{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T09:07:49Z","timestamp":1778836069386,"version":"3.51.4"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"vor","delay-in-days":134,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to interpretively explore the life adjustment processes of second\u2010 and third\u2010year nurses engaged in shift work under a health self\u2010management program, focusing on the integration of professional adaptation and well\u2010being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Seven nurses in their second or third year of clinical practice participated in a program utilizing Ryodoraku biofeedback. Data from interviews were analyzed using the Steps for Coding and Theorization method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The adjustment process was conceptualized into three overarching themes: (1) navigating physiological limits and autonomous health regulation, where nurses utilized biofeedback to bridge the gap between subjective fatigue and physiological reality; (2) emotional dissonance and the struggle for agency, involving the negotiation of workplace demands; and (3) integrating professional growth and personal revitalization, where health management became a strategy for professional identity formation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The use of visual biofeedback served as a catalyst for participants to reflect on and transition toward proactive self\u2010regulation, instead of passive endurance. The findings suggest that supporting early\u2010career nurses requires not only rest but also tools to visualize physiological states and organizational support to foster professional agency, linking health management directly to career sustainability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/9958511","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T08:12:28Z","timestamp":1778832748000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Life Adjustment of Second\u2010 and Third\u2010Year Nurses in Japan Engaged in Shift Work Under a Health Self\u2010Management Program: Qualitative Analysis"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3056-319X","authenticated-orcid":false,"given":"Akiko","family":"Nagata","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,5,15]]},"reference":[{"key":"e_1_2_13_1_2","volume-title":"Summary of the 2024 Medical Fee Revision","author":"Ministry of Health Labour and Welfare","year":"2024"},{"key":"e_1_2_13_2_2","article-title":"2023 Hospital Nursing Survey Report","author":"Japanese Nursing Association","journal-title":"Research Report by the President of the Japanese Nursing Association No. 100 2024"},{"key":"e_1_2_13_3_2","unstructured":"International Labour Organization C149: Nursing Personnel Convention (No. 149) 1977 https:\/\/normlex.ilo.org\/dyn\/normlex\/en\/f?p%3d;NORMLEXPUB:12100:0::NO::P12100_INSTRUMENT_ID:312495."},{"key":"e_1_2_13_4_2","first-page":"87","article-title":"Nursing Shift Length and Continuity of Care: Evidence From a Cross-Sectional Study in Twelve European Countries","volume":"117","author":"Griffiths P.","year":"2014","journal-title":"Health Policy"},{"key":"e_1_2_13_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/ncq.0b013e3182725f09"},{"key":"e_1_2_13_6_2","article-title":"Effects of the Number of Consecutive Night Shifts on Physical and Mental Fatigue Among Japanese Nurses: A Cross-Sectional Study","volume":"17","author":"Sasaki N.","year":"2022","journal-title":"PLoS One"},{"key":"e_1_2_13_7_2","unstructured":"Japan Nursing Association Research on Night Shift Burden for Nursing Staff 2017 https:\/\/www.nurse.or.jp\/nursing\/shuroanzen\/yakinkotai\/chosa\/research2017.html."},{"key":"e_1_2_13_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/1098-240x(200008)23:4<;334::aid-nur9>;3.0.co;2-g"},{"key":"e_1_2_13_9_2","doi-asserted-by":"crossref","DOI":"10.1017\/CBO9781139174794","volume-title":"On the Self-Regulation of Behavior","author":"Carver C. S.","year":"1998"},{"key":"e_1_2_13_10_2","doi-asserted-by":"crossref","DOI":"10.1097\/00000446-198412000-00027","volume-title":"From Novice to Expert: Excellence and Power in Clinical Nursing Practice","author":"Benner P.","year":"1984"},{"key":"e_1_2_13_11_2","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1111\/j.1365-2648.2008.04898.x","article-title":"Transition Shock: The Initial Stage of Role Adaptation for Newly Graduated Registered Nurses","volume":"65","author":"Boychuk D.","year":"2009","journal-title":"Journal of Advanced Nursing"},{"key":"e_1_2_13_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90022-l"},{"key":"e_1_2_13_13_2","doi-asserted-by":"publisher","DOI":"10.2307\/2392498"},{"key":"e_1_2_13_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"e_1_2_13_15_2","first-page":"217","article-title":"Basics of Ryodoraku Autonomic Nerve Adjustment Therapy","volume":"40","author":"Nakatani Y.","year":"1995","journal-title":"Journal of the Japanese Ryodoraku Autonomic Neurology Society"},{"key":"e_1_2_13_16_2","first-page":"155","article-title":"SCAT: Steps for Coding and Theorization\u2014A Qualitative Data Analysis Method That is Easy to Start With Explicit Procedures and Can Be Applied to Small-Scale Data","volume":"10","author":"Otani T.","year":"2011","journal-title":"Kansei Engineering"},{"key":"e_1_2_13_17_2","volume-title":"Notes on Nursing. Bookseller to the Queen","author":"Nightingale F.","year":"1860"},{"key":"e_1_2_13_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2834.2012.01485.x"},{"key":"e_1_2_13_19_2","first-page":"311","article-title":"Fatigue in Nursing: A Theoretical Framework Guiding Future Research","volume":"60","author":"Steege L. M.","year":"2017","journal-title":"Applied Ergonomics"},{"key":"e_1_2_13_20_2","first-page":"1234","article-title":"Burnout as a Mediator of the Association Between Long Hours and Turnover Intentions: A Structural Equation Modelling Analysis","volume":"124","author":"Dall\u2019Ora C.","year":"2020","journal-title":"Health Policy"},{"key":"e_1_2_13_21_2","first-page":"688","article-title":"Resilience as a Mediator Between Psychological Empowerment and Turnover Intention Among Graduate Nurses","volume":"30","author":"Labrague L. J.","year":"2022","journal-title":"Journal of Nursing Management"}],"container-title":["Journal of Nursing Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jonm\/9958511","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/jonm\/9958511","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jonm\/9958511","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T08:12:33Z","timestamp":1778832753000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/jonm\/9958511"}},"subtitle":[],"editor":[{"given":"Abdulqadir J.","family":"Nashwan","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/jonm\/9958511"],"URL":"https:\/\/doi.org\/10.1155\/jonm\/9958511","archive":["Portico"],"relation":{},"ISSN":["0966-0429","1365-2834"],"issn-type":[{"value":"0966-0429","type":"print"},{"value":"1365-2834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2024-11-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"9958511"}}