Investigating the level and predictors of nursing care quality and its correlation with workplace ostracism and innovative work behavior: approach for workplace and practical enhancement

  • 1Nursing Administration Department, Faculty of Nursing, University of Hail, Hail, Saudi Arabia.
  • 2Nursing Administration Department, Faculty of Nursing, Benha University, Benha, Egypt.
  • 3Medical Surgical Nursing Department, College of Nursing, University of Hail, Hail, Saudi Arabia. alkubatisa@yahoo.com.
  • 4Nursing Department, Faculty of Medicine and Health Sciences, Hodeida University, Hodeida, Yemen. alkubatisa@yahoo.com.
  • 5Nursing Administration Department, College of Nursing, King Khalid University, Abha, Saudi Arabia.
  • 6Maternal and Child Health Nursing Department, Faculty of Nursing, College of Nursing, University of Hail, Hail, Saudi Arabia.
  • 7Medical-Surgical Department, Nursing College, Najran University, Najran, Saudi Arabia.
  • 8Community and Mental Health Nursing Department, College of Nursing, Najran University, Najran, Saudi Arabia.
  • 9Psychiatric and Mental Health Nursing Department, College of Nursing, Benha University, Benha, Egypt.
  • 10Medical Surgical Nursing Department, College of Nursing, University of Hail, Hail, Saudi Arabia.
  • 11Medical Surgical Nursing Department, Faculty of Nursing, Zagazig University, Zagazig, Egypt.

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Abstract

BACKGROUND

The relationship between workplace ostracism and innovative work behavior is a relatively new area of research. How ostracism influences nurses' willingness to suggest new ideas or adopt innovative practices is not fully understood. Therefore, this study aimed to determine the level and predictors of quality of nursing care and evaluate its correlation with workplace ostracism and innovative work behavior.

METHODS

A cross-sectional correlational descriptive study involving 266 conveniently sampled nurses was conducted in three public hospitals in Hail City, Saudi Arabia. This study followed the STROBE Checklist. Data were collected using a questionnaire that included three tools: Workplace Ostracism Scale, Innovative Work Behavior Scale, and Quality of Nursing Care Scale. Pearson's correlation coefficient was used to determine the relationships between study variables. Furthermore, multiple linear regression analysis was conducted using innovative work behavior and gender as independent variables. Statistical significance was set at a p-value of < 0.05.

RESULTS

The ostracism level was high among the nurses (50.38%), half of them had a negative IWB (51.10%), and (41.40%) had a mild level of quality of care. Ostracism was negatively and significantly correlated with the quality of care (rs=-0.159, p = 0.009) and IWB (rs=-0.146, p = 0.017). Furthermore, IWB among nurses was positively correlated with the quality of care (rs = 0.376, p < 0.001). Multiple linear regression revealed that the IWB was considered a significant factor in the quality of care (B = 0.187) at p-value < 0.001.

CONCLUSION AND IMPLICATIONS FOR NURSING

This study found a negative relationship between workplace ostracism and innovative work behavior, which shows that nursing may seek innovation as a way of dealing with stressful exclusion circumstances. It was set up that the "idea sustainability" dimension of innovative work behavior is the most dominant predictor of the sustainability of nursing care's quality, which underlines the need to build on innovative ideas for improvement in nursing quality of care. To improve nurses' performance, health organizations must focus on strategies that block workplace ostracism and integrate innovative work behaviors in their nurses.

CLINICAL TRIAL NUMBER

Not applicable.

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