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Self-Directed Learning Ability and Its Associated Factors Among Clinical Nurses: A Cross-Sectional Study
Dan Liu1, Mingyu Li, Fengying Gao
1Author Affiliations: Department of Nursing, The Third Xiangya Hospital Central South University, Hunan, Changsha, China (Liu, Head Nurse; Mingyu Li, Senior Nurse; Rong Li, Nurse); Nursing Department of Baoji Central Hospital, Shanxi, Baoji, China (Gao, Head Nurse); Surgical Intensive Care Unit, The Second Hospital of Shanxi Medical University, Shanxi, Taiyuan, China (Zhao, Nurse); Department of Nursing, The First Affiliated Hospital of Xi'an Medical University, Shaanxi, Xi'an, China (Dai, Nurse); Nursing Department of the Eastern Theater Command General Hospital, Jiangsu, Nanjing, China (Sun, Head Nurse); Nursing Department of Affiliated Hospital of Qingdao University, Shandong, Qingdao, China (Chen, Senior Nurse).
Purpose:
To evaluate self-directed learning ability among clinical nurses within the workplace and identify key associated individual and organizational determinants.
Methods:
A nationwide cross-sectional descriptive study was completed using a convenience sample of 1057 clinical nurses across 31 Chinese provinces. Data collection included demographics, self-directed learning ability, general self-efficacy, and organizational climate. Descriptive statistics, parametric tests, Pearson correlations, and multiple linear regression were used for analysis.
Results:
The mean self-directed learning score of clinical nurses was 3.90±0.65, with self-motivation belief scoring highest (mean 4.02±0.64) and self-evaluation lowest (mean 3.74±0.75). Career planning, job enthusiasm, general self-efficacy, and organizational climate significantly predicted self-directed learning ability, explaining 63.7% of its variance.
Conclusions:
Clinical nurses demonstrated a moderate ability in self-directed learning, which was associated with both individual motivation and workplace organizational conditions. These findings suggested that nurse leaders can strengthen self-directed learning by supporting clinical nurses' career development, enhancing nurses' self-efficacy and work enthusiasm, and fostering a positive organizational climate. Workplace strategies that promote self-directed learning might contribute to a more engaged, adaptive nursing workforce and support ongoing efforts to improve professional nursing practice, quality of care, patient experience, and patient safety.
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