福建省临床护士创新能力现状及影响因素分析

Analysis on status quo and influencing factors of innovation ability among clinical nurses in Fujian province

目的:调查福建省临床护士创新能力现状,建立临床护士创新能力的结构方程模型,为制订临床护士创新能力提升方案提供参考。方法:采用按比例分层抽样法,选取福建省9个市27所二级及以上医院的1400名临床护士作为研究对象,应用一般资料调查表、临床护士创新能力评价量表、护士心理资本量表、护士组织创新氛围量表进行问卷调查,通过结构方程模型分析创新能力的影响因素及作用路径。结果:临床护士创新能力总得分为(151.00±22.73)分,处于良好水平;心理资本总分为(78.30±11.76)分;组织创新氛围总分为(88.05±13.23)分。不同工作年限、学历、技术职称、科室和医院级别的临床护士创新能力比较差异有统计学意义(P<0.05)。护士心理资本、组织创新氛围和创新能力之间呈正相关(P<0.001),心理资本对临床护士创新能力有直接正向效应,效应值为0.712,组织创新氛围可直接或间接通过心理资本影响临床护士创新能力,总效应值为0.603。结论:临床护士创新能力处于良好水平。管理者可以通过营造好的组织创新氛围,进行积极心理干预,来提升临床护士创新能力水平。

Objective:To investigate the status quo of innovation ability among clinical nurses in Fujian Province,and to establish the structural equation model of innovation ability among clinical nurses.Methods:Totally 1400 clinical nurses from 27 secondary or tertiary hospitals in 9 cities of Fujian Province were selected by proportional stratified sampling method.The general information questionnaire,Clinical Nurse Innovation Ability Scale,Nurses'Psychological Capital Scale and Nurses'Organizational Innovation Climate Scale were used to conduct the questionnaire survey.The influencing factors and action paths of innovation ability were analyzed by structural equation model.Results:The total score of clinical nurses'innovation ability was 151.00±22.73,which was at a good level.The total score of psychological capital was 78.30±11.76.The total score of organizational innovation climate was 88.05±13.23.There were statistically significant differences in the innovation ability of clinical nurses with different working years,educational background,professional titles,departments and hospital levels respectively(P<0.05).Nurses'psychological capital,organizational innovation climate and innovation ability were positively correlated(P<0.001).Psychological capital had a direct positive effect on clinical nurses'innovation ability,and the effect value was 0.712.Organizational innovation climate could directly or indirectly affect innovation ability among clinical nurses through psychological capital,and the total effect value was 0.603.Conclusion:The innovation ability of clinical nurses is at a good level.Managers can improve the level of innovation ability of clinical nurses by creating a good organizational innovation atmosphere and carrying out positive psychological intervention.