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Authors = Michael Rovithis ORCID = 0000-0003-0471-0117

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19 pages, 652 KiB  
Systematic Review
Fostering Organizational and Professional Commitment Through Transformational Leadership in Nursing: A Systematic Review
by Eleni Tsapnidou, Georgios Katharakis, Martha Kelesi-Stavropoulou, Michael Rovithis, Sofia Koukouli, Evangelia Sigala, Maria Moudatsou, Dimitrios Papageorgiou and Areti Stavropoulou
Hospitals 2025, 2(2), 10; https://doi.org/10.3390/hospitals2020010 - 8 May 2025
Viewed by 2247
Abstract
Effective nurse leadership increases nurses’ job satisfaction, performance, motivation, and empowerment. Ensuring nurses’ organizational and professional commitment is vital for addressing quality, sustainability, and cost-effectiveness challenges in a high-demanding healthcare environment. The aim of this study was to explore the impact of transformational [...] Read more.
Effective nurse leadership increases nurses’ job satisfaction, performance, motivation, and empowerment. Ensuring nurses’ organizational and professional commitment is vital for addressing quality, sustainability, and cost-effectiveness challenges in a high-demanding healthcare environment. The aim of this study was to explore the impact of transformational leadership on nurses’ organizational and professional commitment. A systematic review was conducted using the Scopus, ScienceDirect, PubMed/Medline, Scilit.net, and Wiley Online Library databases. Original research studies published between 2016 and 2024 focusing exclusively on nurses’ professional and organizational commitment and transformational leadership were included. The indexing terms “nursing leadership”, “transformational leadership”, “professional/organizational commitment”, and “nursing” were used along with the Boolean operators AND, OR, and NOT. According to the findings, transformational leadership practices increase nurses’ organizational and professional commitment through vision sharing, motivation, career development, interpersonal communication, a positive working environment, and productive resources management. The healthcare policy makers should invest in organizing, supporting, and promoting relational leadership practices to retain their nursing workforce and obtain their organizational and professional commitment to ensure high care quality. Full article
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16 pages, 238 KiB  
Article
Promoting Women’s Mental Health and Resilience in Times of Health Crisis and Adversity via Personal Development Groups
by Maria Moudatsou, Areti Stavropoulou, Michael Rovithis, Dimitrios Mimarakis and Sofia Koukouli
Healthcare 2025, 13(9), 1035; https://doi.org/10.3390/healthcare13091035 - 30 Apr 2025
Cited by 1 | Viewed by 1232
Abstract
Background: Women carry out an array of demanding tasks due to their multiple roles as mothers, workers, spouses, and caregivers. Their responsibilities to the family and society are essential throughout life, but they become even more important at times of crisis and unanticipated [...] Read more.
Background: Women carry out an array of demanding tasks due to their multiple roles as mothers, workers, spouses, and caregivers. Their responsibilities to the family and society are essential throughout life, but they become even more important at times of crisis and unanticipated events. All these obligations may have a detrimental effect on their mental health and general well-being. According to the social model of health, through personal development groups, women improve their health because they can transform their personalities, enhance their social and personal abilities, and strengthen their resilience to unforeseen occurrences, health crises, and adversity. Aim of the study: This follow-up study examined the viewpoints of women regarding the durability and efficacy of group therapy’s positive impact on their resilience and mental health, especially through unforeseen circumstances and crises. This group of women had taken part in group therapy six years ago to strengthen their resilience and improve their mental health. Methods: Data collection was implemented through semi-structured in-person interviews conducted from December 2020 to March 2021. Five topics emerged from the framework analysis: (a) personal development and mental health; (b) reinforcement of their resilience; (c) group therapy and women’s health during the COVID-19 pandemic; (d) an assessment of group therapy on women’s health through imagery; (e) future recommendations. Results: Most of the women stated that group treatment had a beneficial impact in terms of improving their individual abilities. The group experience was described as a bridge that allowed them to recognize and accept their emotions. Since COVID-19, women have developed helpful coping strategies to deal with daily tension, loneliness, and work-related stress. Conclusions: Our research results indicate that group therapy is a useful tool for women’s empowerment and mental health in times of crises and adversity. Social policy should take it into account in order to meet women’s highly demanding roles and personal needs. Full article
(This article belongs to the Special Issue Health and Social Care Policy—2nd Edition)
17 pages, 767 KiB  
Review
Transformational Leadership—Quality Achievements and Benefits for the Healthcare Organizations: A Scoping Review
by Eleni Tsapnidou, Martha Kelesi, Michael Rovithis, Georgios Katharakis, Georgia Gerogianni, Chrysoula Dafogianni, Georgia Toylia, Georgia Fasoi and Areti Stavropoulou
Hospitals 2024, 1(1), 87-103; https://doi.org/10.3390/hospitals1010008 - 26 Jul 2024
Cited by 2 | Viewed by 28385
Abstract
Effective nursing leadership is critical for healthcare organizations’ sustainability as nurse leaders influence many organizational aspects, including staff retention, quality of care, resource management, and development. The aim of this study is to highlight the quality achievements and benefits that transformational leadership may [...] Read more.
Effective nursing leadership is critical for healthcare organizations’ sustainability as nurse leaders influence many organizational aspects, including staff retention, quality of care, resource management, and development. The aim of this study is to highlight the quality achievements and benefits that transformational leadership may have for healthcare organizations. An extensive literature search has been conducted through MEDLINE and Scopus. The 6-stage framework proposed by Arksey and O’Malley was applied, guided the scoping review process. Data extracted from the included studies were systematically charted. This approach allowed for a comprehensive understanding of the advantages of transformational leadership in healthcare organizations. Of the 1245 searched articles, 26 encountered the study’s inclusion criteria. Analysis of the studies led to the formulation of two thematic categories, namely, (a) transformational leadership and human resources and (b) transformational leadership and healthcare delivery. Results indicated that transformational nursing leadership can benefit healthcare organizations in terms of effective resource management, high quality of care, and sustainability. Visionary leaders support staff retention, innovation, and research and promote organizational status and development. Through continuous support and training, transformational nurse leaders can ensure nurses’ job satisfaction and engagement, patients’ satisfaction, the best therapeutic outcomes, and high levels of organizational achievement. Full article
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42 pages, 1569 KiB  
Review
Digital Educational Tools for Undergraduate Nursing Education: A Review of Serious Games, Gamified Applications and Non-Gamified Virtual Reality Simulations/Tools for Nursing Students
by Vasiliki Eirini Chatzea, Ilias Logothetis, Michail Kalogiannakis, Michael Rovithis and Nikolas Vidakis
Information 2024, 15(7), 410; https://doi.org/10.3390/info15070410 - 15 Jul 2024
Cited by 12 | Viewed by 9296
Abstract
Educational technology has advanced tremendously in recent years, with several major developments becoming available in healthcare professionals’ education, including nursing. Furthermore, the COVID-19 pandemic resulted in obligatory physical distancing, which forced an accelerated digital transformation of teaching tools. This review aimed to summarize [...] Read more.
Educational technology has advanced tremendously in recent years, with several major developments becoming available in healthcare professionals’ education, including nursing. Furthermore, the COVID-19 pandemic resulted in obligatory physical distancing, which forced an accelerated digital transformation of teaching tools. This review aimed to summarize all the available digital tools for nursing undergraduate education developed from 2019 to 2023. A robust search algorithm was implemented in the Scopus database, resulting in 1592 publications. Overall, 266 relevant studies were identified enrolling more than 22,500 undergraduate nursing students. Upon excluding multiple publications on the same digital tool, studies were categorized into three broad groups: serious games (28.0%), gamified applications (34.5%), and VR simulations and other non-gamified digital interventions (37.5%). Digital tools’ learning activity type (categories = 8), geographical distribution (countries = 34), educational subjects (themes = 12), and inclusion within a curriculum course (n = 108), were also explored. Findings indicate that digital educational tools are an emerging field identified as a potential pedagogical strategy aiming to transform nursing education. This review highlights the latest advances in the field, providing useful insights that could inspire countries and universities which have not yet incorporated digital educational tools in their nursing curriculum, to invest in their implementation. Full article
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15 pages, 251 KiB  
Article
Evaluation of Online Counseling through the Working Experiences of Mental Health Therapists Amidst the COVID-19 Pandemic
by Maria Moudatsou, Areti Stavropoulou, Michael Rovithis and Sofia Koukouli
Healthcare 2024, 12(4), 495; https://doi.org/10.3390/healthcare12040495 - 19 Feb 2024
Cited by 1 | Viewed by 5933
Abstract
This study aimed to reflect on mental health professionals’ experiences with online counseling during the COVID-19 pandemic, as well as their perceptions and recommendations for the future. The method of qualitative research with semi-structured interviews was used. The sample consisted of 17 mental [...] Read more.
This study aimed to reflect on mental health professionals’ experiences with online counseling during the COVID-19 pandemic, as well as their perceptions and recommendations for the future. The method of qualitative research with semi-structured interviews was used. The sample consisted of 17 mental health professionals working in the public or private sectors. A framework analysis revealed four main themes, namely (a) the evaluation of online counseling; (b) comparing in-person and online counseling; (c) factors influencing the effectiveness of online counseling; and (d) suggestions for the future use of online counseling. Most therapists reported that their overall experience with online counseling was positive. The main advantages cited were the accessibility for everyone and the reductions in time, money, and distance. Its primary drawbacks included less nonverbal communication, the inability to employ certain therapeutic tools, problems with confidentiality, lack of experience, and technical difficulties during online sessions. Its effectiveness depends on contextual factors and factors related to the therapeutic process itself. Organizational planning, training, and a solid implementation strategy may help ensure that this communication medium is used to its fullest potential. In addition, the possible utilization of remote counseling combined with in-person psychotherapeutic intervention methods will provide solutions for the future, especially in crisis situations. Full article
(This article belongs to the Special Issue Health and Social Care Policy)
11 pages, 307 KiB  
Article
Promoting Self-Management and Independent Living of Older Individuals with Chronic Diseases through Technology: A Study of Self-Reported Needs, Priorities, and Preferences
by Argyroula Kalaitzaki, Michael Rovithis, Alexios Dimitropoulos, Sofia Koukouli, Manolis Linardakis, Elli Katsiri, Nikos Rikos, George Vasilopoulos, George Tsolas, Aikaterini Papachristou, Anastasia Dimitrantzou, Dimitrios Katsiris and Areti Stavropoulou
Medicina 2023, 59(8), 1493; https://doi.org/10.3390/medicina59081493 - 19 Aug 2023
Cited by 2 | Viewed by 3172
Abstract
Background and Objectives: Older patients’ needs are rarely examined beforehand, and thus, although technology-based tools can enhance self-management, acceptability rates are still low. This study aimed to examine and compare self-reported needs, priorities, and preferences of older patients with heart failure (HF), [...] Read more.
Background and Objectives: Older patients’ needs are rarely examined beforehand, and thus, although technology-based tools can enhance self-management, acceptability rates are still low. This study aimed to examine and compare self-reported needs, priorities, and preferences of older patients with heart failure (HF), diabetes mellitus type II (DM2), and chronic obstructive pulmonary disease (COPD) toward technology use to enhance self-management. Materials and Methods: A convenience sample of 473 participants over 60 s (60.5% females), diagnosed with HF (n= 156), DM2 (n = 164), or COPD (n = 153) was recruited. They were administered a questionnaire about the usefulness of technology in general and in specific areas of disease management. Results: Most participants (84.7%) admitted that technology is needed for better disease management. This was equally recognized across the three groups both for the overall and specific areas of disease management (in order of priority: “Information”, “Communication with Physicians and Caregivers”, and “Quality of Life and Wellbeing”). Sociodemographic differences were found. Cell phones and PCs were the devices of preference. The four common features prioritized by all three groups were related to ‘information about disease management’ (i.e., monitoring symptoms, reminders for medication intake, management and prevention of complications), whereas the fifth one was related to ‘communication with physicians and caregivers (i.e., in case of abnormal or critical signs). The top disease-specific feature was also monitoring systems (of respiratory rate or blood sugar or blood pressure, and oxygen), whereas other disease-specific features followed (i.e., maintaining normal weight for HF patients, adjusting insulin dose for DM2 patients, and training on breathing exercises for COPD patients). Conclusions: Older individuals in these three groups seem receptive to technology in disease management. mHealth tools, incorporating both common and disease-specific features and addressing different chronic patients, and also being personalized at the same time, could be cost-saving and useful adjuncts in routine clinical care to improve self-management. Full article
(This article belongs to the Section Epidemiology & Public Health)
16 pages, 286 KiB  
Article
Views and Challenges of COVID-19 Vaccination in the Primary Health Care Sector. A Qualitative Study
by Maria Moudatsou, Areti Stavropoulou, Michael Rovithis and Sofia Koukouli
Vaccines 2023, 11(4), 803; https://doi.org/10.3390/vaccines11040803 - 5 Apr 2023
Cited by 6 | Viewed by 3685
Abstract
COVID-19 has affected the global community as it has severely raised population mortality and morbidity rates. Vaccination was seen as a mechanism against the spread of the pandemic. Yet, there are still several reservations about its adoption. Professionals in the field of health [...] Read more.
COVID-19 has affected the global community as it has severely raised population mortality and morbidity rates. Vaccination was seen as a mechanism against the spread of the pandemic. Yet, there are still several reservations about its adoption. Professionals in the field of health care have a crucial frontline role. The present study uses a qualitative research approach to examine Greek health professionals’ views on vaccination acceptance. According to the key findings, health professionals largely accept vaccination. The main reasons cited were scientific knowledge, a sense of obligation to society, and protection from disease. However, there are still numerous restrictions to adhering to it. This is due to the lack of knowledge of certain scientific disciplines or to misinformation, as well as to religious or political convictions. The issue of trust is central to the acceptance of vaccinations. According to our research, the most adequate strategy to enhance immunization and ensure that it is widely accepted is to promote health educational interventions for professionals working in primary care settings. Full article
13 pages, 609 KiB  
Article
Cultural Adaptation of a Health Literacy Toolkit for Healthcare Professionals Working in the Primary Care Setting with Older Adults
by Areti Efthymiou, Argyroula Kalaitzaki and Michael Rovithis
Healthcare 2023, 11(5), 776; https://doi.org/10.3390/healthcare11050776 - 6 Mar 2023
Cited by 7 | Viewed by 2874
Abstract
Healthcare professionals’ health literacy (HL) knowledge and skills influence their interaction with older adults. Healthcare professionals, when effectively communicating with older adults, can empower and enhance patients’ skills to make informed decisions about their health. The study aimed to adapt and pilot test [...] Read more.
Healthcare professionals’ health literacy (HL) knowledge and skills influence their interaction with older adults. Healthcare professionals, when effectively communicating with older adults, can empower and enhance patients’ skills to make informed decisions about their health. The study aimed to adapt and pilot test a HL toolkit to enhance the HL skills of health professionals working with older adults. A mixed methodology of three phases was used. Initially, the healthcare professionals’ and older adults’ needs were identified. Following a literature review of existing tools, a HL toolkit was selected, translated, and adapted into Greek. The HL toolkit was introduced to 128 healthcare professionals as part of 4 h webinars; 82 healthcare professionals completed baseline and post assessments, and 24 healthcare professionals implemented it in their clinical practice. The questionnaires used included an interview on HL knowledge, communication strategies, and self-efficacy using a communication scale. HL and communication strategies knowledge (13 items) and self-efficacy in communication (t = −11.127, df = 81, p < 0.001) improved after the end of the HL webinars, and improvement was retained during the follow-up after 2 months (H = 8.99, df = 2, p < 0.05). A culturally adapted HL toolkit was developed to support the needs of healthcare professionals working with older adults, taking into consideration their feedback in all phases of the development. Full article
(This article belongs to the Special Issue Health and Social Care Policy)
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13 pages, 282 KiB  
Article
Exploring Nurses’ Working Experiences during the First Wave of COVID-19 Outbreak
by Areti Stavropoulou, Michael Rovithis, Evangelia Sigala, Maria Moudatsou, Georgia Fasoi, Dimitris Papageorgiou and Sofia Koukouli
Healthcare 2022, 10(8), 1406; https://doi.org/10.3390/healthcare10081406 - 27 Jul 2022
Cited by 7 | Viewed by 3421
Abstract
During the COVID-19 outbreak, nurses employed in the clinical sector faced a number of difficulties associated with excessive workload, increased stress, and role ambiguity, which impacted nurses themselves and patient care. The aim of the present study was to investigate how Greek hospital [...] Read more.
During the COVID-19 outbreak, nurses employed in the clinical sector faced a number of difficulties associated with excessive workload, increased stress, and role ambiguity, which impacted nurses themselves and patient care. The aim of the present study was to investigate how Greek hospital nurses working in non-COVID units experienced the virus outbreak during the first wave of the pandemic. A descriptive qualitative research design was applied using a content analysis approach. To recruit the study participants a purposive sampling strategy was used. Ten nurses participated in the study. Data collection was conducted through semi-structured interviews. Content analysis revealed three themes namely, (a) emotional burden, (b) professional commitment, and (c) abrupt changes. Six subthemes were formulated and assimilated under each main theme respectively. Organizational changes, emotional burdens and feelings of fear and uncertainty, appeared to have a crucial effect on nurses and patient care. However, the professional commitment and the nurses’ effort to provide excellent nursing care remained high. Nurses demonstrated that despite the burdens caused by the COVID-19 outbreak, the pandemic era created opportunities for thoroughness and accuracy in nursing care. Full article
(This article belongs to the Special Issue Health and Social Care Policy)
14 pages, 285 KiB  
Article
What Quality of Care Means? Exploring Clinical Nurses’ Perceptions on the Concept of Quality Care: A Qualitative Study
by Areti Stavropoulou, Michael Rovithis, Martha Kelesi, George Vasilopoulos, Evangelia Sigala, Dimitrios Papageorgiou, Maria Moudatsou and Sofia Koukouli
Clin. Pract. 2022, 12(4), 468-481; https://doi.org/10.3390/clinpract12040051 - 30 Jun 2022
Cited by 33 | Viewed by 9631
Abstract
Quality is a multidimensional issue involving various features that depend on service performance and personal assessment. Clarifying the concept of quality is essential in order to further facilitate the understanding and improvement of quality in healthcare. The purpose of this study was to [...] Read more.
Quality is a multidimensional issue involving various features that depend on service performance and personal assessment. Clarifying the concept of quality is essential in order to further facilitate the understanding and improvement of quality in healthcare. The purpose of this study was to investigate how clinical nurses, providing care to adult medical patients, perceive and define the concept of quality nursing care. A descriptive qualitative research design was applied. A purposive sampling strategy was used to recruit nurses from the clinical sector of a general public hospital in Athens, Greece. Ten female nurses from the medical sector participated the study. Data collection was conducted through in-depth, semi-structured interviews. Conventional content analysis was used to analyze the verbatim data. Four categories were revealed from the data analysis, namely: (a) “Quality care is holistic care”, (b) “Good care is an interpersonal issue”, (c) “Leadership is crucial”, and (d) “Best care is our responsibility”. Quality care was defined as holistic care, addressing all patient needs with competency and aiming for the best patient outcomes. It was associated with communication, teamwork, good leadership, and personal commitment. By developing an in-depth and mutual understanding about what quality means, nurse leaders and practitioners may collaborate in finding common paths to support quality interventions and enhance quality nursing care in clinical practice. Full article
(This article belongs to the Special Issue Clinical Nursing and Quality of Healthcare)
16 pages, 955 KiB  
Article
Knowledge and Use of Cervical Cancer Prevention Services among Social Work and Nursing University Students
by Maria Moudatsou, Panayiota Vouyiouka, Eleni Karagianni-Hatziskou, Michael Rovithis, Areti Stavropoulou and Sofia Koukouli
Healthcare 2022, 10(6), 1140; https://doi.org/10.3390/healthcare10061140 - 19 Jun 2022
Cited by 4 | Viewed by 3460
Abstract
The present study examines: (a) the knowledge of healthcare students on cervical cancer (CC) issues and the use of related preventive services, as well as their association with the field of study and other sociodemographic characteristics; (b) the possible effect of social capital [...] Read more.
The present study examines: (a) the knowledge of healthcare students on cervical cancer (CC) issues and the use of related preventive services, as well as their association with the field of study and other sociodemographic characteristics; (b) the possible effect of social capital and its parameters. A cross-sectional study was conducted, using a convenience non-probability sampling technique. The final sample consisted of forty-nine social work and fifty-one nursing students. The two groups were similar regarding their sociodemographic characteristics and the knowledge and use of gynecological preventive services. However, the nursing students undertook a PAP smear check-up to a lesser extent (48.6%) compared to social work students (51.4%) (p = 0.026). The social capital scores were high for both groups, but social work students were significantly more ‘Tolerant to diversity’. For the total sample, only the ‘Family and friends connections’ subscale correlated with knowledge about the existing gynecological preventive services. Among the main reasons explaining university students’ avoidance of preventive testing were the feelings of fear and embarrassment associated with the PAP smear test. Given the significance of the future professional roles of healthcare students as information sources and leaders in women’s CC preventive behavior, understanding the individual factors contributing to their own adherence is essential. It is equally important to increase their scientific knowledge through the improvement of academic curricula regarding these issues. Full article
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4 pages, 225 KiB  
Proceeding Paper
Mental Health Care and Online Consultation during the COVID-19 Pandemic: A Literature Review
by Maria Moudatsou, Areti Stavropoulou, Michael Rovithis and Sofia Koukouli
Med. Sci. Forum 2022, 10(1), 4; https://doi.org/10.3390/IECH2022-12336 - 2 Mar 2022
Cited by 1 | Viewed by 1234
Abstract
The outbreak of the COVID-19 pandemic had a negative effect on people’s mental health. Additionally, it resulted in many transformations in mental healthcare services delivery. Mental health professionals preferred to provide mental health services via telehealth in order to meet their clients’ mental [...] Read more.
The outbreak of the COVID-19 pandemic had a negative effect on people’s mental health. Additionally, it resulted in many transformations in mental healthcare services delivery. Mental health professionals preferred to provide mental health services via telehealth in order to meet their clients’ mental health needs. The purpose of this literature review is to analyze and evaluate the concept of online consultation throughout the COVID-19 pandemic. Full article
(This article belongs to the Proceedings of The 2nd International Electronic Conference on Healthcare)
5 pages, 224 KiB  
Proceeding Paper
Health Care Professionals’ Views about Vaccination for COVID-19: A Qualitative Research in Primary Health Care Settings
by Maria Moudatsou, Areti Stavropoulou, Michael Rovithis and Sofia Koukouli
Med. Sci. Forum 2022, 10(1), 3; https://doi.org/10.3390/IECH2022-12302 - 18 Feb 2022
Viewed by 916
Abstract
The COVID-19 pandemic had many political, economic, and social consequences for individuals, families and communities. Vaccines play a crucial role for its effective treatment and health care professionals are key persons toward that aim, as they contribute to a successful implementation of the [...] Read more.
The COVID-19 pandemic had many political, economic, and social consequences for individuals, families and communities. Vaccines play a crucial role for its effective treatment and health care professionals are key persons toward that aim, as they contribute to a successful implementation of the COVID-19 vaccination programs. Therefore, their personal views are of utmost importance. The purpose of this study was to investigate health care professionals’ willingness to get vaccinated and their perceptions and concerns about the vaccination process. Full article
(This article belongs to the Proceedings of The 2nd International Electronic Conference on Healthcare)
11 pages, 271 KiB  
Article
Empathy and Mobile Phone Dependence in Nursing: A Cross-Sectional Study in a Public Hospital of the Island of Crete, Greece
by Michael Rovithis, Sofia Koukouli, Aristidis Fouskis, Ioulia Giannakaki, Kleanthi Giakoumaki, Manolis Linardakis, Maria Moudatsou and Areti Stavropoulou
Healthcare 2021, 9(8), 975; https://doi.org/10.3390/healthcare9080975 - 31 Jul 2021
Cited by 4 | Viewed by 2837
Abstract
This study examined the relationship between empathy and mobile phone dependence levels of the nursing staff in a public hospital in the island of Crete, using a cross-sectional study design. Data from 109 staff nurses and healthcare assistants (HCAs) were collected via the [...] Read more.
This study examined the relationship between empathy and mobile phone dependence levels of the nursing staff in a public hospital in the island of Crete, using a cross-sectional study design. Data from 109 staff nurses and healthcare assistants (HCAs) were collected via the Greek version of the Mobile Phone Dependence Questionnaire (MPDQ) and the Toronto Empathy Questionnaire (TEQ). Multiple linear regression was used to determine the correlation between empathy and mobile phone dependency. The total mean score for TEQ was 33.9 (±5.7). Accordingly, the total mean score for MPDQ was 22.9 (±6.1). High mobile phone dependence was found in 4.7% of the participants. A statistically significant difference was found between HCAs and staff nurses, with HCAs presenting a higher mean empathy levels (TEQ) (36.5 vs. 32.6) and lower dependence levels (MPDQ) (18.9 vs. 24.5) than staff nurses. A significant correlation between empathy and dependence was found between dependence and the altruism empathy subscale, with higher dependence being correlated with lower altruism. The participants’ levels of empathy do not seem to be affected by mobile phone dependence. However, empathy appears to be strongly determined by increased age and professional status. Nurses’ dependence on mobile phones is a complex phenomenon that requires attention. Educational programs on empathy and information on the proper use of mobile phones by the nursing staff should be provided. Full article
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