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Efficacy beliefs predict collaborative practice among intensive care unit nurses.

Pascale M Le Blanc¹, Wilmar B Schaufeli, Marisa Salanova

¹Department of Social and Organizational Psychology, Utrecht University, The Netherlands. p.m.leblanc@uu.nl

Journal of Advanced Nursing

|April 29, 2010

Summary

Intensive care nurses' efficacy beliefs predict collaborative practice, with team commitment acting as a mediator. This suggests a positive cycle where higher efficacy leads to better teamwork and vice versa.

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Area of Science:

Work and organizational psychology
Healthcare management
Nursing research

Background:

Efficacy beliefs are linked to worker well-being and resources, creating positive feedback loops.
Team commitment is associated with positive work behaviors like citizenship behavior.

Purpose of the Study:

To investigate if intensive care nurses' efficacy beliefs predict future collaborative practice.
To examine the mediating role of team commitment in the relationship between efficacy beliefs and collaborative practice.

Main Methods:

Longitudinal study design using questionnaire data from the EURICUS-project.
Structural Equation Modelling analysis.
Sample of 372 nurses from 29 European intensive care units.

Main Results:

Hypotheses supported: team commitment mediates the relationship between efficacy beliefs and collaborative practice.
Evidence suggests a reciprocal relationship between efficacy beliefs, team commitment, and collaborative practice.
Findings indicate a potential positive gain spiral of efficacy beliefs in intensive care settings.

Conclusions:

Healthcare organizations should foster supportive environments for intensive care unit nurses.
Enhancing collaborative practice in intensive care units requires further research and intervention development.