Evidence map›Paper›PMID 42333895›Full record

ArticleJournal of nursing management2026

The Experiences of Intermediate-Titled Clinical Nurses' Promotion to Senior Titles: A Phenomenological Study.

Sufen Zheng, Haixiang Zhu, Jiali Gong

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. 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

3 authors.

Sufen ZhengNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, 310016, Zhejiang, China, zju.edu.cn.ORCID https://orcid.org/0000-0001-8767-7310
Haixiang ZhuNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, 310016, Zhejiang, China, zju.edu.cn.ORCID https://orcid.org/0000-0003-2013-9221
Jiali GongNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, 310016, Zhejiang, China, zju.edu.cn.

Funding

Health Commission of Zhejiang Province 2023KY784Zhejiang University A-16
6 · The paper itself

Abstract

backgroundNurses show low enthusiasm for senior title promotion despite its career benefits. Understanding their experiences and difficulties can inform more effective policy implementation.

introductionThe nurse promotion system directly affects remuneration and work enthusiasm. Mobilizing nurses' initiative within this framework remains a key challenge for policymakers and hospital administrators.

aimTo explore the views and experiences of clinical nurses with intermediate titles on the promotion system of senior titles.

methodsA descriptive phenomenological study was conducted. A total of 13 clinical nurses with intermediate professional titles from 11 different departments (the average years of obtaining the intermediate title were 7.54 years) participated in face-to-face semistructured interviews. The data were analyzed using Colaizzi's seven-step data analysis method (1978). The COREQ guidelines were followed for reporting. Rigor was ensured through member checking and peer debriefing.

resultsFive categories emerged: Escape (perceived inadequacy, clinical/family burden, and lack of guidance/role models); Transform (clinical influence, environmental impact, and enhanced self-awareness); Challenge (research learning, degree hurdles, and trial/failure); Reflection (early career planning, perseverance, and continuous self-growth); and Expect (career/psychological support, research environment, and diversified criteria). These categories formed a cyclical process from Escape to Transform, interrupted by Challenge, leading to Reflection, and culminating in Expect for systemic change. DISCUSSION: Nursing managers and educators should attach great importance to the promotion experience of nurses, promptly address their promotion needs, and provide career planning training and guidance as early as possible.

conclusionsBy planning career development in advance, actively learning and enhancing professional and research capabilities, the comprehensive ability and professional pride of nurses can be strengthened, and the promotion rate of senior professional titles for nurses can be increased. IMPLICATIONS FOR NURSING POLICY: Nurse managers, policy makers, and nursing schools should jointly design a career development framework including mentorship, protected research time, methodological support, career planning workshops, diversified criteria, and innovation-friendly environments. Context-tailored implementation may enhance nurses' promotion enthusiasm and success rates.

Indexed as

Career MobilityNursesAdultFemaleHumansInterviews as TopicJob SatisfactionMaleMiddle AgedQualitative Researchcareer advancementintermediate nursesphenomenological studypromotionsenior titles

Identifiers

PMID42333895
PMCPMC13288051

What OpenQuestion holds

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Registered trials

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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.