{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T16:43:45Z","timestamp":1792428225795,"version":"4.5.0"},"reference-count":180,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":301,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100010166","name":"Xiamen Municipal Bureau of Science and Technology","doi-asserted-by":"publisher","award":["3502Z20244ZD1078"],"award-info":[{"award-number":["3502Z20244ZD1078"]}],"id":[{"id":"10.13039\/100010166","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Incontinence\u2010associated dermatitis (IAD) is a common nursing challenge in clinical practice, imposing a significant burden on both patients and healthcare providers. Studies have reported that nurses\u2019 preventive attitudes toward IAD significantly influence its prevalence, and there may be a potential association between achievement motivation and these attitudes. Previous research on nurses\u2019 preventive attitudes toward IAD has primarily focused on overall levels, overlooking potential heterogeneity within the population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to investigate the heterogeneity in clinical nurses\u2019 preventive attitudes toward IAD using a person\u2010centered approach and to identify the influencing factors for different subgroups. A secondary aim was to utilize Self\u2010Determination Theory (SDT) to elucidate the relationship between the identified attitude profiles and nurses\u2019 achievement motivation, thereby providing targeted strategies to enhance their preventive attitudes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study selected 1058 clinical nurses from a tertiary hospital in Fujian, China, as research participants from September to October 2024. The study utilized the following instruments: a general information questionnaire, the Attitude Toward the Prevention of Incontinence\u2010Associated Dermatitis Instrument, and the Achievement Motivation Scale. Latent profile analysis (LPA) was employed to identify the latent profiles of nurses\u2019 attitudes toward IAD prevention. At the same time,\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests, chi\u2010square tests, and binary logistic regression analysis were conducted to explore the factors influencing nurses\u2019 attitudes across different latent profiles.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Two subgroups of nurses\u2019 attitudes toward IAD prevention were identified: the low\u2010level group (63.42%) and the high\u2010level, low\u2010personal\u2010responsibility group (36.57%). A significant correlation was found between nurses\u2019 attitudes toward IAD prevention and achievement motivation. Nurses with a more positive preventive attitude scored higher on the motivation for success dimension, while those with a less positive attitude scored higher on the motivation to avoid failure dimension. Factors influencing nurses\u2019 attitudes toward IAD prevention included position, department, number of participants in wound\/ostomy\/incontinence care training, satisfaction with the work atmosphere, and achievement motivation scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study revealed heterogeneity in nurses\u2019 attitudes toward IAD prevention. Nurses with positive attitudes tended to adopt a success\u2010driven approach, while those with relatively negative attitudes leaned toward a failure\u2010avoidance strategy, reflecting two fundamentally distinct coping mechanisms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Nursing managers should address these individual differences by targeting achievement motivation as an intervention point. Management strategies should be tailored to the distinct profiles; for instance, interventions for the \u201clow\u2010level group\u201d should prioritize building competence through structured training, while strategies for the \u201chigh\u2010level, low\u2010personal\u2010responsibility group\u201d should focus on enhancing autonomy and personal accountability. By adopting such targeted approaches, managers can more effectively enhance nurses\u2019 preventive attitudes, thereby improving care quality and reducing IAD incidence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/3381812","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T18:26:36Z","timestamp":1761762396000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding the Relationship Between Chinese Nurses\u2019 Attitudes Toward Incontinence\u2010Related Dermatitis and Achievement Motivation Through a Person\u2010Centered Method: A Theory\u2010Driven Cross\u2010Sectional Study"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2185-1338","authenticated-orcid":false,"given":"Siyue","family":"Fan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mufen","family":"Ye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoying","family":"Tong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuangling","family":"Kang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanni","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4981-8747","authenticated-orcid":false,"given":"Nengtong","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenting","family":"Chai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingqi","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doudou","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liping","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutao","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8730-6947","authenticated-orcid":false,"given":"Lijuan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"e_1_2_14_1_2","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000656"},{"key":"e_1_2_14_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e31823fe246"},{"key":"e_1_2_14_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00152192-200701000-00008"},{"key":"e_1_2_14_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12331"},{"key":"e_1_2_14_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-200607000-00004"},{"key":"e_1_2_14_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.WON.0000270820.91694.1f"},{"key":"e_1_2_14_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000548"},{"key":"e_1_2_14_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2023.104472"},{"key":"e_1_2_14_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12322"},{"key":"e_1_2_14_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2021.03.006"},{"key":"e_1_2_14_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2020.06.004"},{"key":"e_1_2_14_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000490"},{"key":"e_1_2_14_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13496"},{"key":"e_1_2_14_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e31822efe52"},{"key":"e_1_2_14_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000790484.36520.9a"},{"key":"e_1_2_14_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-018-0282-2"},{"key":"e_1_2_14_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/chp.1340240506"},{"key":"e_1_2_14_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13062"},{"key":"e_1_2_14_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12413"},{"key":"e_1_2_14_20_2","unstructured":"AjzenI.andFishbeinM. 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