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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Using Social Cognitive Career Theory to Enhance Care Quality.

Tzu-Ling Huang1, Nga Yan Ng2, Alice May-Kuen Wong3

  • 1Department of Information Management, National Central University, Taoyuan City, Taiwan.

International Journal of Nursing Practice
|March 10, 2026
PubMed
Summary

Nurses’ career interest positively impacts care quality aspects like empathy and reliability. Enhancing nurses

Keywords:
care qualitynurseself‐efficacysocial cognitive career theorysurvey

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

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Area of Science:

  • Nursing
  • Healthcare Management
  • Organizational Psychology

Background:

  • Social Cognitive Career Theory (SCCT) offers a framework for understanding nurses' turnover intentions.
  • The relationship between SCCT core elements (self-efficacy, outcome expectations, career interest) and nurse-assessed care quality remains underexplored.
  • Investigating these links can identify strategies to improve patient care outcomes.

Purpose of the Study:

  • To examine the associations between self-efficacy, outcome expectations, and career interest among nurses.
  • To determine the relationship between these SCCT elements and nurse-assessed care quality dimensions.
  • To explore the applicability of SCCT in enhancing healthcare quality.

Main Methods:

  • A three-wave longitudinal study involving 438 registered nurses in a Taiwanese hospital.
  • Validated scales were used to measure self-efficacy, outcome expectations, career interest, and five aspects of care quality (assurance, reliability, responsibility, empathy, tangibles).
  • Statistical analyses were employed to assess the relationships between the measured variables.

Main Results:

  • Nurses' self-efficacy demonstrated a positive correlation with both outcome expectations and career interest.
  • Career interest was positively associated with all five measured aspects of care quality: assurance, reliability, responsibility, empathy, and tangibles.
  • These findings support the interconnectedness of SCCT constructs in the nursing context.

Conclusions:

  • Social Cognitive Career Theory provides a valuable framework for improving nurse-assessed care quality.
  • Fostering nurses' career interest is a key strategy for enhancing the quality of care delivered.
  • Nurse managers should focus on interventions that boost nurses' self-efficacy and outcome expectations to ultimately improve patient care.