Pediatric Clinical Nurses' Role Conflict and Adaptation Status: Time for Improvement
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By
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Ye, Daolin
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Chen, Shangju
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Li, Mengya
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Yang, Ying
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Wu, Ping
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March 26, 2026
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Clinical Scorecard: Assessing Role Conflict and Adaptation Among Pediatric Clinical Nurses: A Call for Enhancement
At a Glance
| Category | Detail |
| Condition | Role Conflict and Adaptation in Pediatric Nursing |
| Key Mechanisms | Role cognition mediates the relationship between role conflict and adaptation; psychological support training moderates this relationship. |
| Target Population | Pediatric clinical nurses |
| Care Setting | Tertiary grade A specialized children's hospital |
Key Highlights
- Pediatric nurses reported a mean role conflict score of 52.46±7.55.
- Mean role adaptation score among nurses was 85.20±10.48.
- Role conflict negatively correlated with role adaptation (r=-0.728, P<0.001).
- Psychological support training buffers the negative impact of role conflict.
- Significant interdepartmental differences in role conflict and adaptation were observed.
Guideline-Based Recommendations
Diagnosis
- Assess role conflict using the Nurse Role Conflict Scale (NRCS).
- Evaluate role adaptation with the Nurse Role Adaptation Scale (NRAS).
Management
- Implement psychological support training for pediatric nurses.
- Develop targeted interventions based on demographic and occupational factors.
Monitoring & Follow-up
- Regularly assess role conflict and adaptation scores among nursing staff.
- Monitor the effectiveness of psychological support training.
Risks
- Increased role conflict may lead to decreased care quality.
- High role conflict is associated with lower role adaptation.
Patient & Prescribing Data
Pediatric patients cared for by clinical nurses.
Improving role adaptation through targeted training may enhance care quality.
Clinical Best Practices
- Encourage psychological support training for nurses.
- Foster an environment that reduces role conflict.
- Conduct regular assessments of role conflict and adaptation.
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