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Journal of Nursing ›› 2022, Vol. 29 ›› Issue (15): 65-70.doi: 10.16460/j.issn1008-9969.2022.15.065

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Mediating Effect of Innovative Self-efficacy between Organizational Innovation Climate and Innovation Behavior in Nurses

GUO Dia, ZHAO Ya-jiea, WANG Ying-fenga, ZHANG Jieb, HU Hui-xiuc, SUN Chaoc   

  1. a. Dept. of Cardiology,b. Dept. of Geriatrics,c. Dept. of Nursing Administration, Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730,China
  • Received:2022-03-15 Online:2022-08-10 Published:2022-09-07

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Abstract: Objective To explore the mediating effect of innovative self-efficacy between organizational innovation climate and innovation behavior in nurses. Methods Convenience sampling was used to select 960 nurses from 19 tertiary general hospitals, 7 secondary general hospitals and 2 other hospitals in China from April to May 2021, and they were surveyed by using general information questionnaire, Nurses' Organizational Innovation Climate Scale, Innovation Self-efficacy Questionnaire and Nurses' Innovation Behavior Scale. AMOS 24.0 was used to analyze the mediating effect of nurses' innovative self-efficacy between organizational innovation climate and innovation behavior. Results The total score of organizational innovation climate, innovation behavior and innovative self-efficacy of 960 nurses was 75.39±13.40, 32.00±6.42, and 27.41±5.00, respectively. The total score of organizational innovation climate was positively correlated with that of innovative behavior (r=0.514, P<0.05), and innovative self-efficacy (r=0.503, P<0.05); and the total score of innovative behavior was positively correlated with that of innovative self-efficacy (r=0.512, P<0.05). Innovative self-efficacy was the mediating variable between organizational innovation climate and innovation behavior, accounting for 29.00% of the total effect. Conclusion Organizational innovation climate of nurses in this group is at a medium or above level; innovative self-efficacy and innovative behavior are at a medium level. Innovative self-efficacy plays a partial mediating role between organizational innovation climate and innovative behavior. It is suggested that nursing managers should take effective measures to improve organizational innovative climate, stimulate innovative self-efficacy, and enhance innovative behavior, thus to improve the quality of clinical nursing.

Key words: nurse, innovative self-efficacy, organizational innovation climate, innovation behavior

CLC Number: 

  • R47
[1] 中共中央国务院印发《“健康中国2030”规划纲要》[EB/OL]. (2016-10-25)[2022-03-01].http://www.gov.cn/zhengce/2016-10/25/content_5124174.html.
[2] 包玲,王琳,章雅青.护士创新行为量表的研制及信度和效度检验[J].上海交通大学学报(医学版), 2012,32(8):1079-1082. DOI:10.969/j.ssn.674-8115.2012.08.025.
[3] 李晓凤,朱晓萍,于晓丽,等. 21家三级甲等综合医院护士创新行为现状及其影响因素分析[J].现代临床护理, 2021,20(4):8-14. DOI:10.3969/j.issn.1671-8283.2021.04.002.
[4] 钱艳,章雅青,吴觉敏,等.护士组织创新氛围量表的初步构建及信效度检验[J].中华护理杂志,2016,51(2):243-247. DOI:10.3761/j.issn.0254-1769.2016.02.020.
[5] 顾远东,彭纪生.创新自我效能感对员工创新行为的影响机制研究[J].科研管理, 2011,32(9):63-73. DOI:10.19571/j.cnki.1000-2995.2011.09.009.
[6] Puente-Díaz R.Creative Self-efficacy: An Exploration of Its Antecedents, Consequences, and Applied Implications[J]. J Psychol, 2016,150(2):175-195.DOI:10.1080/00223980.2015. 105 1498.
[7] Burnes B, Cooke B.Kurt Lewin's Field Theory: A Review and Re-evaluation[J].Inter J Manag Rev, 2013,15:408-425. DOI: 10.1111/j.1468-2370.2012.00348.x
[8] 杨秋玲,李五一.组织创新氛围对教师创新行为的影响:创新自我效能感的调节作用[J]. 中国市场,2019(19):159-161. DOI:10.13939/j.cnki.zgsc.2019.19.159.
[9] 杜璿,邱国栋.组织创新氛围对员工创新行为的影响--创新自我效能感和心理涉入的双重中介效应[J].财经伦丛(浙江财经学院学报),2019(4):92-103.DOI:10.3969/j.issn.1004-4892.2019.04.009.
[10] 姜丽萍. 高校创新氛围、大学生创新自我效能感、创新行为关系研究[D]. 曲阜:曲阜师范大学,2018.
[11] 包玲,章雅青,张莹,等.护士创新行为的现状及其影响因素分析[J].上海交通大学学报(医学版),2013,33(5):593-596. DOI:10.3969/j.issn.1674-8115.2013.05.016.
[12] 江燕,孙丽凯,江韵.护理创新课程在不同专业学生中的实施与效果[J].中华护理教育, 2018,15(10):725-729. DOI:10.3761/j.issn.1672-9234.2018.10.001.
[13] 顾远东, 彭纪生.组织创新氛围对员工创新行为的影响:创新自我效能感的中介作用[J]. 南开管理评论, 2010,13(1):30-41. DIO:10.3969/j.issn.1008-3448.2010.01.005.
[14] 鞠永霞,赵晓敏.三级甲等综合性医院临床护士创新自我效能感现状及其影响因素[J].解放军护理杂志, 2020,37(2):28-31. DOI: 10.3969/j.issn.1008-9993.2020.02.009.
[15] Podsakoff PM, MacKenzie SB, Lee JY, et al. Common Method Biases in Behavioral Research: A Critical Review of the Literature and Recommended Remedies[J]. J Appl Psychol 2003,88(5):879-903. DOI: 10.1037/0021-9010.88.5.879.
[16] 吴明隆. 结构方程模型:AMOS的操作与应用[M].重庆:重庆大学出版社,2010.
[17] 张丽敏,刘娟.组织创新氛围对护士创新行为影响的调查研究[J].护理研究, 2017,31(7):824-826. DOI:1009-6493(2017)07-0824-03.
[18] 赵新娜,赵丽婷,郝舒雅.护士科研能力与组织创新氛围现状研究[J].护理管理杂志,2022,22(1):67-71. DOI:10.3969/j.issn.1671-315x.2022.01.014.
[19] Hanson D.Healthy Work Environments: Essential for Innovation, Transformation[J]. Am Nurse,2014,46(1):11.
[20] 杨莉,叶红芳,孙倩倩,等.1386名临床护士创新行为现状及其影响因素分析[J].护理学报,2022,29(2):57-61. DOI:10.16460/j.issn1008-9969.2022.02.057.
[21] 方红,孟爱凤,邾萍,等.943名肿瘤科护士创新行为量表得分水平分析[J].护理学报, 2018,25(17):61-64. DOI:10.16460/j.issn1008-9969.2018.17.061.
[22] 张辉. 知识型员工反馈寻求行为对创新绩效的影响研究—基于创新自我效能感的中介和领导者创新鼓励的调节[D]. 深圳:深圳大学,2017.
[23] De Maria AN.Innovation[J]. Am Coll Cardiol,2013,62(3):253-254. DOI:10.1016/j.jacc.2013. 06.002.
[24] 王盈. 护理管理者职业使命感、包容性领导、工作投入与其创新行为的关系研究[D].合肥:安徽医科大学, 2018.DOI:10.7666/d.D01504000.
[25] Van der Weide M,Smits J.Adoption of Innovations by Specialised Nurses: Personal, Work and Organisational C haracteristics[J]. Health Policy, 2004,68(1):81-92. DOI: 10.1016/ j.healthpol.2003.09.007.
[26] 龙裕,赵乃明,李洋,等.护士自我效能在个人创新行为和职业成功中的中介作用[J].天津护理,2020,28(2):143-147. DOI:10.3969/j.issn.1006-9143.2020.02.005.
[27] 但鑫,刘璟莹,许素环,等.自我效能感和护士间团结度在创新行为与护士职业成功间的中介作用[J].中华行为医学与脑科学杂志,2018, 27(7):633-638.DOI:10.3760/cma.j.issn. 1674-6554.2018.07.011.
[28] Bahat T F J E, Barattucci M. How Are Empowering Leadership, Self-efficacy and Innovative Behavior Related to Nurses' Agency in Distributed Leadership in Denmark, Italy and Israel[J]. J Nurs Manag, 2021,29(6):1517-1524. DOI: 10.1111/jonm.13298.
[29] 商薇薇,鄢建军,江燕,等.成就动机在护士自我效能感与创新能力的中介效应[J]. 护理学报, 2019,26(23):61-64. DOI: 10.16460/j.issn.1008-9969.2019.23.061.
[30] 陈鸾. 创新氛围和员工创新自我效能感的关系研究[J].中国经贸导刊,2021(11):128-129. DOI:10.3969/j.issn.1007-9777.2021.11.046.
[31] 艾雪菲,王梅,杜秉洋,等. 护士组织创新氛围与护士长变革型领导行为的关系研究[J]. 护理管理杂志,2020,20(2):90-93. DOI:10.3969/j.issn.1671-315x.2020.02.004.
[32] Weng RH, Huang GY, CHEN LM, et al.Exploring the Impact of Transformational Leadership on Nurse iInnovation Behaviour: A Cross-sectional Study[J].J Nurs Manag,2015, 23(4):427-439. DOI:10.1111/jonm.12149.
[33] 王楠,张立艳,王洋.创新自我效能感对创新行为的影响:多重中介效应分析[J].心理与行为研究,2016,14(6):811-816. DIO:10.3969/j.issn.1672-0628.2016.06.014.
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