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Brown JA, Capper T, Hegney D, Donovan H, Williamson M, Calleja P, Solomons T, Wilson S. Individual and environmental factors that influence longevity of newcomers to nursing and midwifery: a scoping review. JBI Evid Synth 2024; 22:753-789. [PMID: 37661721 DOI: 10.11124/jbies-22-00367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/05/2023]
Abstract
OBJECTIVE The objective of this review was to identify the literature and map the individual and environmental factors that influence registered nurses' and midwives' decision to stay or leave their professions within the first 3 years of practice. INTRODUCTION Nursing and midwifery workforce sustainability is an international concern. One aspect is the retention of new registered nurses and midwives in their first years of practice. Several factors are thought to influence the decisions of new registered nurses and midwives to leave or stay in their professions. This review sought to identify and map those factors to enable further research for workforce sustainability development strategies. INCLUSION CRITERIA The study cohort included registered nurses and midwives in their first 3 years of practice, which we called newcomers . Nurses who were required to work under the supervision of registered nurses and midwives (ie, enrolled nurses, licensed practical nurses, and licensed vocational nurses) were excluded. Papers were included only if they explored individual or environmental factors influencing nurses' decision to stay in or leave the professions of nursing or midwifery. Studies could be from any country or care environment, and participants were newcomers providing direct clinical care. Newcomers employed in other health roles, such as education, research, administration, or non-nursing/midwifery roles, were excluded. All research designs and peer-reviewed papers were included; policy documents were excluded. The date of inclusion was from the earliest publication on this topic, which was 1974, to the date of the search. METHODS The JBI methodology for scoping reviews was followed, and reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidance. The search strategy aimed to locate published and unpublished primary studies, reviews, and text and opinion papers. The initial search of relevant databases was conducted in January 2020 and updated in January 2022. Reference lists of included articles were also screened. Following data extraction, descriptive qualitative content analysis was undertaken. RESULTS Twelve articles from 11 studies were included in this review. They were published between 2005 and 2020, and originated from 5 countries. Two studies were observational, 3 were cross-sectional, 5 were longitudinal studies, 1 was a pre- and post-program evaluation, and 1 was a scoping review. All studies focused on registered nurses; no publications on registered midwives met the inclusion criteria. Individual factors we identified that impact newcomers' intention to stay in or leave the profession included physical and psychological health, professional identity, professional commitment, and development. Environmental factors included workplace culture, engagement, and management. CONCLUSIONS Professional self-image, identity, and a sense of pride in the profession are important components of newcomer retention. Strategies that positively support transition to practice and create realistic expectations were highlighted. Managers play an important role in registered nurse retention, as they can influence many of the newcomers' experiences. It is concerning that no studies about newcomer midwives were found. Many studies explored turnover or intention to leave the job/employer rather than the profession. These are important considerations for future research.
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Affiliation(s)
| | - Tanya Capper
- School of Nursing, Midwifery and Social Sciences, CQ University Australia, Brisbane, QLD, Australia
| | - Desley Hegney
- Adelaide Nursing School, The University of Adelaide, Adelaide, SA, Australia
| | - Helen Donovan
- Faculty of Health, School of Nursing, Queensland University of Technology, Brisbane, QLD, Australia
| | - Moira Williamson
- School of Nursing, Midwifery and Social Sciences, CQ University Australia, Brisbane, QLD, Australia
| | - Pauline Calleja
- School of Nursing, Midwifery and Social Sciences, CQ University Australia, Brisbane, QLD, Australia
| | - Terena Solomons
- The Western Australian Group for Evidence-Informed Healthcare Practice: A JBI Centre of Excellence, Curtin University, Perth, WA, Australia
| | - Sally Wilson
- The Western Australian Group for Evidence-Informed Healthcare Practice: A JBI Centre of Excellence, Curtin University, Perth, WA, Australia
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Sadali UB, Kamal KKBN, Park J, Chew HSJ, Devi MK. The global prevalence of overweight and obesity among nurses: A systematic review and meta-analyses. J Clin Nurs 2023; 32:7934-7955. [PMID: 37775510 DOI: 10.1111/jocn.16861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Revised: 05/21/2023] [Accepted: 08/21/2023] [Indexed: 10/01/2023]
Abstract
BACKGROUND Several studies have reported the prevalence of overweight and obesity in various countries but the global prevalence of nurses with overweight and obesity remains unclear. A consolidation of figures globally can help stakeholders worldwide improve workforce development and healthcare service delivery. OBJECTIVE To investigate the global prevalence of overweight and obesity among nurses. DESIGN Systematic review with meta-analysis. SETTING 29 different countries across the WHO-classified geographical region. PARTICIPANTS Nurses. METHODS Eight electronic databases were searched for articles published from inception to January 2023. Two independent reviewers performed the article screening, methodological appraisal and data extraction. Methodological appraisal was conducted using Newcastle-Ottawa Scale (NOS). Inter-rater agreement was measured using Cohen's Kappa. Meta-analyses were conducted to pool the effect sizes on overweight, obesity and waist circumference using random effects model and adjusted using generalised linear mixed models and Hartung-Knapp method. Logit transformation was employed to stabilise the prevalence variance. Subgroup analyses were performed based on methodological quality and geographical regions. Heterogeneity was assessed using the I2 statistic. RESULTS Among 10,587 studies, 83 studies representing 158,775 nurses across 29 countries were included. Based on BMI, the global prevalence of overweight and obesity were 31.2% (n = 55, 95% CI: 29%-33.5%; p < .01) and 16.3% (n = 76, 95% CI: 13.7%-19.3%, p < .01), respectively. Subgroup analyses indicated that the highest prevalence of overweight was in Eastern Mediterranean (n = 9, 37.2%, 95% CI: 33.1%-41.4%) and that of obesity was in South-East Asia (n = 5, 26.4%, 95% CI: 5.3%-69.9%). NOS classification, NOS scores, sample size and the year of data collected were not significant moderators. CONCLUSIONS This review indicated the global prevalence of overweight and obesity among nurses along with the differences between regions. Healthcare organisations and policymakers should appreciate this increased risk and improve working conditions and environments for nurses to better maintain their metabolic health. PATIENT OR PUBLIC CONTRIBUTION Not applicable as this is a systematic review. REGISTRATION PROSPERO (ref: CRD42023403785) https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=403785. TWEETABLE ABSTRACT High prevalence of overweight and obesity among nurses worldwide.
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Affiliation(s)
- Umar Bin Sadali
- Nursing department, Yishun Community Hospital, Singapore, Singapore
| | | | - Jiyoung Park
- College of Nursing, Inje University, Busan, South Korea
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Han Shi Jocelyn Chew
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
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Kusumawaty I, Suzanna S, Yunike Y, Marlinda M, Upoyo AS. Female Nurses’ Experience of Psychological Changes when Caring COVID-19 Patients in Indonesia: A Qualitative Study. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.8654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: Nurses as health workers at the frontline have major challenges in dealing with COVID-19. The COVID-19 pandemic can cause the risk of psychological changes in nurses in maintaining the quality of public health services.
AIM: This study aims to explore nurses’ experiences through their psychological changes when giving treatment to COVID-19 patients.
DESIGN AND METHOD: This qualitative research employed a phenomenological approach. Purposive sampling was applied to determine the participants with criteria of female nurses caring COVID-19 patients and working in hospitals until achieved data saturation. The data were collected by interviewing participants through phone and video calls. In-depth interview recordings were presented in transcriptions, and the contents were analyzed into codes, categories, and themes.
RESULTS: Eight nurses participated in this study. This research resulted three themes: Self-surrender during early nursing care for COVID-19 patients, acceptance of the feelings and achievements as COVID-19 nurses, and self-empowerment supported by the environment.
CONCLUSIONS: The psychological changes during the nursing care start from self-surrender in the early period of COVID-19 patient care, self-acceptance for any feelings and achievements as COVID-19 nurses, to the forms of self-empowerment and environmental support.
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Ahmadidarrehsima S, Salari N, Dastyar N, Rafati F. Exploring the experiences of nurses caring for patients with COVID-19: a qualitative study in Iran. BMC Nurs 2022; 21:16. [PMID: 35031026 PMCID: PMC8758990 DOI: 10.1186/s12912-022-00805-5] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2021] [Accepted: 01/03/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND The coronavirus disease (COVID-19) is now a major public health emergency in the world. Nurses as key members of the COVID-19 patient care team are exposed to most challenges caused by the disease. As exploring the experiences of nurses as patient supporters and caregivers can play an important role in improving the quality of care for patients with COVID-19 disease, the present study explored the experiences of nurses caring for patients with COVID-19. METHODS The study employed a qualitative design. This study employed purposive sampling to select 10 nurses with bachelors and master's degrees in nursing who were taking care of patients with COVID-19 in ICUs or inpatient wards in southern Iran. Data were collected through semi-structured interviews. The collected data were analyzed using the qualitative content analysis procedure proposed by Graneheim and Lundman. RESULTS The analysis of the data revealed four main themes and ten sub-themes: A) physical, psychological, and social burden of care (excessive workload; fear, anxiety, worry; unpleasant social experiences; compassion fatigue) B) unmet needs (personal needs and professional needs) C) positive experiences (pleasant social experiences and inner satisfaction), and D) strategies (problem-solving strategies and stress symptom mitigation strategies). CONCLUSIONS An analysis of the themes and subthemes extracted in this study suggested that the nurses who participated in this study faced many personal and professional challenges. Therefore, health officials and specialists need to pay special attention to nurses' challenges and needs.
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Affiliation(s)
- Sudabeh Ahmadidarrehsima
- Department of Nursing, Nursing and Midwifery School, Jiroft University of Medical Sciences, Jiroft, Iran
| | - Nasibeh Salari
- Department of Nursing, Nursing and Midwifery School, Jiroft University of Medical Sciences, Jiroft, Iran
| | - Neda Dastyar
- Department of Midwifery, Nursing and Midwifery School, Jiroft University of Medical Sciences, PO Box:7861763730, Jiroft, Iran
| | - Foozieh Rafati
- Department of Nursing, Nursing and Midwifery School, Jiroft University of Medical Sciences, Jiroft, Iran
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Rantung G, Griffiths D, Plummer V, Moss C. How emergency nurses cope and motivate themselves to sustain their caring work: An integrative literature review. J Clin Nurs 2021; 31:843-859. [PMID: 34459056 DOI: 10.1111/jocn.16005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Revised: 07/26/2021] [Accepted: 08/04/2021] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES The aim of this integrative review was to assess how emergency nurses cope and motivate themselves to sustain their caring work. BACKGROUND The need to enhance sustainability of the workforce creates a demand to consolidate contemporary evidence related to emergency nurses' motivations, how they cope and sustain themselves for caring work. DESIGN AND METHODS The integrative literature review informed by Whittemore and Knafl involved searching four databases, which yielded 977 published research papers (2008-2021). A total of 33 studies met the inclusion and quality assessment criteria. The PRISMA checklist for review was followed. RESULTS No studies addressing all three areas (motivations, coping and caring sustainability) together were identified. Integration of evidence from quantitative and qualitative research was achieved in three categories: (1) emergency nurses' motivations to sustain their work, (2) emergency nurses' coping strategies and (3) sustaining care as emergency nurses. CONCLUSION To sustain themselves in caring work, emergency nurses need to be intrinsically and extrinsically motivated and know how to cope effectively with stressors and work demands. There is need for research examining the relationships between these aspects of emergency nursing work. RELEVANCE TO CLINICAL PRACTICE To ensure the sustainability of emergency nurses' work and careers understanding of the factors that influence and sustain their motivations and coping strategies is important for nurses and their clinical leaders and managers.
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Affiliation(s)
- Gilny Rantung
- Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.,Faculty of Nursing, Adventist University of Indonesia, Jawa Barat, Indonesia
| | - Debra Griffiths
- Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia
| | - Virginia Plummer
- Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.,School of Health, Federation University, Ballarat, Victoria, Australia
| | - Cheryle Moss
- Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia
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Dousin O, Wei CX, Balakrishnan BKPD, Lee MCC. Exploring the mediating role of flexible working hours in the relationship of supervisor support, job and life satisfaction: A study of female nurses in China. Nurs Open 2021; 8:2962-2972. [PMID: 34390214 PMCID: PMC8510763 DOI: 10.1002/nop2.1008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 06/19/2021] [Accepted: 07/10/2021] [Indexed: 11/08/2022] Open
Abstract
Aims To examine the mediating role of flexible working hours on the relationship between supervisor support, job and life satisfaction among female nurses in China. Design A cross‐sectional, quantitative study was conducted with online survey questionnaires. Methods Convenience sampling was implemented with 171 female nurses from two tertiary public hospitals in 2019. Results The mediation analysis demonstrates that flexible working hours significantly and positively mediate the relationship between supervisor support to job (β = 0.775, p < .001) and life satisfaction (β = 0.745, p < .001). In addition, supervisor support and flexible working hours significantly and positively influence job (r = 0.520, p < .01; r = 0.520, p < .01) and life satisfaction (r = 0.487, p < .01; r = 0.487, p < .01). The study suggested that flexible working hours iarean indicator of what supervisor support (r = 0.656, p < .01) is to improve nurses’ job and life satisfaction. The study revealed that flexible working hours and supervisor support are crucial to female nurses who face high demands at both work and home.
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Affiliation(s)
- Oscar Dousin
- Faculty of Business, Economics and Accountancy, Universiti Malaysia Sabah, Kota Kinabalu, Malaysia
| | - Chen Xi Wei
- Teacher Development Centre, Guangxi Vocational College of Safety Engineering, Guangxi Zhuang Autonomous Region, China
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Arakelian E, Rudolfsson G. Managerial challenges faced by Swedish nurse managers in perioperative settings- a qualitative study. BMC Nurs 2021; 20:117. [PMID: 34217294 PMCID: PMC8255012 DOI: 10.1186/s12912-021-00640-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Accepted: 06/15/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Nurse managers need to create cultures that are worthy, not only of the commitment of everyone who comes to work but also of the trust of everyone who comes to be served. The aim of our study was to describe the challenges faced by Swedish nurse managers in a perioperative setting. METHODS A qualitative study was conducted. The participants were chosen by convenience sampling, and individual in-depth interviews were conducted. Data were analysed by Systematic Text Condensation. The COREQ checklist was consulted throughout the study to optimise the quality. RESULTS Nineteen nurse managers (all women) participated. Six themes were identified: "striving to treat employees with consideration and solicitude"; "the obligation to take care of each employee's individual needs"; "convincing others was an uphill battle", "finding solutions when things seem impossible"; "staff recruitment, allocation, and management"; "working with constantly changing planning". CONCLUSIONS The nurse managers faced challenges because of the overwhelming amount of work tasks, with almost no time for reflection. Having carefully chosen tasks and a realistic time schedule for each work task, plus time to find one's own path to inner peace, are essential for nurse managers. Organisations that provide these prerequisites show that they care about their nurse managers. The results of this study indicate the need for time to reflect, as well as support from superior managers and from the human resources department.
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Affiliation(s)
- Erebouni Arakelian
- Department of Surgical Sciences, Uppsala University, Uppsala University Hospital, Entrance 70, 1st Floor, 751 85, Uppsala, SE, Sweden.
| | - Gudrun Rudolfsson
- Faculty of Nursing and Health Sciences, Nord University, 8049, Bodø, Norway.,Division of Nursing, Department of Health Sciences, University West, SE-461 86, Trollhättan, Sweden
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Liu X, Ju X, Liu X. The relationship between resilience and intent to stay among Chinese nurses to support Wuhan in managing COVID-19: The serial mediation effect of post-traumatic growth and perceived professional benefits. Nurs Open 2021; 8:2866-2876. [PMID: 33829673 PMCID: PMC8251295 DOI: 10.1002/nop2.874] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Revised: 02/04/2021] [Accepted: 03/04/2021] [Indexed: 01/02/2023] Open
Abstract
Aim To explore the mediating role of post‐traumatic growth and perceived professional benefits between resilience and intent to stay among Chinese nurses to support Wuhan in managing COVID‐19. Design A cross‐sectional questionnaire survey. Methods In May 2020, the study recruited a convenience sample of 200 Chinese nurses to support Wuhan in managing COVID‐19. A set of self‐rating questionnaires was used to measure resilience, post‐traumatic growth, perceived professional benefits and intent to stay. Structural equation modelling was performed with 5,000 bootstrap samples using AMOS 23.0. Results The final model provided a good fit for the data. Resilience had the strongest direct effect on intent to stay. Perceived professional benefits partially mediated the association between resilience and intent to stay. Overall, the serial multiple mediations of post‐traumatic growth and perceived professional benefits in the relationship between resilience and intent to stay was statistically significant.
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Affiliation(s)
- Xiaoxin Liu
- School of Nursing, Naval Medical University (Second Military Medical University), Shanghai, China.,Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China
| | - Xinxing Ju
- School of Nursing, Shanghai Jiao Tong University, Shanghai, China
| | - Xiaohong Liu
- School of Nursing, Naval Medical University (Second Military Medical University), Shanghai, China
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Çamveren H, Arslan Yürümezoğlu H, Kocaman G. Why do young nurses leave their organization? A qualitative descriptive study. Int Nurs Rev 2020; 67:519-528. [DOI: 10.1111/inr.12633] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2020] [Revised: 08/09/2020] [Accepted: 09/02/2020] [Indexed: 02/06/2023]
Affiliation(s)
- H. Çamveren
- Nursing Management Doctorate Programme Institute of Health Sciences Dokuz Eylül University Balçova İzmir35330Turkey
| | - H. Arslan Yürümezoğlu
- Faculty of Nursing Department of Nursing Management Dokuz Eylül University İzmir Turkey
| | - G. Kocaman
- Faculty of Nursing Department of Nursing Management Dokuz Eylül University İzmir Turkey
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Zhang Y, Wei L, Li H, Pan Y, Wang J, Li Q, Wu Q, Wei H. The Psychological Change Process of Frontline Nurses Caring for Patients with COVID-19 during Its Outbreak. Issues Ment Health Nurs 2020; 41:525-530. [PMID: 32497451 DOI: 10.1080/01612840.2020.1752865] [Citation(s) in RCA: 105] [Impact Index Per Article: 26.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Aim: To identify the psychological change process of the registered nurses who worked in the epicenter of the COVID-19 outbreak.Background: The pandemic of COVID-19 has continued to pose an unprecedented threat and challenge to people's health around the world. Nurses are at high risk because they work within the closest proximity to patients. Understanding nurses' psychological change process during the care for patients with COVID-19 is imperative for healthcare leaders.Methods: This was a qualitative descriptive study that took place in a hospital in Wuhan, China, the epicenter of the COVID-19 epidemic, from February 9th to March 15th, 2020. Using purposive sampling, we interviewed 23 nurses. Data were analyzed using Colaizzi's method of data analysis to find, understand, and describe nurses' experiences.Results: The psychological change process of frontline nurses included three stages, early, middle, and later stages. The psychological characteristics of each period were ambivalence, emotional exhaustion, and energy renewal, respectively. Nurse leaders were anchors in facilitating frontline nurses' psychological adaptation.Conclusions: In the past month, the psychological characteristics of nurses changed over time. The study indicated the necessity for nurse leaders to implement intervention programs based on nurses' psychological characteristics in different periods to promote nurses' health during this critical time period.
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Affiliation(s)
- Yan Zhang
- Department of Nursing, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Lili Wei
- Department of Nursing, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Huanting Li
- Office of Director, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Yueshuai Pan
- Critical Nursing, Department of Critical Care Medicine, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Jingyuan Wang
- Department of Nursing, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Qianqian Li
- Department of Nursing, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Qian Wu
- Neonatal Nursing, Neonatology Department, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Holly Wei
- Advanced Nursing Practice & Education, College of Nursing, East Carolina University Greenville, NC, USA
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