基于证据的实践组织气候对护士基于证据的实践行为的影响:能力,工作控制和基于证据的实践实施意图的调解效应
Miao Huo1, Haihong Qin1, Xiaohua Zhou1
1School of Nursing Dalian University, Dalian 116622, China.
Journal of nursing management
|April 14, 2025
概括
一个积极的组织气候显著提高护士的基于证据的实践行为. 能力,工作控制和意图是关键的调解因素,强调需要支持性管理来加强基于证据的实践采用.
科学领域:
- 护理科学 护理科学
- 医疗保健管理的管理
- 组织行为 组织行为
背景情况:
- 护士采用基于证据的实践 (EBP) 仍然不够优,尽管它的重要性得到了认可.
- 在医疗保健环境中实施EBP存在重大挑战.
- 了解护士EBP行为背后的动机机制对于其推广至关重要.
研究的目的:
- 检查EBP的组织气候如何影响护士的EBP行为.
- 调查EBP能力,工作控制和实施EBP的意图的调解作用.
- 阐明组织因素影响护士采用EBP的途径.
主要方法:
- 来自6家中国医院的641名护士的横截面设计.
- 采用了五种自我报告工具来收集数据.
- 采用结构方程建模 (SEM) 用于使用SPSS和AMOS进行假设测试.
主要成果:
- EBP的组织气候与护士的EBP行为正相关 (p < 0.01).
- 直接影响解释了45.93%的关系.
- EBP能力,工作控制和故意部分调解了气候行为联系,占间接影响的54.07%.
结论:
- 支持性的组织气候是护士中EBP行为增强的关键预测因素.
- 作为基本的干预机制,EBP能力,工作控制和意图起到重要作用.
- 护理管理人员应该通过支持,培训,资源和自主性来促进积极的氛围,以改善EBP的采用.
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