Conectar
To examine how gender differences in the nursing work environment shape nurses' perceived quality of care and to identify gender-specific predictors and evaluative mechanisms.
A mixed-methods design was employed, integrating quantitative data analysis with qualitative in-depth individual interviews.
This study was conducted in two phases: The first phase was a quantitative analysis, based on a large national dataset from the 2017 Chinese Nursing Work Environment Survey (N = 16,382), in which secondary analysis was performed using hierarchical linear regression, relative importance analysis, and network analysis to identify key predictors. The second phase was a qualitative study, in which in-depth individual interviews were conducted with 30 clinical nurses (15 male and 15 female), and thematic analysis was applied to explore gender-differentiated experiences.
The core finding of this study is that gender-differentiated factors within the work environment significantly shape nurses' perception of care quality. Quantitative results showed that the strongest predictor for female nurses was professional development, whereas recognition of value was most salient for male nurses. Qualitative results corroborated these findings: female nurses emphasised continuing education and emotional support, while male nurses emphasised fair evaluation and professional identity. Both groups reported that high-intensity workloads hindered the delivery of ideal humanistic care, inducing moral distress and emotional suppression and exposing ethical gaps in organisational support.
Gender differences in the nursing work environment shape pathways to perceived care quality and expose deeper managerial and ethical challenges. A gender-sensitive, ethics-oriented management approach can enhance nurse satisfaction and care quality, providing empirical support for optimising workforce allocation and sustaining healthcare systems.
Findings direct nurse leaders to tailor improvement strategies—enhancing professional-development infrastructure for women and strengthening recognition mechanisms for men—while embedding explicit ethical support to reduce moral distress and improve both workforce well-being and patient outcomes.
No patient or public contribution.
This study compares the emotional expressions and structural characteristics of workplace violence (WPV) against Chinese nurses in social media comments and news reports, highlighting differences and focal points in dissemination.
A quantitative study utilising text mining and social network analysis.
Data containing the keywords ‘nurse violence’, ‘nurse workplace violence’, ‘nurse bullying’, ‘nurse workplace bullying’ were collected from social media platforms (e.g., Xiaohongshu, Zhihu, Weibo) and news platforms (e.g., Baidu News, People's Daily, Xinhua News) between January 1, 2016, and October 31, 2024. Using Python 3.8.9, time trends and sentiment analyses were performed, while Ucinet 6.0 was used for social network analysis to explore dissemination patterns and keyword structures. A total of 5431 social media comments and 89 news reports were analysed.
Temporal analysis showed that social media attention to WPV against nurses significantly exceeded that of news reports, with a peak in 2024. Sentiment analysis revealed predominantly negative emotions (52.75%) on social media, while news reports exhibited a more positive tone (62.92%). Social network analysis revealed stark differences in keyword structures between platforms. Social media exhibited a dense and decentralised network, with keywords like ‘head nurse’, ‘leader’ and ‘bullying’ highlighting internal professional conflicts. In contrast, news reports showed a centralised network focusing on external violent incidents, with keywords such as ‘violence’, ‘assault’ and ‘patient’ dominating.
Social media and news reports demonstrated significant differences in describing WPV against nurses. Social media focused on emotional expressions of interpersonal conflicts, whereas news reports prioritised factual accounts of violent incidents and proposed solutions.
This study offers insights into how WPV against nurses is communicated through different media, helping nursing administrators and policymakers understand the complexity of these narratives. The findings can inform the development of targeted communication strategies to address WPV and enhance public awareness.
Not applicable.
FreshRSS 