study was to assess the effectiveness of extension exercise on low back pain among staff nurses working in Shri Vinoba Bhave Civil Hospital, Silvassa. Materials and Methods: A Pre-experimental one group pre-test post-test design was adopted for the study. 60 patients were selected by using non-probability consecutive (total enumeration) sampling technique. Data was collected by self-administered structured questionnaire and level of low back pain with numerical pain rating scale. Result: The result of the study shows that in the pre-test the mean pain score was 4.23, with standard deviation of 1.12 and mean % 42.3, whereas in the post-test mean pain score was 0.95 with standard deviation of 1.03 and mean % 9.5. The effectiveness of mean % was 32.8. This reveals that the extension exercise was effective in reducing the low back pain among staff nurses. Conclusion: It was concluded that the extension exercise was effective on reducing low back pain among staff nurses working in Shri Vinoba Bhave Civil Hospital, Silvassa. Keywords: Extension exercise, low back pain, staff nurses.

Job Satisfaction among the Nurses Working in Government and Private Hospital in Eastern Part of Nepal

Nursing is a profession which directly deals with the health of the human being. It requires competence, compassion and genuine commitment. So, job satisfaction among the nurses remains the matter of concern because it directly impacts the quality of patient care. The objective of the Study is to assess the level of satisfaction among the nurses.
 A descriptive Cross-Sectional study was conducted by using self-administered questionnaire among 200 nurses working in different Governmental and Private Hospital in Eastern Part of Nepal. Data was collected from 2080/1/1/ to 2080/6 30. Job Satisfaction was measured by using five-point Likert scale type questionnaire. Descriptive statistics; Mean, Standard Deviation, Percentage and inferential statistics co-relation analysis were utilized to examine data and draw meaningful insight. The findings of the study revealed that 54.5% (109) respondents were satisfied with their job and 45.5% (91) respondents were unsatisfied with their job. Based on the weighted mean score satisfaction level was assessed where the weighted mean was 3.105. Finding showed that there is significant relationship of job satisfaction with salary and type of hospital and there is no any relationship of job satisfaction with designation, age, qualification, marital status and work experience. Level of job satisfaction is more in government hospital than the private hospital. There is significant relationship between level of job satisfaction with its different components and there is significant differences in level of job satisfaction among nurses between government and private hospital.
 The study was aimed to find out the job satisfaction among nurses. Based on the findings more than half of the nurses were satisfied with their job and it is also showed that there is significant relationship of job satisfaction with salary and type of hospital. There are various factors where nurses are not satisfied such as; job security, self-growth and development, salary, working condition and hospital environment. If there are dissatisfied, they may stimulate the nurses to intend to leave their job/centers. For the quality care to the patient in hospital nurses’ source of job dissatisfaction must be addressed and managed.

Factors Affecting Nursing Work Teams: A Cross-Sectional Study in Teaching Hospitals Affiliated with Shiraz University of Medical Sciences

Background: Nurses, as vital members of healthcare system, play a crucial role in improving society's health, which makes it very important to develop work teams among them. This study aims to investigate the factors affecting nursing work teams in teaching hospitals affiliated with Shiraz University of Medical Sciences in 2022.
 Methods: This study was a cross-sectional study conducted in 2022 on a sample of 267 nurses from teaching hospitals affiliated with Shiraz University of Medical Sciences who were selected using simple random sampling and the stratified method proportional to the size. Data collection tool used in this study was a valid and reliable questionnaire comprising 2 parts: nurses' demographic characteristics and 39 items related to factors affecting work teams. Data analysis was performed using SPSS 23 software through Spearman correlation coefficient, Mann-Whitney, and Kruskal-Wallis tests, and finally, multiple linear regression (the Backward method).
 Results: The results showed that the dimensions of "team goals" (22.93 ± 5.44) and "personality traits" (8.41 ±1.79) obtained the highest and lowest mean scores, respectively. Furthermore, the results of linear regression analysis showed that the effectiveness of work teams had a significant inverse relationship with the number of shifts (p = 0.034) and a significant direct relationship with employment in the intensive care units (p = 0.032).
 Conclusion: Based on the findings, several suggestions can be made to enhance the effectiveness of nursing work teams, including hiring adequate staff to reduce the number of nurses' work shifts, particularly in the intensive care units, ncouraging other hospital wards to follow the example of the work in intensive care units, establishing a system for determining and adjusting nurses' work shifts based on their opinions and priorities, conducting monthly, quarterly, and annual assessment based on attendance and participation in nursing work teams, encouraging more active nurses in this field, and considering various rewards for effective nursing work teams.

Analysis of the Relationship Between Job, Life Satisfaction and Teamwork Attitudes of Intensive Care Nurses Working in a Turkish Public Hospital

Objective: The aim of this study was to determine the relationship between work, life satisfaction levels, and teamwork attitudes of intensive care nurses who work in a public hospital in Turkey.
 
 Methods: This was a descriptive and correlational study. The sample consisted of nurses working in intensive care units. Tools used to collect data were the “Sociodemographic Question Form,” “Nurse Job Satisfaction Scale” “Life Satisfaction Scale” and “Teamwork Attitudes Questionnaire” were used to collect the data.
 
 Results: A total of 217 nurses participated. In the study were a mean age of 35.32 ± 7.70. Most, 78.2% of the participants (n=170) were female, 65.90% (n=143) were graduates, 67.70% (n=147) were married, and 62.7% (n=136) had children. In this study, the LSS, NJSS, and T-TAQ scores for Intensive Care Nurses (ICNs) were determined to be 14.21 ± 4.28, 84.34 ± 16.71, and 99.11 ± 21.48, respectively. The respondents reported moderate and high scores on all three scales, and these scores positively correlated at the same time.
 
 Conclusion: In this study, which explores the interrelationships among these three distinct domains, is unusual in this regard. There was a positive correlation between the scores on the LSS, NJSS and T-TAQ in this study. It was determined that there was a positive relationship between LSS, NJSS and T-TAQ. Each scale score affects the scores of other scales. In our study, it can be said that ICNs' job satisfaction, life satisfaction and teamwork attitude levels are at medium level and above. Academicians, chief nurses, institution managers, and health system managers play important roles in the satisfaction of nurses whose satisfaction level is high.

Digital cognitive behavioural therapy for insomnia reduces insomnia in nurses suffering from shift work disorder: A randomised-controlled pilot trial.

Insomnia is a primary symptom of shift work disorder, yet it remains undertreated. This randomised-controlled pilot trial examined the efficacy of a digital, guided cognitive behavioural therapy for insomnia adapted to shift work (SleepCare) in nurses with shift work disorder. The hypothesis was that SleepCare reduces insomnia severity compared with a waitlist control condition. A total of 46 unmedicated nurses suffering from shift work disorder with insomnia (age: 39.7 ± 12.1 years; 80.4% female) were randomised to the SleepCare group or the waitlist control group. The primary outcome measure was the Insomnia Severity Index. Other questionnaires on sleep, mental health and occupational functioning, sleep diary data and actigraphy data were analysed as secondary outcomes. Assessments were conducted before (T0), after the intervention/waitlist period (T1), and 6 months after treatment completion (T2). The SleepCare group showed a significant reduction in insomnia severity from T0 to T1 compared with the control condition (β = -4.73, SE = 1.12, p < 0.001). Significant improvements were observed in sleepiness, dysfunctional beliefs about sleep, pre-sleep arousal, sleep effort, self-reported sleep efficiency and sleep onset latency. No significant effect was found in actigraphy data. Depressive and anxiety symptoms, cognitive irritation and work ability improved significantly. Overall, satisfaction and engagement with the intervention was high. SleepCare improved insomnia severity, sleep, mental health and occupational functioning. This is the first randomised-controlled trial investigating the efficacy of digital cognitive behavioural therapy for insomnia in a population suffering from shift work disorder with insomnia. Future research should further explore these effects with larger sample sizes and active control conditions.

Outcomes of an Interprofessional Opioid Training Program for Graduate Students in Nursing and Social Work

ABSTRACT Social workers and other behavioral health professionals trained to provide prevention, treatment, and recovery services for opioid use disorders (OUD) remain urgently needed in the U.S. particularly in states with widespread health professional shortage areas. To help mitigate this workforce gap, faculty in social work and nursing at a public university in Alabama developed and piloted an innovative HRSA-funded interprofessional traineeship to prepare graduate-level nursing and social work students to assess and treat opioid use disorders (OUD). The yearlong traineeship included specialized coursework on evidenced-based practice in addictions, interprofessional telemedicine and simulation training, and multi-semester field practica in outpatient treatment settings. Impact of the pilot training was evaluated using a pre-experimental one group design. Baseline and post-training surveys assessed knowledge, attitudes, and skills related to OUD and interprofessional practice and perceived program impact. Significant increases were observed for trainees’ self-reported knowledge, attitudes, and skills. Moreover, at graduation students reported that the traineeship had improved their abilities to interact with underserved populations, collaborate interprofessionally, and understand ethical issues in SUD treatment as well as enhancing their professional competence, clinical problem-solving, and health workforce skills. Findings suggest that the interprofessional training program may prepare social work and nursing graduate students to effectively serve clients with OUD and help to address a critical workforce gap in medically underserved communities.

The Relationship of Work Stress and Workload to Work Fatigue in Nurses During The Covid-19 Pandemic

The improvement of the quality of hospital services continues to be done by evaluate fatigue of nurse work. Nurse work fatigue is a complete criterion not only regarding fatigue that is physical and psychological only, but has more to do with a decrease in physical performance, feeling tired, decreased motivation, and decreased work productivity. One of the factors that affect nurse ape fatigue is workload and work stress. The method is qualitative, using design cross sectional study, carried out in February - March 2022. The sample in this study was 64 nurses, taken with the technique of total sampling. Using univariate, bivariate analysis (with Chi Square test). This study shows that most respondents at Bintaro IMC Hospital have heavy workload (67%), very heavy (33%) and work stress with heavy category (75%) and nurse fatigue in high category (36%), very high (23%), then there is a relationship of workload and stress of nurses to nurse work fatigue at IMC Bintaro Hospital (P Value = 0.000).&#x0D; &#x0D; Keywords: Workload, Work Stress, Work Fatigue

Clinical nurse managers' leadership styles and staff nurses' work engagement in Saudi Arabia: A cross-sectional study.

Effective nurse leadership enhances nurse welfare, improves patient care, and increases organisational success. A lack of adequate, supportive leadership significantly contributes to many nurses leaving the profession. Nurse managers need to prioritise engagement and retention as significant focus areas to address the nursing shortage in Saudi Arabia and accomplish the national program's objectives. To examine the correlation between the leadership styles of clinical nurse managers and staff engagement. This study used a descriptive, cross-sectional, correlational design. The leadership styles of clinical nurse managers were evaluated using the Multifactor Leadership Questionnaire (MLQ-5X). Work engagement was assessed using the Utrecht Work Engagement Scale (UWES). Questionnaires were distributed to 450 nurses in four public hospitals in western Saudi Arabia. Non-probability convenience sampling was used to collect the data. A total of 278 nurses from a range of clinical areas participated in the survey, which revealed that the leadership styles of clinical nurse managers positively or negatively impact nurse work engagement. Most clinical nurse managers exhibit transformational leadership, followed by transactional, then passive-avoidant styles. Respondents displayed a high level of work engagement, emphasising the positive impact of transformational and transactional leadership on work engagement outcomes. The findings showed significant differences in leadership styles and work engagement levels between Saudi and non-Saudi nurses across various dimensions. Understanding the effect of leadership styles employed by nurse managers on work engagement can positively impact staff retention rates and the quality of patient care. Nurse managers should participate in training programs to enhance their practical leadership skills to enhance the work engagement levels of nurses. Nurse work engagement can be improved by establishing training programs that promote effective leadership and highlight the significance of various leadership styles and their subsequent impact on nurse work engagement. Nursing students should receive education on leadership styles. Nursing leaders should be given access to mentoring programs and opportunities for career advancement to support the introduction of effective leadership styles.

Risk Factors Associated with Medication Administration Errors in Children: A Prospective Direct Observational Study of Paediatric Inpatients.

Limited evidence exists regarding medication administration errors (MAEs) on general paediatric wards or associated risk factors exists. The aim of this study was to identify nurse, medication, and work-environment factors associated with MAEs among paediatric inpatients. This was a prospective, direct observational study of 298 nurses in a paediatric referral hospital in Sydney, Australia. Trained observers recorded details of 5137 doses prepared and administered to 1530 children between 07:00h and 22:00h on weekdays and weekends. Observation data were compared with medication charts to identify errors. Clinical errors, potential severity and actual harm were assessed. Nurse characteristics (e.g. age, sex, experience), medication type (route, high-risk medications, use of solvent/diluent), and work variables (e.g. time of administration, weekday/weekend, use of an electronic medication management system [eMM], presence of a parent/carer) were collected. Multivariable models assessed MAE risk factors for any error, errors by route, potentially serious errors, and errors involving high-risk medication or causing actual harm. Errors occurred in 37.0% (n=1899; 95% confidence interval [CI] 35.7-38.3) of administrations, 25.8% (n=489; 95% CI 23.8-27.9) of which were rated as potentially serious. Intravenous infusions and injections had high error rates (64.7% [n=514], 95% CI 61.3-68.0; and 77.4% [n=188], 95% CI 71.7-82.2, respectively). For intravenous injections, 59.7% (95% CI 53.4-65.6) had potentially serious errors. No nurse characteristics were associated with MAEs. Intravenous route, early morning and weekend administrations, patient age ≥ 11 years, oral medications requiring solvents/diluents and eMM use were all significant risk factors. MAEs causing actual harm were 45% lower using an eMM compared with paper charts. Medication error prevention strategies should target intravenous administrations and not neglect older children in hospital. Attention to nurses' work environments, including improved design and integration of medication technologies, is warranted.

Measuring the Nursing Work Environment during Public Health Emergencies: Scale Adaptation and Validation

Aim. To develop a scale for measuring nurse’s perceived work environment during the public health emergencies (PHEs) and assess its reliability and validity. Background. Although there is extensive research on instruments for measuring nursing work environments in regular healthcare settings, there is a lack of specific scales tailored to address the unique work conditions experienced by nurses during PHEs. Design. This study employed a cross-sectional design for psychometric evaluation and adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement. Methods. A self-report scale, the Chinese Nursing Work Environment Scale for Public Health Emergencies (C-NWE-PHE), was developed, integrating situational characteristics. Data on demographics, adapted scale scores, and subjective evaluations of nursing management performance were collected from 1156 nurses through online surveys conducted between January 2023 and March 2023. Confirmatory factor analysis, Pearson correlations, and Cronbach’s alpha analyses were conducted to evaluate the psychometric properties of the scale. Results. The adapted C-NWE-PHE scale comprised 28 items organized into five subscales: Workforce and Deployment Support, Leadership and Emergency Management, Autonomy and Empowerment, Teamwork and Collaboration, and Logistics and Humanistic Care. Structural equation modelling showed satisfactory factor loadings for each subscale and a good model fit, confirming construct validity. The content validity and reliability of the total scale were confirmed. Conclusion. This study provides empirical evidence for understanding and assessing the nursing work environment during PHEs with a psychometrically sound scale. Implications for Nursing Management. The C-NWE-PHE scale, along with its five identified constructs, provides a nuanced comprehension of working conditions amid PHEs. Implementing this scale could foster specific enhancements, support nurse retention efforts, and enhance the effectiveness of responses during challenging emergency situations.

On the work of nurses in the neurosurgical department

The actual problems faced by nurses in the neurosurgical unit are among the key challenges for the professional community. This department specializes in the treatment of patients with pathologies such as head injuries, brain tumors, strokes and epilepsy. The exceptionally high degree of complexity and responsibility of this area makes it a continuous research field for the nurses who make up the bulk of the nursing staff in this unit. Innovations and modern treatments are emerging almost every day, requiring nurses to become comprehensive experts in their field. Patients suffering from serious disorders often require special care and emotional support. Nurses in the neurosurgical unit experience the stress of overseeing ethically challenging situations, interacting with patients experiencing painful symptoms, and dealing with the unpredictability and unknown outcomes of treatment processes.

WORK ENGAGEMENT AND ITS RELATIONSHIP WITH JOB RESOURCES AMONG NURSES WORKING IN THE EMERGENCY DEPARTMENTS IN THE HOSPITALS OF TABRIZ

WORK ENGAGEMENT AND ITS RELATIONSHIP WITH JOB RESOURCES AMONG NURSES WORKING IN THE EMERGENCY DEPARTMENTS IN THE HOSPITALS OF TABRIZ

Problems of nursing staff in the ophthalmology department

The nurse plays an integral and important role in the health care system, providing direct medical care and supporting the effective work of physicians. One of the most demanding and responsible departments where nurses work is the ophthalmology department. The importance of the work of a nurse in ophthalmology cannot be overemphasized. They help doctors in the diagnosis and treatment of eye diseases, monitor the condition of patients before and after surgical interventions, as well as carry out preventive measures to maintain the health of the organ of vision. Without their professional skills and hard work, it is impossible to provide effective and safe treatment of eye diseases. Despite the challenges, the nurse in the ophthalmology department plays an indispensable role in ensuring the health and well-being of patients.

Virtual Interprofessional Education: Team Collaboration in Discharge Planning Simulation.

This study assessed the effectiveness of a virtual interprofessional education (IPE) discharge planning simulation, focusing on collaborative patient education, and recommendations for hospital discharge. An acute care hospital. The study utilized a virtual IPE discharge planning simulation for health care students from six different programs. The simulation involved prebriefing, icebreaker, team meeting, patient interaction, and debriefing. Assessment included pre- and post-IPE surveys that included the Interprofessional Education Collaborative (IPEC) Competency Self-Assessment Tool, and video analysis using the Modified McMaster-Ottawa Rating Scale. Student participants from diverse health care programs ( n =143) included nursing ( n = 20), occupational therapy ( n = 21), physical therapy ( n = 42), physician assistant ( n = 38), respiratory therapy ( n = 3), and social work ( n = 19). All programs except respiratory therapy showed significant improvement in IPEC Competency scores post-IPE, with positive outcomes for understanding other professions' roles. Students' self-reported perceptions of team performance were rated highly in various categories. Video analysis demonstrated strong interrater reliability for team scores. Effective hospital discharge planning is vital for cost reduction and patient care improvement. IPE emphasizes collaborative learning among health care students. Previous studies highlight positive outcomes from IPE discharge planning, including virtual formats. This virtual IPE discharge planning simulation significantly improved students' understanding and collaboration competencies, evident in increased IPEC scores across five professions.

A cross-sectional study of the relationship between premenstrual syndrome and missed nursing care among female nursing staff

PurposePremenstrual syndrome (PMS) is a cyclical psychosomatic disorder prevalent among women of reproductive age. However, research on the potential impact of PMS on routine nursing schedules and activities is limited. This study aims to identify the prevalence of PMS among female nursing staff and to examine the relationship between PMS and missed nursing care (MNC). MethodBetween November 1, 2022, and April 30, 2023, this study was conducted among female nursing staff working in nine inpatient departments at Sun Yat-sen University Cancer Center. This study used a cross-sectional design. The participants were recruited through convenience sampling. Data were collected using the standardized Menstrual Distress Questionnaire, the Oncology Missed Nursing Care self-rating scale, and a sociodemographic questionnaire. One-way analysis of variance, Fisher's least significant difference test for post-hoc comparisons, and Spearman's correlation coefficient were utilized for data analysis. A trend test was also performed to explore patterns in the severity of PMS and MNC over time. ResultsWe collected a total of 224 questionnaires, with 154 (68.7%) female nursing staff reporting PMS. The most common symptoms were low back pain (91.1%), abdominal discomfort (90.6%), cold hands and feet (87.1%), and lethargy (87.1%). Moreover, 91.5% of the 224 female nursing staff reported at least one MNC activity. The nursing activities most frequently missed or left incomplete were liquid intake and output monitoring as ordered (43.3%), medication administration within 30 min before or after the scheduled time (43.3%), and electrocardiogram monitoring as ordered (42.9%). “Abdominal discomfort” from the Menstrual Distress Questionnaire was significantly correlated with the majority of MNC activities (p < 0.001). ConclusionsThis study provides evidence for a strong association between PMS and MNC among female nursing staff, suggesting that administrators should take the premenstrual conditions of female nursing staff into consideration. It is necessary to provide appropriate understanding and support to mitigate the impact on patient care and safety.