Pediatric Clinical Nurses' Role Conflict and Adaptation Status: Time for Improvement - Scorecard - MDSpire

Pediatric Clinical Nurses' Role Conflict and Adaptation Status: Time for Improvement

  • By

  • Ye, Daolin

  • Chen, Shangju

  • Li, Mengya

  • Yang, Ying

  • Wu, Ping

  • March 26, 2026

  • 0 min

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Clinical Scorecard: Assessing Role Conflict and Adaptation Among Pediatric Clinical Nurses: A Call for Enhancement

At a Glance

CategoryDetail
ConditionRole Conflict and Adaptation in Pediatric Nursing
Key MechanismsRole cognition mediates the relationship between role conflict and adaptation; psychological support training moderates this relationship.
Target PopulationPediatric clinical nurses
Care SettingTertiary 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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