Career adaptability and patient safety culture perceptions among newly graduated oncology nurses: a latent profile analysis

Abstract Background Newly graduated nurses in cancer hospitals face significant challenges in high-pressure environments, struggling with career adaptability due to limited clinical experience. This adaptability is crucial for managing occupational stress and influences perceptions of patient safety...

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Main Authors: Fengyan Ma, Man Liu, Lu Liu, Yajing Zhu, Weining Wang, Helin Chen, Yan Liu, Fan Zhang
Format: Article
Language:English
Published: BMC 2025-03-01
Series:BMC Nursing
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Online Access:https://doi.org/10.1186/s12912-025-03018-8
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author Fengyan Ma
Man Liu
Lu Liu
Yajing Zhu
Weining Wang
Helin Chen
Yan Liu
Fan Zhang
author_facet Fengyan Ma
Man Liu
Lu Liu
Yajing Zhu
Weining Wang
Helin Chen
Yan Liu
Fan Zhang
author_sort Fengyan Ma
collection DOAJ
description Abstract Background Newly graduated nurses in cancer hospitals face significant challenges in high-pressure environments, struggling with career adaptability due to limited clinical experience. This adaptability is crucial for managing occupational stress and influences perceptions of patient safety culture. However, existing studies have not explored this group’s latent profiles of career adaptability, underscoring the need for further research. Objectives This study aims to identify latent profiles of career adaptability among newly graduated nurses in cancer hospitals and examine their impact on perceptions of patient safety culture. Design This study employed a quantitative, cross-sectional design. Methods Between October and November 2023, newly graduated nurses from a tertiary cancer hospital in Beijing, China, were recruited through convenience sampling. Data were gathered using a General Information Questionnaire, the Career Adaptability Scale, and the Hospital Survey on Patient Safety Culture Scale. Latent profile analysis was performed using the R3STEP and BCH methods. Results A total of 365 newly graduated nurses participated. Career adaptability was categorized into three profiles: “low” (14.0%), “moderate” (41.4%), and “high” (44.7%). Significant predictors included age, education level, clinical practice duration, unclear career planning, and lack of tertiary hospital internship experience. Perceptions of patient safety culture varied significantly across the profiles. Conclusion Career adaptability among newly graduated nurses in cancer hospitals exhibits heterogeneous characteristics that significantly impact their perceptions of patient safety culture. Nursing managers and educators should recognize this diversity and implement individualized strategies to enhance these perceptions.
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spelling doaj-art-c920a2740c7245f0826ebb156d85567f2025-08-20T01:53:04ZengBMCBMC Nursing1472-69552025-03-012411910.1186/s12912-025-03018-8Career adaptability and patient safety culture perceptions among newly graduated oncology nurses: a latent profile analysisFengyan Ma0Man Liu1Lu Liu2Yajing Zhu3Weining Wang4Helin Chen5Yan Liu6Fan Zhang7Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeNursing Department, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeAbstract Background Newly graduated nurses in cancer hospitals face significant challenges in high-pressure environments, struggling with career adaptability due to limited clinical experience. This adaptability is crucial for managing occupational stress and influences perceptions of patient safety culture. However, existing studies have not explored this group’s latent profiles of career adaptability, underscoring the need for further research. Objectives This study aims to identify latent profiles of career adaptability among newly graduated nurses in cancer hospitals and examine their impact on perceptions of patient safety culture. Design This study employed a quantitative, cross-sectional design. Methods Between October and November 2023, newly graduated nurses from a tertiary cancer hospital in Beijing, China, were recruited through convenience sampling. Data were gathered using a General Information Questionnaire, the Career Adaptability Scale, and the Hospital Survey on Patient Safety Culture Scale. Latent profile analysis was performed using the R3STEP and BCH methods. Results A total of 365 newly graduated nurses participated. Career adaptability was categorized into three profiles: “low” (14.0%), “moderate” (41.4%), and “high” (44.7%). Significant predictors included age, education level, clinical practice duration, unclear career planning, and lack of tertiary hospital internship experience. Perceptions of patient safety culture varied significantly across the profiles. Conclusion Career adaptability among newly graduated nurses in cancer hospitals exhibits heterogeneous characteristics that significantly impact their perceptions of patient safety culture. Nursing managers and educators should recognize this diversity and implement individualized strategies to enhance these perceptions.https://doi.org/10.1186/s12912-025-03018-8Newly graduated nursesCancer hospitalsCareer adaptabilityHospital survey on patient safety cultureLatent profile analysis
spellingShingle Fengyan Ma
Man Liu
Lu Liu
Yajing Zhu
Weining Wang
Helin Chen
Yan Liu
Fan Zhang
Career adaptability and patient safety culture perceptions among newly graduated oncology nurses: a latent profile analysis
BMC Nursing
Newly graduated nurses
Cancer hospitals
Career adaptability
Hospital survey on patient safety culture
Latent profile analysis
title Career adaptability and patient safety culture perceptions among newly graduated oncology nurses: a latent profile analysis
title_full Career adaptability and patient safety culture perceptions among newly graduated oncology nurses: a latent profile analysis
title_fullStr Career adaptability and patient safety culture perceptions among newly graduated oncology nurses: a latent profile analysis
title_full_unstemmed Career adaptability and patient safety culture perceptions among newly graduated oncology nurses: a latent profile analysis
title_short Career adaptability and patient safety culture perceptions among newly graduated oncology nurses: a latent profile analysis
title_sort career adaptability and patient safety culture perceptions among newly graduated oncology nurses a latent profile analysis
topic Newly graduated nurses
Cancer hospitals
Career adaptability
Hospital survey on patient safety culture
Latent profile analysis
url https://doi.org/10.1186/s12912-025-03018-8
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