Nurses play an indispensable role in healthcare teams. The quality of nursing care reflects nurses' ability to integrate care and their overall performance in patient care, making it a core objective of clinical nursing. The Chinese version of the Quality of Nursing Care (QNC) scale is a multidimensional assessment tool used for self-evaluation of nursing care quality and holds significant importance in clinical practice. This study aimed to assess the reliability and validity of the Chinese version of the QNC scale among nurses.

This was an observational, cross-sectional, methodological study conducted at three hospitals in southern Taiwan. The 25-item Chinese version of the QNC scale was employed in the study. Data were collected from 944 nurses (response rate: 65.42%) through an online survey conducted between July and August 2022. The factor structure of the QNC scale was evaluated using confirmatory factor analysis (unidimensional, independent cluster model, higher-order, and bifactor) and first-order, higher-order, and bifactor ESEM. Model comparisons were conducted to determine the best-fitting factor structure.

The bifactor ESEM provided the best fit for the QNC scale, consisting of a general QNC factor and seven specific factors: patient satisfaction, health promotion, complication prevention, well-being and self-care, functional readaptation, nursing care organization, and responsibility and rigor. Some items exhibited significant cross-loadings, highlighting the model's ability to capture the multidimensional nature of nursing care quality.

The bifactor ESEM model demonstrated the best model fit for the Chinese version of the QNC scale, offering a reliable and interpretable representation of the multidimensional nature of nursing care. The validated scale provides a valuable tool for assessing nursing care quality in clinical practice.

Frontline health workers face a significant issue concerning mental health, particularly stress and burnout. Nurses, being among them, grapple with this problem. The study aims to investigate the prevalence and determinants of burnout among nurses. A multicenter cross-sectional study was conducted across twenty two hospitals. A total of nine hundred nurses participated through convenience sampling. Burnout was measured using a single-measurement approach. Both individual and unit-related factors were examined. Over half of the nurses experienced stress, while 7.3% had symptoms of exhaustion. One in every hundred nurses faced a high likelihood of experiencing complete burnout. Job satisfaction, basic salary, motivation, age, incentives, competence, extra responsibilities, and knowledge of quality emerged as significant predictors of burnout. Addressing burnout among nurses requires hospitals to improve job satisfaction, revisit salaries, and foster supportive environments with incentives. Tailored training and ongoing support are crucial for resilience. Prioritizing these strategies is vital for nurses' well-being and sustainable healthcare delivery.

Colostomy is important in the treatment of colorectal cancer. However, surgical site wound infections after colostomy seriously affect patients' physical recovery and quality of life.

To investigate the ability of high-quality nursing care to prevent surgical site wound infections and reduce post-colostomy complications in patients with colorectal cancer.

Eighty patients with colorectal cancer who underwent colostomy at our hospital between January 2023 and January 2024 were selected as research subjects. The random number table method was used to divide the participants into control and research groups (n = 40 each). The control group received routine nursing care, while the research group received high-quality nursing care. The differences in indicators were compared between groups.

The baseline characteristics did not differ between the research (n = 40) and control (n = 40) groups (P > 0.05). The incidences of wound infection, inflammation, and delayed wound healing were significantly lower in the research (5.00%) vs control (25.00%) group (P = 0.028). The incidence of postoperative complications, including fistula stenosis, fistula hemorrhage, fistula prolapse, peristome dermatitis, urinary retention, pulmonary infection, and intestinal obstruction, was significantly lower in the research (5.00%) vs control (27.50%) group (P = 0.015). In addition, the time to first exhaust (51.40 ± 2.22 vs 63.80 ± 2.66, respectively; P < 0.001), time to first bowel movement (61.30 ± 2.21 vs 71.80 ± 2.74, respectively; P < 0.001), and average hospital stay (7.94 ± 0.77 vs 10.44 ± 0.63, respectively; P < 0.001) were significantly shorter in the research vs control group. The mean Newcastle satisfaction with nursing scale score was also significantly higher in the research (91.22 ± 0.96) vs control (71.13 ± 1.52) group (P < 0.001).

High-quality nursing interventions can effectively reduce the risk of wound infections and complications in patients undergoing colostomy, promote their postoperative recovery, and improve their satisfaction with the nursing care received.

Nurse caring ability plays a crucial role in providing quality care and ensuring patient safety. However, further research is warranted to understand the specific impact of caring ability on patient safety in the emergency department.

This study has two-fold purposes: (a) to examine the association between nurses' demographic characteristics and their perceptions of their caring ability, and (b) to explore the relationship between nurses' caring ability and nursing care quality, as well as its impact on adverse patient events and missed care.

This cross-sectional study included a convenience sample of emergency room nurses working in select hospitals in the Philippines. Descriptive statistics and regression analyses were performed to analyze the data.

A total of 164 out of the 200 emergency nurses invited responded to the survey. The mean score for the caring ability inventory was 67.89 out of 80. Nurses' demographic characteristics, including job status (working part-time) and hospital size (working in small and medium-sized hospitals), were associated with higher levels of caring ability. Higher levels of nurses' caring ability were associated with better nursing care quality (β = 0.259, p <.001), a reduction in adverse events (β = -0.169, p <.05), and a decrease in instances of missed care (β = -0.158, p <.01).

This study emphasizes the significance of nurses' characteristics in influencing nurse caring abilities. Additionally, the results underscore the importance of nurse caring ability in the emergency department and its association with nursing care quality and patient safety outcomes. Organizational strategies directed toward promoting and enhancing nurse caring ability in the emergency department can have positive implications for nursing practice, including improved nursing care quality, reduced adverse events, and decreased instances of missed care.

This study aimed to translate and validate the Practice Environment Scale - Nursing Work Index (PES-NWI) among nurses in Indonesia.

A scale translation and cross-sectional validation study was conducted. The English version was translated into Indonesian, which involved five steps: forward translation, compare the translation, backward translation, compare the translation, and pilot testing with a dichotomous scale (clear or unclear). Thirty inpatient department nurses were involved in checking readability and understandability. A cross-sectional study was conducted from August to October 2022 at 17 hospitals across Indonesia, involving 350 nursing professionals. The validity test included structural validity and convergent validity. The internal consistency reliability was tested by Cronbach's α coefficient, item-total correlation, and composite reliability.

Confirmatory factor analysis (CFA) showed an acceptable fit. The correlation of all dimensions was between 0.70 and 0.88, and all items had item loading higher than 0.6. Convergent validity of each dimension ranged from 0.61 to 0.74, internal consistencies with Cronbach's α coefficient was 0.97, corrected item-to-total correlation ranged from 0.62 to 0.85, and composite reliability of each dimension was higher than 0.89.

Good homogeneity and construct validity have been demonstrated for the Indonesian version of the PES-NWI, nursing management can use it to measure the work environment.

Chronic kidney disease affects many people around the world, leading those affected to replacement therapy such as hemodialysis. People who undergo hemodialysis generally undertake 2-3 treatments per week, lasting about 3-4 h each; patients spend many hours per week in contact with nurses, building a therapeutic relationship. The purpose of this work is to assess the quality of nurses' perceived caring attitudes and behaviors and to determine their perceptions regarding the importance of the therapeutic relationship with the assisted patients. A self-reported questionnaire composed of three sections was administered to nurses; the first section included sociodemographic questions, the second the Caring Nurse-Patient Interaction Scale (CNPI-23), and the third part of the questionnaire was composed of open-ended questions investigating patients' expectations according to nurses, the relevance of the therapeutic relationship on their work, and its effect on themselves and/or their own job satisfaction. Statistically significant correlations and trends have been observed between nurses' sociodemographic data and the CNPI-23 items. In the clinical care area, nurses who have a post-basic degree or more years of experience feel more competent than those in other categories; in the relational care area, women tend to feel more competent than men. No correlations were found between the humanistic and comfort care areas. According to the results, the post-basic training of dialysis nurses and the adoption of organizational strategies that encourage nurse retention should be enhanced. This study was not registered.

To examine the reliability and validity of the Indonesian translation of the McCloskey/Mueller Satisfaction Scale.

The McCloskey/Mueller Satisfaction Scale is an instrument to measure nurses' feelings about their job. Although the instrument has existed for a long time, there has been a lack of studies using this questionnaire in Indonesia due to the limitation of instrument validation in the Indonesian version. Therefore, it is necessary to investigate the validation and reliability of the instrument.

The instrument was validated with a cross-sectional study of 350 nurses. For purposes of transcultural adaptation and psychometric validation, a forward-back translation strategy was used in conjunction with an expert panel and a cross-sectional study. The validity of the construct was verified using confirmatory factor analysis, and the overall fit of the model was measured using the calculated fit indices. The standard deviation of the extracted variance was used to evaluate the convergence validity. Composite reliability and Cronbach's alpha coefficients were used to investigate the internal consistency of the study.

According to the results of the reverse translation, the Indonesian and original instruments are statistically indistinguishable. As a result of the confirmatory factor analysis, it was determined that the Indonesian version of the McCloskey/Mueller Satisfaction Scale adhered closely to the original structure of the English version. The convergence validity of the construct (0.44-0.74), reliability (Cronbach α = 0.69-0.93), and internal consistency (0.49-0.79) were rated highly.

Good homogeneity and construct validity have been shown for the Indonesian translation of the McCloskey/Mueller Satisfaction Scale in the context of healthcare practice and research. Implications for Nursing Management. Nursing policymakers in Indonesia can use the instrument to inform the development of practice policies aimed at improving job satisfaction among nurses in the country.

Nurse team leaders encounter considerable ethical challenges that necessitate using effective strategies to overcome them. However, there is a lack of research exploring the experiences of nurse team leaders in Indonesia who face ethical dilemmas in their professional duties.

This study aimed to explore nurse team leaders' experiences regarding strategies and challenges in dealing with ethical problems in hospital settings in Indonesia.

This qualitative study employed a hermeneutic phenomenology design. Online semi-structured interviews were conducted between November 2021 and February 2022 among 14 nurse team leaders selected using a snowball sampling from seven hospitals (three public and four private hospitals). Van Manen's approach was used for data analysis.

The strategies for overcoming ethical dilemmas included (i) seeking the facts, (ii) stepping back, (iii) considering support, and (iv) standing by patients. The challenges for the nurse team leaders in resolving ethical problems consisted of (i) seniority, (ii) trust issue, and (iii) lack of reflection and ethics training.

Nurse team leaders recognize their specific roles in the midst of ethical challenges and seek strategies to deal with them. However, a negative working environment might impact ethical behavior and compromise the provision of quality care. Therefore, it is imperative for hospital management to take note of these findings and address issues related to seniority by providing regular ethics training and group reflection sessions to maintain nurses' ethical knowledge in hospital practice. Such interventions can support nurse team leaders in resolving ethical dilemmas and provide a conducive environment for ethical decision-making, ultimately improving patient outcomes.