核心能力对临床护士发声行为的影响：一项多中心横断面研究
Influence of Core Competence on Voice Behavior of Clinical Nurses: A Multicenter Cross-Sectional Study.
作者信息
Guo Yufang, Wang Xinxin, Plummer Virginia, Cross Wendy, Lam Louisa, Wang Shuangshuang
机构信息
School of Nursing and Rehabilitation, Shandong University, Jinan, Shandong, 250012, People's Republic of China.
School of Nursing, Hebei University, Baoding, Hebei, 07100, People's Republic of China.
出版信息
Psychol Res Behav Manag. 2021 Apr 29;14:501-510. doi: 10.2147/PRBM.S309565. eCollection 2021.
BACKGROUND
Voice behavior, referred to as a positive guarantee for organizational development, is influenced by several kinds of individual, collective and organizational features. However, the impact of individual competence on voice behavior is unclear. The aim of the present study was to investigate the status quo of core competence and voice behavior of clinical nurses and explore the impact of core competence on nurses' voice behavior.
METHODS
A multicenter cross-sectional survey. A total of 1717 nurses were recruited from nine tertiary and secondary hospitals between March and June 2019. An online questionnaire, including socio-demographic variables, employee voice behavior scale and competence inventory for registered nurses, was used to investigate prohibitive and promotive voice behavior and core competence of clinical nurses. Pearson correlation and hierarchical multiple regression were performed in the data analysis.
RESULTS
The mean score for prohibitive and promotive voice behavior of nurses were 3.46 (SD 0.77) and 3.46 (SD 0.88), respectively. The mean score for core competence was 2.46 (SD 0.77). Critical thinking/research aptitude was the most important predictor for both prohibitive and promotive voice behavior (each < 0.05), but its influence on promotive voice behavior was greater ( < 0.05). Leadership was another significant predictor for prohibitive voice behavior ( < 0.05). Legal/ethical practice, teaching-coaching, professional development and shift work were other predictors for promotive voice behavior (each < 0.05).
CONCLUSION
Clinical nurses experience modest levels of prohibitive and promotive voice behavior and their core competence is moderate. Core competence, especially critical thinking/research aptitude, impacts significantly on voice behavior of clinical nurses. Cultivating nurses' core competence could positively increase their voice behavior for organizational development.
背景
建言行为被视为组织发展的积极保障，受到多种个人、集体和组织特征的影响。然而，个人能力对建言行为的影响尚不清楚。本研究旨在调查临床护士核心能力和建言行为的现状，并探讨核心能力对护士建言行为的影响。
方法
多中心横断面调查。2019年3月至6月期间，从9家三级和二级医院招募了1717名护士。使用一份在线问卷，包括社会人口统计学变量、员工建言行为量表和注册护士能力量表，来调查临床护士的抑制性和促进性建言行为以及核心能力。数据分析采用Pearson相关性分析和分层多元回归分析。
结果
护士抑制性和促进性建言行为的平均得分分别为3.46（标准差0.77）和3.46（标准差0.88）。核心能力的平均得分为2.46（标准差0.77）。批判性思维/研究能力是抑制性和促进性建言行为的最重要预测因素（均P<0.05），但其对促进性建言行为的影响更大（P<0.05）。领导力是抑制性建言行为的另一个重要预测因素（P<0.05）。法律/道德实践、教学指导、专业发展和轮班工作是促进性建言行为的其他预测因素（均P<0.05）。
结论
临床护士的抑制性和促进性建言行为处于中等水平，其核心能力也处于中等水平。核心能力，尤其是批判性思维/研究能力，对临床护士的建言行为有显著影响。培养护士的核心能力可以积极增加他们为组织发展的建言行为。
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