The harsh nature of psychiatric hospital working settings, assignment of job responsibilities, tight, inflexible work schedules, limited personnel, and variable patient requirements, among other factors, contribute to the recurrence of stress among psychiatric nurses. The purpose of this study was to investigate the relationship between perceived stress and the quality of life among psychiatric nurses at Mathari National Teaching and Referral Hospital (MNTRH), Nairobi, Kenya. The study objectives were to evaluate the relationship between perceived stress and quality of life. A quantitative approach with a correlational design was used to conduct the study using a census sampling with a sample size of 120 psychiatric nurses. The sample included both male and female aged between 21 and 60 years. The Perceived Self Stress Scale, WHOQOL-BREF tools were used to collect data. SPSS V 29 was used in data analysis. The relationship between perceived stress and quality of life was established using Pearson's correlation coefficient. The findings showed that the perceived stress levels were moderate (82.8%). The quality of life was moderate across the four domains. Correlational analysis revealed that perceived stress had a moderately strong negative significant (p < 0.05) correlation to the general life, physical health, psychological health, social, and environmental domains. A strong positive correlation was also reported between the domains. It can be concluded that the general life and health, physical and psychological factors are better in the assessment of quality of life among the psychiatric nurses. The study findings inform recommendations on improving working conditions to enhance the overall well-being of psychiatric nurses.

Impact of ontological coaching on well-being, job outcomes, and retention intentions in nurses: A multi-centre randomised controlled trial.

Nurse well-being as a quality strategy: Reducing burnout to strengthen nursing excellence.

The current study aimed to explore the lived experiences of nurses providing care to patients with COVID-19. A descriptive phenomenological approach. The study was conducted among 9 purposively sampled nurses who worked in the COVID-19 isolation centers of Kumasi South Hospital and Manhyia District Hospital, Kumasi. With the assistance of a semi-structured interview guide and participants' consent, their lived experiences on caring for patients with COVID-19 were audio-recorded. The data were transcribed verbatim and inductively analysed into themes which described their experiences. The data were collected between the period of August and September 2021. Participants comprised six females and three males; their ages ranged from 24 to 34 years. Participants had worked for 2-11 years in the profession and 4-15 months in the isolation unit. Three themes emerged from the data: 'care context,' 'covid effects,' and 'coping strategies.' 'Care context' referred to the working conditions in which the nurses provided care for the isolated patients. 'Covid effects' described the physical, psychological, and socio-economic effects of the pandemic on the nurses and care provision. Participants also narrated their 'coping strategies' which were used in managing the care-giving challenges posed by the pandemic. The study calls for the prioritisation of the well-being and support of nurses working in isolation units, ensuring adequate resources, training, and protective measures to maintain their physical and psychological health. This will directly impact the care given to patients in such isolation units currently and in the future.

To examine the quantitative and qualitative characteristics of publications on alcohol and substance use disorders in the field of nursing as well as the roles of nurses in this context from a bibliometric perspective. The Web of Science database was used for this study. Bibliometric analysis was used to determine the scope of knowledge in a specific field and to measure productivity. Data were collected by searching with the keyword combination "alcohol" OR "substance" OR "drugs" OR "narcotics" OR "cocaine" AND "addiction," covering studies published up to June 20, 2025, the date of the study, without any time limitation. The data search identified 721 alcohol and substance addiction research and review articles conducted in the field of nursing between 1989 and 2025, and the process was completed using 643 studies in accordance with the exclusion criteria. The analysis revealed that 2,083 authors contributed to the publications, including 596 research articles and 47 reviews/systematic reviews, and each publication received an average of 8.7 citations. Findings highlight the critical need for ongoing research, policy development, and practical interventions to ensure the safety and well-being of nurses and individuals with addiction in mental health settings, and progress has been made in understanding and addressing the roles of nurses regarding alcohol and substance dependence.

Nurses frequently endure diminished sleep quality, sleeplessness, and psychological distress due to high-intensity shifts and persistent work pressure. Digital health interventions are increasingly utilised to enhance sleep behaviour; however, systematic information about their real benefits on the nursing population remains insufficient. To assess the efficacy of digital and mobile interventions on sleep and associated psychological consequences in nurses. This review adhered to Cochrane principles and PRISMA standards. A multitude of databases were examined, including PubMed, Web of Science, the Cochrane Library, Embase, Scopus, and EBSCO. Two reviewers conducted study screening and quality assessment independently. The primary outcomes were the Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), and Epworth Sleepiness Scale (ESS). The statistical analysis was conducted using RevMan 5.4 software. Continuous outcome variables were aggregated using standardised mean differences (SMD), mean differences (MD), and 95% confidence intervals (CI). Eleven studies comprising 2,321 nurses were included. Digital interventions markedly enhanced sleep quality (PSQI: MD = -2.94, 95% CI -5.22 to -0.66) and reduced insomnia severity (ISI: MD = -3.32, 95% CI -5.19 to -1.45). A significant disparity was also noted in daytime sleepiness (ESS), with reduced scores in the intervention group. The interventions also diminished depression (SMD = -0.46, 95% CI -0.80 to -0.13), anxiety (SMD = -0.29, 95% CI -0.44 to -0.14), and fatigue (SMD = -0.41, 95% CI -0.75 to -0.07), while no significant effect was found for work-related stress. Digital and mobile-based interventions seem to enhance sleep quality and psychological well-being in nurses. Nonetheless, due to the significant variability and the restricted number of studies, additional high-quality trials are required to validate these findings.

New nurses often face stress and burnout due to transitioning to clinical practice, long hours, and role adaptation affecting their well-being. Art therapy has the potential to enhance mindfulness and spiritual well-being. Zentangle Art is a novel intervention method. This study explores whether Zentangle Art Workshops can enhance workplace spirituality, indirectly improve self-efficacy, and alleviate psychological distress. The study involved 117 new nurses in Taiwan. A mixed-methods research design was used, collecting quantitative data through the Brief Symptom Rating Scale-5 and the General Self-Efficacy Scale. Qualitative data were collected through participant feedback. Quantitative analysis showed that the Zentangle Art Workshop significantly enhanced workplace spirituality, which in turn improved self-efficacy and reduced psychological distress among new nurses. Qualitative analysis of participant feedback identified six themes related to the workshop's impact. This intervention can be a valuable tool for supporting the professional and emotional well-being of new nurses.

To achieve expert consensus on key organizational variables and categories of organizational interventions considered most relevant for promoting nurses' organizational well-being. An e-Delphi study. Three panels of experts were enrolled: nursing managers, clinical nurses and occupational psychologists. Eight variables from the Nursing Organizational Well-being model and six categories of intervention drawn from the literature were rated for perceived usefulness, applicability and organizational feasibility. Consensus was defined with thresholds for percentage agreement (≥ 75%; ≥ 85%), Content Validity Ratio (CVR ≥ 0.49) and Coefficient of Variation (CV < 0.5). Eighty-four experts took part in Round 1, and forty-four in Round 2. The organizational variables with the most stable consensus were professional autonomy, workload, support from colleagues and superiors, with agreement > 90% and CV < 0.2. Among the areas of intervention, there was high consensus on organizational support. Mindfulness, meditation, yoga and digital interventions, although supported by literature, did not achieve a stable consensus. This study identified organizational variables and areas of intervention that achieved stable expert consensus and can guide future organizational planning and empirical evaluation, rather than prescriptive recommendations, to improve nursing organizational well-being. What problem did the study address? There is a lack of agreement on which organizational variables and areas of intervention should be a priority to support the organizational well-being of nurses, despite the extensive and heterogeneous literature on this topic. What were the main findings? Nurses, nursing managers and occupational psychologists agreed that: Organizational and work support, as well as educational/training were the most rated areas for intervention. Experts rated professional autonomy, workload and peer and supervisory support as priority areas in influencing nurses' well-being. Already noted interventions, such as mindfulness or yoga, did not reach consensus. Where and on whom will the research have an impact? The study results, highlighting shared priorities among experts, can inform nursing managers, organizational leadership and policymakers and guide organizational decision-making processes in designing future interventions. Professional autonomy, organizational support and working conditions emerged as shared expert priorities that may inform organizational reflection on nurses' well-being and workplace sustainability. The study was conducted according to the Accurate Consensus Reporting Document (ACCORD) guidelines. This study did not include patient or public involvement in its design, conduct or reporting.

This study explored Korean school nurses' perceptions of their professional roles and workload within the updated National Association of School Nurses (NASN) School Nursing Practice Framework. Four focus group interviews with 23 school nurses from elementary, middle, and high schools were conducted in July 2022. Sessions were held online, audio-recorded, transcribed, and analyzed using reflexive thematic analysis. Five themes and 13 subthemes were identified, each mapped to the NASN framework's five core domains-Standards of Practice, Care Coordination, Leadership, Quality Improvement, and Community/Public Health. This study is the first to apply the NASN framework to examine how Korean school nurses interpret their roles and manage expanding responsibilities. Findings underscore the need for system-level guidelines, standardized workload indicators, and appropriate school nurse staffing models to ensure sustainable school health services and support the professional wellbeing of school nurses.

IntroductionThe clinical practicum is a critical component of nursing education. In Spain, it is currently facing systemic challenges that compromise its quality and sustainability. A persistent nursing shortage, combined with increasing pressure on healthcare systems and a growing number of students intended to address this gap, is adding strain to clinical learning environments, which may compromise the capacity of nurses to provide adequate supervision and meaningful learning experiences for nursing students. This not only diminishes the quality of the training experiences, but also negatively affects the well-being of both students and nurses, further worsening the situation. This protocol outlines a study aimed at conducting an in-depth analysis of the current challenges affecting the clinical practicum and proposing a new model that effectively addresses them, with significant potential for adaptation and implementation across different health education fields and geographical locations.Methods and analysisThe study will employ a sequential mixed-methods design comprising two integrated phases. In phase I, quantitative, qualitative and scoping review methodologies will be combined to identify current challenges and opportunities. Quantitative data will be obtained by administering questionnaires to nursing students and clinical mentors (CMs) tutoring them in Catalonia, examining potential barriers and facilitators to their mentoring role. Data will be analysed through descriptive and inferential statistics. Qualitative data will emerge from semistructured interviews with CMs and nurse coordinators, as well as from a visual elicitation technique, the ‘Emojional’ Calendar, conducted with students to understand their clinical practicum experiences. These will be analysed through an inductive thematic analysis approach. The scoping review, following the Arksey and O’Malley framework, will identify best practices in clinical practicums in nursing and other health studies globally. Phase II will involve a three-round qualitative Delphi study in which all preceding results will be presented to stakeholders and decision makers in order to redesign the clinical practicum model.Ethics and disseminationEthical approval for this study was obtained from Hospital del Mar Clinical Research Ethics Committee (Ref #2023/11123). Results will be disseminated through peer-reviewed journals and conference presentations, as well as via strategic actions (forums and meetings with healthcare managers, deans and policymakers) and general outreach (talks, social media and websites) targeted at professionals, students and the public.

Work alienation is a significant contributing factor to turnover behaviour among nurses. Psychiatric nurses, in particular, face considerable stigmatization, underscoring the need for greater attention to their mental health. The purpose of this study is to explore the experiences of work alienation among psychiatric nurses and to offer insights and references for alleviating their sense of alienation, promoting workforce stability, and informing the development of targeted intervention programs. A phenomenological research approach was employed to select 14 nursing staff members from a tertiary A-level psychiatric hospital in Shandong Province, using purposive sampling between July and October 2024. Face-to-face semi-structured interviews were conducted, and the Colaizzi 7-step analysis method was used to organize the data and refine the themes. A total of four overarching themes and nine sub-themes were identified: physical and psychological symptoms (psychological symptoms, physical symptoms), coping styles (self-concealment, support-seeking), cumulative impacts (burnout, self-growth), and support needs (individual support, organizational support, social support). The phenomenon of work alienation among psychiatric nurses is a complex and multifaceted issue that requires focused attention from both nursing professionals and healthcare administrators. Early identification of work alienation trends is crucial, along with the implementation of targeted interventions aimed at safeguarding the physical and mental well-being of psychiatric nurses.

The 2014–2016 Ebola outbreak in Liberia exposed nurses to unprecedented clinical, emotional, and moral challenges. Beyond the physical risks of infection, Liberian nurses bore a profound and largely unacknowledged burden of grief as they witnessed repeated patient deaths, lost colleagues and family members, and delivered care under extreme isolation and fear. This article examines grief as a central yet hidden consequence of front-line nursing during the Ebola crisis, drawing on narrative accounts, professional reflections, and documented experiences from Liberian nurses. It highlights the multiple dimensions of grief—personal, professional, collective, and moral—and how these intersected with stigma, inadequate protection, and disrupted care giving norms. Despite these losses, nurses demonstrated remarkable resilience, transforming grief into solidarity, advocacy, and continued service. Recognizing and addressing grief is essential for rebuilding resilient health systems. Integrating psycho-social support, grief counseling, and memorialization into emergency preparedness is critical to safeguarding the well-being of nurses in future epidemics.

Mental health nurses encounter distinctive occupational challenges that significantly influence their psychological well-being and resilience capacity. These challenges include managing patients with complex mental health conditions, navigating high-stress clinical environments, and addressing the substantial emotional demands inherent in psychiatric nursing practice. This study aimed to assess the psychological well-being and workplace resilience of nurses employed in mental health hospitals in Upper Egypt and to identify factors associated with these outcomes. A cross-sectional study was conducted among 200 mental health nurses in mental health hospitals located in Assiut district, Upper Egypt. Data were collected through semi-structured questionnaires administered via direct interviews with study participants. Psychological well-being was measured using Ryff's Psychological Well-Being Scale, while workplace resilience was assessed using the Resilience at Work Scale. The overall mean psychological well-being score was 4.32 ± 0.46. Among the psychological well-being dimensions, personal growth demonstrated the highest mean score (4.58 ± 0.81). The overall mean resilience at work score was 4.60 ± 0.56. Cooperative interaction exhibited the highest mean score (5.48 ± 0.54), whereas maintaining perspective showed the lowest mean score (3.67 ± 1.00). Significant predictors of both psychological well-being and workplace resilience included employment in university hospitals and higher socioeconomic status. Male gender emerged as a significant predictor of psychological well-being. This study demonstrates that a substantial proportion of mental health nurses exhibit high levels of workplace resilience, while the majority demonstrate moderate levels of psychological well-being. Strengthening workplace resilience represents a critical strategy for healthcare organizations seeking to support the psychological well-being of mental health nursing staff. The results emphasize the essential role of organizational support and structured interventions in fostering workplace resilience and safeguarding the psychological well-being of mental health nurses.

Nursing staff turnover has remained a challenge to the healthcare sector in India, especially in the private hospitals. Work-life imbalance is one of the factors that have raised as a serious issue that affects job satisfaction, organizational commitment, and retention outcome. This paper reviews the association between work-life imbalance and turnover intention among nursing professionals working in the private hospitals in India. It discusses the long work hours, rotations, shortages of personnel, emotional draining, and the lack of institutional support as the factors influencing the personal well-being of nurses and their professional involvement. The study takes a quantitative methodology with the use of structured questionnaire to be administered to nursing personnel in sampled private hospitals. Workload, scheduling flexibility, supervisor support, family interference, burnout and turnover intention are the variables to be measured and analyzed through statistical tools such as correlation and regression analysis. The results show that work-life imbalance and turnover intention have a high level of positive correlation, and emotional exhaustion and insufficient managerial support are the main intermediary variables. Nurses with irregular shifts and lack of rest time reported to be more stressed and more inclined to find alternative to their employment were more likely to find different jobs. The paper identifies supportive human resource practices as per the need of administrators in hospitals to adopt such practices such as flexible work schedules, proper staffing, wellness programs, and policies that are friendly to families. Attrition rates can be substantially decreased with a healthy work environment being promoted, and this process can be achieved by strengthening the organizational support systems. Through work-life balance, the private healthcare institutions would be able to enhance retention of nurses, continuity of care, and quality of services provision in their establishments. The study has added to the increasing body of work on the sustainability of the workforce within Indian healthcare setting and provided effective implications in policy development and management practices in hospitals.

Environmental constraints pose significant challenges to oral care provision by intensive care unit (ICU) nurses. However, the specific impact of these constraints on role conflict and role ambiguity in oral care practice remains underexplored. Such role stress can threaten both patient safety and nurses’ psychological well-being. Therefore, this study aimed to address this gap by examining the role stresses of ICU nurses through the lens of role theory. A descriptive qualitative study design was used. Using purposive sampling, 16 nurses from three ICUs at two tertiary hospitals in China were recruited for semi-structured interviews. Guided by role theory, data analysis was performed using a directed content analysis approach that combined both deductive and inductive strategies. Through the lens of role theory, role ambiguity and conflict emerged as core findings, closely intertwined with role overload and underqualification. Role ambiguity was driven by four interrelated factors: failed preparation, informal alliances, responsibility vacuum, and subjective assessment. Meanwhile, role overload, hierarchical culture, and interpersonal risks collectively contributed to ethical trade-offs and silent complicity. The study further identified nuanced variations in these role stresses influenced by seniority levels and specific types of ICU units. The role ambiguity and conflict experienced by ICU nurses are not individual failures, but systemic products of environmental constraints. Effectively mitigating these role stresses requires a fundamental redesign of the role environment, including the establishment of interprofessional protocols to clarify boundaries, the integration of objective tools to define performance, and the cultivation of a psychologically safe culture to empower voice. These systemic reforms are essential to safeguard both patient safety and the well-being of nurses. Not applicable.

Introduction: With nurses being famous for the jobs with most stress, staff nurses always suffer from high levels of stress due to over-burdened work load, odd shift timings and emotional responsibilities. The well-being of nurses and the quality of patient care are negatively affected by these psychological challenges. Occupational stress may improve with various non-pharmacological methods, such as mindfulness techniques, imagery techniques and progressive muscle relaxation. However, limited research has examined their combined effectiveness, particularly in India.Objective: This study assess the Effectiveness of TIPER (tailor made interventional package to enhance relaxation) on stress among the staff nurses of a selected hospital of Bangalore rural district.Conceptual frame work: The conceptual framework for the present study was based on Imogene King’s Goal Attainment Theory (1981).Methodology: An evaluative research approach was adopted to determine effectiveness of TIPER. A true experimental, one-group, pre-test post-test design was used. 40 staff nurses were selected from a hospital in Bangalore, India by simple random sampling. Stress was measured using the Perceived Stress Scale (PSS-21). The TIPER intervention consisted of guided imagery, Jacobson’s Progressive Muscle Relaxation, and mindful meditation administered for 30 minutes per day. They collected data before and after intervention, analysis was done using frequency, percentage, mean and standard deviation for descriptive analyses as well as paired t-test, independent t-test and chi-square test for inferential analyses.Result: There were no differences found between groups in terms of stress [Experimental group: 35.72 (3.83); control group: 35.38 (5)] prior to testing, and therefore statistically significant differences continued post-test as p>0.05 for both individual assessments of stress levels between the two cohorts. In the experimental group, mean stress score declined significantly from 18.03±6.30 to 12.8±5.16 (t=9.10, p<0.001). One-way t-test comparisons notes significantly lower stress scores in post-tests among the experimental group compared to control (12.8±5.16 vs. 20.84±3.23, (t=7.01,p<0?0.001).

Psycho-spiritual support as an intervention for the wellbeing of geriatric nurses: An exploratory study in Lebanon

The empathetic ability of nurses is a crucial prerequisite for effective nursing practice and serves as the foundation for a harmonious relationship between nurses and patients. This ability is closely linked to the quality of nursing care, patient health outcomes, and the physical and mental well-being of nurses themselves. Despite its importance, China currently lacks an effective tool for assessing nurses’ empathy. Therefore, this study aims to translate the empathy scale for nurses into Chinese and to validate the psychometric properties of the Chinese version of this scale. Using a convenience sampling method, a total of 486 clinical nurses were recruited from four hospitals across four provinces in China. This study employed Brislin’s forward translation, reverse translation, and cross-cultural adaptation methods to translate the scale. Internal consistency, half-reliability, and test-retest reliability were utilized to assess the reliability of the Chinese version of the scale. The validity of the scale was evaluated through both content validity and construct validity. The Chinese version of the empathy scale in nurses consists of 16 items in three dimensions, and the Cronbach’s α coefficient was 0.942. The Cronbach’s α coefficient values of the three dimensions of affective empathy, cognitive empathy and behavioral empathy range from 0.851 to 0.943. The split-half reliability and test-retest reliability values were 0.912 and 0.826 respectively. The content validity index of this scale was 0.937. The three-factor structure supported by eigenvalues, total variance of explanations, and lithotripter plots accounted for 75.092% of the total variance. Furthermore, the results of confirmatory factor analysis indicated that the goodness-of-fit index of the model was good. The Chinese version of the empathy scale for nurses has been successfully introduced to China, demonstrating robust psychometric characteristics and serving as an effective tool for evaluating nurses’ empathy. Furthermore, this scale can provide a crucial foundation for nursing managers and educators to develop targeted strategies. Not applicable.

The effects of self-compassion training on pre-licensure and graduate nursing students.

An internship serves as a bridge between academic and professional practice for nursing students. However, there is limited understanding about the challenges faced by intern nurses, particularly during the night shift. The primary objective is to explore the challenges faced by intern nurses during night shift duties and to identify areas of improvement. This is a qualitative phenomenological study in which strict statistical calculation were not followed rather data saturation guided the total sample size that is 10 in our case. Interns who had recently completed their internships at two government hospitals in Bangladesh participated in semi-structured in-depth interviews. The interviews were conducted in Bengali and later translated into English. Thematic analysis was conducted using Braun and Clarke’s six-phase framework. The study identified seven major challenges: sleep deprivation and lack of rest, heavy workload and staff shortage, limited food access, unsafe working conditions, limited support from senior staff, transportation difficulties, and emotional exhaustion. Participants also shared personal strategies for preparing for night shift and suggested several areas of improvement: designated resting areas, food access, enhanced security, and additional support from the senior nurses. Addressing these identified challenges is essential to improve the well-being of intern nurses and enhance clinical learning. IUBAT Review—A Multidisciplinary Academic Journal, 8(2): 192-204