Evidence map›Paper›PMID 41098744›Full record

ArticleJournal of nursing management2025

Nurse Engagement in the Hospital Setting: An Analytical Cross-Sectional Multicentre Study With a 4-Year Time Series.

Asta Heikkilä, Tarja Kvist, Kristiina Junttila, Pirjo Kaakinen, Outi Kanste, Marja Kaunonen, Tiina Kortteisto, Tiia Rissanen, Susanne Salmela, Tarja Tervo-Heikkinen and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of nursing management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Asta HeikkiläDepartment of Nursing Science, University of Turku, Turku, Finland.ORCID 0000-0003-1151-7382
Tarja KvistDepartment of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.ORCID 0000-0001-5974-8732
Kristiina JunttilaNursing Research Center, Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0002-3541-601X
Pirjo KaakinenResearch Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland.
Outi KansteResearch Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland.ORCID 0000-0001-8634-0628
Marja KaunonenFaculty of Social Sciences, Health Sciences, Tampere University, Tampere, Finland.ORCID 0000-0001-7927-1572
Tiina KortteistoTampere University Hospital, The Wellbeing Services County of Pirkanmaa, Tampere, Finland.ORCID 0000-0002-3130-6032
Tiia RissanenTurku University Hospital, The Wellbeing Services County of Southwest Finland, Turku, Finland.ORCID 0009-0002-6701-8523
Susanne SalmelaThe Competence Development Unit, Wellbeing Services County of Ostrobothnia, Vaasa, Finland.ORCID 0000-0002-0284-5950
Tarja Tervo-HeikkinenCustomer Relationships and Quality, Kuopio University Hospital, Wellbeing Services County of North Savo, Kuopio, Finland.ORCID 0000-0003-4277-3215
Krista JokiniemiDepartment of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.ORCID 0000-0002-6272-8203

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To describe and explain the level of nurse engagement in the period 2019-2022 and identify related background variables and drivers of nurse engagement in hospital settings. Design: An analytical cross-sectional multicentre study with a 4-year time series. Methods: Data were collected annually from 2019 to 2022 from 24,653 nurses (staff nurses, midwives, and assistant nurse managers) in Finnish hospitals ( Results: Nurse engagement varied over the study period, with 10.0%-4.2% of nurses being engaged, 33.1%-17.0% content, 31.4%-28.8% ambivalent, and 25.5%-50.0% disengaged. The proportion of disengaged nurses increased, while the proportions of content and engaged nurses decreased over the 4 years. All background variables and drivers of nurse engagement were statistically significant in relation to the level of nurse engagement. Conclusion: This study produced novel findings on nurse engagement and related factors in a hospital setting, based on unique, national-level data collected over 4 years. The results raise concerns considering the attractiveness of the nursing profession and nurse retention. The study provides insights for nurse leaders to strengthen leadership practices and create more engaging work environments. To support nurse engagement, healthcare organisations should routinely assess the engagement of their nursing workforce and prioritise leadership strategies aimed at attracting, retaining, and enhancing nurse engagement. Implications for Nursing Management: It is important that nurse leaders promote nurse engagement throughout nurses' careers and recognise nurses of all generations, as nurse engagement is a key factor in staff retainment and impacts directly on the quality and outcomes of patient care. To keep nurses engaged, nurse leaders and managers should keep patient care manageable and also offer other tasks that match the nurses' interests and career opportunities.

Indexed as

NursesNursing Staff, HospitalWork EngagementAdultCross-Sectional StudiesFemaleFinlandHospitalsHumansJob SatisfactionMaleMiddle AgedSurveys and QuestionnairesWorkplacehospitalnursenurse engagementtime series study

Identifiers

PMID41098744
PMCPMC12520802

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.