Influence of work engagement and self-efficacy of nurses on clinical practice ability in burn intensive care unit

Chen Hanxi; Liu Wenji; Liu Bing; Huang Zhifeng; Zhang Qiuping; Xiao Xiling; Lai Wen; Zheng Shaoyi

doi:10.3760/cma.j.cn501225-20220905-00379

Volume 39 Issue 8

Aug. 2023

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Article Navigation > CHINESE JOURNAL OF BURNS AND WOUNDS > 2023 > 39(8): 779-786

Chen HX,Liu WJ,Liu B,et al.Influence of work engagement and self-efficacy of nurses on clinical practice ability in burn intensive care unit[J].Chin J Burns Wounds,2023,39(8):779-786.DOI: 10.3760/cma.j.cn501225-20220905-00379.

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Influence of work engagement and self-efficacy of nurses on clinical practice ability in burn intensive care unit

doi: 10.3760/cma.j.cn501225-20220905-00379

1.
Department of Nursing, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China
2.
Department of Burn and Wound Repair Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China

Funds:

Start-up Fund of Guangdong Provincial People's Hospital for the General Program of National Natural Science Foundation of China in 2021 7217040204

General Project of Basic and Applied Basic Research of Guangzhou Municipal Bureau of Science and Technology 2060206

Guangdong Provincial Medical Research Fund A2019023

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Corresponding author: Zheng Shaoyi, Email: zsysskbox@163.com
Received Date: 2022-09-05

Abstract

Abstract

Objective To analyze the influence of work engagement and self-efficacy of nurses on clinical practice ability in burn intensive care unit (BICU), and to explore its potential pathways of action. Methods A cross-sectional survey was conducted. From May to October 2020, a total of 30 hospitals with BICU in China were selected by stratified sampling method. Among BICU nurses who met the inclusion criteria, their clinical practice ability, work engagement, and self-efficacy were evaluated by self-evaluation scale of oriented problem-solving behavior in nursing practice (OPSN), Utrecht work engagement scale (UWES), and general self-efficacy scale (GSES), respectively. The total scale scores of each index and the average item scores were recorded. The self-designed general data questionnaire was used to investigate the nurses' gender, age, marital status, education background, working years, professional title, and the economic region of the hospital that they belonged to. The total scale scores of the above-mentioned three evaluation indexes were compared after the classification of nurses according to general data, and the data were statistically analyzed with independent sample t test or one-way analysis of variance. Pearson correlation analysis was used to analyze the correlation between the total scale scores of the three evaluation indexes. Based on the total scale scores of the above-mentioned three evaluation indexes, a structural equation model was established, the mediation analysis of the relationship among the three evaluation indexes and the pathway analysis of the structural model were conducted, and the Bootstrap method was used to verify the pathways of action. Results A total of 401 questionnaires were distributed, and 337 valid questionnaires were returned, with a valid return rate of 84.04%. The total scale scores of clinical practice ability, work engagement, and self-efficacy of 337 nurses were 98.2±11.7, 67.7±18.6, and 26.6±5.6, respectively, and the average item scores were 3.9±0.5, 4.5±1.2, and 2.7±0.6, respectively. Among the 337 nurses, the majority were female, aged 40 or below, married, and had a bachelor's degree with work experience of ≤10 years; both nurses with professional nurse title and nurses from the Southeast region accounted for about 50%. There were statistically significant differences in the total scale score of clinical practice ability among nurses with different ages, education backgrounds, working years, and professional titles (with F values of 3.26, 4.36, 3.12, and 2.80, respectively, P<0.05). There was statistically significant difference in the total scale score of work engagement among nurses with different working years ( F=4.50, P<0.05). There were statistically significant differences in the total scale score of self-efficacy among nurses with different ages, working years, and professional titles (with F values of 4.91, 4.50, and 2.91, respectively, P<0.05). The total scale score of nurses' work engagement was significantly positively correlated with the total scale score of clinical practice ability and the total scale score of self-efficacy (with rvalues of 0.30 and 0.51, respectively, P<0.05). The total scale score of nurses' self-efficacy was significantly positively correlated with the total scale score of clinical practice ability ( r=0.37, P<0.05). The model had good adaptability, and the intermediary model was established. Nurses' work engagement had a significantly positive effect on both self-efficacy and clinical practice ability (with βvalues of 0.54 and 0.16, respectively, P<0.05), and nurses' self-efficacy had a significantly positive effect on clinical practice ability ( β=0.29, P<0.05). Work engagement had a direct effect on self-efficacy and clinical practice ability, and self-efficacy had a direct effect on clinical practice ability and played a mediating role between work engagement and clinical practice ability. Bootstrap validation showed that self-efficacy played a significantly mediating role in the influence of work engagement on clinical practice ability (with effect size of 0.16, with 95% confidence interval of 0.08-0.24, P<0.05), accounting for half of the total effect of work engagement on clinical practice ability (with effect size of 0.32). Conclusions BICU nurses have an above-average level of clinical practice ability, a medium level of self-efficacy, and a high level of work engagement. Work engagement and self-efficacy are positively correlated with clinical practice ability. Work engagement can directly affect clinical practice ability or indirectly affect clinical practice ability through the mediating role of self-efficacy.
- Burns,
- Intensive care units,
- Employee performance appraisal,
- Work engagement,
- Self-efficacy,
- Clinical practice ability,
- Intermediary effect

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References

[1]	韩影,李秋洁,范宇莹,等.护士临床实践能力的研究进展[J].中国护理管理,2014(5):512-514,515.DOI: 10.3969/j.issn.1672-1756.2014.05.021.
[2]	肖爽,赵庆华.PICC专科护士工作动机、自我效能与工作投入的关系研究[J].中华现代护理杂志,2020,26(12):1587-1591.DOI: 10.3760/cma.j.cn115682-20190808-02840.
[3]	SchwarzerR,BornA.Optimistic self-beliefs: assessment of general perceived self-efficacy in thirteen cultures[J]. World Psychology,1997,3(112):177-190.
[4]	肖凤,李爽,任英,等.临床护士情绪智力、自我效能感、工作环境与关怀行为的相关性[J].护理研究,2021,35(3):396-401.DOI: 10.12102/j.issn.1009-6493.2021.03.005.
[5]	LiuY,AungsurochY.Work stress, perceived social support, self-efficacy and burnout among Chinese registered nurses[J].J Nurs Manag,2019,27(7):1445-1453.DOI: 10.1111/jonm.12828.
[6]	康凤英,闫丽娟,陈晓莉,等.中文版护理问题对应行动自我评价量表的信效度研究[J].护理研究,2012,26(36):3447-3449.DOI: 10.3969/j.issn.1009-6493.2012.36.052.
[7]	张文霞护理人员组织创新氛围认知、心理安全感与组织沉默的关系研究济南山东中医药大学 2020 张文霞.护理人员组织创新氛围认知、心理安全感与组织沉默的关系研究[D].济南:山东中医药大学,2020.
[8]	张轶文,甘怡群.中文版Utrecht工作投入量表(UWES)的信效度检验[J].中国临床心理学杂志,2005,13(3):268-270,281.DOI: 10.3969/j.issn.1005-3611.2005.03.005.
[9]	王才康,胡中锋,刘勇.一般自我效能感量表的信度和效度研究[J].应用心理学,2001,7(1):37-40.DOI: 10.3969/j.issn.1006-6020.2001.01.007.
[10]	温忠麟,叶宝娟.中介效应分析:方法和模型发展[J].心理科学进展,2014,22(5):731-745. DOI: 10.3724/SP.J.1042.2014.00731.
[11]	KukkonenP,Leino-KilpiH,KoskinenS,et al.Nurse managers' perceptions of the competence of newly graduated nurses: a scoping review[J].J Nurs Manag,2020,28(1):4-16.DOI: 10.1111/jonm.12891.
[12]	康凤英,杨洋,李颖芬,等.护理硕士研究生实习前后临床实践能力的调查分析[J].中华现代护理杂志,2014,20(20):2554-2557.DOI: 10.3760/cma.j.issn.1674-2907.2014.20.035.
[13]	SongH,YuanZ,PengY,et al.Extracorporeal membrane oxygenation combined with continuous renal replacement therapy for the treatment of severe burns: current status and challenges[J/OL].Burns Trauma,2021,9:tkab017[2022-09-05].https://pubmed.ncbi.nlm.nih.gov/34212063/.DOI: 10.1093/burnst/tkab017.
[14]	刘瑞,李雪,方晓霞,等.工作投入在护士自我价值感与工作幸福感间的中介作用[J].中华护理教育,2022,19(7):636-640.DOI: 10.3761/j.issn.1672-9234.2022.07.011.
[15]	Brooks CarthonJM,HatfieldL,PloverC,et al.Association of Nurse Engagement and Nurse Staffing on Patient Safety[J].J Nurs Care Qual,2019,34(1):40-46.DOI: 10.1097/NCQ.0000000000000334.
[16]	于燕茹临床医学专业学位硕士研究生在住院医师规培期间的工作投入现状及影响因素研究济南山东大学 2021 于燕茹.临床医学专业学位硕士研究生在住院医师规培期间的工作投入现状及影响因素研究[D].济南:山东大学,2021.
[17]	覃慧,吴金凤,王婷,等.江苏省专科护士工作投入现状及影响因素调查分析[J].护理学杂志,2022,37(11):53-56.DOI: 10.3870/j.issn.1001-4152.2022.11.053.
[18]	LepistöS,AlanenS,AaltoP,et al.Healthcare professionals' work engagement in Finnish university hospitals[J].Scand J Caring Sci,2018,32(2):979-986.DOI: 10.1111/scs.12538.
[19]	许湘华,谌永毅,李旭英,等.肿瘤专科医院护士工作投入现状及其影响因素研究[J].中华护理杂志,2020,55(6):850-856.DOI: 10.3761/j.issn.0254-1769.2020.06.011.
[20]	迟红丽,陈思,杨卓,等. 急诊科护士工作投入现状及影响因素分析[J]. 中华现代护理杂志,2019,25(2):211-214. DOI: 10.3760/cma.j.issn.1674-2907.2019.02.019.
[21]	王婷,李金凤,李伟.自我效能感在护士感知的高绩效工作系统与工作幸福感间的中介作用[J].护理学杂志,2022,37(14):60-64.DOI: 10.3870/j.issn.1001-4152.2022.14.060.
[22]	刘欢欢株洲市手术室护士自我效能感及离职意愿的现状研究长沙中南大学 2014 刘欢欢.株洲市手术室护士自我效能感及离职意愿的现状研究[D].长沙:中南大学,2014.
[23]	周文霞,郭桂萍. 自我效能感:概念、理论和应用[J]. 中国人民大学学报,2006(1):91-97.

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Influence of work engagement and self-efficacy of nurses on clinical practice ability in burn intensive care unit

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Influence of work engagement and self-efficacy of nurses on clinical practice ability in burn intensive care unit

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