Journal of nursing management · 2026
The Relationship Between Holistic Humanistic Caring Perception, Thriving at Work and Clinical Nursing Competency Among Newly Graduated Nurses: A Mediation Study With Latent Profile Analysis.
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Zhang Yuping, Wang Guimei, Hou Weihua, Shi Dandan, Yin Xiaobing
Аннотация
AIM: To identify latent profiles of holistic humanistic caring perception among newly graduated nurses, examine associated factors and assess indirect associations with clinical nursing competency through thriving at work.
BACKGROUND: Heterogeneity in caring perception and the role of thriving at work in clinical nursing competency remain unclear.
METHODS: A cross-sectional study included 421 newly graduated nurses from six tertiary hospitals. Latent profile analysis, multinomial logistic regression and covariate-adjusted mediation analysis with 5000 bootstrap samples were performed.
RESULTS: Three profiles characterised mainly by low (30.9%), moderate (31.8%) and high (37.3%) caring perception were identified. Only-child status, living situation and work experience were associated with profile membership. Significant indirect associations through thriving at work were found for high versus low (B = 46.17, 95% bootstrap CI 36.73-55.58) and moderate versus low (B = 27.26, 95% bootstrap CI 21.30-33.45). The direct association remained significant for high versus low but not moderate versus low.
CONCLUSIONS: Caring profiles were associated with clinical nursing competency, with significant indirect associations through thriving at work.
IMPLICATIONS FOR NURSING MANAGEMENT: Profile-specific caring support and conditions that foster learning and vitality may help nursing managers support competency development.
BACKGROUND: Heterogeneity in caring perception and the role of thriving at work in clinical nursing competency remain unclear.
METHODS: A cross-sectional study included 421 newly graduated nurses from six tertiary hospitals. Latent profile analysis, multinomial logistic regression and covariate-adjusted mediation analysis with 5000 bootstrap samples were performed.
RESULTS: Three profiles characterised mainly by low (30.9%), moderate (31.8%) and high (37.3%) caring perception were identified. Only-child status, living situation and work experience were associated with profile membership. Significant indirect associations through thriving at work were found for high versus low (B = 46.17, 95% bootstrap CI 36.73-55.58) and moderate versus low (B = 27.26, 95% bootstrap CI 21.30-33.45). The direct association remained significant for high versus low but not moderate versus low.
CONCLUSIONS: Caring profiles were associated with clinical nursing competency, with significant indirect associations through thriving at work.
IMPLICATIONS FOR NURSING MANAGEMENT: Profile-specific caring support and conditions that foster learning and vitality may help nursing managers support competency development.