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Exploring the Correlation Between Work Engagement and Self-Efficacy in Nurse Case Managers: A Cross-Sectional Study
Ke Yuan1,2,3,4,5,6, Duoduo Hou1,2,3,4,5,6, Jie Zhu1,2,3,4,5,6
1Ke Yuan, BN, RN, is a Nurse Case Manager (NCM) at Beijing Tsinghua Changgung Hospital, mainly engaged in the case management of children with bronchial asthma.
Professional Case Management
|June 1, 2026
Summary
Nurse case managers in China show moderate work engagement and self-efficacy, which are positively correlated. Systemic support is crucial for enhancing these factors and improving healthcare quality.
Area of Science:
- Nursing
- Healthcare Management
- Organizational Psychology
Background:
- Nurse case managers (NCMs) play a vital role in coordinating patient care.
- Understanding factors influencing NCMs' work engagement and self-efficacy is essential for professional development and service quality.
- Limited research exists on these constructs within the Chinese healthcare context.
Purpose of the Study:
- To examine the correlation between work engagement and self-efficacy in Chinese NCMs.
- To identify factors influencing these constructs.
- To provide insights for enhancing NCMs' professional growth and healthcare service quality.
Main Methods:
- A cross-sectional study involving 76 NCMs in a Chinese hospital.
- Data collected via online surveys using validated instruments for work engagement and self-efficacy.
- Statistical analysis performed using IBM SPSS 27.0.
Main Results:
- A significant positive correlation (r = 0.621, p < .001) was found between work engagement and self-efficacy.
- Full-time NCMs reported higher scores than part-time NCMs.
- Workload, institutional support, and dedicated positions were identified as key influencing factors.
Conclusions:
- Systemic support, including full-time positions and optimized workloads, is necessary to improve NCM work engagement and self-efficacy.
- Addressing identified barriers can enhance NCM effectiveness and contribute to sustainable case management development.
- Organizational support and clear responsibilities are crucial for NCMs.
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