Senior Nurses Research Articles

Evaluation of the Effectiveness of the Competency Model for Nursing Managers in the Training of Newly Appointed Head Nurses

Objective: To explore the effectiveness of the competency model for nursing managers in the training of newly appointed head nurses. Methods: Eighteen newly appointed head nurses from Yichang Central People’s Hospital, selected between August 2023 and July 2024, were chosen as the research subjects. Based on the nursing manager competency model, corresponding training programs were developed, and these 18 head nurses were trained accordingly. Results: After the training, all newly appointed head nurses passed the theoretical assessments, with a pass rate of 100.00%. The pass rates for two rounds of assessment were 100.00% and 94.54%, respectively. There was no significant difference in the performance evaluation scores between new and senior head nurses in terms of standardized services, nursing quality, nursing research and teaching, and patient satisfaction (P > 0.05). Conclusion: The competency model for nursing managers has a significant effect on the training of newly appointed head nurses. It effectively enhances management awareness, facilitates role transition, and, to some extent, improves the management and leadership capabilities of head nurses. It holds high value for broader implementation.

Impact and cost-effectiveness of synergy between embedded palliative care and quality improvement teams on EOL quality metrics and resources utilization in a community-based oncology practice.

32 Background: There is evidence that Palliative Care (PC) brings value to health care organizations by positively affecting outcomes and quality-of-care metrics, however hiring a full PC team may be challenging for community practices. This report describes the impact on end-of-life (EOL) quality metrics of a close collaboration between an embedded PC provider and the Quality Programs and Process Improvement (QPPI) team in a community-based oncology practice. Methods: Blue Ridge Cancer Care (BRCC) hired a PC physician in October of 2021 and in the following months created a QPPI team composed of a Senior Director, Nurse Navigators, Social Worker, and Health Equity Administrator. The PC provider and QPPI team established a close collaboration to optimize support and referrals to PC for patients with advanced cancer. This retrospective cohort review compared patients who received PC with those who did not. Metrics reviewed where hospice admissions and hospice length of stay (LOS) categorized in average LOS, >3 days and >30 days. Results: BRCC serves about 15,000 active patients a year, with more than 6,000 new consults, and a total of more than 60,000 visits. This analysis reviewed a total of 3,352 decedents from October 2021 through April 2024. Cumulative data are shown (Table). Conclusions: Our experience suggests that PC embedded in an Oncology practice can collaborate with the existing QPPI team to improve EOL quality metrics and save resources. Patients with PC Patients without PC Admitted to hospice 61% (n=166) 30% (n=962) Hospice > 3 days 84% (n=140) 52% (n=477) Hospice LOS >30 days 43% (n=71) 22% (n=202)

Undergraduate Senior Nursing Students' Perceptions of Beneficial Prebriefing Practices.

Examining nursing students' perceptions of prebriefing and what components are most effective in preparation for simulation may help standardize prebriefing and enhance learning experiences. This qualitative descriptive study explored the perceptions of prebriefing, prework assignments, and what methods of prebriefing increased self-confidence when undergraduate nursing students participated in simulation. An inductive approach to content analysis was used to interpret the data. Two themes that emerged from the data were preparation is essential to simulation success and preparation is essential to future success. Additionally, five subthemes were identified: understanding content in advance, logistical clarity, well-prepared students are invested, increased self-confidence, and pride in education and learning. Prebriefing is essential to simulation and undergraduate nursing student success. Although prebriefing practices vary between educators, undergraduate nursing students valued prework and expressed a preference for written assignments. Overall, students perceived prework as increasing their self-confidence during simulation. [J Nurs Educ. 2024;63(10):693-697.].

Formation of Personnel Management Competencies among Bachelors of Nursing at Tyumen State Medical University

The discipline "Human Resources Management in a Medical Organization", included in the educational program for training bachelors in nursing at Tyumen State Medical University, includes two modular units: Fundamentals of Human Resources Management and Human Resources Management in a Medical Organization. Its relevance is confirmed by the results of employment of bachelors in nursing as senior nurses, continuity of training in the master's program in Nursing Management, and the opinion of employers.

Age and expertise: The effects of ageism on professional recognition for senior nurses

This study explores the dual challenges of ageism and professional recognition faced by senior nurses in healthcare settings. Utilizing a phenomenological approach, we conducted semi-structured interviews with 20 registered nurses aged 50 and older in Abha City, Saudi Arabia. The analysis revealed four key themes: experiences of ageism, its impact on professional roles, discrimination and stigmatization, and the need for organizational support. Findings indicate that age-related biases lead to significant professional marginalization, reduced job satisfaction, and emotional distress among senior nurses. The study highlights the critical need for comprehensive policies, organizational support, and cultural changes to address ageism and recognize the valuable contributions of senior nurses. Promoting an inclusive work environment and equitable professional development opportunities can enhance the overall quality of care and job satisfaction for older nurses.

The importance of scientific and practical conferences in continuing medical education

The work is devoted to assessing the perception of scientific and practical conferences by secondary medical professionals as one of the forms of continuing professional education based on the analysis of the results of a survey of 67 study participants, including 9 main, 31 senior, 27 procedural and ward nurses. The average age of the respondents who voluntarily filled out the questionnaires was 48.2±2.24 years, the total length of service was 28.1±5.7 years, and the length of service in the current position was 9.8±3.5 years. Everyone was satisfied with the quality, the form of presentation, the novelty of the information, noted the high methodological level, thorough planning and strict compliance with the regulations.Most of the study participants noted the need for electronic resources for continuing medical education, but noted the importance of face-to-face conferences, including for the exchange of experience.

A study of attention allocation mode in clinical decision-making in nurses with different professional titles: An eye-tracking experiment

Abstract Objective: The aim of this experiment was to investigate the way in which attention is allocated in the clinical decision-making process of nurses of different professional ranks and titles and associated factors. Methods: Seventy-six subjects from the emergency departments of 3 hospitals in Beijing were recruited in this experiment using the convenience sampling method, including 28 junior nurses, 24 senior nurses, and 24 supervisor nurses. Subjects were required to complete clinical decision tasks, and data on subjects’ visual behavior were recorded and analyzed using a Tobii Pro eye-tracker during the decision-making process. Results: Nurses with high professional titles had a higher correct response rate in the nursing diagnosis and ranking of nursing diagnoses part (P < 0.05), and it was found that nurses with high professional titles would pay attention to pathophysiological mechanisms of illness earlier when making decisions (F = 3.808, P = 0.024). The heat maps showed differences in the attention allocation modes of nurses with different titles during the decision-making process. Conclusions: Lower-titled nurses focused more on the symptoms and signs section when making clinical decisions and paid less attention to the auxiliary examination results section, demonstrating a poorer level of active attention. Nurses with higher titles were relatively more comprehensive in their distribution of attention to patient disease information when making decisions and paid attention to the information in the patient’s auxiliary examination section earlier.

Meeting Lucy Grey: A Suicidal Standardized Patient Experience for Senior Nursing Students.

Meeting Lucy Grey: A Suicidal Standardized Patient Experience for Senior Nursing Students.

Experiences of Generation Z Nurses Adapting to Work in a Tertiary Hospital: A Grounded Theory Study.

To investigate the adaptation process of Generation Z nurses at a tertiary hospital in Korea. This qualitative study using grounded theory. The participants were 17 Generation Z nurses who were working at tertiary hospitals in Korea. Data were collected through in-depth interviews from September 2022 to July 2023. Eight categories and 19 concepts were extracted. The core category was 'accepting deficient myself as a nurse in a vertical culture', which consisted of three phases: chaos, endeavouring to adapt and accepting myself. In the adaptation process at the tertiary hospital, most of the participants felt embarrassed by tasks. The most of them tended to stay away from stressors and endeavour to improve their competence. The participants who had familiarity and a sense of belonging and achievement tended to acknowledge themselves. This study provides help in suggesting the importance of a horizontal organisational culture to Generation Z nurses. Also, the support of senior nurses is needed to encourage Generation Z nurses to accept deficient themselves. Generation Z nurses tended to feel confused by the vertical culture, uncertainty of work and daunting tasks; excessive criticism and rebuke seems to make Generation Z nurses feel a sense of shame. The family-centred culture of nursing organisations could cause conflicts for Generation Z nurses who tend to separate their personal lives from work. Generation Z nurses had no difficulty acquiring knowledge because they had the skills to search for the necessary information, but they experienced difficulty applying this knowledge in practice and becoming familiar with their role as a nurse. We adhered to relevant EQUATOR guidelines of the Consolidated Criteria for Reporting Qualitative Research (COREQ). No patient or public involvement.

Incivility in Nursing Education: Experiences of Under-Graduate Nursing Students

Incivility in nursing education is a pervasive issue that significantly impacts nursing students' clinical experience and psychological well-being. This study explored the forms and frequency of incivility encountered by clinical nursing students, documented its impacts and the coping mechanisms employed, and provided recommendations for interventions. A qualitative research approach involved focus group discussions with nursing students from Ambrose Alli University. The data was transcribed and analyzed thematically. The findings revealed that nursing students frequently experience various forms of incivility, including verbal abuse, inappropriate behaviour, and unprofessional conduct from senior nurses. These behaviours led to demotivation, frustration, and psychological stress, adversely affecting students' clinical learning experiences. Coping mechanisms identified included avoidance, confrontation, and normalization, indicating a need for more effective support systems. Participants suggested several interventions to mitigate incivility, such as implementing robust regulatory frameworks, enhancing institutional support, providing education and training for senior nurses, and establishing clear reporting mechanisms. The recommendations emphasize the importance of creating a respectful and supportive learning environment for nursing students. The study's findings align with existing literature on the negative impacts of incivility in nursing education and underscore the critical need for comprehensive strategies to address this issue. Educational institutions should integrate professionalism and ethics into the curriculum, establish strong mentorship programs, and monitor clinical placements. Healthcare organizations must implement and enforce policies against incivility, provide continuous professional development, and encourage positive behaviours. Future research should focus on expanding the sample size, conducting longitudinal studies, and evaluating the effectiveness of interventions across different contexts. Addressing incivility is essential for the professional development of nursing students and the overall quality of patient care, ensuring a competent and resilient nursing workforce.

A cross-sectional study on Chinese senior nurses’ knowledge and attitudes toward nurse practitioners

BackgroundNurses represent China’s largest healthcare workforce. Nurse practitioners (NPs) play an essential role in providing cost-effective quality healthcare and bridging the healthcare gaps. However, NPs are relatively new in China, and limited evidence exists on senior nurses’ knowledge of and attitudes toward NPs.AimsThis study aimed to describe senior nurses’ knowledge, attitudes, and perceived facilitators and barriers of NPs in China using a self-designed, culturally adaptive questionnaire.MethodsA cross-sectional online survey was conducted among 412 senior nurses in Hunan Province from December 2021 to January 2022. The Knowledge and Attitudes towards Nurse Practitioners Questionnaire (KANPQ) was developed based on the Delphi method, which included 30 items under three dimensions: knowledge (22 items), attitude (2 items), and perceived facilitators and barriers (6 items). Multivariate linear regression was conducted to explore factors associated with senior nurses’ attitudes toward NPs.ResultsThe average KANPQ knowledge score was 68.56 ± 22.69, with 55.09%,10.20%, and 34.71% of participants showing good, moderate, and poor levels of knowledge, respectively. The average KANPQ attitude score was 7.79 ± 1.72, with 65.3% thinking NPs were necessary and 69.9% expressing willingness to become NPs. Nurses with higher professional titles and better knowledge of NPs had more positive attitudes toward NPs. The three most frequently mentioned barriers to NP implementation were patient trust, laws, and education.ConclusionsApproximately one-third of senior nurses have poor knowledge and negative attitudes toward NPs, indicating much room for improvement. Strengthening the education and training of NPs, especially among those with lower professional titles and lower knowledge of NPs, may help improve their knowledge and attitudes toward NPs. In addition, continuous political, social, economic, and individual efforts are needed to facilitate the successful development of NPs in China.

Knowledge of Hepatitis-B Management and its Prevention among the Senior Staff Nurses Working at Bangabandhu Sheikh Mujib Medical University (BSMMU)

Background: Hepatitis B, caused by the Hepatitis B virus (HBV), presents a significant global health challenge, especially in regions like Bangladesh where its prevalence is intermediate. The virus is transmitted through percutaneous or mucosal exposure to infectious blood or bodily fluids, posing a substantial risk to healthcare workers. Hepatitis B can lead to severe liver diseases if untreated. In Bangladesh, the burden of Hepatitis B is high, necessitating urgent intervention, particularly among healthcare professionals such as senior staff nurses who are on the frontline of managing and preventing the disease. Methods: This cross-sectional study assessed the knowledge levels of 210 senior staff nurses at Bangabandhu Sheikh Mujib Medical University (BSMMU) regarding Hepatitis B management and prevention. A structured questionnaire, translated into Bengali, was used for data collection through structured interviews. Convenience sampling was employed, and data were analyzed using SPSS (Version 24.0). Descriptive statistics and t-tests/ANOVA were used to explore the relationship between socio-demographic characteristics and nurses' knowledge about Hepatitis B. Ethical clearance was obtained from the Institutional Review Board (IRB) of BSMMU. Results: The majority of respondents were female (70%), aged below 30 years (59.5%), and had basic nursing education (89.5%). Most had 1-10 years of work experience (89%) and earned less than 35,000 BDT monthly (78.1%). Regarding vaccination, 64.3% had completed it, 26.7% were partially vaccinated, and 9% were unvaccinated. Occupational exposure to blood or body fluids was reported by 73.3% of nurses. Knowledge about Hepatitis B infection, transmission, and prevention was generally high, with 85.44%, 89.14%, and 85.11% of nurses demonstrating good knowledge in these areas, respectively. Marital status and vaccination status were significantly associated with higher knowledge levels (p < 0.05). Conclusion: Senior staff nurses at BSMMU exhibit substantial knowledge about Hepatitis B infection, transmission, and prevention. However, misconceptions persist regarding non-transmission routes and some preventive measures. Married nurses and those with complete vaccination status demonstrated higher knowledge levels. These findings highlight the need for targeted educational interventions to address knowledge gaps and reinforce preventive practices among nurses. This study underscores the importance of continuous education and vaccination programs to enhance the effectiveness of Hepatitis B management and prevention efforts in healthcare settings.

Factors influencing fidelity to guideline implementation strategies for improving pain care at cancer centres: a qualitative sub-study of the Stop Cancer PAIN Trial

BackgroundThe Stop Cancer PAIN Trial was a phase III pragmatic stepped wedge cluster randomised controlled trial which compared effectiveness of screening and guidelines with or without implementation strategies for improving pain in adults with cancer attending six Australian outpatient comprehensive cancer centres (n = 688). A system for pain screening was introduced before observation of a ‘control’ phase. Implementation strategies introduced in the ‘intervention’ phase included: (1) audit of adherence to guideline recommendations, with feedback to clinical teams; (2) health professional education via an email-administered ‘spaced education’ module; and (3) a patient education booklet and self-management resource. Selection of strategies was informed by the Capability, Opportunity and Motivation Behaviour (COM-B) Model (Michie et al., 2011) and evidence for each strategy’s stand-alone effectiveness. A consultant physician at each centre supported the intervention as a ‘clinical champion’. However, fidelity to the intervention was limited, and the Trial did not demonstrate effectiveness. This paper reports a sub-study of the Trial which aimed to identify factors inhibiting or enabling fidelity to inform future guideline implementation initiatives.MethodsThe qualitative sub-study enabled in-depth exploration of factors from the perspectives of personnel at each centre. Clinical champions, clinicians and clinic receptionists were invited to participate in semi-structured interviews. Analysis used a framework method and a largely deductive approach based on the COM-B Model.ResultsTwenty-four people participated, including 15 physicians, 8 nurses and 1 clinic receptionist. Coding against the COM-B Model identified ‘capability’ to be the most influential component, with ‘opportunity’ and ‘motivation’ playing largely subsidiary roles. Findings suggest that fidelity could have been improved by: considering the readiness for change of each clinical setting; better articulating the intervention’s value proposition; defining clinician roles and responsibilities, addressing perceptions that pain care falls beyond oncology clinicians’ scopes of practice; integrating the intervention within existing systems and processes; promoting patient-clinician partnerships; investing in clinical champions among senior nursing and junior medical personnel, supported by medical leaders; and planning for slow incremental change rather than rapid uptake.ConclusionsFuture guideline implementation interventions may require a ‘meta-implementation’ approach based on complex systems theory to successfully integrate multiple strategies.Trial registrationRegistry: Australian New Zealand Clinical Trials Registry; number: ACTRN 12615000064505; data: https://www.anzctr.org.au/Trial/Registration/TrialReview.aspxid=367236&isReview=true.

Nursing Team Composition and Mortality Following Acute Hospital Admission

Many studies show the adverse consequences of insufficient nurse staffing in hospitals, but safe and effective staffing is unlikely to be just about staff numbers. There are considerable areas of uncertainty, including whether temporary staff can safely make up shortfalls in permanent staff and whether using experienced staff can mitigate the effect of staff shortages. To explore the association of the composition of the nursing team with the risk of patient deaths. This patient-level longitudinal observational study was conducted in 185 wards in 4 acute hospital trusts in England between April 2015 and March 2020. Eligible participants were patients with an overnight stay and nursing staff on adult inpatient wards. Data analysis was conducted from month April 2022 to June 2023. Naturally occurring variation during the first 5 days of hospital admission in exposure to days of low staffing from registered nurses (RNs) and nursing support (NS) staff, the proportion of RNs, proportion of senior staff, and proportion of hospital-employed (bank) and agency temporary staff. The primary outcome was death within 30 days of admission. Mixed-effect Cox proportional hazards survival models were used. Data from 626 313 admissions (319 518 aged ≥65 years [51.0%]; 348 464 female [55.6%]) were included. Risk of death was increased when patients were exposed to low staffing from RNs (adjusted hazard ratio [aHR], 1.08; 95% CI 1.07-1.09) and NS staff (aHR, 1.07; 95% CI, 1.06-1.08). A 10% increase in the proportion of temporary RNs was associated with a 2.3% increase in the risk of death, with no difference between agency (aHR, 1.023; 95% CI, 1.01-1.04) and bank staff (aHR, 1.02; 95% CI, 1.01-1.04). A 10% increase in the proportion of agency NS was associated with a 4% increase in risk of death (aHR, 1.04; 95% CI, 1.02-1.06). Evidence on the seniority of staff was mixed. Model coefficients were used to estimate the association of using temporary staff to avoid low staffing and found that risk was reduced but remained elevated compared with baseline. This cohort study found that having senior nurses in the nursing team did not mitigate the adverse outcomes associated with low nurse staffing. These findings indicate that while the benefits of avoiding low staffing may be greater than the harms associated with using temporary staff, particularly for RNs, risk remains elevated if temporary staff are used to fill staffing shortages, which challenges the assumption that temporary staff are a cost-effective long-term solution to maintaining patient safety.

Identifying patterns and profiles of vaccination hesitancy among nurses for tailoring healthcare policies in the UK: A cross-sectional study.

To profile the characteristics of nurses with varying levels of vaccine hesitancy toward the COVID-19 and influenza vaccines. In many countries across the world, healthcare workers, and nurses in particular, display significant reluctance toward COVID-19 and influenza vaccines due to concerns about safety, distrust in healthcare policies, and media influences. To address this, a proposed approach involves profiling nurses to tailor vaccination campaigns and to improve acceptance rates and public health outcomes. This cross-sectional study adopted the Vaccination Attitudes Examination scale to assess hesitancy toward COVID-19 and influenza vaccines among 294 registered nurses in the UK between March and July 2023. A K-means cluster analysis was performed. The Strengthening the Reporting of Observational Studies in Epidemiology guidelines were adopted. Three profiles were identified. Profile A showed low vaccination hesitancy, profile B showed average hesitancy, and profile C showed high hesitancy toward vaccines. The highest concern for all profiles was related to unforeseen future effects of vaccination. Profile C had more nurses in early career roles, whereas nurses in profiles A and B were in more senior roles. Profile A showed higher educational attainment. Nurses in profile C used Snapchat more, whereas nurses in profile A used Twitter more frequently. This study identified specific characteristics associated with higher levels of vaccination hesitancy in nursing. Unforeseen future effects of vaccination are a core aspect to consider in promoting vaccination. Policies and vaccination campaigns should be targeted on early career nurses and should deliver tailored messages to dispel misinformation about unforeseen future effects of vaccination through specific social media platforms. Senior nurses should be involved as role models in promoting vaccination. These results are key for enhancing an evidence-based approach to implementing global health policies in healthcare.

Factors Influencing Novice and Beginner Nurses' Intention to Report Medication Errors and Near Misses.

Novice and beginner nurses make more medical errors than senior nurses. However, there is significant underreporting of medication errors and near misses among novice and beginner nurses. To identify the factors that influence the intention of novice and beginner nurses to report medication errors and near misses. A cross-sectional exploratory study was carried out among third-year nursing students in a Quebec university (n = 143). Data was collected through a self-reported questionnaire based on the adapted Theory of Planned Behavior. Simple descriptive analyses and a series of contingency analyses were performed using Chi-2 or Fisher exact tests. Correction of multiple tests was done using Bonferroni test. All theoretical constructs were significantly associated with intention. Sociodemographic factors (age, sex, experience and education program) were also associated with intention. Further studies are needed to identify the determinants of intention to report medication errors and near misses among novice and beginner nurses. More attention is required in nursing practice and education to act on these factors, thus encouraging novice and beginner nurses to report medication errors and near misses.

Understanding Nursing Informatics: A Survey of Nurses' Perception.

This paper aims to explore nurses' understanding of nursing informatics (NI). The structured and open-ended questionnaires were used to explore their knowledge of NI. Between 17 and 18 October 2023, the survey was conducted via a web portal and targeted 124 nurses attending in a nursing management training programme at the West China Hospital, Sichuan University. A total of 57.3% (71/124) of the nurses completed the survey. Of these, 29.6% (21/71) were unaware of NI and 70.4% (50/71) were aware of NI. However, only one of the nurses gave an accurate definition of NI. The results of this study suggest that there is a limited understanding of NI among senior nurses in mainland China, indicating a need to improve NI education for nurses.

Study on the psychological health status and influencing factors of operating room nursing staff.

To comprehensively analyze the psychological health status of operating room nurses and identify influencing factors. The research compares psychological health differences based on nurses' years of experience, specifically examining depression and anxiety scores. A detailed assessment was conducted, focusing on nurses with varying experience levels. Findings revealed higher depression scores among mid to senior-level nurses, while junior-level nurses exhibited elevated anxiety scores. Additionally, overall dissatisfaction with physical health and various subhealth symptoms were reported. Multifactorial analysis identified working hours, disaster relief experience, and perceived occupational benefits as primary influencers. Through comparative analysis, it was found that the average score of self-rating depression scale and self-rating anxiety scale was 53.8 ± 12.2 points and 47.6 ± 10.5 points respectively. The depression score of middle and senior nurses was significantly higher than that of junior nurses (P < .05). The anxiety score of primary nurses was significantly higher than that of middle and senior nurses (P < .05). The results indicate that the duration of work, previous experience in disaster relief, and nurses' perception of occupational benefits were the main factors influencing the psychological health status of operating room nurses (P < .05). Healthcare institutions are recommended to implement targeted interventions based on nurses' experience levels, addressing specific psychological health needs. Future research should delve into specific subgroups, conduct long-term tracking, expand the scope of influencing factors, assess the effectiveness of intervention measures, and explore cross-cultural aspects.

Benefits of Interprofessional Education for Teamwork and Team-BasedPractice: Major Stakeholders’ Views in Bangladesh

Background: Interprofessional education (IPE) is essential to prepare health professionals for working as a team in interprofessional teamwork and team-based practice. In this study, the views of major stakeholders are explored regarding the benefits of collaborative practice, which is promoted by interprofessional education. Methods: The descriptive cross-sectional study was conducted in seven medical colleges, three nursing institutes, one health technology institute, several hospitals, and health complexes from July 2022 to June 2023. Data were conveniently collected from 273 intern doctors, 51 recent medical graduates, 153 nursing students, 71 senior nurses, and 104 health technologists with a semi-structured self-administered questionnaire. Results: The study shows that the means of agreement between their views on different issues related to the benefits of working as a team in interprofessional team-based practice were within 81.6% to 91.2%. Although all the respondents were convinced about the benefits of interprofessional teamwork, the means of agreement of the intern doctors were statistically significantly lower than the means of agreement of other groups on all issues. Conclusions: The study revealed that the majority of the intern doctors, recent medical graduates, nursing students, nurses, and health technologists acknowledged the benefits of IPE during their medical education, which would promote interprofessional teamwork and team-based practice. CME J 2024; 3(2); 31-37

Imposter phenomenon: recognising and addressing it among nurses.

Imposter phenomenon is described as persistently doubting one's accomplishments, leading to an internalised fear of being exposed as a 'fraud'. This article identifies the nature and prevalence of imposter phenomenon among nursing students, newly registered nurses and senior nurses. It also explores the effects of this phenomenon for nurses and healthcare organisations, including its potential association with burnout, suboptimal performance and a lack of career development. Evidence suggests that addressing imposter phenomenon is not something individuals can accomplish by themselves, but that it requires system-level interventions from healthcare organisations and higher education institutions. This could raise awareness, promote recognition and improve resources and training to mitigate the detrimental effects of this phenomenon on healthcare provision.