Background. With projected nursing shortages, an aging workforce, and the imminent retirement of nurse leaders, nursing leadership shortages are a concern. While several studies have indicated the interest of nurses in pursuing leadership positions, limited research has focused on examining the influence of the leadership practice environment on nurses’ motivation to lead. Aim. The aims of the study were to (1) assess the relationship between the leadership environment and the motivation of nurses to lead and (2) determine whether there are particular aspects of the leadership environment that influence motivation to lead. Methods. A cross‐sectional research design was used to collect data from 435 nurses working in 16 public and private hospitals in Oman. Leadership Environment Scale and Motivation to Lead Scale were used to assess participants’ perceived leadership environment and their motivation to engage in formal leadership roles, respectively. Multivariate linear regression was used to assess the relationship between the perceived leadership environment and the motivation of nurses to undertake leadership roles. Findings. Nurses reported a mean scale value of 3.208 out of 5 (SD = 0.467) for their motivation to lead, which exceeds the midpoint, indicating a strong motivation to engage in formal leadership roles. Nurses reported a mean score of 3.194 out of 4 (SD = 0.661), which exceeds the midpoint, suggesting a favorable perception of leadership environment. The findings showed a significant relationship between the leadership environment and nurses’ motivation to lead. Specifically, self‐organization (β = 0.185, p = 0.001, CI = 0.086–0.378), agents (β = 0.221, p = 0.002, CI = 0.124–0.474), and transformative exchange (β = 0.100, p = 0.037, CI = 0.101–0.142) were characteristics of the leadership environment that were associated with greater motivation to engage in leadership. Conclusion. This study emphasizes the importance of cultivating a supportive leadership environment as a potential strategy to attract nurses to assume formal nursing leadership roles. Implications for Nursing Management. Strategies to improve nurses’ motivation to lead in a complex healthcare environment include improving nurses’ active involvement in their organization, creating a collegial supportive and mentoring leadership culture, and improving transformative exchange by supporting career and educational advancement.

Purpose: To explore the association between adverse childhood experiences (ACEs) and care-related strain among spouses of persons living with dementia (PLWD). Method: Data from spouses ( N = 30) of PLWD were included in a cross-sectional analysis examining whether childhood adversity, as measured by the Adverse Childhood Experiences Questionnaire (ACE-10), was associated with reports of care-related strain, as measured by the Zarit Burden Interview (ZBI-12). Results: Care-related strain was moderate (mean = 17), and there was a significant difference between ZBI-12 scores of spouses with no ACEs ( n = 10, mean = 11.3) versus those with ≥1 ACE ( n = 18, mean = 20.17) ( p = 0.01, 95% confidence interval [–15.37, −2.36]). Multiple linear regression analysis indicated there was a significant association between ACE-10 and ZBI-12 scores ( p = 0.006), even when controlling for role captivity ( p < 0.001). Conclusion: ACEs may influence the degree of care-related strain experienced by spouses of PLWD based on these preliminary results. Future research is needed to understand mechanisms and potential interventions for heightened appraisal of strain among spousal caregivers with ACEs. [ Journal of Gerontological Nursing, 51 (6), 17–21.]

Background: Shinrin-yoku, forest bathing, has been shown to improve the pain experience in arthritis patients and the immune system in normal healthy patients. Yet, a simulated forest immersion therapy (SFIT) experience has not been tested in these two populations and specifically not in cancer patients. If SFIT complementary therapy in these two populations progresses, the intervention environment as designed needs to be tested. The purpose of this paper is to describe the SFIT setting and test the stability of the interventional environment. Methods: To operationalize SFIT, a protocol of dose delivery was designed and measured. Ambient and surface room temperatures, relative humidity, ambient ultrafine particulate matter, and volatile organic compounds, specifically terpenes, were measured prior to terpene dose delivery, every 15 min for 1 h, ending with the conclusion of terpene delivery. Results: There were nearly imperceptible differences within session means for ambient and surface room temperatures, relative humidity, ambient ultrafine particulate matter, and volatile organic compounds showing no practical significance. Room temperature and surface temperature were moderately correlated, as expected. Conclusions: The intervention room environment for the diffusion of terpenes remained stable throughout two studies. The next steps proposal to employ SFIT in the home setting is warranted, with precautions.