School of Nursing of Xi'an Medical University, Xi'an, China.
College of Nursing Science, Kyung Hee University, Seoul, Korea.
Int Nurs Rev. 2019 Jun;66(2):234-241. doi: 10.1111/inr.12488. Epub 2019 Feb 11.
This study study aimed to investigate the effects of explicit and tacit knowledge sharing on clinical decision-making abilities and the mediating role of trust among registered nurses at Korean hospitals.
Decision-making abilities comprise a key area of nursing practice and link nurses' perceptions with behaviours.
Tacit knowledge is embedded within an individual and cannot be expressed or transmitted to other people in a specific form. Over time, new nurses gradually gain experience and tacit knowledge and become experts. Trust, an organizational characteristic, may serve as a potential mediator in the association between knowledge sharing and decision-making abilities among nurses. However, few studies have investigated the mediatory role of trust in this association.
The data were collected from 210 nurses selected via random sampling. The research instrument in the model included Knowledge-Sharing Behavior, Trust, and Clinical Decision-Making in Nursing Scale. Structural equation modelling was used to analyse the collected data.
The study findings showed that explicit knowledge sharing directly affects decision-making abilities, whereas tacit knowledge sharing is only associated with decision-making abilities when trust plays a mediating role.
A higher level of organizational trust can improve clinical decision-making abilities via tacit knowledge sharing.
This study demonstrated that unlike explicit knowledge, which is shared more easily, tacit knowledge sharing does not directly lead to clinical decision-making abilities. A higher level of organizational trust leads to a stronger beneficial effect of tacit knowledge sharing on clinical decision-making abilities.
These findings concerning the mediatory role of trust on the association between knowledge sharing and clinical decision-making abilities provide new knowledge that will allow nurses, managers, and researchers to support the clinical decision-making abilities of nurses.
本研究旨在探讨显性和隐性知识共享对韩国医院注册护士临床决策能力的影响，以及信任在其中的中介作用。
决策能力是护理实践的一个关键领域，将护士的感知与行为联系起来。
隐性知识存在于个体内部，不能以特定形式表达或传递给他人。随着时间的推移，新护士逐渐获得经验和隐性知识，并成为专家。信任是一种组织特征，可能在知识共享与护士决策能力之间的关系中起到潜在的中介作用。然而，很少有研究调查信任在这种关联中的中介作用。
通过随机抽样从 210 名护士中收集数据。模型中的研究工具包括知识共享行为、信任和护理临床决策量表。使用结构方程模型分析收集的数据。
研究结果表明，显性知识共享直接影响决策能力，而隐性知识共享只有在信任发挥中介作用时才与决策能力相关。
更高水平的组织信任可以通过隐性知识共享提高临床决策能力。
本研究表明，与更容易共享的显性知识不同，隐性知识共享并不直接导致临床决策能力。更高水平的组织信任会导致隐性知识共享对临床决策能力的有益影响更强。
这些关于信任在知识共享与临床决策能力之间关系中的中介作用的发现提供了新的知识，使护士、管理人员和研究人员能够支持护士的临床决策能力。
