The intermediary effect of work stress on the relationship between off-duty professional growth and reflective ability among mid- and senior-level nurses
Abstract Background Mid- to senior-level nurses play a pivotal role in healthcare. Their reflective ability is crucial for clinical decision-making and the continuous improvement of nursing practices. Although numerous studies have emphasized the importance of enhancing reflective ability among mid-...
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BMC
2025-01-01
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| Series: | BMC Nursing |
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| Online Access: | https://doi.org/10.1186/s12912-025-02720-x |
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| author | Junxian Wu Jingru Song Mingfang Zhang Lin Li Qin Shen |
| author_facet | Junxian Wu Jingru Song Mingfang Zhang Lin Li Qin Shen |
| author_sort | Junxian Wu |
| collection | DOAJ |
| description | Abstract Background Mid- to senior-level nurses play a pivotal role in healthcare. Their reflective ability is crucial for clinical decision-making and the continuous improvement of nursing practices. Although numerous studies have emphasized the importance of enhancing reflective ability among mid- to senior-level nurses, the specific relationship between off-duty professional growth, dual work stress, and reflective ability remains unclear. Objective This study aims to investigate the relationship between reflective ability, work stress, and off-duty professional growth among mid- to senior-level nurses in China, and to determine the mediating role of work stress. Methods A convenience sampling method was used to recruit 534 mid- to senior-level nurses from three tertiary hospitals in Jiaxing, Zhejiang Province. Data were collected and analyzed using a general information questionnaire, the Leisure Crafting Scale, the Challenge-Hindrance Work Stress Scale, and the Clinical Nurse Reflective Ability Scale. Results The mean scores for leisure crafting, challenge stress, hindrance stress, and reflective ability among mid- to senior-level nurses were 23.82 ± 9.17, 16.97 ± 6.49, 16.65 ± 5.44, and 56.26 ± 19.09, respectively. Leisure crafting was positively correlated with reflective ability (r = 0.389, P < 0.001), challenge stress (r = 0.399, P < 0.001), and negatively correlated with hindrance stress (r = -0.367, P < 0.001). Reflective ability was positively correlated with challenge stress (r = 0.350, P < 0.001) and negatively correlated with hindrance stress (r = -0.417, P < 0.001). Both challenge-and hindrance stress partially mediated the relationship between leisure crafting and reflective ability, with mediation effects of 19.7% and 30.8%, respectively. Conclusion This study demonstrates that the reflective ability of mid- to senior-level nurses in China is currently at a moderately low level. Enhancing Off-duty professional growth, leveraging the beneficial aspects of challenge stress, and reducing the negative effects of hindrance stress can notably improve reflective ability. These efforts can lay a strong foundation for the continuous enhancement of nursing quality. |
| format | Article |
| id | doaj-art-a2e21159915346fe9663f0005d28a3f1 |
| institution | Kabale University |
| issn | 1472-6955 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj-art-a2e21159915346fe9663f0005d28a3f12025-01-26T12:22:39ZengBMCBMC Nursing1472-69552025-01-0124111110.1186/s12912-025-02720-xThe intermediary effect of work stress on the relationship between off-duty professional growth and reflective ability among mid- and senior-level nursesJunxian Wu0Jingru Song1Mingfang Zhang2Lin Li3Qin Shen4School of Nursing, Zhejiang Chinese Medical UniversitySchool of Nursing, Zhejiang Chinese Medical UniversityLiver and gallbladder surgery, Jiaxing First HospitalSchool of Nursing, Zhejiang Chinese Medical UniversitySchool of Nursing, Zhejiang Chinese Medical UniversityAbstract Background Mid- to senior-level nurses play a pivotal role in healthcare. Their reflective ability is crucial for clinical decision-making and the continuous improvement of nursing practices. Although numerous studies have emphasized the importance of enhancing reflective ability among mid- to senior-level nurses, the specific relationship between off-duty professional growth, dual work stress, and reflective ability remains unclear. Objective This study aims to investigate the relationship between reflective ability, work stress, and off-duty professional growth among mid- to senior-level nurses in China, and to determine the mediating role of work stress. Methods A convenience sampling method was used to recruit 534 mid- to senior-level nurses from three tertiary hospitals in Jiaxing, Zhejiang Province. Data were collected and analyzed using a general information questionnaire, the Leisure Crafting Scale, the Challenge-Hindrance Work Stress Scale, and the Clinical Nurse Reflective Ability Scale. Results The mean scores for leisure crafting, challenge stress, hindrance stress, and reflective ability among mid- to senior-level nurses were 23.82 ± 9.17, 16.97 ± 6.49, 16.65 ± 5.44, and 56.26 ± 19.09, respectively. Leisure crafting was positively correlated with reflective ability (r = 0.389, P < 0.001), challenge stress (r = 0.399, P < 0.001), and negatively correlated with hindrance stress (r = -0.367, P < 0.001). Reflective ability was positively correlated with challenge stress (r = 0.350, P < 0.001) and negatively correlated with hindrance stress (r = -0.417, P < 0.001). Both challenge-and hindrance stress partially mediated the relationship between leisure crafting and reflective ability, with mediation effects of 19.7% and 30.8%, respectively. Conclusion This study demonstrates that the reflective ability of mid- to senior-level nurses in China is currently at a moderately low level. Enhancing Off-duty professional growth, leveraging the beneficial aspects of challenge stress, and reducing the negative effects of hindrance stress can notably improve reflective ability. These efforts can lay a strong foundation for the continuous enhancement of nursing quality.https://doi.org/10.1186/s12912-025-02720-xReflective abilityOff-duty professional growthDual work stressMediating roleMid- to senior-level nurses |
| spellingShingle | Junxian Wu Jingru Song Mingfang Zhang Lin Li Qin Shen The intermediary effect of work stress on the relationship between off-duty professional growth and reflective ability among mid- and senior-level nurses BMC Nursing Reflective ability Off-duty professional growth Dual work stress Mediating role Mid- to senior-level nurses |
| title | The intermediary effect of work stress on the relationship between off-duty professional growth and reflective ability among mid- and senior-level nurses |
| title_full | The intermediary effect of work stress on the relationship between off-duty professional growth and reflective ability among mid- and senior-level nurses |
| title_fullStr | The intermediary effect of work stress on the relationship between off-duty professional growth and reflective ability among mid- and senior-level nurses |
| title_full_unstemmed | The intermediary effect of work stress on the relationship between off-duty professional growth and reflective ability among mid- and senior-level nurses |
| title_short | The intermediary effect of work stress on the relationship between off-duty professional growth and reflective ability among mid- and senior-level nurses |
| title_sort | intermediary effect of work stress on the relationship between off duty professional growth and reflective ability among mid and senior level nurses |
| topic | Reflective ability Off-duty professional growth Dual work stress Mediating role Mid- to senior-level nurses |
| url | https://doi.org/10.1186/s12912-025-02720-x |
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