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Perfectionism Profiles Among Hospital Nurses: A Cross-Sectional Validation Study of a Multidimensional Scale.

Hyeonmi Cho¹, Linsey M Steege²

¹Research Institute of AI and Nursing Science, College of Nursing, Gachon University, Incheon, Republic of Korea.

International Nursing Review

|July 14, 2026

Summary

This study adapted a perfectionism scale for nurses, identifying four profiles. High-pressure perfectionism is linked to increased emotional distress and decreased patient safety perceptions.

Keywords:

emotional distress nurses perfectionism self‐perceived patient safety

Related Experiment Videos

Area of Science:

Nursing Science
Psychology
Healthcare Management

Background:

Perfectionism in nursing is influenced by internal standards and external pressures.
A context-sensitive assessment is needed to identify nurses at risk for poor health and patient safety issues.
Existing measures may not fully capture the nuances of perfectionism in the nursing context.

Purpose of the Study:

Adapt and validate the Multidimensional Inventory of Perfectionism for hospital nurses.
Identify distinct perfectionism profiles among nurses.
Examine factors associated with these profiles and their impact on nurse well-being and patient safety.

Main Methods:

Descriptive cross-sectional study utilizing expert review for content validity.
Survey of hospital nurses to assess construct validity and reliability of the adapted scale.
Latent profile analysis to identify subgroups; regression models to examine associations with personal, work, and outcome variables.

Main Results:

The adapted Multidimensional Inventory of Perfectionism demonstrated strong validity and reliability.
Four distinct nurse perfectionism profiles were identified: Nonperfectionism, Self-Oriented Perfectionism, Externally Pressured Nonperfectionism, and High-Pressure Perfectionism.
High-pressure perfectionism profiles were associated with increased emotional distress and lower self-perceived patient safety.

Conclusions:

The adapted measure effectively captures multidimensional aspects of nurse perfectionism, including external pressures.
Identified perfectionism profiles differ significantly in their associations with emotional well-being and patient safety perceptions.
Findings support targeted interventions for nurse well-being and patient care optimization.