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Relationship between training load and self-directed learning competence among nurses: A cross-sectional study based
Tingting Wang1, Lixiang Zhang1, Xia Chen2
1Department of Cardiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, 230036, China.
Nurse Education Today
|July 1, 2026
Summary
High training load (TL) indirectly impacts nurses' self-directed learning competence (SDLC) by affecting their work-life balance (WLB). Optimizing training requires focusing on work-life coordination, not just training intensity.
Area of Science:
- Nursing Education
- Occupational Health
- Psychology
Background:
- Nurses' self-directed learning competence (SDLC) is crucial for professional development.
- Increasing training tasks and load (TL) in nursing raise concerns about its impact on nurses.
Purpose of the Study:
- To investigate the mediating role of work-life balance (WLB) between training load (TL) and nurses' self-directed learning competence (SDLC).
- To explore multidimensional mechanisms of mediation using network analysis for optimizing training management and support strategies.
Main Methods:
- Convenience sampling of 519 clinical nurses from three tertiary hospitals in China (January-March 2025).
- Data collection via structured questionnaires including scales for SDLC, TL, and WLB.
- Statistical analysis using mediation analysis and network analysis.
Main Results:
- Work-life balance (WLB) partially mediated the relationship between training load (TL) and self-directed learning competence (SDLC), accounting for 74.07% of the indirect effect.
- Network analysis revealed seven indirect paths, with time balance and psychological engagement balance as key intermediary nodes in WLB.
Conclusions:
- Training load indirectly influences nurses' self-directed learning competence through work-life balance.
- Interventions should address work-life coordination alongside training content to enhance nurses' learning competence and optimize training systems.
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