ArticleBMC nursing2025
The intermediary effect of work stress on the relationship between off-duty professional growth and reflective ability among mid- and senior-level nurses.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Beyond the formal curriculum: unveiling the pathway from hidden curriculum to professional identity through learning engagement in nursing education.BMC medical education · 2026Article
- Work stressors, work-related quality of life, psychological capital, and innovative behavior in emergency and critical care nurses: a cross-sectional moderated mediation study.Frontiers in psychology · 2026Article
- Perceived Managerial Care, Feedback-Seeking Behavior, and Reflective Ability in New Nurses: A Three-Wave Longitudinal Mediation Study.Journal of nursing management · 2026Article
- Work engagement and associated factors of nurses: a structural equation model.Frontiers in psychology · 2026Article
- Mediating role of emotional intelligence in the relationship between dual work stress and reflective ability among junior nurses.BMC nursing · 2025Article
- The role of reflective capacity in clinical self-efficacy of nursing students: a cross-sectional study.BMC medical education · 2025Article
- Latent profile analysis of clinical nurses' reflective ability in relation to dual work stress.PloS one · 2025Article
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5 authors.
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Abstract
backgroundMid- 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.
objectiveThis 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.
methodsA 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.
resultsThe 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.
conclusionThis 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.
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