Evidence map›Paper›PMID 42438254›Full record

ArticleJournal of nursing management2026

Career Plateau Among Surgical Nurses: A Cross-Sectional Network Analysis.

Duo Zhang, Fan Yang, Haoyang Zheng, Yanrong Zhou, Juan Liu

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Duo ZhangDepartment of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China, hust.edu.cn.ORCID https://orcid.org/0009-0000-7286-1895
Fan YangDepartment of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China, hust.edu.cn.ORCID https://orcid.org/0009-0000-8896-5605
Haoyang ZhengDepartment of Neurosurgery, The First Medical Center, Chinese PLA General Hospital, Beijing, China, 301hospital.com.cn.ORCID https://orcid.org/0009-0001-7889-0061
Yanrong ZhouDepartment of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China, hust.edu.cn.ORCID https://orcid.org/0000-0002-4712-3396
Juan LiuDepartment of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China, hust.edu.cn.ORCID https://orcid.org/0009-0003-5068-5992

Funding

Huazhong University of Science and Technology 2023C09Huazhong University of Science and Technology 2024D14Huazhong University of Science and Technology 2024D30Huazhong University of Science and Technology 2025C06Huazhong University of Science and Technology TJJXYJ2025070
6 · The paper itself

Abstract

backgroundCareer plateau is increasingly recognized as a threat to nursing workforce stability because it is associated with poorer work performance, lower organizational commitment, and higher turnover intention. Surgical nurses may be especially vulnerable given their highly structured and technically demanding work context. However, evidence remains limited on how career plateau is configured in this group and how relevant factors are interrelated.

aimBased on Bandura's triadic reciprocal determinism, this study examined career plateau among surgical nurses and its relationships with self-efficacy as an individual factor, family functioning and perceived organizational support as environmental factors, and career planning as a behavioral factor.

methodsA cross-sectional study was conducted among 468 surgical nurses from three hospitals in Hubei Province, China, between September and November 2025. Data were collected through an online survey. Dominance analysis was used to compare the relative contribution of study variables to overall career plateau, and psychometric network analysis was used to examine subdimension-level relationships.

resultsCareer planning was negatively associated with career plateau and showed the largest relative contribution to overall career plateau. In the network, affection emerged as the most central node. Strong negative associations were observed between hierarchical plateau and goal setting and between content plateau and self-presentation, whereas emotional support and instrumental organizational support were strongly positively associated.

conclusionCareer planning appears to be the most important broad correlate of overall career plateau, whereas affection occupies a central position within the network structure. Reducing career plateau in surgical nurses may therefore require not only stronger career planning but also family and organizational conditions that make such planning realistic and sustainable. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers should prioritize structured career planning for surgical nurses and foster family-sensitive organizational conditions that make career development more feasible and sustainable. Particular attention should be given to mentoring, realistic advancement opportunities, and work arrangements that reduce conflict between career goals and family demands.

Indexed as

Career ChoiceCareer MobilityJob SatisfactionNursesPerioperative NursingAdultChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedPsychometricsSelf EfficacySurveys and Questionnairescareer developmentcareer plateaunetwork analysisnurses

Identifiers

PMID42438254
PMCPMC13358206

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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.