护士循证护理能力与组织支持感对其创新行为影响的研究

Effects of Competence in Evidence-Based Nursing Practice and Perceived Organizational Support on Nurses’Innovative Behavior

目的调查护士创新行为现状,并分析护士循证护理能力、组织支持感对创新行为的影响。方法2020年9-10月,采用便利抽样法选择南京某三级甲等医院的1386名临床护士作为研究对象,采用一般资料调查问卷、循证护理能力量表、组织支持感量表和创新行为量表对其进行调查。结果护士创新行为总分为(33.15±6.07)分,循证护理能力总分为(51.72±21.93)分,组织支持感总分为(46.59±8.66)分。循证护理能力及其各维度均与创新行为呈正相关(r=0.305~0.525,均P<0.01);组织支持感及其各其维度均与创新行为呈正相关(r=0.261~0.400,均P<0.01)。回归分析结果显示,职称、证据检索和评价、情景评估及应用以及情感支持可解释护士创新行为32%的变异。结论循证护理能力及组织支持对护士创新行为有显著影响,建议护理管理者针对护士自我循证能力结合可行的组织支持制订相应的护士创新培养方案,以提高其创新水平。

Objective To investigate the nurses’innovative behavior and analysis the influence of competence in evidence-based nursing and perceived organizational support on nurses’innovative behavior.Methods From September to October 2020,1386 clinical nurses from a tertiary hospital in Nanjing were selected as the research objects by convenience sampling method.They were investigated by general data questionnaire,the evidence-based nursing competence scale,the perceived organizational support scale and the nurse innovative behavior scale.Results The score of innovative behavior was(33.15±6.07),the score of competence in evidence-based nursing was(51.72±21.93),the score of perceived organizational support was(46.59±8.66).The scores of competence in evidence-based nursing and its dimensions were positively correlated with innovative behavior(r=0.305 to 0.525,all P<0.01).The scores of perceived organizational support and its dimensions were all positively correlated with innovative behavior(r=0.261 to 0.400,all P<0.01).Moreover,the results of multiple stepwise regression analysis showed that the job title,the evidence search and critical appraisal,the situation assessment and evidence implementation,and the emotion support accounted for 32%of the variance of nurses’innovative behavior.Conclusions The competence in evidence-based nursing and perceived organizational support had a positive influence on nurses’innovative behavior.These findings suggest that nursing managers should formulate corresponding training programs for competence in evidence-based nursing combined with feasible organizational support to improve their innovation level.