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The effect of perceived organizational support on innovative behavior among nurses: a parallel mediation model of
1Department of Nursing, The First Hospital of Chongqing Medical University, Chongqing, China.
Background:
With the deepening of digital transformation in healthcare, nurses' innovative behavior has become a core driver for improving the quality of nursing services. While perceived organizational support is recognized as a key antecedent of innovative behavior, the mediating mechanisms of digital competence and work thriving in this relationship remain to be clarified.
Methods:
A cross-sectional survey was conducted among 414 clinical nurses. Measures included the Perceived Organizational Support Scale, Digital Competence Scale, Work Thriving Scale, and Innovative Behavior Scale. Based on organizational support theory, social cognitive theory, and social embeddedness theory, a parallel mediation model was constructed. Data were analyzed using SPSS with Hayes' PROCESS macro (Model 4), and the mediating effects were tested via the bootstrap method.
Results:
The average innovative behavior score was 83.47 ± 12.44. Pearson correlation analysis showed that all four variables were significantly positively correlated with each other. Both digital competence and work thriving played significant parallel mediating roles. The indirect effect of digital competence was 0.549 (95% CI [0.446, 0.665]), accounting for 72.8% of the total effect, while the indirect effect of work thriving was 0.113 (95% CI [0.062, 0.173]), accounting for 15.0% of the total effect.
Conclusion:
Digital competence and work thriving serve as parallel mediators in the relationship between perceived organizational support and innovative behavior among clinical nurses. Cognitive and technical capacity may serve as a more direct and powerful factor of innovative behavior among clinical nurses, while positive psychological states provide important supplementary motivation. Targeted interventions to enhance perceived organizational support, improve digital competence, and promote work thriving are critical to fostering nurses' innovative behavior and advancing high-quality nursing development.
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