创新动机作为从基于证据的护理能力和护士-医生合作到外科护士之间知识共享行为的途径:基于COM-B模型的结构方程建模研究
Yanan Leng1, Meixian Li2, Xiaodi Zhang2
1Department of Hepatobiliary Surgery, Southwest Hospital, the first affiliated Hospital to Army Medical University, Chongqing, China.
International journal of nursing studies advances
|January 9, 2026
概括
外科护士表现出适度低的知识共享行为,受到基于证据的护理能力和护士-医生合作的影响. 创造性自我效能在一定程度上调解了这些关系,强调了它对改善护理质量和患者安全的重要性.
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:
- 外科护士的知识共享行为至关重要,但往往发展不足.
- 组织和个人因素显著影响这种行为.
- 通过COM-B模型,对影响外科护士知识共享的途径进行的研究有限.
研究的目的:
- 评估外科护士之间知识共享行为的现状.
- 识别影响知识共享行为的因素.
- 使用COM-B模型探索知识共享行为的途径.
主要方法:
- 在中国进行了一项横截面研究,从2023年5月到6月,涉及1388名外科护士.
- 数据采集使用方便抽样和问卷.
- 使用结构方程建模 (SEM) 来测试假设.
主要成果:
- 外科护士的知识共享行为得分为54.98±13.33,表明水平较低.
- 基于证据的护理能力 (r=0.399),创造性的自我效能 (r=0.496) 和护士-医生合作 (r=0.288) 与知识共享正相关.
- 创造性自我效能部分调解了基于证据的护理能力和知识共享之间的关系,以及护士-医生合作和知识共享之间的关系.
结论:
- 该COM-B模型有效地解释了影响外科护士知识共享行为的途径.
- 基于证据的护理能力,创新动机和组织合作是关键驱动因素.
- 加强知识共享对于改善术后和重症监护的质量以及确保患者安全至关重要.
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